Clinical Anatomy最新文献_第3页

Anatomical etiology of bunny lines based on cadaveric dissection and ultrasonographic evaluation. 基于尸体解剖和超声评价的兔纹解剖病因学。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-12-22 DOI: 10.1002/ca.24249

Haeryun Ahn, Hyewon Hu, Soo-Bin Kim, Ji-Hyun Lee, You-Jin Choi, Kyung-Seok Hu, Sabrina Shah-Desai, Shinichi Abe, Hee-Jin Kim

{"title":"Anatomical etiology of bunny lines based on cadaveric dissection and ultrasonographic evaluation.","authors":"Haeryun Ahn, Hyewon Hu, Soo-Bin Kim, Ji-Hyun Lee, You-Jin Choi, Kyung-Seok Hu, Sabrina Shah-Desai, Shinichi Abe, Hee-Jin Kim","doi":"10.1002/ca.24249","DOIUrl":"https://doi.org/10.1002/ca.24249","url":null,"abstract":"Bunny lines are vertical and diagonal wrinkles attributed to contractions of the nasalis muscle. Common management involves botulinum toxin (BoNT) injections into wrinkles immediately below the nasal bridge. Here, we investigated the anatomical structures underneath bunny lines and their relationships with adjacent muscular structures. The area between the medial canthus and nasal dorsum was examined by ultrasonography in 13 adult volunteers (mean age, 29.4 years) and dissected in 39 cadavers. The findings consistently showed a non-muscular area (bunny triangle) between the borders of the procerus, nasalis, orbicularis oculi (OOc), and levator labii superioris alaeque nasi (LLSAN) muscles. The size and shape of the bunny triangle vary according to the width of the procerus and nasalis muscles. The muscles neighboring the bunny lines affect the thinning of the thin skin between the medial canthus and nasal dorsum. Our results indicate that conventional BoNT injection into bunny line wrinkles is likely to target connective tissue rather than a muscle, potentially producing suboptimal results. Therefore, the BoNT injection points probably need to target the borders of the procerus, nasalis, OOc, and LLSAN muscles to be most efficient.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878431","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}

引用次数: 0

Pathology discovered in the “first patient” can be the silent teacher of self-directed learning 在“第一个病人”中发现的病理可以是自主学习的沉默老师。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-12-22 DOI: 10.1002/ca.24256

Mary Leupold, Daniel Topping, R. John Cork, Robin McGoey, Guenevere Rae

{"title":"Pathology discovered in the “first patient” can be the silent teacher of self-directed learning","authors":"Mary Leupold, Daniel Topping, R. John Cork, Robin McGoey, Guenevere Rae","doi":"10.1002/ca.24256","DOIUrl":"10.1002/ca.24256","url":null,"abstract":"Pathology found during cadaveric dissection has been used to model integrative teaching methods for medical students at several institutions. Recent evidence has shown that pathology found during dissection can be used in the design of self-directed learning (SDL) activities with standards that are difficult to meet. This study presents a novel method for providing formative feedback, one of the most challenging aspects for LCME accreditation of SDL activities. Three practitioners (two board certified pathologists and one board certified family physician) reviewed and rated pathological findings during routine dissection by first year medical students in the gross anatomy laboratory in New Orleans, Louisiana. The students also rated the findings, and a comparative score was given that provided quick, individualized formative feedback with no additional faculty time burden. The inter-rater reliability (IRR) among the clinical expert panel (n = 3) was adequate (IRR = 0.85). The students' percentage agreement with the expert panel was just under 57%. There was no significant correlation between the score on the Gift formative feedback instrument (FFI) and the students' performances in their gross anatomy course (p > 0.05). This study describes a FFI that allows for the variety of clinical presentations in cadavers dissected in the gross anatomy laboratory, while protecting faculty time that would otherwise be used for scoring individuals in large cohorts of medical students. This instrument can be used to integrate pathology and gross anatomy and provide a practical way of implementing self-directed learning.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":"38 2","pages":"216-221"},"PeriodicalIF":2.3,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ca.24256","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878436","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}

引用次数: 0

Morphology of the sternoclavicular joint and its microanatomical changes in response to osteoarthritic degeneration. 骨关节炎退行性变后的胸锁关节形态及其显微解剖变化。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-12-20 DOI: 10.1002/ca.24253

Sophie Mok, Yousef Almajed, Abdulaziz Alomiery, Roger Soames, Abduelmenem Alashkham

{"title":"Morphology of the sternoclavicular joint and its microanatomical changes in response to osteoarthritic degeneration.","authors":"Sophie Mok, Yousef Almajed, Abdulaziz Alomiery, Roger Soames, Abduelmenem Alashkham","doi":"10.1002/ca.24253","DOIUrl":"https://doi.org/10.1002/ca.24253","url":null,"abstract":"Although the sternoclavicular joint shares structural similarities with the knee and hip joints as a diarthrodial joint, its biomechanics differ significantly due to its non-weight-bearing nature. Nevertheless, it is subject to considerable loading, leading to increased susceptibility to osteoarthritis, a prevalent condition characterized by the degeneration of the joint's articular surfaces and fibrocartilaginous intra-articular disc. The osteoarthritic degeneration of the fibrocartilaginous and cartilaginous surfaces of the sternoclavicular joint has been investigated, considering multiple factors. These include cell count, collagen alignment, surface fibrillation, cyst formation, and glycosaminoglycan content, with the findings deemed significant. However, current treatments for osteoarthritis of the sternoclavicular joint tend to focus on symptom management rather than active prevention of disease progression. Therefore, a detailed understanding of the anatomy, biomechanics, and morphological changes of the sternoclavicular joint during all stages of the osteoarthritic disease is essential for effective management to allow for maximum patient outcomes. This review explores the current literature on the anatomy of the sternoclavicular joint, starting with its structure and comparison to surrounding joints, biomechanics, and morphology, before considering the microanatomical changes that occur due to osteoarthritic degeneration. Early identification of osteoarthritic changes within this joint can enhance treatment and management outcomes before advancing joint degeneration, improving the quality of life for those affected.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142866168","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}

引用次数: 0

Horst Oertel and the Russell Sage Institute of Pathology: Impacts on vital statistics and the origins of the short-lived heyday of autopsies in America. 霍斯特·欧特尔和拉塞尔·塞奇病理研究所：对生命统计的影响和美国尸检短暂全盛时期的起源。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-12-19 DOI: 10.1002/ca.24241

James R Wright

{"title":"Horst Oertel and the Russell Sage Institute of Pathology: Impacts on vital statistics and the origins of the short-lived heyday of autopsies in America.","authors":"James R Wright","doi":"10.1002/ca.24241","DOIUrl":"https://doi.org/10.1002/ca.24241","url":null,"abstract":"Horst Oertel was an early 20th century pathologist who began his career as an instructor of clinical pathology at the New York University and Bellevue Hospital Medical College in 1899. In 1903, he was appointed pathologist for City Hospital, an institution for indigent patients on New York City's Blackwell's Island. In 1907, Oertel became the first director of the Russell Sage Institute of Pathology, a unique new blended public-private entity based at City Hospital, that was named after a wealthy benefactor. The Institute was established to utilize the Island's indigent population to perform anatomical pathology research on diseases of aging. Oertel and the Institute thrived until 1911, when a newly-appointed New York City bureaucrat seeking patronage and graft began meddling in the Institute's governance. After press coverage of a vitriolic one-week-long exchange of charges and counter-charges between the Institute's Board of Directors and the bureaucrat, the Institute imploded. While these events meant that the Institute's tenure on Blackwell's Island would soon be coming to an end, Oertel continued to work and submit articles from the Institute throughout 1912. In May 1913, he published \"The Inaccuracy of American Mortality Statistics\" in American Underwriter, a bombshell article documenting low autopsy rates and high clinical diagnostic error rates at Bellevue Hospital during 1912. This, along with similar studies by Richard Cabot at Massachusetts General Hospital in Boston, highlighted fundamental problems in hospital care and medical education across America. Simultaneously, Oertel led the Public Health, Hospital and Budget Committee of the New York Academy of Medicine which reported that, in a selected series of large American hospitals, the autopsy percentage when compared to the number of deaths was one-eighth the rates in Canada, Great Britain, Austria, and Germany. This paper addresses how American autopsy rates skyrocketed and then plummeted again during the mid-20th century.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856564","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}

引用次数: 0

Correction to "Benefits of Gamification in Medical Education". 更正“游戏化在医学教育中的益处”。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-12-18 DOI: 10.1002/ca.24250

引用次数: 0

Exploring student acceptance of learning technologies in anatomy education: A mixed-method approach 探索解剖学教育中学生对学习技术的接受程度：混合方法

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-12-14 DOI: 10.1002/ca.24254

Jason Wen Yau Lee, Dennis Wenhui Ong, Reuben Chee Chong Soh, Jai Prashant Rao, Fernando Bello

{"title":"Exploring student acceptance of learning technologies in anatomy education: A mixed-method approach","authors":"Jason Wen Yau Lee, Dennis Wenhui Ong, Reuben Chee Chong Soh, Jai Prashant Rao, Fernando Bello","doi":"10.1002/ca.24254","DOIUrl":"10.1002/ca.24254","url":null,"abstract":"Anatomical education is transitioning from the time-honored cadaveric dissection to a blend of learner-centered and technology-enhanced learning approaches. In view of the increased use of various technologies for teaching and learning human anatomy, the aim of this study is to explore students' acceptance of four learning technologies using the technology acceptance model (TAM). This work was conducted at a graduate medical school in Singapore with first-year MD Program students. The acceptances of the four learning technologies were compared in two studies. In Study 1 (n = 46), we compared a 3D-printed (3DP) model with Primal Pictures to answer a clinical question in a Spine Anatomy Tutorial; in Study 2 (n = 55), we compared the Anatomage Table and Primal VR for a Brain Anatomy tutorial. There was a statistically significant preference (p < 0.05) for 3DP models over Primal Pictures for learning Spine Anatomy, and for Primal VR over Anatomage for learning Brain Anatomy. The perceived ease of use of any technology does not appear to influence the behavioral intention to use it. Qualitative feedback suggests that visualization and spatial relationships were among the most important facilitators of learning. Technology should be an enabler in learning but some technologies have a steeper learning curve than others. Therefore, to increase its perceived usefulness, educators must leverage the affordances of the technology when designing learning activities.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":"38 3","pages":"334-346"},"PeriodicalIF":2.3,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824542","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}

引用次数: 0

The accessory renal arteries: A systematic review with meta-analysis. 附属肾动脉：系统回顾与荟萃分析。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-12-08 DOI: 10.1002/ca.24255

George Triantafyllou, Ioannis Paschopoulos, Andrzej Węgiel, Łukasz Olewnik, George Tsakotos, Nicol Zielinska, Maria Piagkou

{"title":"The accessory renal arteries: A systematic review with meta-analysis.","authors":"George Triantafyllou, Ioannis Paschopoulos, Andrzej Węgiel, Łukasz Olewnik, George Tsakotos, Nicol Zielinska, Maria Piagkou","doi":"10.1002/ca.24255","DOIUrl":"https://doi.org/10.1002/ca.24255","url":null,"abstract":"The accessory renal arteries (ARAs) are a well-described variant of the renal vasculature with clinical implications for radiologists, surgeons, and clinicians. The aim of the present systematic review with meta-analysis was to estimate the pooled prevalence of ARAs, including their variant number, origin, and termination, and to highlight symmetrical and asymmetrical morphological patterns. The systematic review used four online databases in accordance with PRISMA 2020 and Evidence-based Anatomy Workgroup guidelines. R programming software was used for the statistical meta-analysis. A total of 111 studies were considered eligible for our initial aim. The typical renal artery (RA) anatomy (a single bilateral vessel) was identified in 78.92%; the overall ARA prevalence was estimated at a pooled prevalence of 21.10%. The estimated pooled prevalence of one, two, three, and four ARAs were 18.67%, 1.80%, 0.01%, and <0.01%. The ARAs have been the subject of extensive research owing to their clinical importance, including in kidney transplantation surgery and resistant hypertension therapy. Knowledge of the typical and variant anatomy of RAs is essential for anatomists, radiologists, surgeons, and clinicians in order to avoid misunderstanding, complications, and iatrogenic injury.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142796498","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}

引用次数: 0

Left-right difference in acetabular articular cartilage surface area and the quantification of acetabular fractures. 髋臼关节软骨表面积的左右差异及髋臼骨折的量化。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-12-05 DOI: 10.1002/ca.24245

Richard N Brueton, Stephen W Hughes

{"title":"Left-right difference in acetabular articular cartilage surface area and the quantification of acetabular fractures.","authors":"Richard N Brueton, Stephen W Hughes","doi":"10.1002/ca.24245","DOIUrl":"https://doi.org/10.1002/ca.24245","url":null,"abstract":"X-ray computer tomography scans were carried out on 11 female and 9 male dry bony pelvises. A 512 x 512 image matrix was used with a slice thickness and separation of 2 mm. Images were transferred onto a computer and the articular cartilage marked on each relevant image. The points were connected to form a triangle mesh and the total articular cartilage area calculated by summing the area of each triangle. There was a highly significant difference (p < 0.001) between the male and female acetabular areas, 25.4 ± 2.7 cm2 and 19.5 ± 2.0 cm2, respectively. The mean left-right difference was 0.2 ± 0.9 cm2 for males and-0.2 ± 0.47 cm2 for females. When the sign of the differences are removed, the mean and standard deviations of the differences is 0.5 ± 0.46 cm2 (2.3% ± 1.8%) for males and females, 0.66 ± 0.61 cm2 for males and 0.4 ± 0.27 cm2 for females. Each articular surface was outlined twice in order to assess the repeatability of the technique. The left-right variation in articular surface area was found to be similar to the variation in repeatability, suggesting that if any left-right difference does exist it is too small to be reliably detected by this technique. This enables the area of articular cartilage of the fragments of a fractured acetabulum to be compared directly with surface area of the contralateral intact acetabulum. Acetabular fractures can therefore be quantified by measurement of the articular surface area of the fracture components. Comparison with the clinical results will enable surface area to be developed as a prognostic factor in the management of acetabular fractures.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787589","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}

引用次数: 0

Anatomical study of trigeminal-facial nerve communications: Application to facial transplant surgery. 三叉-面神经交流的解剖学研究：在面部移植手术中的应用。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-12-02 DOI: 10.1002/ca.24247

Haruki Iwai, Kazuharu Mine, Rie Shimotakahara, Kazuyuki Shimada, Yuichi Tamatsu

{"title":"Anatomical study of trigeminal-facial nerve communications: Application to facial transplant surgery.","authors":"Haruki Iwai, Kazuharu Mine, Rie Shimotakahara, Kazuyuki Shimada, Yuichi Tamatsu","doi":"10.1002/ca.24247","DOIUrl":"https://doi.org/10.1002/ca.24247","url":null,"abstract":"Understanding the distribution of nerves in the superficial layer of the face and the communication (nerve anastomosis) between them is essential for preventing paralysis during tumor removal and for planning during nerve grafting. However, communication between the peripheral branches of the trigeminal and facial nerves has not been fully elucidated owing to the delicacy of their structures and the ambiguity of definitions in previous reports. In this study, we used whole-mount nerve staining to differentiate between the two types of interaction between the trigeminal and facial nerves. \"Nerve communication\" is defined as an exchange of fibers between the two nerves, while \"nerve crossing\" indicates that only the epineuria are in close contact, with no exchange of fibers. The skin and soft tissues of six human faces were excised, and the nerves were stained using Sihler's method. The peripheral branches of the ophthalmic nerve showed no communication with the facial nerve. In half of the cases (3/6), the infraorbital nerve, representing the peripheral branch of the maxillary nerve, communicated with the facial nerve. Peripheral branches of the mandibular nerve communicated with the facial nerve via the auriculotemporal (6/6), buccal (6/6), and mental (3/6) nerves. Our findings demonstrate moderate communication between the peripheral branches of the trigeminal and facial nerves in the maxillary nerve region but more concentrated communication in the mandibular nerve region.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":" ","pages":""},"PeriodicalIF":2.3,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774484","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}

引用次数: 0

The mummy of Pharaoh Amenhotep III (reigned ca. 1388–1351 BC) and its facial approximation: An anatomical approach 法老阿蒙霍特普三世（约公元前1388-1351年在位）的木乃伊及其面部轮廓：解剖学方法。

IF 2.3 4区医学

Clinical Anatomy Pub Date : 2024-12-02 DOI: 10.1002/ca.24251

Cicero Moraes, Michael E. Habicht, Marco Artico, Flavio Forte, Elena Varotto, Francesco M. Galassi

引用次数: 0