Tools have evolved, along with skill sets, for humans who have five fingers. Shovels, hammers and many other critical components of modern day life are unavailable for many.
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References:
<a href="http://www.oandplibrary.org/op/1976_01_003.asp" target="_blank">http://www.oandplibrary.org/op/1976_01_003.asp</a>
<a href="https://www.ccohs.ca/oshanswers/ergonomics/handtools/tooldesign.html" target="_blank">https://www.ccohs.ca/oshanswers/ergonomics/handtools/tooldesign.html</a>
<a href="http://www.thingiverse.com/thing:380665" target="_blank">http://www.thingiverse.com/thing:380665</a>
<a href="http://www.3ders.org/articles/20160503-finger-amputee-shares-3d-printed-partial-finger-replacement-device-knick-finger.html" target="_blank">http://www.3ders.org/articles/20160503-finger-amputee-shares-3d-printed-partial-finger-replacement-device-knick-finger.html</a>