附属舟骨的发病率和解剖结构:一项荟萃分析。

IF 1.4 4区 医学 Q2 Medicine
Surgical and Radiologic Anatomy Pub Date : 2024-10-01 Epub Date: 2024-08-13 DOI:10.1007/s00276-024-03459-x
Kacper Stolarz, Aleksander Osiowski, Maciej Preinl, Maksymilian Osiowski, Barbara Jasiewicz, Dominik Taterra
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引用次数: 0

摘要

目的:关于足部附属听小骨的常见发育变异,已有 40 多处描述。虽然它们主要没有症状,但有时可能与疼痛症状有关。足部最常见的附属听小骨之一是位于足内侧的附属舟骨(AN)。我们的研究首次对这一主题进行了荟萃分析,通过对比全球 39 项研究,确定了其发生频率:截至 2024 年 2 月,我们在 PubMed 和 Embase 数据库中全面搜索了有关 AN 的研究。提取了有关AN患病率的合格数据。本研究严格遵守系统综述和元分析首选报告项目(PRISMA)指南:我们的研究共分析了 39 项研究、11,015 名患者和 36,837 只脚。在对患者和足的分析中,发现锚状关节炎的汇总患病率估计值(PPE)分别为 17.5%(95%CI:11.5-25.7)和 12.6%(95%CI:10.1-15.5)。50.0%的患者双侧出现无名舟状关节,在性别组中的分布情况相似(21.1%的男性和22.0%的女性被证实患有无名舟状关节)。无名舟状关节在东亚人中最常见(38.4%),在北美人中最少(8.0%)。在比较不同的成像模式(X 光和尸体解剖)时,未发现锚状关节患病率有明显差异:结论:附属舟状关节是影像学研究中的常见发现。结论:附属舟状关节是影像学研究中的常见发现,其患病率取决于研究覆盖的人群,但不受患者性别或用于评估附属舟状关节的影像学模式的影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

The prevalence and anatomy of accessory navicular bone: a meta-analysis.

The prevalence and anatomy of accessory navicular bone: a meta-analysis.

Purpose: There have been over 40 descriptions of the common developmental variants of the accessory ossicles of the feet. Although predominantly asymptomatic, they sometimes may be linked to painful conditions. One of the most common accessory ossicles in the foot is the accessory navicular bone (AN), located on the medial side of the foot. Our research provides a first meta-analysis on this topic that establishes its frequency by contrasting 39 studies from across the globe.

Methods: Up to February 2024, PubMed and Embase databases were thoroughly searched for research on the AN. Eligible data regarding AN prevalence was extracted. This study strictly adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

Results: A total of 39 studies, 11,015 patients, and 36,837 feet were analyzed in our study. The pooled prevalence estimate (PPE) of AN was found to be 17.5% (95%CI: 11.5-25.7) and 12.6% (95%CI: 10.1-15.5) in patients and feet analyses, respectively. Accessory navicular occurred bilaterally in 50.0% of patients, with similar distribution in gender-based groups (21.1% of males and 22.0% of females were confirmed with AN). Accessory navicular was most prevalent in the East Asian population (38.4%) and least prevalent in North Americans (8.0%). No significant differences in AN prevalence were found when comparing different imaging modalities (X-ray and cadaver dissection).

Conclusion: Accessory navicular is a common finding in imaging studies. Its prevalence depends on the population covered by the study but is not affected by the patient's gender or the imaging modality utilized for AN assessment.

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来源期刊
Surgical and Radiologic Anatomy
Surgical and Radiologic Anatomy Medicine-Pathology and Forensic Medicine
CiteScore
2.40
自引率
14.30%
发文量
0
期刊介绍: Anatomy is a morphological science which cannot fail to interest the clinician. The practical application of anatomical research to clinical problems necessitates special adaptation and selectivity in choosing from numerous international works. Although there is a tendency to believe that meaningful advances in anatomy are unlikely, constant revision is necessary. Surgical and Radiologic Anatomy, the first international journal of Clinical anatomy has been created in this spirit. Its goal is to serve clinicians, regardless of speciality-physicians, surgeons, radiologists or other specialists-as an indispensable aid with which they can improve their knowledge of anatomy. Each issue includes: Original papers, review articles, articles on the anatomical bases of medical, surgical and radiological techniques, articles of normal radiologic anatomy, brief reviews of anatomical publications of clinical interest. Particular attention is given to high quality illustrations, which are indispensable for a better understanding of anatomical problems. Surgical and Radiologic Anatomy is a journal written by anatomists for clinicians with a special interest in anatomy.
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