( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

European Journal of Pharmaceutical and Medical Research (EJPMR) has indexed with various reputed international bodies like : Google Scholar , Indian Science Publications , InfoBase Index (In Process) , SOCOLAR, China , Research Bible, Fuchu, Tokyo. JAPAN , International Society for Research activity (ISRA) , Scientific Indexing Services (SIS) , Polish Scholarly Bibliography , Global Impact Factor (GIF) (Under Process) , Universal Impact Factor , International Scientific Indexing (ISI), UAE  , Index Copernicus , CAS (A Division of American Chemical Society) USA (Under Process) , Directory of Open Access Journal (DOAJ, Sweden, in process) , UDLedge Science Citation Index , CiteFactor , Directory Of Research Journal Indexing (DRJI) , Indian citation Index (ICI) , Journal Index (JI, Under Process) , Directory of abstract indexing for Journals (DAIJ) , Open Access Journals (Under Process) , Impact Factor Services For International Journals (IFSIJ) , Cosmos Impact Factor , Jour Informatics (Under Process) , Eurasian Scientific Journal Index (ESJI) , International Innovative Journal Impact Factor (IIJIF) , Science Library Index, Dubai, United Arab Emirates , Pubmed Database [NLM ID: 101669306] (Under Process) , IP Indexing (IP Value 2.40) , Web of Science Group (Under Process) , Directory of Research Journals Indexing , Scholar Article Journal Index (SAJI) , International Scientific Indexing ( ISI ) , Scope Database , 

 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57



*Dr. H. S. Varma, Dr. Ashish Sirsikar and Dr. Nishant Gupta


It has been generally accepted in medical literature that there is certain regularity in the proportion of hand segments. The eminent hand surgeon J. William Littler[1] in 1973, proposed two mathematical relationships between the anatomic and functional geometry of the hand. Firstly, the motions of the tips of the fingers follow an equiangular spiral and second that the lengths of the phalanges follow a Fibonacci series. We studied the anterior-posterior X-Ray images of right and left hands of 200 adult patients from 19 to 60 years old without any bone pathology or deformities of the hand. For the index, middle and ring fingers the average PIP–DIP/ DIP–Tip ratio was 1.3. This approximates to a ratio for the distances PIP–DIP/DIP–Tip of 4:3. The PIP–DIP/ DIP–Tip distance for the little finger was also 1.3. The ratio of the distance from the metacarpophalangeal joint to the proximal interphalangeal joint (MCP-PIP) and the distance from PIP to phalangeal tip is 1:1 in all the fingers. The ratio of the distance from the PIP to the distal interphalangeal joint (PIP-DIP) and the distance from the DIP to the phalangeal tip (DIP-tip) is 1.3:1 for all the fingers. In other words, the ratios of the DIP-tip/PIP-DIP/MCP-PIP distances were 1:1.3:2.3 for all fingers.

Keywords: PIP - Proximal interphalangeal joint, DIP - Distal interphalangeal joint, MCP - Metacarpo phalangeal joint.

[Full Text Article]




    AUGUST Issue has been successfully launched on 1 August 2022.

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database