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

Year 2024, Volume: 14 Issue: 2, 60 - 66, 28.03.2024

Nihat Demirhan Demirkıran , Ramadan Özmanevra , Süleyman Kaan Öner , Süleyman Kozlu , Turan Dülgeroğlu

https://doi.org/10.16899/jcm.1401015

Cited By: 1

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.

Keywords

Smartphone, radiological, morphological, pinky, fifth finger, mobile phone

Akıllı Telefon Kullanımının Beşinci Parmağın Morfolojik ve Radyolojik Değişikliklerine Etkisinin İncelenmesi

Abstract

Amaç: Bu çalışmanın amacı, cep telefonu kullanımına bağlı olarak beşinci parmakta meydana gelen makroskobik ve radyolojik değişiklikleri tanımlamak ve cihazın boyutu, ağırlığı ile akıllı telefonda geçirilen ortalama sürenin bu morfolojik değişikliklere etkisini değerlendirmektir.

Yöntemler: Çalışmaya 101 hasta dahil edildi. Bu kesitsel çalışmada kullanılan yaş, kilo, boy, eğitim, cep telefonu verileri ve dijital fotoğraflar, bir ortopedi kliniği ortamında katılımcılarla yapılan görüşmelerden elde edilmiştir. Her iki elin sırt kısmının dijital fotoğrafları bir iPhone X ® (çift 12 megapiksel geniş kamera) ile çekildi. Beşinci parmağın DIP eklem açısı bilgisayar yazılımında (Image J® versiyon 1.46, Ulusal Sağlık Enstitüsü, Bethesda, MD) dijital fotoğraflar ve AP el röntgenleri için ayrı ayrı ölçüldü.

Bulgular: Şikayeti olan hastalarda 4 saatten fazla akıllı telefon kullanım süresi şikayeti olmayan hastalara göre anlamlı olarak daha yüksekti (p<0,05). Şekil farklılığı olan hastalarda ortalama 4 saatten fazla akıllı telefon kullanma süresi, şekil farklılığı olmayan hastalara göre anlamlı olarak daha yüksekti (p<0,05).

Sonuç: Büyüklüğü ve ağırlığı ne olursa olsun günde 4 saatten fazla akıllı telefon kullanımı beşinci parmakta şekil bozukluğuna neden olabilir ve radyolojik olarak değişiklik yaratmasa bile hastayı rahatsız edebilir.

Keywords

Akıllı telefon, radyolojik, morfolojik, serçe parmak, beşinci parmak, cep telefonu

References

• 1. According to GSMA real-time intelligence data, there are now over 6.92 Billion people with mobile devices worldwide, − This means that 86.41% of the world’s population have a mobile device (cell phone, tablet or cellular enabled IOT devices.) https://www.bankmycell.com/blog/how-many-phones-are-in-the-world accessed 19th January 2023.
• 2. Cankurtaran ES, Eker E. Being elderly in a young country: geriatric psychiatry in Turkey. Int J Ment Health. 2007;36(3):66-72.
• 3. https://www.statista.com/statistics/467181/forecast-of-smartphone-users-in-turkey/
• 4. Demir YP, Sumer MM. Effects of smartphone overuse on headache, sleep and quality of life in migraine patients. Neurosciences (Riyadh). 2019;24(2):115-121. doi:10.17712/nsj.2019.2.20180037
• 5. Eom SH, Choi SY, Park DH. An empirical study on relationship between symptoms of musculoskeletal disorders and amount of smartphone usage. J Korea Safety Manag Sci. 2013;15(2):113-120.
• 6. Hwang KH, Yoo YS, Cho OH. Smartphone overuse and upper extremity pain, anxiety, depression, and interpersonal relationships among college students. J Korea Contents Assoc. 2012;12(10):365-375.
• 7. Kim HJ; DH, Kim JS. The relationship between smartphone use and subjective musculoskeletal symptoms and university students. J Phys Ther Sci. 2015;27(3):575-579. doi:10.1589/jpts.27.575
• 8. Baabdullah A, Bokhary D, Kabli Y, Saggaf O, Daiwali M, Hamdi A. The association between smartphone addiction and thumb/wrist pain: A cross-sectional study. Medicine (Baltimore). 2020;99(10):e19124. doi:10.1097/MD.0000000000019124
• 9. Berolo S, Wells RP, Amick BC 3rd. Musculoskeletal symptoms among mobile hand-held device users and their relationship to device use: A preliminary study in a Canadian university population. Appl Ergon. 2011;42(2):371-378. doi:10.1016/j.apergo.2010.08.010
• 10. Darowish M, Lawton JN, Evans PJ. Q:What is cell phone elbow, and what should we tell our patients?. Cleve Clin J Med. 2009;76(5):306-308. doi:10.3949/ccjm.76a.08090
• 11. Fuentes-Ramírez LD, Alfaro-Gomez U, Espinosa-Uribe AG, et al. Morphologic changes of the fifth phalange secondary to smartphone use. Work. 2020;65(2):429-433. doi:10.3233/WOR-203095
• 12. Eitivipart AC, Viriyarojanakul S, Redhead L. Musculoskeletal disorder and pain associated with smartphone use: A systematic review of biomechanical evidence. Hong Kong Physiother J. 2018;38(2):77-90. doi:10.1142/S1013702518300010
• 13. Koh TH. Ulcerative "nintendinitis": a new kind of repetitive strain injury. Med J Aust. 2000;173(11-12):671. doi:10.5694/j.1326-5377.2000.tb139392.x
• 14. Brasington R. Nintendinitis. N Engl J Med. 1990;322(20):1473-1474.
• 15. Shah, Priyal P., and Megha S. Sheth. "Correlation of smartphone use addiction with text neck syndrome and SMS thumb in physiotherapy students." Int J Community Med Public Health 5.6 (2018): 2512.
• 16. Fernandez-Guerrero IM. "WhatsAppitis". Lancet. 2014;383(9922):1040. doi:10.1016/S0140-6736(14)60519-5
• 17. Gustafsson E, Johnson PW, Lindegård A, Hagberg M. Technique, muscle activity and kinematic differences in young adults texting on mobile phones. Ergonomics. 2011;54(5):477-487. doi:10.1080/00140139.2011.568634
• 18. Toh SH, Coenen P, Howie EK, et al. A prospective longitudinal study of mobile touch screen device use and musculoskeletal symptoms and visual health in adolescents. Appl Ergon. 2020;85:103028. doi:10.1016/j.apergo.2019.103028
• 19. Kwok SW, Lee PH, Lee RL. Smart Device Use and Perceived Physical and Psychosocial Outcomes among Hong Kong Adolescents. Int J Environ Res Public Health. 2017;14(2):205. Published 2017 Feb 18. doi:10.3390/ijerph14020205
• 20. Shan Z, Deng G, Li J, Li Y, Zhang Y, Zhao Q. Correlational analysis of neck/shoulder pain and low back pain with the use of digital products, physical activity and psychological status among adolescents in Shanghai. PLoS One. 2013;8(10):e78109. Published 2013 Oct 11. doi:10.1371/journal.pone.0078109
• 21. Straker L, Harris C, Joosten J, Howie EK. Mobile technology dominates school children's IT use in an advantaged school community and is associated with musculoskeletal and visual symptoms. Ergonomics. 2018;61(5):658-669. doi:10.1080/00140139.2017.1401671
• 22. Amjad F, Farooq MN, Batool R, Irshad A. Frequency of wrist pain and its associated risk factors in students using mobile phones. Pak J Med Sci. 2020;36(4):746-749. doi:10.12669/pjms.36.4.1797