An Investigation On The Effect Of Smartphone Use On Morphological And Radiological Changes Of The Fifth Finger

N. D. Demirkıran, R. Özmanevra, S. Öner, Süleyman Kozlu, T. Dülgeroğlu
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Abstract

Background: The purpose of this study is to describe the macroscopic and radiological changes on the fifth finger related to mobile phone use and to evaluate the effect of size and weight of the device and the average time spent using the smartphone on these morphological alterations. Methods: One-hundred and one patient were included in the study. Age, weight, height, education, mobile phone data and digital photographs used in this cross-sectional study were obtained from interviews with the participants in an outpatient orthopedics clinic setting. Digital photographs of the dorsal aspects of both hands were taken with an iPhone X ® (dual 12-megapixel wide camera). The DIP joint angle of the fifth finger was measured on computer software (Image J® version 1.46, National Institute of Health, Bethesda, MD) separately for digital photographs and AP hand X-rays. Results: The proportion of smartphone usage time over 4 hours was significantly higher in patients with complaints than patients without complaints (p<0.05). The mean time of smartphone use over 4 hours was significantly higher in patients with shape discrepancy than in patients without shape discrepancy (p<0.05). Conclusion: Smartphone use of more than 4 hours per day, regardless of size and weight, can cause deformity of the fifth finger, which may disturb the patient even if it does not cause radiologically changes.
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关于使用智能手机对五指形态和放射学变化影响的研究
研究背景本研究的目的是描述与使用手机有关的五指宏观和放射学变化,并评估设备的大小和重量以及使用智能手机的平均时间对这些形态变化的影响:研究纳入了 100 名患者。这项横断面研究中使用的年龄、体重、身高、教育程度、手机数据和数码照片都是在骨科门诊与参与者面谈后获得的。双手背侧的数码照片是用 iPhone X ®(双 1200 万像素宽幅摄像头)拍摄的。通过计算机软件(Image J® 1.46版,美国马里兰州贝塞斯达市国家卫生研究院)分别测量数码照片和手部AP X光片的五指DIP关节角度:有不适症状的患者使用智能手机超过 4 小时的比例明显高于无不适症状的患者(P<0.05)。有形体偏差的患者使用智能手机超过 4 小时的平均时间明显高于无形体偏差的患者(P<0.05):结论:每天使用智能手机超过 4 小时,无论体型和体重如何,都可能导致五指畸形,即使不会引起放射学上的变化,也会给患者带来困扰。
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