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The 'HOCKEY-STICK' CREASE - A characteristic in CHARGE- & fetal alcohol syndrome

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Post  Martijn (admin) on Sun Nov 28, 2010 1:11 am

The 'HOCKEY-STICK' CREASE - A characteristic in CHARGE- & fetal alcohol syndrome Hockey-stick-palmar-crease

One of the most unusual hand lines included in the 'weird-hand-lines QUIZ' (part 2), was the so-called 'hockey-stick palmar crease' - which is characterized by a distal transverse crease that widens at the end (like a hockey-stick) and ends between the second- and third fingers.

In the QUIZ this unusual heart line variant was linked with fetal alcohol syndrome (FAS). This is a fetal alcohol syndrome study where the interrater agreement for the 'hockey-stick crease' was rated as "moderate-to-fair" (modest):
http://pediatrics.aappublications.org/cgi/content/full/118/6/e1734

NOTICE: It's interesting to notice that the study revealed that inexperienced observes tend to 'overestimate' the occurence of the 'hockey-stick' palmar crease.


But next to fetal alcohol syndrome, there is another syndrome where the 'hockey-stick' palmar crease is seen in even up to about 50% of cases: the CHARGE syndrome (= a complex multi-body-parts disorder caused by a genetic anomaly - but a very common characteristic is deafness combined with a 'lob ear': see the picture below).

The 'HOCKEY-STICK' CREASE - A characteristic in CHARGE- & fetal alcohol syndrome Afp20050715p279-f4

The following article concerns a CHARGE syndrome study where the 'hockey-stick' palmar crease is mentioned (combined with other hand characteristics):
http://www.chargesyndrome.org/manual/Diagnosis.pdf


study ... Finally, in case you would like to read more about the typical hand features in FAS and CHARGE syndrome, an overview is presented here:
http://handfacts.wordpress.com/2010/11/28/hockey-stick-palmar-crease-a-characteristic-in-charge-fetal-alcohol-syndrome/

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Post  Upendrasingh Bhadoriya on Sun Nov 28, 2010 3:40 pm

Dear Martijn
My one confusion regarding formations of palm Is it possible to recognized formation of hand in childhood?
Thanks!
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Post  Martijn (admin) on Sun Nov 28, 2010 3:48 pm

Upendrasingh Bhadoriya wrote:Dear Martijn
My one confusion regarding formations of palm Is it possible to recognized formation of hand in childhood?
Thanks!

Hello U.B, sorry... I am afraid that I don't understand your question. Can you please specify your question with a few more words?


PS. Or did I understand your question correctly... scratch ...maybe you only want to know: if one can recognize the 'hockey-stick' crease also in the hand of a child?


Thanks!

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Post  Upendrasingh Bhadoriya on Sun Nov 28, 2010 3:55 pm

Martijnji

My Question is clear.

I case of children’s hand can we identified the formation of hand (Square, Conic, philosophic… hand)? 'Hockey-stick' crease is to understand and recognize.
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Post  Martijn (admin) on Sun Nov 28, 2010 4:56 pm


scratch ... Sorry, I am afraid that I still don't understand the relevance of 'formation of hand' (= hand shape) in the perspective of this discussion about a specific hand line variant: the hockey-stick crease?

Please? But you are welcome to explain how you see 'formation of hand' and the hockey-stick crease!! Please?


(B.t.w. my answer to your question about 'hand shape' is: no, I think one can not assess hand shape in young children - because some hand characteristics are age-dependent.)

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Post  Upendrasingh Bhadoriya on Sun Nov 28, 2010 5:01 pm

A typical CHARGE hand displays a combination of the following characteristics: square hand, short fingers, finger-like thumb, and hockey-stick palmar crease.
Hence this question has aroused.
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Post  Martijn (admin) on Sun Nov 28, 2010 5:30 pm

Upendrasingh Bhadoriya wrote:
A typical CHARGE hand displays a combination of the following characteristics: square hand, short fingers, finger-like thumb, and hockey-stick palmar crease.
Hence this question has aroused.

Okay, now I understand! Very Happy
(Your quote comes from the blog post that I mentioned where I describe the typical hand characteristics for 'CHARGE syndrome')

CHARGE syndrome is characterised by not only a 'square palm', but also a 'square face' + 'square head' (+ facial asymmetry).

And because CHARGE syndrome is typically recognized at a rather early age, I am quite sure that the palms of these (young) persons already show a more square-like palm shape, which is (probably) broader than the hands of far most other children.

So, yes: one can not assess adult hand shape from the hand of a child - but in CHARGE syndrome the palm is more square-shaped than in other children


By the way... a likewise tendency can be observed in Down's syndrome & fragile x syndrome... which are both also characterised by a relatively broad palm!! So, the characteristic of a 'square hand' should in this context not be associated with the typical characteristics of a SQUARE HAND SHAPE as defined by the palmistry literature.


I hope this all makes sense now!? wave


PS. The pictures below are examples of a CHARGE syndrome hand at a very early age (left hand in picture 1); plus a CHARGE syndrome hand at a slightly older age (picture 2):

The 'HOCKEY-STICK' CREASE - A characteristic in CHARGE- & fetal alcohol syndrome Hockey-stick-palmar-crease

The 'HOCKEY-STICK' CREASE - A characteristic in CHARGE- & fetal alcohol syndrome Palmar-crease

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Post  Manfred on Sun Nov 28, 2010 9:31 pm

Thanks Martijn, an interesting fact.

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Post  Martijn (admin) on Sun Nov 28, 2010 10:15 pm

Thanks!
Yes indeed, thanks Manfred!!

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Post  Upendrasingh Bhadoriya on Mon Nov 29, 2010 12:55 am

Dear Martijn ,
Now my doubt is clear here square palm means suppose square looking hand of a child which may not be remains square when he/she become adult. And your statement is also not related to traditional square hand of palmistry.
Thanks!
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Post  Martijn (admin) on Mon Nov 29, 2010 1:03 am

Upendrasingh Bhadoriya wrote:Dear Martijn ,
Now my doubt is clear here square palm means suppose square looking hand of a child which may not be remains square when he/she become adult. And your statement is also not related to traditional square hand of palmistry.
Thanks!
Okay U.B., great to hear that my answer was useful for you!! Smile

By the way, I would like to add... that just like in Down's syndrome and fragile X-syndrome the palm shape will likely not show significant changes when CHARGE syndrome people grow older - so I would expect that the hands of people who have CHARGE syndrome will display sort of the same 'square palm shape' in their adulthood.

wave

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Post  Upendrasingh Bhadoriya on Mon Nov 29, 2010 2:50 am

Thanks Matrtijnji

It is not a easy job to find the syndromes or analysis psycho problem from palm. It is a Hercules task and you attempt to collect materials about them is really appreciable.
Carry on …….(It is a 03.50 of morning of Netherlands....)

Thumbs up!
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Post  jeanette on Tue Nov 30, 2010 12:24 am

Hi Martijin,
All that information is so good and informative and thanks so much for it.
However, I am still wondering about the Suwon Crease. I think I could recognise it, but what it is showing? Thanks,
Jeanette.
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Post  Martijn (admin) on Tue Nov 30, 2010 5:35 pm

jeanette wrote:Hi Martijin,
All that information is so good and informative and thanks so much for it.
However, I am still wondering about the Suwon Crease. I think I could recognise it, but what it is showing? Thanks,
Jeanette.
Hi Jeanette,

It might take years before we can provide reliable interpretations for the 'Suwon crease' - so far I have described my thoughts & observations in the following discussion:
http://www.modernhandreadingforum.com/iiih-news-that-relates-to-the-activity-of-reading-hands-f15/report-korean-researchers-discovered-the-suwon-crease-only-observed-in-males-t199.htm?highlight=suwon

... next year I hope to be able to present more materials (beyond the possible connection with high IQ).

[But let's focuss this topic on the 'Hockey-stick crease'; further comments regarding the 'Suwon crease' are welcome in the above mentioned discussion]

wave

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Post  jeanette on Tue Nov 30, 2010 8:41 pm

Thanks Martiljin I wish an interpretation could come soon.
Jeanette
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Post  Felicity Martin on Mon May 20, 2013 11:46 pm

Hi Martijn

Thanks for you wonderful articles on the various disorders, environmentally or heritable...

I was wondering , given that alcohol is the world's leading teratogen , does the hockey stick crease affect to some degree all the Fetal Alcohol Spectrum Disorder range? Or does it affect those with the most severe form with accompanying facial, cognitive etc, Fetal Alcohol Sydrome?
Does it also appear on the partial- Fetal Alcohol Disorder? I was wondering whether it also appears on the Alcohol Related Neurodevelopmental Disorder as well given the connection of the hand to brain with the related neurocognitive impacts on memory, attention etc?

Cheers Felicity
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Post  Martijn (admin) on Tue May 21, 2013 9:25 am

Felicity Martin wrote:Hi Martijn

Thanks for you wonderful articles on the various disorders, environmentally or heritable...

I was wondering , given that alcohol is the world's leading teratogen , does the hockey stick crease affect to some degree all the Fetal Alcohol Spectrum Disorder range? Or does it affect those with the most severe form with accompanying facial, cognitive etc, Fetal Alcohol Sydrome?
Does it also appear on the partial- Fetal Alcohol Disorder? I was wondering whether it also appears on the Alcohol Related Neurodevelopmental Disorder as well given the connection of the hand to brain with the related neurocognitive impacts on memory, attention etc?

Cheers Felicity

Yes Felicity, there is evidence available that the hockey stick crease manifests in FAS (fetal alcohol syndrome) and FASD (fetal alcohol spectrum disorder), more details are described in these studies:
- http://www.ncbi.nlm.nih.gov/pubmed/16353236 (2007)
- http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3143840/ (2010)

NOTICE: The 2007 study reports a percentage 51% for a "... "hockey stick" or other altered palmar creases".

However, I am not aware of any reports regarding the hockey stick crease in ARND specific, however ARND does fall under the 'umbrella' term FASD.


Here's another example that was featured in the 2010 study:


The 'HOCKEY-STICK' CREASE - A characteristic in CHARGE- & fetal alcohol syndrome Nihms310271f2

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Post  Felicity Martin on Tue May 21, 2013 10:51 pm

Thank you very much for this Martijn, we are studying ADHD and FASD at the moment and in the Fetal Alcohol they base it on facial features etc and no mention of hands, so this was most useful

Felicity
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Post  Martijn (admin) on Wed May 22, 2013 7:26 pm


Great and thank you for your feedback.

wave

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