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尺背侧上髁和肘髌骨的患病率及分布情况会是准确诊断的关键吗?

Could the Prevalence and Distribution of Os Supratrochleare Dorsale and Patella Cubiti be the Key to Accurate Diagnosis?

作者信息

Aksu F, Akkoc R F, Aydin S

机构信息

Department of Anatomy, Faculty of Medicine, Fırat University, 23119 Elazig, Turkey.

Department of Cardiovascular Surgery, Elazig Fethi Sekin City Hospital, Health Science University, Elazig Campus, 23100 Elazig, Turkey.

出版信息

Indian J Orthop. 2022 Jan 13;56(5):883-886. doi: 10.1007/s43465-022-00600-z. eCollection 2022 May.

DOI:10.1007/s43465-022-00600-z
PMID:35547338
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9043144/
Abstract

BACKGROUND

The aim of this study was the prevalence of patella cubiti and os supratrochleare dorsale, and to detect the differences between genders.

MATERIALS AND METHODS

In the study, direct radiographs of 1646 people (959 females and 687 males), who presented to Fırat University Hospital between 01.01.2016 and 31.01.2019 and had elbow joint radiographs, were evaluated retrospectively. Of the radiographs evaluated, 346 were right and left elbow radiographs of the same people, 689 were just right elbow radiographs, and 611 were only left elbow radiographs.

RESULTS

The prevalence of os supratrochleare dorsale was 2.08% (20 in 959 women) in women, 2.62% (18 in 687 men) in men, and 2.3% (38 in 1646 people) in total. The prevalence of patella cubiti was found to be 0.42% (4 in 959 women) in women, 1.31% (9 in 687 men) in men, and 0.79% (13 in 1646 people) in total. In addition, the prevalence of both sesamoid bones only in the left elbow and in both elbows was determined with and without separation according to male-female genders.

CONCLUSION

We are of the opinion that knowing the prevalence and distribution of these sesamoid bones will help with establishing early and correct diagnoses for patients who present with complaints, such as elbow extension limitation and pain in the elbow area.

摘要

背景

本研究旨在调查肘髌骨和背侧滑车骨的发生率,并检测性别差异。

材料与方法

本研究回顾性评估了2016年1月1日至2019年1月31日期间前往菲拉特大学医院就诊并拍摄肘关节X线片的1646人(959名女性和687名男性)的直接X线片。在评估的X线片中,346张是同一人的左右肘关节X线片,689张只是右肘关节X线片,611张只是左肘关节X线片。

结果

背侧滑车骨的发生率在女性中为2.08%(959名女性中有20例),在男性中为2.62%(687名男性中有18例),总体发生率为2.3%(1646人中有38例)。肘髌骨的发生率在女性中为0.42%(959名女性中有4例),在男性中为1.31%(687名男性中有9例),总体发生率为0.79%(1646人中有13例)。此外,还根据男女性别确定了仅在左肘和双肘出现的籽骨的发生率,以及有无分离情况。

结论

我们认为,了解这些籽骨的发生率和分布情况将有助于对出现肘部伸展受限和肘部区域疼痛等症状的患者进行早期正确诊断。

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本文引用的文献

1
Morphology of sesamoid bones in keyboard musicians.键盘演奏家籽骨的形态。
Folia Morphol (Warsz). 2021;80(2):410-414. doi: 10.5603/FM.a2020.0066. Epub 2020 Jul 8.
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Ossa Sesamoidea - prevalence of sesamoid bones in human hands.籽骨 - 人类手部籽骨的患病率
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[Normal variants and pitfalls at the elbow joint].[肘关节的正常变异与陷阱]
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Patella cubiti: a case report and literature review.肘突骨:病例报告及文献复习。
Arch Orthop Trauma Surg. 2014 Apr;134(4):467-71. doi: 10.1007/s00402-014-1926-7. Epub 2014 Feb 4.
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Sesamoids and accessory ossicles of the foot: anatomical variability and related pathology.足部籽骨和副骨:解剖变异与相关病变。
Insights Imaging. 2013 Oct;4(5):581-93. doi: 10.1007/s13244-013-0277-1. Epub 2013 Sep 5.
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Os supratrochleare dorsale.背侧滑车上(神经等)
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Accessory ossicles and sesamoid bones of the ankle and foot: imaging findings, clinical significance and differential diagnosis.踝关节和足部的副骨与籽骨:影像学表现、临床意义及鉴别诊断
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The os supratrochleare dorsale: a normal variant that may cause symptoms.背侧滑车上骨:一种可能引发症状的正常变异。
AJR Am J Roentgenol. 1983 Jul;141(1):123-7. doi: 10.2214/ajr.141.1.123.