Triticeal cartilage: a meta-analysis of prevalence and morphologic evaluation.

IF 1.4 4区 医学 Q2 Medicine Surgical and Radiologic Anatomy Pub Date : 2024-09-01 Epub Date: 2024-07-11 DOI:10.1007/s00276-024-03431-9
Hasan Baris Ilgaz, Alper Vatansever
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Abstract

Purpose: The triticeal cartilage, situated within the lateral thyrohyoid membrane, remains elusive in function yet crucial in clinical contexts. Composed of hyaline cartilage, it is prone to ossification, potentially leading to diagnostic challenges such as misidentification with atherosclerosis or fractures.

Methods: This study, aiming to establish its prevalence and highlight clinical relevance, conducted a systematic review across several electronic databases such as Medline, PUBMED, Scopus, Google Scholar, Web of Science, SpringerLink and Sciencedirect using keywords "triticeal cartilage", "triticeous cartilage" or "cartilago triticea". An assurance tool for anatomical investigations was used to assess the quality of the methodology (AQUA). A random effects model was utilized to determine the pooled prevalence.

Results: The true prevalence of triticeal cartilage was found to be variable, with an overall pooled proportion of 43% while crude prevalence were 50.6%. Its crude prevalence was notably higher in women compared to men, in contrary true prevalence was higher in men, posing sex-related disparities. It was mostly seen bilaterally. When the morphologic characteristics of the cartilage were evaluated, classification differences were observed in terms of shape, with a mean length of 5.48 mm, a mean width of 3.04 mm and a mean weight of 62.32 mg. The vertebral level at which the TC was located was mostly C4. The degree of calcification of the cartilage was most commonly mild.

Conclusion: In conclusion, triticeal cartilage holds significant clinical importance, necessitating vigilance during diagnostic evaluations and surgical approaches. Further studies are imperative to elucidate its function comprehensively and refine diagnostic strategies, ensuring optimal patient care in neck-related pathologies.

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关节软骨:发病率和形态学评估的荟萃分析。
目的:位于甲状腺外侧膜内的三尖瓣软骨在功能上仍然难以捉摸,但在临床上却至关重要。三叶软骨由透明软骨构成,容易发生骨化,可能导致诊断难题,如与动脉粥样硬化或骨折误诊:本研究旨在确定其发病率并突出其临床相关性,使用关键词 "triticeal cartilage"、"triticeous cartilage "或 "cartilago triticea",在Medline、PUBMED、Scopus、Google Scholar、Web of Science、SpringerLink和Sciencedirect等多个电子数据库中进行了系统性综述。解剖学研究的保证工具(AQUA)被用来评估研究方法的质量。采用随机效应模型来确定汇总患病率:结果:发现三趾骨软骨的真实发病率不尽相同,总体汇总比例为 43%,而粗发病率为 50.6%。女性的粗发病率明显高于男性,而男性的真实发病率则更高,这就造成了性别差异。这种疾病多见于双侧。在对软骨的形态特征进行评估时,发现其形状存在分类差异,平均长度为 5.48 毫米,平均宽度为 3.04 毫米,平均重量为 62.32 毫克。钙化软骨所在的椎体水平大多为 C4。软骨的钙化程度多为轻度:总之,三椎体软骨具有重要的临床意义,在诊断评估和手术方法中必须保持警惕。进一步的研究势在必行,以全面阐明其功能并完善诊断策略,确保在颈部相关病症中为患者提供最佳治疗。
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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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