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A rare bilateral absence of the musculocutaneous nerve associated with muscular and vascular variations: embryological considerations and clinical implications 与肌肉和血管变异相关的罕见双侧肌皮神经缺失:胚胎学考虑和临床意义
Q3 Medicine Pub Date : 2026-01-27 DOI: 10.1016/j.tria.2026.100466
Arthur Tsalani Manjatika

Introduction

Muscular, nervous, and vascular variations in the anterior compartment of the arm are common if considered independently. However, the co-existence of variations involving all the anterior compartment of the arm structures is very rare. This case report aims to report a rare bilateral presentation of the muscular, nervous, and vascular variations in the anterior compartment of the arm.

Case presentation

An incidental finding during the routine dissections of the anterior compartments of the arm, elbow joint and forearm is presented. The musculocutaneous nerve was absent bilaterally. The coracobrachialis originated from the coracoid process of the scapula and the anterior aspect of the shoulder joint capsule bilaterally and was innervated by a direct branch from the lateral cord of the brachial plexus. The third head of the biceps brachii was also present bilaterally. The brachialis muscle presented with two heads with dual innervation by the median and radial nerves and dual blood supply by brachial-ulnar and profunda brachii arteries. There was a bilateral high bifurcation of the brachial artery.

Conclusion

This case shows that anatomical variation of all the structures in the anterior compartment of the arm can exist at the same time bilaterally. This knowledge may be important clinically to avoid misdiagnosis and iatrogenic injuries to the anterior compartment of the arm due to the altered conventional anatomy.
如果单独考虑,手臂前腔室的肌肉、神经和血管变异是常见的。然而,累及所有臂结构前腔室的变异共存是非常罕见的。本病例报告旨在报告一个罕见的双侧手臂前腔室肌肉、神经和血管变异的表现。病例介绍:在常规解剖手臂、肘关节和前臂前腔室时偶然发现。双侧肌皮神经缺失。喙臂肌起源于肩胛骨喙突和肩关节囊前部,受臂丛外侧束的直接分支支配。肱二头肌的第三个头也出现在两侧。肱肌呈双头状,由正中神经和桡神经双重支配,由肱尺动脉和肱深动脉双重供血。双侧肱动脉高分叉。结论本病例显示,手臂前腔室所有结构的解剖变异可同时存在。这方面的知识在临床上可能是重要的,以避免误诊和医源性损伤臂前腔室由于改变常规解剖。
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引用次数: 0
Selected anatomists and scholars who contributed to the study of the visual apparatus and vision 选出对视觉器官和视觉研究有贡献的解剖学家和学者
Q3 Medicine Pub Date : 2026-01-27 DOI: 10.1016/j.tria.2026.100467
Robert Haładaj , Nikola Haładaj , Roksana Haładaj , Ivan Varga

Background

Interest in the anatomy and function of the eye dates back to ancient times. For centuries, scholars explored the phenomenon of vision, moving from speculation to systematic anatomical observation.

Aim

This essay presents an overview of selected anatomists and scholars who played an important role in advancing the study of the eyeball and the visual apparatus.

Conclusions

Through centuries of study, anatomists advanced knowledge of the eye's structure and function, shaping the modern science of vision.
对眼睛解剖和功能的兴趣可以追溯到古代。几个世纪以来,学者们一直在探索视觉现象,从推测到系统的解剖观察。目的本文介绍了在眼球和视觉器官的研究中发挥重要作用的解剖学家和学者。经过几个世纪的研究,解剖学家提高了对眼睛结构和功能的认识,形成了现代视觉科学。
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引用次数: 0
Descriptive analysis of the celiac ganglia in female rats: an asymmetrical pair with distinct neuronal pathways 雌性大鼠腹腔神经节的描述性分析:具有不同神经元通路的不对称对
Q3 Medicine Pub Date : 2026-01-24 DOI: 10.1016/j.tria.2026.100463
César Pastelín Rojas , María-Esmeralda Rivera Castro , Juan-Manuel Bravo Benítez , Yolanda Cruz Gómez , Carolina Morán Raya

Background

Exploring the neural control of mammalian abdominal visceral organs requires an understanding of celiac ganglia anatomy. In this study, Long-Evans rats were investigated to elucidate the detailed anatomical organization of the right celiac ganglion (RCG) and left celiac ganglion (LCG), their connections with other prevertebral ganglia, and the morphometry of their postganglionic neuronal components.

Methods

Twenty adult female rats were divided into two experimental groups: one examined for macroscopic anatomical features, including gross anatomy (n = 10) and histochemical properties (acetylcholinesterase n = 3); the other for celiac ganglia microanatomy, using histological techniques (n = 4) and scanning electron microscopy (n = 3).

Results

The RCG presented as pyriform-shaped or spindle-shaped (average length, 2.9 ± 0.6 mm; average width, 0.8 ± 0.2 mm), and included six primary nerves and five accessory nerves. The LCG was sickle-shaped (average length, 6.8 ± 1.0 mm; average width, 1.03 ± 0.1 mm), and included seven primary nerves and three accessory nerves. The RCG and LCG were connected by a short nerve trunk, or three long commissural branches, comprising unmyelinated nerve fibers, peripheral glial cells, and Remak Schwann cells. Nerves of the RCG and LCG innervate abdominal organs and form interganglionic connections, anastomosing with the left and right suprarenal ganglia and the superior mesenteric ganglia, together constituting a nerve plexus.

Conclusions

The celiac ganglia are bilateral, with morphologically and topographically asymmetrical components. Commissural bundles support, protect, and facilitate communication between the intra-ganglionic components.
背景探索哺乳动物腹部内脏器官的神经控制需要了解腹腔神经节解剖学。本研究以Long-Evans大鼠为研究对象,研究了右腹腔神经节(RCG)和左腹腔神经节(LCG)的详细解剖结构、与其他椎前神经节的连接以及节后神经元成分的形态测定。方法将20只成年雌性大鼠分为两组:一组观察宏观解剖特征,包括大体解剖特征(n = 10)和组织化学特征(n = 3);另一组为腹腔神经节显微解剖,采用组织学技术(n = 4)和扫描电子显微镜(n = 3)。结果RCG呈梨状或梭形,平均长度为2.9 ± 0.6 mm,平均宽度为0.8 ± 0.2 mm,包括6条主神经和5条副神经。LCG呈镰状(平均长6.8 ± 1.0 mm,平均宽1.03 ± 0.1 mm),包括7条主神经和3条副神经。RCG和LCG由一条短神经干或三条长相交分支连接,包括无髓鞘神经纤维、外周胶质细胞和Remak Schwann细胞。RCG和LCG的神经支配腹部脏器,形成节间连接,与左右肾上神经节和肠系膜上神经节吻合,构成神经丛。结论乳糜泻神经节是双侧的,其组成部分在形态和地形上不对称。联合束支持、保护和促进神经节内组件之间的通信。
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引用次数: 0
Occipitalization of the atlas: prevalence, functional and anatomical considerations. A systematic review and meta-analysis 寰椎枕化:患病率、功能和解剖学考虑。系统回顾和荟萃分析
Q3 Medicine Pub Date : 2026-01-24 DOI: 10.1016/j.tria.2026.100465
Alejandro Bruna-Mejias , Martina Salazar-Ferrari , Antonia Silva-Garay , Ignacia Belen Chacon Valdebenito , Cynthia Ortiz -Ahumada , Martin Trujillo-Riveros , Jessica Paola Loaiza-Giraldo , Pablo Nova- Baeza , Mathias Orellana- Donoso , Andres Santana- Machuca , Gloria Cifuentes-Suazo , Gustavo Oyanedel-Amaro , Glen Paton , Shahed Nalla , Juan José Valenzuela-Fuenzalida , Juan Sanchis-Gimeno

Background

Occipitalization of the atlas, defined as a congenital fusion between the first cervical vertebra (C1) and the occipital bone, is an uncommon anatomical variant of the craniovertebral junction. Reported prevalence in the general population varies widely, and the condition is often identified incidentally during imaging or anatomical assessment.

Objective

To synthesize available evidence on the prevalence of atlas occipitalization and to describe its anatomical characteristics across different populations and study designs.

Methods

A comprehensive literature search was conducted in MEDLINE, Scopus, Web of Science, Google Scholar, CINAHL, and LILACS from inception to January 2025. Study selection and data extraction were performed independently by four reviewers. Methodological quality was assessed using the Anatomical Quality Assessment (AQUA) tool. A random-effects meta-analysis was applied to estimate pooled prevalence values and explore predefined subgroups.

Results

Twenty-five studies met the inclusion criteria for qualitative synthesis, of which eleven were included in the meta-analysis, encompassing a total of 4219 subjects. The pooled prevalence of atlas occipitalization was 0.64 % (95 % confidence interval: 0.00–1.00 %). Variability in prevalence estimates was observed across populations and assessment methods.

Conclusion

Atlas occipitalization is a rare congenital anatomical variant of the craniovertebral junction. Although often asymptomatic, its identification is anatomically relevant due to potential associations with other craniovertebral anomalies. Awareness of this variant is important for accurate anatomical interpretation and for planning procedures involving the craniovertebral junction.
寰椎枕骨化被定义为第一颈椎(C1)与枕骨之间的先天性融合,是颅椎交界处一种罕见的解剖变异。在一般人群中报道的患病率差异很大,并且通常在成像或解剖评估中偶然发现这种情况。目的综合有关枕寰椎患病率的现有证据,并描述其在不同人群和研究设计中的解剖学特征。方法在MEDLINE、Scopus、Web of Science、谷歌Scholar、CINAHL、LILACS等数据库中检索自成立至2025年1月的文献。研究选择和数据提取由四位评论者独立完成。采用解剖质量评估(AQUA)工具评估方法学质量。随机效应荟萃分析用于估计汇总患病率值并探索预定义的亚组。结果25项研究符合定性综合纳入标准,其中11项纳入meta分析,共纳入4219名受试者。枕骨寰椎的总患病率为0.64 %(95 %可信区间:0.00-1.00 %)。观察到不同人群和评估方法的患病率估计值存在差异。结论寰枕畸形是一种罕见的先天性颅椎交界处畸形。虽然通常无症状,但由于其与其他颅椎异常的潜在关联,其识别具有解剖学意义。意识到这种变异对于准确的解剖解释和涉及颅椎交界处的计划手术是重要的。
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引用次数: 0
Foramen ovale and its neighbourhood: skull variations that influence procedural safety 卵圆孔及其邻近区:影响手术安全性的颅骨变异
Q3 Medicine Pub Date : 2026-01-17 DOI: 10.1016/j.tria.2026.100464
Ballantyne Helen , Gul Samia , Sam Femina

Background

The foramen ovale (FO) is a key landmark in percutaneous procedures for trigeminal neuralgia (TN), with the lateral pterygoid plate (LPP) aiding its localization. TN interventions through FO have been reported to cause hemorrhage, cranial nerve palsy, and muscle weakness. Although studies have suggested potential neurovascular risks, there is limited scientific evidence to support them. This study aimed to evaluate whether specific skull types pose a higher risk due to the proximity of the FO to neurovascular structures.

Methods

Thirty dry human skulls were classified into four types based on the LPP and the FO positions. The distances from the FO to the sphenoidal spine, foramen spinosum, alveolar tuberosity, foramen lacerum, carotid canal, inferior orbital fissure (IOF), and foramen of Vesalius were recorded.

Results

There were no statistically significant differences in the position of the FO relative to most neighbouring structures across skull types. However, the removed type was significantly farther from the IOF, while the direct type was closer.

Conclusion

While previous studies have highlighted technical difficulties with needle insertion in the removed skull type, our findings emphasize the importance of carefully assessing the relationship between the FO and the LPP, as the direct skull type may increase the risk of injury to neurovascular structures traversing the IOF.
卵圆孔(FO)是经皮治疗三叉神经痛(TN)的关键标志,翼侧板(LPP)有助于定位。经FO的TN干预已被报道导致出血、脑神经麻痹和肌肉无力。尽管研究表明了潜在的神经血管风险,但支持这一观点的科学证据有限。本研究旨在评估是否由于FO靠近神经血管结构而导致特定颅骨类型的风险更高。方法将30例干颅骨根据LPP和FO位置分为4种类型。记录FO到蝶肋、棘孔、肺泡结节、撕裂孔、颈动脉管、眶下裂(IOF)、维萨里孔的距离。结果FO相对于大多数相邻结构的位置在不同颅骨类型间无统计学差异。然而,移除型离IOF明显更远,而直接型更近。虽然先前的研究强调了在切除颅骨类型中针头插入的技术困难,但我们的研究结果强调了仔细评估FO和LPP之间关系的重要性,因为直接颅骨类型可能增加穿越IOF的神经血管结构损伤的风险。
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引用次数: 0
Morphological variability of renal hilar structures in humans: Insights from cadaveric observation 人类肾门结构的形态学变异:来自尸体观察的见解
Q3 Medicine Pub Date : 2026-01-16 DOI: 10.1016/j.tria.2026.100461
Binita Gupta, Kapil Kumar Malviya

Background

The renal hilum serves as the entry and exit point of the kidney, transmitting the renal vein, renal artery, and renal pelvis. The classical anatomical arrangement from anterior to posterior is the renal vein, renal artery, and renal pelvis. However, variations in this configuration are common and carry significant clinical implications for surgical and radiological procedures.

Objective

To examine and categorize variations in the arrangement of renal hilar structures through cadaveric dissection and to assess their clinical significance.

Materials and methods

A total of 112 kidneys (54 left and 58 right) obtained from cadaveric dissections were studied. The arrangement of the renal vein, renal artery, and renal pelvis at the hilum was carefully observed and documented. Variations from the classical pattern were noted, categorised, and analysed for frequency and laterality.

Results

Out of 112 kidneys examined, only 18 (16 %) exhibited the classical anterior-to-posterior arrangement of renal vein, renal artery, and renal pelvis. The remaining 94 kidneys (84 %) displayed eight distinct variation patterns. Variations were more frequent in the left kidneys, possibly reflecting their more complex embryological development. The most common deviations involved the prehilar branching of the renal artery and the presence of additional venous tributaries, which altered the usual hilar configuration.

Conclusion

Renal hilar variations are highly prevalent and must be carefully considered during surgical and radiological procedures. Awareness of these anatomical variations is crucial for preventing intraoperative complications such as haemorrhage or ischemia and for ensuring accurate interpretation of renal imaging. The paper highlights the importance of a detailed preoperative assessment and supports the need for a standardized classification of renal hilar anatomy.
肾门是肾脏的入口和出口,传递肾静脉、肾动脉和肾盂。肾静脉、肾动脉、肾盂从前到后依次排列。然而,这种结构的变化是常见的,并且对外科和放射治疗具有重要的临床意义。目的通过尸体解剖检查和分类肾门结构排列的变化,探讨其临床意义。材料与方法对112个尸体解剖肾脏(左肾54个,右肾58个)进行研究。仔细观察并记录肾静脉、肾动脉和肾盂在肾门处的排列。从经典模式的变化被注意到,分类,并分析频率和侧性。结果112个肾脏中,只有18个(16% %)表现出典型的肾静脉、肾动脉和肾盂的前后排列。其余94个肾脏(84 %)表现出8种不同的变异模式。左肾的变异更频繁,可能反映了它们更复杂的胚胎发育。最常见的偏差包括肾动脉门前分支和额外静脉分支的存在,这改变了通常的门静脉结构。结论肾门变异性是非常普遍的,在外科和放射治疗中必须仔细考虑。了解这些解剖变异对于预防术中并发症(如出血或缺血)和确保肾脏成像的准确解释至关重要。本文强调了详细的术前评估的重要性,并支持对肾门解剖进行标准化分类的必要性。
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引用次数: 0
Microscopic anatomy of human fetal precentral cerebral wall in the fetuses of the second trimester 妊娠中期胎儿中央前脑壁显微解剖
Q3 Medicine Pub Date : 2026-01-13 DOI: 10.1016/j.tria.2026.100462
Veeresh , Shalini S. Nayak , Deepak Nayak , Aamna Kausar , Mamatha Hosapatna
The human fetal cerebral wall undergoes key laminar organisation during mid-gestation, forming the basis for cortical development. The precentral gyrus is a critical motor region where early disturbances may affect neurodevelopment. This study examined the transient cortical layers of the fetal precentral cerebral wall during the second trimester. After ethics approval, ten normal fetal brains between 18 and 25 gestational weeks were analysed. Precentral cerebral wall tissue was sectioned at 5 μm and stained with haematoxylin–eosin and Luxol Fast Blue/Periodic Acid–Schiff. Six transient layers—marginal zone (MZ), cortical plate (CP), subcortical plate (SCP), intermediate zone (IZ), subventricular zone (SVZ), and ventricular zone (VZ)—were identified and measured using CellSens software, and correlations with gestational age were assessed. Mean cerebral wall thickness was 5.5 ± 2.1 mm, with SCP and IZ consistently the thickest layers and VZ the thinnest. Significant positive correlations were observed between gestational age and both CP and SCP, as well as between MZ and CP, MZ and VZ, and SCP and IZ. Occasional specimens showed oedema in the SVZ and spongy IZ. These findings demonstrate that the second-trimester precentral cerebral wall exhibits six distinct transient layers with coordinated growth, particularly within the subplate and cortical plate, providing region-specific normative data that enhance anatomical understanding of cortical development during a critical developmental window.
人类胎儿脑壁在妊娠中期经历了关键的层状组织,形成了皮质发育的基础。中央前回是一个关键的运动区域,早期的障碍可能会影响神经发育。本研究检测了妊娠中期胎儿中央前脑壁的短暂皮质层。经伦理批准后,对10个妊娠18至25周的正常胎儿大脑进行了分析。在5 μm处对中央前脑壁组织进行切片,并用苏木精-伊红和Luxol快速蓝/周期性酸-希夫染色。使用CellSens软件鉴定并测量了六个瞬变层——边缘区(MZ)、皮质板区(CP)、皮质下板区(SCP)、中间区(IZ)、室下区(SVZ)和室区(VZ),并评估了与胎龄的相关性。平均脑壁厚度为5.5 ± 2.1 mm,其中SCP和IZ始终是最厚的层,VZ最薄。胎龄与CP、SCP、MZ与CP、MZ与VZ、SCP与IZ呈显著正相关。偶见中下室水肿和海绵状中室。这些研究结果表明,妊娠中期的中央前脑壁呈现出6个不同的瞬态层,并协调生长,特别是在底板和皮质板内,提供了特定区域的规范数据,增强了对关键发育窗口期皮质发育的解剖学理解。
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引用次数: 0
Biomechanical analysis and clinical implications of an interscalene muscle slip involving the brachial plexus 累及臂丛的斜角肌间滑动的生物力学分析及临床意义
Q3 Medicine Pub Date : 2025-12-26 DOI: 10.1016/j.tria.2025.100460
Lucy E. Greenhagen , Joseph X. Anders , Grzegorz Wysiadecki , Ethan L. Snow

Introduction

The brachial plexus courses above the first rib and between the anterior and middle scalene muscles. Morphological variations of the scalene muscles can be clinically significant, but biomechanical analyses of such variations are scarcely reported. The objective of this study is to perform an anatomical and biomechanical investigation of a unique interscalene muscle variation involving the brachial plexus.

Methods

A unilateral (left) interscalene muscle slip was discovered during routine dissection of an elderly male human cadaver. The anatomy was cleanly dissected and photographed in situ with scale. Mass, fascicle length, and mean fixed sarcomere length were measured for the anterior scalene, interscalene, and middle scalene muscles, and the normalized maximal isometric force (Fmax) for each muscle was calculated.

Results

The 5.20 cm interscalene muscle slip was bicipital; its medial and lateral heads originated from the proximal aspect of the middle scalene muscle posterior to the C5 ventral ramus, converged to a common belly between the C6 and C7 ventral rami, and inserted on the distal aspect of the anterior scalene muscle anterior to the C7 ventral ramus. The Fmax of the anterior scalene, interscalene, and middle scalene muscles were 13.58 N, 0.46 N, and 13.82 N, respectively.

Conclusion

The interscalene muscle variation may jeopardize the C5 and C6 ventral rami and complicate medical procedures involving the scalene triangle (e.g., interscalene nerve block). Rarity of the variation may cause its oversight as a differential diagnosis and misinform the treatment and therapeutic progress for other conditions. This report may benefit clinicians, anatomists, and medical students as they deliberate complicated differential diagnoses and medical procedures involving the scalene triangle region.
臂丛位于第一肋骨之上,位于前斜角肌和中斜角肌之间。斜角肌的形态变化可能具有临床意义,但这种变化的生物力学分析几乎没有报道。本研究的目的是对涉及臂丛的独特斜角肌间肌变异进行解剖学和生物力学研究。方法对一具老年男性尸体进行常规解剖时发现单侧(左)斜角间肌滑移。解剖干净,并按比例就地拍照。测量前斜角肌、间斜角肌和中斜角肌的质量、肌束长度和平均固定肌节长度,并计算每块肌肉的归一化最大等距力(Fmax)。结果5.20 cm斜角肌间滑脱为二头肌;它的内侧和外侧头起源于C5腹支后的中斜角肌近端,在C6和C7腹支之间汇聚成一个共同的腹部,并插入C7腹支前的前斜角肌远端。前斜角肌、斜间肌和中斜角肌的Fmax分别为13.58 N、0.46 N和13.82 N。结论斜角肌间肌变异可危及C5和C6腹支,并使涉及到斜角肌三角的医疗程序复杂化(如斜角肌间神经阻滞)。罕见的变异可能导致其作为鉴别诊断的疏忽,并误导其他疾病的治疗和治疗进展。当临床医生、解剖学家和医学生考虑涉及不等边三角形区域的复杂鉴别诊断和医疗程序时,本报告可能对他们有益。
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引用次数: 0
Case report of variant origin and course of the middle colic artery 结肠中动脉异源及异径1例报告
Q3 Medicine Pub Date : 2025-12-22 DOI: 10.1016/j.tria.2025.100459
Aliće Weiglein , Karin Fischer , Anne Albrecht , Constanze Nossol

Background

The middle colic artery is of key importance regarding the blood supply of the digestive tract. Visceral surgery, in particular, relies on detailed knowledge of the anatomical course of arteries in this region. Several variants of the bowel's arterial supply have been reported, and we contribute the description of yet another variant.

Case report

We observed an unusual origin and course of the MCA in a body donor from the voluntary donation program of the Institute of Anatomy, Otto-von-Guericke University Magdeburg. The donor had died from coronary heart disease and cardiac insufficiency, and the body was fixed by arterial perfusion with an ethanol-formaldehyde solution. Dissection was performed during regular undergraduate anatomy courses at the institute. We describe a variant middle colic artery (aMCA) that, instead of arising from the SMA, branches directly from the celiac trunk alongside the usual vessels. The aMCA descends behind the pancreas, gives off an inferior pancreatic artery, and then divides into two branches: one connecting to the regular MCA from the SMA and the other to the LCA from the IMA. While the IMA showed a normal branching pattern, the SMA lacked a right colic artery; no additional anatomical or pathological abnormalities were observed.

Conclusion

Although parts of the herein described variation have already been published - such as an aMCA arising from the celiac trunk or variations in connectivity of the MCA with the RCA and LCA - the combination of variations reported here is, to our best knowledge, not yet documented.
背景结肠中动脉在消化道血液供应中起着至关重要的作用。特别是内脏手术,依赖于该区域动脉解剖过程的详细知识。肠动脉供应的几种变体已被报道,我们贡献了另一种变体的描述。病例报告:我们在马格德堡Otto-von-Guericke大学解剖研究所自愿捐赠计划的一名尸体捐献者身上观察到一种不寻常的MCA起源和病程。供体死于冠心病和心功能不全,用乙醇-甲醛溶液动脉灌注固定尸体。解剖是在研究所的常规本科解剖学课程中进行的。我们描述了一种变异的结肠中动脉(aMCA),它不是起源于SMA,而是直接从乳糜干和通常的血管旁分支。aMCA在胰腺后方下降,发出胰下动脉,然后分成两个分支:一个从SMA连接到常规MCA,另一个从IMA连接到LCA。IMA呈正常分支,SMA缺乏右结肠动脉;未观察到其他解剖或病理异常。尽管本文所描述的部分变异已经被发表,例如由乳糜干引起的aMCA或MCA与RCA和LCA的连通性变异,但据我们所知,本文报道的变异组合尚未被记录。
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引用次数: 0
Adapting anatomy education: A comparative analysis of learning and academic outcomes across in-person, online, and blended instruction in a third-year anatomy subject (2019–2023) 适应性解剖学教育:2019-2023年三年级解剖学课程中面对面、在线和混合教学的学习和学术成果比较分析
Q3 Medicine Pub Date : 2025-12-15 DOI: 10.1016/j.tria.2025.100458
Jency Thomas , Richard G.D. Fernandez , Narbada Saini , Joanne Marcucci , Hayder A. Al-Aubaidy

Background

This study evaluated student learning outcomes and perceptions in the third-year anatomy subject PAM3HAN at La Trobe University across three instructional models: fully in-person (2019), fully online (2020–2021), and blended (2022–2023). The aim was to determine how these delivery modes influenced academic performance, engagement, and the achievement of learning objectives.

Methods

A mixed-methods approach was used. Quantitative data, including mean subject scores, pass rates, and assessment component results, were compared across instructional periods. Qualitative data from Student Feedback on Subject (SFS) surveys were analysed thematically to explore perceptions of learning quality, practical engagement, instructional coherence, and assessment alignment.

Results

Student performance differed significantly across years (p < 0.05). Mean marks increased during fully online delivery, reflecting the influence of non-invigilated assessment conditions. However, students reported reduced engagement and difficulty visualising anatomical structures without hands-on experiences. The blended model restored cadaveric practicals while retaining online flexibility, leading to higher satisfaction and improved alignment between theoretical and practical learning.

Conclusion

While online delivery supports accessibility, it cannot replace the depth of learning provided by practical experiences. The blended model offered the most balanced approach, emphasising the importance of coherent curriculum design, integrated resources, and sustained opportunities for hands-on anatomical learning.
本研究评估了拉筹伯大学三年级解剖学科目PAM3HAN的学生学习成果和看法,采用三种教学模式:完全面对面(2019)、完全在线(2020-2021)和混合(2022-2023)。目的是确定这些交付模式如何影响学习成绩、参与和学习目标的实现。方法采用混合方法。定量数据,包括平均科目分数,通过率和评估组成部分的结果,在教学期间进行比较。从学生对学科的反馈(SFS)调查中获得的定性数据进行了主题分析,以探讨学习质量、实践参与、教学一致性和评估一致性的看法。结果各年级学生成绩差异有统计学意义(p <; 0.05)。在完全在线交付期间,平均分数增加,反映了非监考评估条件的影响。然而,学生们报告说,如果没有实践经验,他们的参与度会降低,而且很难将解剖结构可视化。混合模型在保留在线灵活性的同时恢复了尸体实践,从而提高了满意度,并改善了理论和实践学习之间的一致性。结论在线教学虽然支持可访问性,但不能替代实践经验提供的深度学习。混合模式提供了最平衡的方法,强调连贯的课程设计、整合的资源和持续的动手解剖学学习机会的重要性。
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Translational Research in Anatomy
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