<?xml version="1.0" encoding="UTF-8"?>
<collection xmlns="http://www.loc.gov/MARC21/slim">
 <record>
  <leader>     caa a22        4500</leader>
  <controlfield tag="001">469094532</controlfield>
  <controlfield tag="003">CHVBK</controlfield>
  <controlfield tag="005">20180323133027.0</controlfield>
  <controlfield tag="007">cr unu---uuuuu</controlfield>
  <controlfield tag="008">170328e19920801xx      s     000 0 eng  </controlfield>
  <datafield tag="024" ind1="7" ind2="0">
   <subfield code="a">10.1007/BF00241815</subfield>
   <subfield code="2">doi</subfield>
  </datafield>
  <datafield tag="035" ind1=" " ind2=" ">
   <subfield code="a">(NATIONALLICENCE)springer-10.1007/BF00241815</subfield>
  </datafield>
  <datafield tag="100" ind1="1" ind2=" ">
   <subfield code="a">Joseph</subfield>
   <subfield code="D">Keenan</subfield>
   <subfield code="u">Alyn Hospital, P.O. Box 9117, Jerusalem, Israel</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="245" ind1="1" ind2="4">
   <subfield code="a">The metacarpal index — obsolete in Marfan syndrome!</subfield>
   <subfield code="h">[Elektronische Daten]</subfield>
   <subfield code="c">[Keenan Joseph]</subfield>
  </datafield>
  <datafield tag="520" ind1="3" ind2=" ">
   <subfield code="a">28 patients with definite, probable or phenotypic Marfan syndrome underwent manual and computerised measurement of their metacarpal indices. Two methods were used from among the several variations quoted in the literature, one involving the average length/width of metacarpals 2-5 (method I), and the other dividing the sum of the lengths by the sum of the widths of these metacarpals (method II). The two methods are not mathematically identical, and a statistically significant difference was noted between them. Only 50% of the children in each group had elevated metacarpal indices, making it a time-consuming method that is indicative only of the phenotype and can be found in normal individuals. It should therefore be considered an obsolete measurement in Marfan syndrome.</subfield>
  </datafield>
  <datafield tag="540" ind1=" " ind2=" ">
   <subfield code="a">International Skeletal Society, 1992</subfield>
  </datafield>
  <datafield tag="690" ind1=" " ind2="7">
   <subfield code="a">Metacarpal index</subfield>
   <subfield code="2">nationallicence</subfield>
  </datafield>
  <datafield tag="690" ind1=" " ind2="7">
   <subfield code="a">Marfan syndrome</subfield>
   <subfield code="2">nationallicence</subfield>
  </datafield>
  <datafield tag="773" ind1="0" ind2=" ">
   <subfield code="t">Skeletal Radiology</subfield>
   <subfield code="d">Springer-Verlag</subfield>
   <subfield code="g">21/6(1992-08-01), 371-374</subfield>
   <subfield code="x">0364-2348</subfield>
   <subfield code="q">21:6&lt;371</subfield>
   <subfield code="1">1992</subfield>
   <subfield code="2">21</subfield>
   <subfield code="o">256</subfield>
  </datafield>
  <datafield tag="856" ind1="4" ind2="0">
   <subfield code="u">https://doi.org/10.1007/BF00241815</subfield>
   <subfield code="q">text/html</subfield>
   <subfield code="z">Onlinezugriff via DOI</subfield>
  </datafield>
  <datafield tag="908" ind1=" " ind2=" ">
   <subfield code="D">1</subfield>
   <subfield code="a">research-article</subfield>
   <subfield code="2">jats</subfield>
  </datafield>
  <datafield tag="950" ind1=" " ind2=" ">
   <subfield code="B">NATIONALLICENCE</subfield>
   <subfield code="P">856</subfield>
   <subfield code="E">40</subfield>
   <subfield code="u">https://doi.org/10.1007/BF00241815</subfield>
   <subfield code="q">text/html</subfield>
   <subfield code="z">Onlinezugriff via DOI</subfield>
  </datafield>
  <datafield tag="950" ind1=" " ind2=" ">
   <subfield code="B">NATIONALLICENCE</subfield>
   <subfield code="P">100</subfield>
   <subfield code="E">1-</subfield>
   <subfield code="a">Joseph</subfield>
   <subfield code="D">Keenan</subfield>
   <subfield code="u">Alyn Hospital, P.O. Box 9117, Jerusalem, Israel</subfield>
   <subfield code="4">aut</subfield>
  </datafield>
  <datafield tag="950" ind1=" " ind2=" ">
   <subfield code="B">NATIONALLICENCE</subfield>
   <subfield code="P">773</subfield>
   <subfield code="E">0-</subfield>
   <subfield code="t">Skeletal Radiology</subfield>
   <subfield code="d">Springer-Verlag</subfield>
   <subfield code="g">21/6(1992-08-01), 371-374</subfield>
   <subfield code="x">0364-2348</subfield>
   <subfield code="q">21:6&lt;371</subfield>
   <subfield code="1">1992</subfield>
   <subfield code="2">21</subfield>
   <subfield code="o">256</subfield>
  </datafield>
  <datafield tag="900" ind1=" " ind2="7">
   <subfield code="a">Metadata rights reserved</subfield>
   <subfield code="b">Springer special CC-BY-NC licence</subfield>
   <subfield code="2">nationallicence</subfield>
  </datafield>
  <datafield tag="898" ind1=" " ind2=" ">
   <subfield code="a">BK010053</subfield>
   <subfield code="b">XK010053</subfield>
   <subfield code="c">XK010000</subfield>
  </datafield>
  <datafield tag="949" ind1=" " ind2=" ">
   <subfield code="B">NATIONALLICENCE</subfield>
   <subfield code="F">NATIONALLICENCE</subfield>
   <subfield code="b">NL-springer</subfield>
  </datafield>
 </record>
</collection>
