Surgical and Radiologic Anatomy最新文献

{"title":"Radioanatomical evaluation of the subtympanic sinus in children under five years old and its clinical implications - high resolution computed tomography study.","authors":"Tomasz Wojciechowski, Stanisław Szeliga, Tymon Skadorwa","doi":"10.1007/s00276-024-03508-5","DOIUrl":"10.1007/s00276-024-03508-5","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to evaluate subtympanic sinus (STS) and its vicinity in high-resolution computed tomography (HRCT) scans of children under five years old with non-diseased temporal bones.</p><p><strong>Material and method: </strong>We divided the whole group into children under 24 months of age (first stage of pneumatisation development) and between 25 and 60 (second stage). We have determined the width of the entrance to STS, depth of the STS, type in relation to facial nerve according to Anschuetz classification, the pneumatisation of posterior and medial air cell tracts, and jugular bulb position. All the HRCTs (280 temporal bones) were analyzed according to the multiplanar reconstruction protocol with symmetrization.</p><p><strong>Results: </strong>STS's mean width and depth were 2.71 ± 0.60 mm and 3.26 ± 1.11 mm, respectively. The most common STS type was type A (59.3%), followed by type B (30.7%) and type C (10%). The posterior air cell tract (retrofacial cells) was present in 39.3%. The medial air cell tract (hypotympanic cells) was present in 30.7% The jugular bulb position affected the final shape of STS in 17.5%.</p><p><strong>Conclusion: </strong>The results support the necessity of the classification for the STS. Our study may help with surgical planning regarding endoscopic ear procedures and gives a broader understanding of how pneumatization or jugular bulb might correlate with the final shape of the retrotympanum. The historical remarks track the term's origin for clarity in research and respect for earlier investigators.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":" ","pages":"1965-1975"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transverse and oblique course of the vertebral artery over the medullospinal junction.","authors":"Ana-Maria Davidoiu, Mugurel Constantin Rusu, Corneliu Toader, Petrinel Mugurel Rădoi","doi":"10.1007/s00276-024-03498-4","DOIUrl":"10.1007/s00276-024-03498-4","url":null,"abstract":"<p><strong>Purpose: </strong>The vertebral artery (VA) pierces the dura mater and continues with the intradural V4 segment. Once entered into the dura mater, the VA ascends from the infero-lateral to the antero-superior side of the medulla. Scarce reports of VAs compressing the medullospinal junction (MSJ) are available. We therefore aimed to determine the incidence of a course of the AV over the MSJ.</p><p><strong>Method: </strong>One hundred sixty-two archived CT angiogram files were documented in the study. We recorded the cases in which the VA crossed the MSJ. We assessed the VA as dominant, non-dominant or co-dominant.</p><p><strong>Results: </strong>In 32 cases (19.75%), we identified intradural AVs on the ventral side of the MSJs. The incidence of this course of the VA was 17.1% in males and 23.81% in females. Of the 32 cases, the VA was non-dominant in 6, dominant in 14, and co-dominant in 12.</p><p><strong>Conclusion: </strong>The VA course over the MSJ is not rare. Therefore, when specific neurological signs of MSJ or medulla compression are found, the course of the VA should be documented on CT or MRI angiograms.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":" ","pages":"1949-1953"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142378474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Age-dependent changes in the hyoid bone morphology in children.","authors":"Burhan Beger, Abdulaziz Yalınkılıç, Mehmet Zeki Erdem, Zülküf Akdemir, Orhan Beger","doi":"10.1007/s00276-024-03503-w","DOIUrl":"10.1007/s00276-024-03503-w","url":null,"abstract":"<p><strong>Purpose: </strong>This radiologic work aimed to display the alteration in the hyoid bone (HB) morphology in the pediatric population with advancing age.</p><p><strong>Methods: </strong>This pediatric examination consisted of computed tomography images of 129 subjects (49 males / 80 females) aged 1-17 years.</p><p><strong>Results: </strong>The anterior-posterior length of HB, the lengths of right and left greater horns, the width and height of HB's body, and the distance between the midpoints of the posterior ends of the greater horns increased with advancing age (p < 0.001), but the angle of the right and left greater horns (p = 0.022) decreased. Four configurations regarding HB shape were observed: Type A (U-shaped HB) in 8.5% (11 HBs) out of 129 children, Type B (B-shaped HB) in 33.3% (43 HBs), Type C (D-shaped HB) in 45% (58 HBs), and Type D (V-shaped HB) in 13.2% (17 HBs). HB shape types correlated with the pediatric age (p < 0.001), but not gender (p = 0.153).</p><p><strong>Conclusions: </strong>Most of the parameters increased until the postpubescent period, but the angle of the right and left greater horns decreased after the late childhood. Our linear functions representing the growth pattern of HB in children may be useful to estimate HB size.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":" ","pages":"1983-1991"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anatomical mapping of the 4th intercostal nerve's lateral cutaneous branch in both sexes: implications for advanced breast Reconstruction.","authors":"Alexander Gardetto, Romed Hörmann, Katharina Pfitscher, Marko Konschake, Hannes Stofferin","doi":"10.1007/s00276-024-03507-6","DOIUrl":"10.1007/s00276-024-03507-6","url":null,"abstract":"<p><strong>Purpose: </strong>This study aims to map the point of emergence of the lateral cutaneous branch of the fourth intercostal nerve in both sexes, addressing gaps in the current literature. The findings are intended to support surgeons in restoring breast function by providing precise anatomical data, regardless of the specific surgical technique employed.</p><p><strong>Methods: </strong>An anatomical study was conducted using 50 sides from 25 formalin-preserved full-body donors, with equal representation of male and female subjects. Measurements were taken to determine the fascial point of emergence of the lateral cutaneous branch of the fourth intercostal nerve relative to the anterior axillary line and the transverse line. Multiple linear regression models were applied to evaluate the influence of variables such as sex, height, and side.</p><p><strong>Results: </strong>Our findings indicate that the fascial point of emergence of the lateral cutaneous branch of the fourth intercostal nerve is consistently located within 20 to 24 mm relative to the transverse line in 37 (74%) cases, and within 4 to 10 mm relative to the anterior axillary line in 39 (78%) cases, regardless of sex, height, or side. The multiple linear regression analysis showed no significant correlation between these variables and the position of the point of emergence (p > 0.05).</p><p><strong>Conclusion: </strong>These results provide surgeons with a practical tool for nerve coaptation during breast reconstruction, showing that sex and height do not affect the anatomical localization of the point of emergence. Precise knowledge of this point can improve surgical accuracy and enhance sensory recovery, leading to better patient outcomes.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":" ","pages":"2019-2026"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare anomalous muscle in the popliteal region - a case report.","authors":"Satheesha B Nayak, Aamna Kausar, Sharanya Rao, Sonal Nayak","doi":"10.1007/s00276-024-03505-8","DOIUrl":"10.1007/s00276-024-03505-8","url":null,"abstract":"<p><p>Anomalous muscles are rarely seen in the popliteal region of the lower limb. Some of them are harmless and go unnoticed and some create problems such as neuropathies. We report a novel case of an unusual additional muscle in this region. The additional muscle was closely associated with the short head of the biceps femoris muscle. It took its origin from the lower part of the lateral supracondylar line and the adjoining popliteal surface of the femur. The muscle was 10 cm in length, 1 cm in breadth and was fleshy throughout. It was oriented parallel to the medial side of the tendon of biceps femoris. It was inserted to the posterior aspect of the head of the fibula, medial to the insertion of the biceps femoris. The additional muscle derived its nerve supply from the sciatic nerve. The common peroneal nerve was closely related to the medial border of the additional muscle.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":" ","pages":"2079-2081"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Variations of the rectus capitis posterior muscles: a case report.","authors":"Madeline M Damjanovic, Isabella G Damjanovic, Alexa Hryniuk","doi":"10.1007/s00276-024-03506-7","DOIUrl":"10.1007/s00276-024-03506-7","url":null,"abstract":"<p><p>Duplication, accessory slips, and division of the rectus capitis posterior muscles are rare anatomical variations. Here we report a case of unilateral doubling of rectus capitis posterior major, and doubling of rectus capitis posterior minor with an accessory slip originating from the spinous process of the second cervical vertebra. The gross anatomical characteristics, clinical significance, and relationship of suboccipital musculature to the cervical myodural bridge is discussed in this report. Knowledge of rectus capitis posterior muscle variations may be of interest to clinicians practicing surgical approaches to the posterior cervical region due to the close proximity of the variations to typical muscular and neurovascular structures of the suboccipital region and potential association with the cervical myodural bridge.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":" ","pages":"1995-1998"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ophthalmic artery originating from anterior inferior cerebellar artery: a rare variation.","authors":"Abdulkerim Gökoğlu, Hüseyin Yiğit, Enes Inan, Burak Öztürk, Halil Dönmez, Ahmet Selçuklu","doi":"10.1007/s00276-024-03500-z","DOIUrl":"10.1007/s00276-024-03500-z","url":null,"abstract":"<p><strong>Purpose: </strong>The variations of origin of ophthalmic artery are extremely rare. Here, we aimed to present a patient had a rare variation of the ophthalmic artery.</p><p><strong>Clinical presentation: </strong>The patient had a history of Moyamoya disease. The imaging studies revealed ophthalmic artery origination from basillar artery. In addition, M1-segment fusiform aneurysm, vasculitis and, as a variation, middle meningeal artery originating from the ophthalmic artery were also detected. We presented this case report as it is the first case with ophthalmic artery originating from anterior inferior cerebellar artery.</p><p><strong>Conclusion: </strong>In our case we reported, M1 segment fusiform aneurysm, vasculitis, and as a variation, middle meningeal artery originating from the ophthalmic artery and anterior inferior cerebellar artery as ophthalmic artery origin and hereby present it for inclusion into the literature. Ophthalmic artery anatomical abnormalities occupies so little place in existing literature when nominating rare variations. Ophtalmic artery originating from anterior inferior cerebellar artery firstly defined as an ophthalmic artery variation including its way-out branch structures.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":" ","pages":"1955-1958"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142479002","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arcuate anterior jugular vein: a rare case report and its clinical relevance.","authors":"José Jailson Costa do Nascimento, Leandro Moura Silva, Shannon de Oliveira Hunt, Rebeca Maurício Carneiro da Silva, Ana Cristina Falcão Esteves, Telma Sumie Masuko","doi":"10.1007/s00276-024-03501-y","DOIUrl":"10.1007/s00276-024-03501-y","url":null,"abstract":"<p><strong>Objective: </strong>The present study describes a rare anatomical variation of the anterior jugular vein (AJV) and discusses its clinical relevance.</p><p><strong>Methods: </strong>A head and neck specimen fixed in 10% formaldehyde from a 42-year-old female cadaver was submitted to angio technique with pre-vulcanized latex and water-soluble ink. During a routine dissection for the discipline of topographic anatomy, the presence of an arcuate AJV was detected in the anterior triangle of the neck.</p><p><strong>Results: </strong>An arcuate AJV was formed by the confluence of the submental and facial veins in the left submandibular region, which presented a complex network of anastomoses superficially to the left submandibular gland. After its origin, this vessel curved to the right at the level of the laryngeal prominence and followed the medial border of the right sternohyoid muscle to flow into the right AJV. In this topography, the arcuate AJV was located between the sternocleidomastoid muscle's anterior margin and the thyroid gland's right lobe. The presence of anastomoses between the two AJVs communicating the submandibular triangles was not detected.</p><p><strong>Conclusion: </strong>The arcuate AJV is a relevant anatomical variant in the superficial venous drainage of the neck that should be known by head and neck surgeons and radiologists to avoid surgical iatrogenic events.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":" ","pages":"1977-1981"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142401753","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The lingual and facial arteries' common origin: a systematic review with meta-analysis and a computed tomography angiography study.","authors":"George Triantafyllou, Katerina Vassiou, Fabrice Duparc, Marianna Vlychou, Ioannis Paschopoulos, George Tsakotos, Razvan Costin Tudose, Mugurel Constantin Rusu, Maria Piagkou","doi":"10.1007/s00276-024-03490-y","DOIUrl":"10.1007/s00276-024-03490-y","url":null,"abstract":"<p><strong>Purpose: </strong>The present evidence-based systematic review with meta-analysis aimed to investigate the fusion morphology of the lingual artery and facial artery (in the form of the linguofacial trunk-LFT) pooled prevalence and morphometry. After carefully investigating the data literature, a retrospective computed tomography angiography (CTA) study was performed to investigate a few parameters that were not well-studied.</p><p><strong>Materials: </strong>An evidence-based systematic review retrieved 41 studies that met our inclusion criteria to identify the LFT pooled prevalence. The literature search was performed using PubMed, Google Scholar, Scopus, and Web of Sciences databases. Then, a meta-analysis of the literature was performed using the open-source R programming language and the RStudio software. Moreover, two hundred CTAs were randomly selected and retrospectively studied to identify LFT topography, morphology, and morphometry.</p><p><strong>Results: </strong>The LFT pooled prevalence was calculated at 16.41%. The subgroup analyses for nationality, type of study, laterality, and gender retrieved no statistically significant association. The unilateral appearance was estimated at 15.92%, compared to the bilateral at 3.28% (p < 0.001). Concerning the findings of our original study, 50 LFTs were identified (12.5%) unilaterally in 34 patients and bilaterally in 8 patients. A significant correlation was observed between the distance LFT origin from the carotid bifurcation (CCB) (p < 0.001) and the distances LA and FA origin from the CCB (p = 0.004).</p><p><strong>Conclusions: </strong>A systematic review with meta-analysis of the LFT were presented, along with an original imaging retrospective study investigating detailed parameters of LFT topography, morphology and morphometry. Knowledge of LFT presence is essential for interventionists in the head and neck region.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":" ","pages":"1937-1947"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142331017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mechanical strength of the rotator cuff and cable interface: a complete histological and biomechanical study.","authors":"Maxime Fondin, Mathieu Miroir, Raphaël Guillin, Julien Landreau, Gevorg Ghukasyan, Alain Fautrel, Mickael Ropars, Xavier Morandi, Krystel Nyangoh Timoh, Jean-Benoît Le Cam","doi":"10.1007/s00276-024-03499-3","DOIUrl":"10.1007/s00276-024-03499-3","url":null,"abstract":"<p><strong>Purpose: </strong>This study sought to evaluate the biomechanical properties of the interface between the rotator cuff and the semicircular humeral ligament or rotator cable (RCa) using histological and biomechanical techniques.</p><p><strong>Methods: </strong>Out of 13 eligible cadaver specimens, 5 cadaver shoulders with an intact rotator cuff were included, 8 were excluded due to an injured rotator cuff. The histological study enables us to describe the capsule-tendon interface between the infraspinatus tendon (IST) or supraspinatus tendon (SST) and RCa, and to detect loose connective tissue layers to determine their precise location and measure their length along the interface. The biomechanical study sought to characterize and compare the mechanical strength of the IST-RCa versus SST-RCa interfaces.</p><p><strong>Results: </strong>The average thickness of the RCa was 1.44 ± 0.20 mm. The histological study revealed a loose connective tissue layer at the IST-RCa interface, a finding not observed at the SST-RCa interface. The biomechanical study showed that the rigidity of the SST-RCa interface (72.10^-2 N/mm) was 4.5 times higher than for the IST-RCa interface (16.10^-2 N/mm) and the average maximum forces reached were 19.0 N and 10.6 N for the SST-RCa and IST- RCa interfaces, respectively.</p><p><strong>Conclusion: </strong>The IST-RCa interface consists of a loose connective tissue layer contrary to the SST-RCa interface. In parallel, two different groups in terms of the mechanical response were identified: the IST-RCa interface group had less rigidity and ruptured more quickly than the SST-RCa interface, therefore emerging as the most vulnerable interface and explaining a potential extension of rotator cuff tears.</p>","PeriodicalId":49461,"journal":{"name":"Surgical and Radiologic Anatomy","volume":" ","pages":"2083-2091"},"PeriodicalIF":1.4,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11579099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}