Clinical Anatomy最新文献

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Research advances and trends in anatomy from 2013 to 2023: A visual analysis based on CiteSpace and VOSviewer 2013年至2023年解剖学的研究进展和趋势:基于 CiteSpace 和 VOSviewer 的可视化分析。
IF 2.3 4区 医学
Clinical Anatomy Pub Date : 2024-04-23 DOI: 10.1002/ca.24168
Yikuan Du, Xiaolin Cai, Ye Zheng, Aoxue Long, Mengting Zhang, Mianhai Chen, Weichui Zhang, Jinfeng Zhu, Jinhua Guo, Chun Yang
{"title":"Research advances and trends in anatomy from 2013 to 2023: A visual analysis based on CiteSpace and VOSviewer","authors":"Yikuan Du,&nbsp;Xiaolin Cai,&nbsp;Ye Zheng,&nbsp;Aoxue Long,&nbsp;Mengting Zhang,&nbsp;Mianhai Chen,&nbsp;Weichui Zhang,&nbsp;Jinfeng Zhu,&nbsp;Jinhua Guo,&nbsp;Chun Yang","doi":"10.1002/ca.24168","DOIUrl":"10.1002/ca.24168","url":null,"abstract":"<p>As the cornerstone of medicine, the development of anatomy is related to many disciplines and fields and has received extensive attention from researchers. How to integrate and grasp the cutting-edge information in this field quickly is a challenge for researchers, so the aim of this study is to analyze research in anatomy using CiteSpace and VOSviewer in order to identify research hotspots and future directions. To offer a fresh viewpoint for assessing the academic influences of researchers, nations, or institutions on anatomy, and to examine the development of hotspots in anatomical study and to forecast future trends. A total of 4637 anatomy-related publications from 2013 to 2023 were collected from Web of Science Core Collection databases. Their temporal distribution, spatial distribution, cited authors, co-cited journals, keywords, and disciplinary connections in the literature were analyzed using CiteSpace and VOSviewer, and a knowledge graph was constructed. The temporal distribution shows a general fluctuation in the amount of literature published from 2013 to 2023. In spatial distribution, the total number of published articles was highest in the United States, the United Kingdom, and China, the United States leading. Tubbs, Rhoton, Iwanaga, and LaPrade are important authors in anatomy. <i>Clinical Anatomy</i>, <i>Surgical and Radiologic Anatomy</i>, and <i>Journal of Anatomy</i> were the most highly cited journals. Analysis of keywords and citation emergence showed that the research hotspots and trends in anatomy focused mainly on anatomy education, digital technology, and surgical management. At the same time, anatomy showed a trend toward multidisciplinary crossover, developing closer relationships with molecular biology, immunology, and clinical medicine. Current research in anatomy focuses on innovative reform of the educational model and the application and promotion of digital technology. Also, multidisciplinary cross-fertilization is an inevitable trend for the future development of anatomy.</p>","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":"37 7","pages":"730-745"},"PeriodicalIF":2.3,"publicationDate":"2024-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140666792","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 importance of the palatine bone for endoscopic endonasal skull base surgery 腭骨对内窥镜颅底手术的重要性。
IF 2.3 4区 医学
Clinical Anatomy Pub Date : 2024-04-22 DOI: 10.1002/ca.24170
Noritaka Komune, Satoshi Matsuo, Osamu Akiyama, Yuhei Sangatsuda, Daisuke Kuga, Yusuke Miyamoto, Tomoharu Suzuki, Daisuke Murakami, Koji Yoshimoto, Joe Iwanaga, R. Shane Tubbs, Takashi Nakagawa
{"title":"The importance of the palatine bone for endoscopic endonasal skull base surgery","authors":"Noritaka Komune,&nbsp;Satoshi Matsuo,&nbsp;Osamu Akiyama,&nbsp;Yuhei Sangatsuda,&nbsp;Daisuke Kuga,&nbsp;Yusuke Miyamoto,&nbsp;Tomoharu Suzuki,&nbsp;Daisuke Murakami,&nbsp;Koji Yoshimoto,&nbsp;Joe Iwanaga,&nbsp;R. Shane Tubbs,&nbsp;Takashi Nakagawa","doi":"10.1002/ca.24170","DOIUrl":"10.1002/ca.24170","url":null,"abstract":"<p>Endoscopic endonasal skull base surgery is increasingly prevalent, with its scope expanding from pathogens in the midline region to those in the paramedian region. Maximizing anterior sphenoidectomy is important for the median approach, and lateralizing the pterygopalatine fossa is crucial for the paramedian approach. Maximizing the surgical corridor in the nasal cavity and minimizing damage to neurovascular structures are vital for establishing a surgical field with minimal bleeding, ensuring safe, precise, and gentle procedures. However, the relationship between the maxillofacial and skull base bones in endoscopic endonasal skull base surgery is difficult to understand because these bones are intricately articulated, making it challenging to visualize each bone's outline. Understanding important bones and their related neurovascular structures is essential for all skull base surgeons to maximize the surgical corridor and minimize iatrogenic injury to neurovascular structures. This study aimed to elucidate the role of the palatine bone from a microsurgical anatomical perspective. Three dry skulls were used to demonstrate the structure of the palatine bone and its relationship with surrounding bones. A formalin-perfused cadaveric head was dissected to show the related neurovascular structures. The arteries and veins of the cadaveric heads were injected with red- and blue-colored silicon. Dissection was performed using a surgical microscope and endoscope. In addition, the utilization of the palatine bone as a landmark to identify neurovascular structures, which aids in creating a wider surgical field with less bleeding, was shown in two representative cases. The palatine bone consists of unique complex structures, including the sphenoidal process, ethmoidal crest, pterygopalatine canal, and sphenopalatine notch, which are closely related to the sphenopalatine artery, maxillary nerve, and its branches. The ethmoidal crest of the palatine bone is a well-known structure that is useful for identifying the sphenopalatine foramen, controlling the sphenopalatine artery and nerve, and safely opening the pterygopalatine fossa. The sphenoidal process of the palatine bone is a valuable landmark for identifying the palatovaginal artery, which is a landmark used to safely and efficiently expose the vidian canal. The sphenoidal process is easily cracked with an osteotome and removed to expose the palatovaginal artery, which runs along the pharyngeal groove, just medial to the vidian canal. By opening the pterygopalatine canal (also known as the greater palatine canal), further lateralization of the periosteum-covered pterygopalatine fossa contents can be achieved. Overall, the sphenoidal process and ethmoidal crest can be used as important landmarks to maximize the surgical corridor and minimize unnecessary injury to neurovascular structures.</p>","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":"38 1","pages":"10-19"},"PeriodicalIF":2.3,"publicationDate":"2024-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140677987","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
Direct visualization and measurement of the plantar aponeurosis behavior in foot arch deformation via the windlass mechanism 通过辘轳机制直接观察和测量足弓变形过程中的足底肌腱行为
IF 2.4 4区 医学
Clinical Anatomy Pub Date : 2024-04-20 DOI: 10.1002/ca.24171
Yuka Matsumoto, Naomichi Ogihara
{"title":"Direct visualization and measurement of the plantar aponeurosis behavior in foot arch deformation via the windlass mechanism","authors":"Yuka Matsumoto, Naomichi Ogihara","doi":"10.1002/ca.24171","DOIUrl":"https://doi.org/10.1002/ca.24171","url":null,"abstract":"The plantar aponeurosis (PA) is an elastic longitudinal band that contributes to the generation of a propulsive force in the push‐off phase during walking and running through the windlass mechanism. However, the dynamic behavior of the PA remains unclear owing to the lack of direct measurement of the strain it generates. Therefore, this study aimed to visualize and quantify the PA behavior during two distinct foot postures: (i) neutral posture and (ii) windlass posture with midtarsal joint plantarflexion and metatarsophalangeal joint dorsiflexion, using computed tomography scans. Six healthy adult males participated in the experiment, and three‐dimensional reconstruction of the PA was conducted to calculate its path length, width, thickness, and cross‐sectional area. This study successfully visualized and quantified the morphological changes in the PA induced by the windlass mechanism, providing a precise reference for biomechanical modeling. This study also highlighted the interindividual variability in the PA morphology and stretching patterns. Although the windlass posture was not identical to that observed in the push‐off phase during walking, the observed PA behavior provides valuable insights into its mechanics and potential implications for foot disorders.","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":"244 1","pages":""},"PeriodicalIF":2.4,"publicationDate":"2024-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140626634","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
Three-dimensional reconstruction of King Henri IV's paranasal sinuses and mastoid cells 亨利四世国王副鼻窦和乳突细胞的三维重建图
IF 2.3 4区 医学
Clinical Anatomy Pub Date : 2024-04-18 DOI: 10.1002/ca.24172
Robin Baudouin, Angélique Amelot, Isabelle Huynh-Charlier, Quentin Lisan, Stéphane Hans, Philippe Charlier
{"title":"Three-dimensional reconstruction of King Henri IV's paranasal sinuses and mastoid cells","authors":"Robin Baudouin,&nbsp;Angélique Amelot,&nbsp;Isabelle Huynh-Charlier,&nbsp;Quentin Lisan,&nbsp;Stéphane Hans,&nbsp;Philippe Charlier","doi":"10.1002/ca.24172","DOIUrl":"10.1002/ca.24172","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The preserved head of King Henri IV of France (life 1553–1610, reign 1589–1610) has survived to the present day thanks to high-quality embalming and favorable conservation conditions. The aim of this study was to examine Henry IV's upper resonant cavities and mastoids using an original and innovative forensic three-dimensional segmentation method.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The paranasal sinuses and mastoid cells of King Henri IV of France were studied by cross-referencing available biographical information with clinical and flexible endoscopic examination and computed tomography (CT-scan) imaging. The paranasal sinuses and mastoid cells were delineated and their volumes were assessed using ITK-SNAP 4.0 software (open-source). Graphical representations were created using Fusion 360® (Autodesk Inc., San Rafael, CA, USA) and MeshMixer® (Autodesk Inc., San Rafael, CA, USA).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Paranasal sinus tomodensitometry revealed abnormalities in shape and number. Henri IV of France suffered from sinus aplasia. Neither the left sphenoid nor left frontal sinus contrasted sharply, and a remarkable pneumatization of the right clinoid processes extended throughout the height of the right pterygoid process. The total volumes of Henri IV's mastoid air-cells were estimated at 27 and 26 mL, respectively, for the right and left sides, exceeding the normal mean and the maximum of modern subjects by a wide margin. No sign of chronic ear or sinus condition was found.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>An innovative method has been developed in forensic medicine to establish hypotheses about the growth and respiratory conditions of the face.</p>\u0000 </section>\u0000 </div>","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":"38 1","pages":"2-9"},"PeriodicalIF":2.3,"publicationDate":"2024-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140626956","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
Lorenz Fries on the defense of Avicenna, the prince of physicians: Addressed to the medics of Germany (1530) 洛伦茨-弗里斯为医生王子阿维森纳辩护:致德国医学家(1530 年)
IF 2.3 4区 医学
Clinical Anatomy Pub Date : 2024-04-17 DOI: 10.1002/ca.24169
Mohammadali M. Shoja, Tara Tritsch, R. Shane Tubbs
{"title":"Lorenz Fries on the defense of Avicenna, the prince of physicians: Addressed to the medics of Germany (1530)","authors":"Mohammadali M. Shoja,&nbsp;Tara Tritsch,&nbsp;R. Shane Tubbs","doi":"10.1002/ca.24169","DOIUrl":"10.1002/ca.24169","url":null,"abstract":"<p>During the 14th century CE, a pivotal shift took place in the world of medicine as its epicenter transitioned from the Middle East to Europe. The emergence of the European Renaissance sparked skepticism regarding the significance of Avicenna's contributions to the advancement of medicine. This paper explores how the rise of secularization and the Renaissance in Europe marked significant cultural transformations, fostering the spread of literacy. These societal shifts influenced the trajectory of medical thought, and Avicenna's “Canon of Medicine” received both praise and condemnation amidst the evolving intellectual landscape. In this context, Lorenz Fries composed his “Defense of Avicenna,” a testament to his profound admiration for Avicenna's legacy. This paper presents an English translation of Fries' 1530 work, and introduces Fries and Avicenna's “Canon,” contextualizing Fries' defense within the broader rejection of Arab-language medical texts in the 16th century. It also explores Avicenna's influence on European medicine and anatomy during the Renaissance and highlights the enduring relevance of his contributions to the annals of science. Fries' defense underscores Avicenna's methodological acumen and emphasizes the importance of a robust theoretical foundation in medical practice. Avicenna's integration of Aristotelianism with Platonism highlighted the necessity of a rigorous method informed by theory in medical analysis. Fries' defense remains relevant today, particularly in advocating for systematic medical analysis against subjective approaches. Avicenna's medical philosophy seems nested within a larger, hopeful attempt to resolve the tensions between science or naturalism and religion or spiritualism. The rejection of Avicenna reflects broader conflicts between Aristotelian and Neoplatonic traditions, suggesting a complex interplay of secularization and theological influences in shaping medical thought during the Renaissance.</p>","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":"37 6","pages":"649-660"},"PeriodicalIF":2.3,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140610956","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
Aortic root morphometry revisited—Clinical implications for aortic valve interventions 主动脉根部形态再探--对主动脉瓣介入治疗的临床意义
IF 2.3 4区 医学
Clinical Anatomy Pub Date : 2024-04-17 DOI: 10.1002/ca.24165
Damian Dudkiewicz, Maciej Lis, Artem Yakovliev, Jakub Hołda, Filip Bolechała, Marcin Strona, Paweł Kopacz, Mateusz K. Hołda
{"title":"Aortic root morphometry revisited—Clinical implications for aortic valve interventions","authors":"Damian Dudkiewicz,&nbsp;Maciej Lis,&nbsp;Artem Yakovliev,&nbsp;Jakub Hołda,&nbsp;Filip Bolechała,&nbsp;Marcin Strona,&nbsp;Paweł Kopacz,&nbsp;Mateusz K. Hołda","doi":"10.1002/ca.24165","DOIUrl":"10.1002/ca.24165","url":null,"abstract":"<p>The complex anatomy of the aortic root is of great importance for many surgical and transcatheter cardiac procedures. Therefore, the aim of this study was to provide a comprehensive morphological description of the nondiseased aortic root. We morphometrically examined 200 autopsied human adult hearts (22.0% females, 47.9 ± 17.7 years). A meticulous macroscopic analysis of aortic root anatomy was performed. The largest cross-section area of the aortic root was observed in coaptation center plane (653.9 ± 196.5 mm<sup>2</sup>), followed by tubular plane (427.7 ± 168.0 mm<sup>2</sup>) and basal ring (362.7 ± 159.1 mm<sup>2</sup>) (<i>p</i> &lt; 0.001). The right coronary sinus was the largest (area: 234.3 ± 85.0 mm<sup>2</sup>), followed by noncoronary sinus (218.7 ± 74.8 mm<sup>2</sup>) and left coronary sinus (201.2 ± 78.08 mm<sup>2</sup>). The noncoronary sinus was the deepest, followed by right and left coronary sinus (16.4 ± 3.2 vs. 15.9 ± 3.1 vs. 14.9 ± 2.9 mm, <i>p</i> &lt; 0.001). In 68.5% of hearts, the coaptation center was located near the aortic geometric center. The left coronary ostium was located 15.6 ± 3.8 mm above sinus bottom (within the sinus in 91.5% and above sinutubular junction in 8.5%), while for right coronary ostium, it was 16.2 ± 3.5 mm above (83.5% within sinus and 16.5% above). In general, males exhibited larger aortic valve dimensions than females. A multiple forward stepwise regression model showed that anthropometric variables might predict the size of coaptation center plane (age, sex, and heart weight; <i>R</i><sup>2</sup> = 31.8%), tubular plane (age and sex; <i>R</i><sup>2</sup> = 25.6%), and basal ring (age and sex; <i>R</i><sup>2</sup> = 16.9%). In conclusion, this study presents a comprehensive analysis of aortic-root morphometry and provides a platform for further research into the intricate interplay between structure and function of the aortic root.</p>","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":"37 7","pages":"719-729"},"PeriodicalIF":2.3,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/ca.24165","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140617930","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
Relationship between first tarsometatarsal ligament morphology and its continuity with the fibularis longus and first tarsometatarsal joint degeneration 第一跖跗韧带形态及其与腓骨长肌的连续性与第一跖跗关节退化之间的关系
IF 2.3 4区 医学
Clinical Anatomy Pub Date : 2024-04-15 DOI: 10.1002/ca.24167
Kodai Sakamoto, Mutsuaki Edama, Haruki Osanami, Hirotake Yokota, Ryo Hirabayashi, Chie Sekine, Tomonobu Ishigaki, Hiroshi Akuzawa, Taku Toriumi, Ikuo Kageyama
{"title":"Relationship between first tarsometatarsal ligament morphology and its continuity with the fibularis longus and first tarsometatarsal joint degeneration","authors":"Kodai Sakamoto,&nbsp;Mutsuaki Edama,&nbsp;Haruki Osanami,&nbsp;Hirotake Yokota,&nbsp;Ryo Hirabayashi,&nbsp;Chie Sekine,&nbsp;Tomonobu Ishigaki,&nbsp;Hiroshi Akuzawa,&nbsp;Taku Toriumi,&nbsp;Ikuo Kageyama","doi":"10.1002/ca.24167","DOIUrl":"10.1002/ca.24167","url":null,"abstract":"<p>This study explored the relationship between the morphological characteristics of the first tarsometatarsal ligaments and fibularis longus (FL) and the severity of articular cartilage degeneration in the first tarsometatarsal joint. Sixty legs from 30 cadavers were examined. The plantar, dorsal, and medial first tarsometatarsal ligaments were classified by fiber bundle number, and their morphological characteristics (fiber bundle length, width, thickness) were measured. The FL was categorized by its continuity with the plantar first tarsometatarsal ligament (PTML): Type A, connection with the PTML only on the first metatarsal; Type B, connection along the entire PTML; and Type C, no connection with the PTML. The severity of articular cartilage degeneration was assessed in four stages. No significant differences in cartilage degeneration among ligament types were found. Negative correlations were observed between the fiber bundle width and thickness of the PTML and the severity of cartilage degeneration. FL was classified as Type A in 68%, Type B in 27%, and Type C in 5% of feet. The fiber bundle thickness of the PTML in Type B was greater than in other types. Our findings suggest that smaller fiber bundle width and thickness in the PTML may be associated with severe cartilage degeneration. The FL had continuity with the PTML in 95% of feet and could enhance the mechanical strength of the PTML in Type B feet.</p>","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":"37 8","pages":"930-937"},"PeriodicalIF":2.3,"publicationDate":"2024-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140584288","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
Variation in the origin of the plantar aponeurosis and its relationship to the origin of the abductor hallucis muscle 足底肌腱起源的变化及其与拇外展肌起源的关系
IF 2.3 4区 医学
Clinical Anatomy Pub Date : 2024-04-06 DOI: 10.1002/ca.24164
Daisuke Mizuno, Shun Otsuka, Xiyao Shan, Kanae Umemoto, Munekazu Naito
{"title":"Variation in the origin of the plantar aponeurosis and its relationship to the origin of the abductor hallucis muscle","authors":"Daisuke Mizuno,&nbsp;Shun Otsuka,&nbsp;Xiyao Shan,&nbsp;Kanae Umemoto,&nbsp;Munekazu Naito","doi":"10.1002/ca.24164","DOIUrl":"10.1002/ca.24164","url":null,"abstract":"<p>The plantar aponeurosis comprises medial, central, and lateral bands, which arise from the calcaneal tuberosity. Descriptions of the origin of the abductor hallucis vary among different textbooks. The central band and abductor hallucis muscles are related to the windlass mechanism. Given the uncertainties regarding the details of the origins of the central band and the abductor hallucis muscle, we examined those origins in 100 feet of 50 cadavers (25 males and 25 females) by dissection. There were three central band patterns, depending on the attachment sites of the origins of the central and lateral bands: Pattern Ia, the central band covers the lateral band completely; Pattern Ib, the central band covers part of the lateral band; Pattern II, the lateral band covers part of the central band. The origin of the abductor hallucis muscle was confirmed. It showed two types of variation: attachment type, originating from the central band; non-attachment type, not originating from the central band. Central band Patterns Ia, Ib, and II were found in 23 feet (17 males, 6 females), 24 feet (25 males, 28 females), and 24 feet (eight males, 16 females), respectively. Pattern Ia predominated in males and Pattern II in females. The attachment and non-attachment types of abductor hallucis muscle were observed in 28 feet (28%) and 72 feet (72%), respectively. The attachment type with Patterns Ia, Ib, and II was shown in 17 feet, 10 feet, and one foot, respectively. Thus, we revealed variation and sex differences in the central band, which could affect foot morphology and the efficacy of the windlass mechanism.</p>","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":"37 8","pages":"925-929"},"PeriodicalIF":2.3,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140584285","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
Preservation of the heart in ancient Egyptian mummies: A computed tomography investigation with focus on the myocardium 古埃及木乃伊心脏的保存:以心肌为重点的计算机断层扫描研究
IF 2.4 4区 医学
Clinical Anatomy Pub Date : 2024-04-02 DOI: 10.1002/ca.24151
Stephanie Panzer, Alice Paladin, Stephanie Zesch, Wilfried Rosendahl, Peter Augat, Randall C. Thompson, Michael I. Miyamoto, M. Linda Sutherland, Adel H. Allam, L. Samuel Wann, James D. Sutherland, Chris J. Rowan, David E. Michalik, Klaus Hergan, Albert R. Zink
{"title":"Preservation of the heart in ancient Egyptian mummies: A computed tomography investigation with focus on the myocardium","authors":"Stephanie Panzer,&nbsp;Alice Paladin,&nbsp;Stephanie Zesch,&nbsp;Wilfried Rosendahl,&nbsp;Peter Augat,&nbsp;Randall C. Thompson,&nbsp;Michael I. Miyamoto,&nbsp;M. Linda Sutherland,&nbsp;Adel H. Allam,&nbsp;L. Samuel Wann,&nbsp;James D. Sutherland,&nbsp;Chris J. Rowan,&nbsp;David E. Michalik,&nbsp;Klaus Hergan,&nbsp;Albert R. Zink","doi":"10.1002/ca.24151","DOIUrl":"10.1002/ca.24151","url":null,"abstract":"<p>The ancient Egyptians considered the heart to be the most important organ. The belief that the heart remained in the body is widespread in the archeological and paleopathological literature. The purpose of this study was to perform an overview of the preserved intrathoracic structures and thoracic and abdominal cavity filling, and to determine the prevalence and computed tomography (CT) characteristics of the myocardium in the preserved hearts of ancient Egyptian mummies. Whole-body CT examinations of 45 ancient Egyptian mummies (23 mummies from the Ägyptisches Museum und Papyrussammlung, Berlin, Germany, and 22 mummies from the Museo Egizio, Turin, Italy) were systematically assessed for preserved intrathoracic soft tissues including various anatomical components of the heart (pericardium, interventricular septum, four chambers, myocardium, valves). Additionally, evidence of evisceration and cavity filling was documented. In cases with identifiable myocardium, quantitative (measurements of thickness and density) and qualitative (description of the structure) assessment of the myocardial tissue was carried out. Heart structure was identified in 28 mummies (62%). In 33 mummies, CT findings demonstrated evisceration, with subsequent cavity filling in all but one case. Preserved myocardium was identified in nine mummies (five male, four female) as a mostly homogeneous, shrunken structure. The posterior wall of the myocardium had a mean maximum thickness of 3.6 mm (range 1.4–6.6 mm) and a mean minimum thickness of 1.0 mm (range 0.5–1.7 mm). The mean Hounsfield units (HU) of the myocardium at the posterior wall was 61 (range, 185–305). There was a strong correlation between the HU of the posterior wall of the myocardium and the mean HU of the muscles at the dorsal humerus (<i>R</i> = 0.77; <i>p</i> = 0.02). In two cases, there were postmortem changes in the myocardium, most probably due to insect infestation. To our knowledge, this is the first study to investigate the myocardium systematically on CT scans of ancient Egyptian mummies. Strong correlations between the densities of the myocardium and skeletal muscle indicated similar postmortem changes of the respective musculature during the mummification process within individual mummies. The distinct postmortem shrinking of the myocardium and the collapse of the left ventriclular cavity in several cases did not allow for paleopathological diagnoses such as myocardial scarring.</p>","PeriodicalId":50687,"journal":{"name":"Clinical Anatomy","volume":"37 5","pages":"587-601"},"PeriodicalIF":2.4,"publicationDate":"2024-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140584289","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 man without insight into the fabric of his body has no knowledge of himself” "不了解自己身体结构的人,也就不了解自己"。
IF 2.4 4区 医学
Clinical Anatomy Pub Date : 2024-04-01 DOI: 10.1002/ca.24161
R. Shane Tubbs
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