Digit effects produced by prenatal exposure to antiepileptic drugs

The hypothesis tested was that digit anomalies among individuals exposed in utero to antiepileptic drugs (AED) are best identified by a systematic search, including radiographs and dermatoglyphics, rather than relying only on visual inspection. A systematic search was made for five types of digit abnormalities in 46 AED-exposed individuals ages 5-29 years in comparison with controls: visible anomalies, size of fingernails, dermal ridge patterns, length of metacarpals and phalanges, and qualitative changes in the distal phalanges. Among the AED-exposed, nail size was not decreased. However, there was a 10.8% frequency of digit anomalies, a 12% frequency of three or more arch patterns, and significant shortening and qualitative changes in the distal phalanges, all of which are consistent with the fetal effects of AED. Among the 42 individuals who underwent all evaluations, 14.3% had two or more of these abnormalities, most of which would not be identified by clinical inspection. This frequency is much higher in these AED-exposed individuals than in the general population. Radiographs in 13 individuals over a period of several years showed that the changes in the phalanges and metacarpals persisted.     

Ontogenetic and anatomic variation in mineralization of the wing skeleton of the Mexican free-tailed bat, Tadarida brasiliensis

We examined patterns of variation in the mineral content of the wing skeleton of the Mexican free-tailed bat, Tadarida brasiliensis. We ashed humeri, radii, metacarpals II-V, and phalanges of digit III, and quantified mineralization differences among elements at specific ages, and ontogenetically for each element. The most mineralized elements are the humerus and the radius, followed by the metacarpals, of which the third and fifth are the most mineralized. The proximal and middle phalanges of the third digit exhibit the lowest mineral content, and the distal phalanges have no mineral content according to our ashing protocol. Histological examination shows a thin (< 10 μm) shell of unmineralized osteoid surrounding a cartilaginous core in distal phalanges. Mineral content of each bone increases linearly with age during post-natal development, but there are differences in the rate and extent of this increase among the different elements.
The mineralizaton differences we observed parallel substantially different bone loading patterns found in different parts of the wing in other studies. The humerus and radius are subjected to large torsional loads during flight, while the metacarpals and phalanges experience dorsoventral bending. The high mineral content of the humerus and radius and the low mineral content of the metacarpals and phalanges may resist torsion proximally and promote bending distally. Furthermore, the decrease in mineral content along the wing's proximodistal axis decreases bone mass disproportionately at the wing tips, where the energetic cost of accelerating and decelerating limb mass is greatest.     

Correlations between rates of epiphyseal and diaphyseal elongation in the short bones of the hand

Serial annual radiographs of the hand have been used to analyze the rates of elongation of the epiphyses and diaphyses of the metacarpals and phalanges in children at ages from 3 to 13 years. The rates of elongation for many corresponding ephiphyses and diaphyses (i.e., of the same bone) are negatively correlated but to an extent that is not statistically significant for any particular bone. This tendency toward negative correlations is found for most of these bones although the correlation coefficients for most of the metacarpals are positive in each sex. Within rays, the correlation indices between the rates of elongation for corresponding epiphyses and diaphyses (i.e., of the same bone) have larger negative or smaller positive values than for those between either adjacent and non-corresponding or non-adjacent and non-corresponding epiphyses and diaphyses (i.e., not of the same bone but of either adjacent or non-adjacent bones). The communality indices for the ratio between the rates of epiphyseal and diaphyseal elongation in particular bones are more highly correlated in the girls than in the boys and within the rows than within the rays. Some implications of the tendency to negative correlations between the rates of elongation of corresponding epiphyses and diaphyses have been discussed.     

Some aspects of the analysis of hand-wrist bone-age readings

Principal components analysis was applied to the individual center bone-age readings from the study outlined by Sproul and Peritz ('71) in the preceding paper. The first two components are amenable to a simple interpretation. The first one is a general skeletal maturity factor, which can be expressed as a weighted mean bone-age, with slightly higher weights attached to the metacarpals and phalanges II to V than to the other bone centers. The second component is a measure of the contrast between hand-bone and finger-bone ages, with generally high positive weights for the bone-ages of radius and carpals, low weights for metacarpals and negative weights for phalanges. The weights for the first component vary little between races and sexes or with children's height. The weights for the second component are less homogeneous. The first component accounts for some two thirds of the variability; the second component accounts for roughly nine percent of it. Mean values for the first two components vary considerably with the children's height. Various other results relating the first two components to height and parents' height are presented. An analysis of the correlation matrices of individual center bone ages revealed particularly high correlations (0.8 to 0.9) within rows, with the exception of thumb bone centers.     

Tubular hand bone growth during the latter half of the prenatal period: an allometric analysis

The growth of the 19 tubular hand bones from fetal months 5 to 9 was studied by the allometric method. The hand bones were carefully dissected under a low power stereoscopic microscope. The length and breadth of all bones was found to be monophasic in relation to crown-rump length. In general, maximum bone and ossified shaft lengths in the same row group demonstrate similar allometric coefficients. The specific growth rate of ossified shaft length for all fetal hand bones is greater than the growth rate of maximum length. The highest allometric coefficients for both maximum length and ossified shaft length were obtained from the middle phalanges. The shape of the metacarpals and distal phalanges becomes thinner, while the other bones become thicker or maintain their length-breadth ratio. The relative growth pattern of the first proximal phalanx differed from the middle phalangeal group of the other digits. This suggests that current nomenclatures for the three bones of the pollex is appropriate.     

Metacarpophalangeal pattern profiles in Venezuelan and northern Caucasoid samples compared

Comparison of hand long-bone lengths and variances in published measurements of North American Caucasoid, Venezuelan, and English individuals, and of their metacarpophalangeal pattern profiles (MPP), revealed systematic differences between samples from infancy through adulthood. The variances of Venezuelan males tend to be larger than those of Americans, especially under 9 years of age. The same trend was observed for females, but to a lesser degree. The English sample showed variance similar to that of Venezuelans and Americans. Below 7 years of age, bones of Venezuelans were longer than those of Americans, except the distal phalanges, which always were longer in the latter, as were all bones after age 17. The index finger's middle and distal phalanges of Americans were relatively longer than the other bones at all ages. Females also showed this general trend, though not as clearly. Venezuelan adults had longer first and second metacarpals and proximal phalanges than the English adult homologs. American adults had all bones longer than those of English adults. The English adults showed a "typical" MPP, characterized by shorter proximal phalanges, both when compared with Venezuelan and with American adults. Genetic rather than environmental causes are likely as an explanation for these differences. This warned us against the indiscriminate use of any "standard" sample from a different population to establish objective profile patterns and sizes in abnormal cases, as illustrated with one example.     

Allometric patterning in the limb skeleton of bats: Implications for the mechanics and energetics of powered flight

Allometric analysis was employed to compare linear dimensions of forelimb and hindlimb bones (humeri, radii, third and fifth metacarpals, third and fifth manual phalanges, femora, and tibiae) of 227 species of bats and 105 species of nonvolant mammals of varying degrees of phylogenetic affinity to bats. After accounting for body size, all forelimb bones are longer in bats than in nonvolant species, with the exception of humeri and radii of a few highly arboreal primates. Hindlimb bones are generally, but not uniformly, shorter in bats than in other mammals. For the humerus, radius, and metacarpals, midshaft diameters are greater in bats than in their comparably sized relatives. Proximal phalangeal midshaft diameters are statistically indistinguishable from those of other mammals, and distal phalanges show significantly reduced outer diameters. The pattern of relative reduction in wing bone diameters along the wing's proximodistal axis parallels the reduction in bone mineralization along the same axis, and a similar pattern of change in cortical thickness from the smallest wall thicknesses among mammals in the humerus and radius to the greatest wall thicknesses among mammals in the phalanges. The combination of altered cross-sectional geometry and mineralization appears significantly to reduce the mass moment of inertia of the bat wing relative to a theoretical condition in which elongated bones preserve primitive mammalian mineralization levels and patterns of scaling of long bone diameters. This intercorrelated suite of skeletal specializations may significantly reduce the inertial power of flight, contributing significant energetic savings to the total energy budgets of the only flying mammals. J. Morphol. 234: 277–294, 1997. © 1997 Wiley-Liss, Inc.     

Comparative and functional morphology of hominoid fingers.

Comparisons of hominoid metacarpals and phalanges reveal differences, many of which are closely linked to locomotor hand postures. The African apes display features of the metacarpals and phalanges which distinguish them from the other Hominoidea. These features are most evident in digits III and IV. The orangutan hand is demonstrably less well adapted to knuckle-walking and is distinctive in its adaptation to power and hook grasping of vertical and horizontal supports, respectively. Orangutan fingers possess a "double-locking" mechanism (Napier, '60), and a slight ulnad shift in the axis of the hand which results in lengthened phalanges of ray IV. Hylobatid apes are more like orangutans in their finger morphology than any of the other Hominoidea, but exhibit unique features of their own. These include elongate phalanges of fingers II-V. Human metacarpals II-V form two sets composed of II-III, and IV-V. The heads of both metacarpals II and III are characterized by axial torsion. This reflects the enhanced manipulatory role of the third finger in humans. Human distal phalanges are unique in the development of pronounced apical tufts. Multivariate analysis of metacarpal III and proximal III yields variables that array the extant apes along an arboreal-terrestrial axis, from hylobatid apes to male gorillas. The positions of taxa on this discriminant concur with observations on the locomotion of free-ranging apes.     

Neanderthal hand and foot remains from Moula‐Guercy,Ardèche,France

The hand and foot remains from Moula‐Guercy cave (Ardèche, France) comprise 24 specimens of Eemian age (ca. 120 ka). The specimens include primarily complete elements, which are rare among the Moula‐Guercy postcrania. The hand remains have several characteristic Neanderthal traits including a laterally facing (parasagittally oriented) second metacarpal‐capitate articulation, a short styloid process, a wide proximal articular surface on the third metacarpal, and absolutely expanded apical tuberosities on the distal hand phalanges relative to modern humans. The foot remains include several incomplete elements along with an antimeric pair of naviculars, a medial cuneiform and cuboid, and a single complete element from each of the distal segments (one each: metatarsal, proximal foot phalanx, intermediate foot phalanx, distal foot phalanx). Consistent among the specimens are relatively wide diaphyses for length in the metatarsals and phalanges and large and prominent muscle attachments, both consistent with previously published Neanderthal morphology. The hand and foot collection from Moula‐Guercy is an important dataset for future studies of Neanderthal functional morphology, dexterity, and behavior as it represents a previously undersampled time period for European Neanderthals. Am J Phys Anthropol 152:516–529, 2013. © 2013 Wiley Periodicals, Inc.     

Development and growth of long bones in European water frogs (Amphibia: Anura: Ranidae), with remarks on age determination

Differentiation and development of long bones were studied in European water frogs: Rana lessonae, R. ridibunda, and R. esculenta. The study included premetamorphic larvae (Gosner Stage 40) to frogs that were 5 years old. Femora, metatarsal bones, and proximal phalanges of the hindlimb exhibit the same pattern of periosteal bone differentiation and the same pattern of growth. Longitudinal and radial growth of these bones was studied by examination of the diaphyses and epiphyses, particularly where the edge of periosteal bone is inserted into the epiphysis. The periosteum seems to be responsible for both longitudinal and radial growth. Investigation of the formation, length, and arrangement of lines of arrested growth reveals that the first line is present only in the middle 25-35% of the length of the diaphysis of an adult bone; therefore, only the central portion of the diaphysis should be used for age estimation in skeletochronological studies. Comparison of the shapes and histological structures of epiphyses in the femur, metatarsal bones, and phalanges revealed that epiphyseal cartilages are composed of an inner and outer part. The inner metaphyseal cartilage has distinct zones and plugs the end of the periosteal bone cylinder; its role in longitudinal growth is questioned. The outer epiphyseal cartilage is composed of articular cartilages proper, in addition to lateral articular cartilages. Differences in the symmetry of the lateral articular cartilages of distal epiphyses of the femur and toes may reflect adaptations to different kinds of movements at the knee and in the foot.     

Associations between the rates of maturation and growth in the short bones of the hand

Serial radiographs of the hand-wrist were used to analyze the associations within bones between the rates of change in skeletal maturity, diaphyseal and epiphyseal lengths and diaphyseal width. In previous studies of these children, it has been shown that these rates are linear in relation to chronological age. The associations between the rates of change in these parameters were analyzed using the slopes (b values) for regression lines flitted to the data in each child. In individual bones, most of the correlation coefficients were moderate to low; some were negative. For most associations in each sex they were relatively high for metacarpal II. The rates of skeletal maturation and diaphyseal elongation were correlated more highly in the girls than in the boys but the rates of skeletal maturation and epiphyseal elongation were correlated more highly in the boys. When bones were considered in groups, relatively high correlations were noted for the metacarpals and ray II, lower correlations were common for the middle and distal phalanges. There was no evidence of real neighborhood effects but marginal effects were present.     

The differential frequency of preservation of early hominid wrist and hand bones

A survey of hominid hand and wrist bones of Plio-Pleistocene fossil hominid sites in Africa was undertaken. There are 101 specimens in total, from 7 sites. Carpals are most rarely preserved, but certain elements such as the capitate tend to be more frequently preserved than others. There is a preservation rate cline from proximal to distal in the hand, proximal elements (metacarpals) being numerically better preserved than the distal elements (proximal, middle and distal phalanges, in that order of preservation). The proportion of complete, or nearly complete hand and wrist bones is greater in the distal than in the proximal elements. There is no statistical difference in the frequency of preservation of left and right sides, or in the frequency of preservation of proximal and distal ends of individual bones, although there is a tendency for proximal ends to occur more frequently than distal ends. The incidence of hand and wrist bones in fossil deposits is low compared with that of other post-cranial skeletal elements (with the exception of foot bones, where the incidence is similar). This could be accounted for by depositional factors, but preparation techniques and differential collection of specimens may play a role.     

A resampling approach and implications for estimating the phalangeal index from unassociated hand bones in fossil primates

Primate fossil assemblages often have metacarpals and phalanges from which functional/behavioral interpretations may be inferred. For example, intrinsic hand proportions can indicate hand function and substrate use. But, estimates of intrinsic hand proportions from unassociated hand elements can be imperfect due to digit misattribution. Although isolated metacarpals can be identified to a specific digit, phalanges are difficult to assign to a specific ray. We used a resampling approach to evaluate how estimates of intrinsic hand proportions are affected by such uncertainty. First, the phalangeal index—intermediate phalanx length plus proximal phalanx length divided by metacarpal length—for the third digit was calculated for associated specimens of terrestrial, semiterrestrial, and arboreal taxa. We then used resampling procedures to generate distributions of “composite digits” based on resampled ratios in which phalanges from the second, fourth, and fifth rays, and from different individuals, were chosen randomly. Results confirm that the phalangeal index for associated third digits significantly discriminates groups. We also found that resampled ratios had significantly lower means, indicating that using composite digits is prone to systematic underestimation. Resampled ratios also generated distributions with greater variance around the means that obscured distinctions between groups, although significant differences between the most arboreal and terrestrial taxa are maintained. We conclude that using unassociated phalanges to calculate a phalangeal index is prone to sampling bias. Nevertheless, a resampling approach has the potential to inform estimates of hand proportions for fossil taxa, provided that the comparative sample is constrained to mimic the fossil composition. Am J Phys Anthropol 151:280–289, 2013. © 2013 Wiley Periodicals, Inc.     

Fluctuating asymmetry and morphometric variation of hand bones

The major aim of this study was to test three hypotheses: 1) more complex traits of the hand are less prone to developmental insults and therefore show lower fluctuating asymmetry (FA) as compared with simple traits; 2) the manifestation of FA correlates with the variability of the trait (i.e., CV); and 3) FA is an organ-wide property, and therefore a concordance exists between the FA measures of different traits in hand bones. Seventy-two bilateral measurements of hand bones, were made from plain-film radiographs of 365 cadavers. A complex trait was considered as the total length of the three phalanges of a finger and their contiguous metacarpals. Simple traits were considered to be the lengths of individual bone that made up the complex trait. The following results were obtained: 1) on the average simple traits, composing the complex trait, show much higher FA than the corresponding complex trait, but this result is expected if there is no correlation (or low correlation) between FA of simple traits within the complex trait, due to random direction of right-left differences; 2) strong and highly significant correlation was observed between FA and CV of studied traits, regardless of sex and age of individuals; and 3) the majority of FA measurements of hand bones showed no correlation. However, correlations between some sets of FA traits were highly significant. They were interpreted, although not specifically tested, as the result of a tight relationship between traits related not only developmentally but also by active performance of the same function. Am J Phys Anthropol 107:125–136, 1998. © 1998 Wiley-Liss, Inc.     

Associations between the rates of maturation of the bones of the hand-wrist

Skeletal maturation rates for the age interval 3 to 13 years were analyzed using bone-specific assessments (Greulich-Pyle) of serial radiographs of 40 children. The mean rates of skeletal maturation resembled those of the population from which the atlas standards had been derived. There was a linear trend of skeletal age against chronological age for most bones in each sex. Regression lines were fitted to these data and the b values of the regression lines were calculated. Communality indices were calculated from an intercorrelation matrix of these b values. There was a statistically significant rank order correlation between the sexes in the communality indices. They tended to be higher in the girls than in the boys and were relatively low for the radius, ulna and carpals. Communality indices within groups of bones were high in all rows, especially the metacarpals, but in each sex they were comparatively low in the first ray (metacarpal plus the phalanges of the corresponding digit) and in the fifth ray of the boys. Neighborhood effects on the levels of association of maturation rates were present, particularly in the carpus, but marginal effects were not noted.     

Polydactyly in four generations of an Algerian family with variable metacarpo-phalangeal relationship in an individual

We report an Algerian family in which four generations show polydactyly with variable numbers of metacarpals and phalanges. The extraordinary rearrangements of the metacarpals and phalanges shown in the X-rays are most unusual. The family is highly consanguineous. The mode of inheritance appears to be dominant with reduced penetrance and variable expression.     

Male advancement in prenatal hand development

Male advancement in the developing hand was evidenced by 66 grossly and microscopically normal embryos in the 15–75 mm crown-rump range. Male advancement was particularly pronounced in the younger (15–30 mm) embryos, both in the proximal hand region including the round bones of the wrist and in the distal hand region, comprising the metacarpals and phalanges. Thirty-four additional embryos, abnormal in implantation or development or representing spontaneous abortion similarly evidenced male advancement in the early hand skeleton.     

Articular constraint, handedness, and directional asymmetry in the human second metacarpal

The hypothesis that functional adaptation of joint surfaces to mechanical loading occurs primarily through change in mass, density, and structure of subarticular trabeculae (the "articular constraint" model) is investigated through an analysis of directional asymmetry among three separate bone compartments in the human second metacarpal. Measures of midshaft cross-sectional geometry, osteometry of the distal epiphysis, and subarticular trabecular microarchitecture of the distal epiphysis (assessed by high-resolution microcomputed tomography) were determined for 29 paired male and female metacarpals from a well-preserved nineteenth-century Euro-Canadian historic cemetery sample. For each measure, asymmetry was quantified using both mean-difference and confidence-interval methods. Both methods found a significant right-hand bias for measures of structural strength in midshaft geometry, as has been previously noted for this sample. Articular size, however, exhibits a right-hand bias only with regard to mediolateral, and not dorsopalmar, dimensions, a result that may reflect directional asymmetry in hand breadth at the distal palmar arch. The most striking asymmetries occur for subarticular trabecular microarchitecture. The right metacarpal head exhibits greater bone volume fraction, bone surface density, trabecular number, connectivity, and a more platelike rather than rodlike structure. These outcomes confer greater resistance to both axial compressive and shear strains for the metacarpal head at the metacarpophalangeal arthrosis. In all, these results confirm and extend previous research documenting structural asymmetries and limb dominance and are consistent with the concept of articular constraint. They also suggest a morphological signal through which functional asymmetry associated with handedness in fossil hominins may be investigated.     

Mechanical advantages of the Neanderthal thumb in flexion: a test of an hypothesis

It has been proposed that the pollical phalangeal length proportions of the Neanderthals provided them with a greater mechanical advantage relative to recent humans for their pollical flexor muscles in power grips across the interphalangeal (IP) joint at the expense of the mechanical advantage of those pollical flexor muscles in precision grips at the finger tip. To test these related hypotheses, we compared the pollical load arm dimensions (phalanx lengths) to power arm dimensions (dorsopalmar articular heights) for the European and Near Eastern Neanderthals and for European and Amerindian samples of recent humans. It was found, initially, that the proximal articular height of the pollical distal phalanx is a poor predictor of the power arm at the IP articulation, even though the proximal articular height of the pollical proximal phalanx was an adequate indicator of the power arm size at the metacarpophalangeal (MCP) joint. In addition, differences in distal pollical ulnar deviation at the IP joint appeared to make little difference in the mechanical advantage comparisons. More importantly, the relative shortness of Neanderthal proximal pollical phalanges and the relative lengthening of their distal pollical phalanges was confirmed, and it was determined that, despite some minor differences in articular dimensions between Neanderthals and recent humans, these pollical phalangeal length contrasts translated into significant differences in mechanical advantages for the flexor muscles across the MCP and IP articulations.