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Case analysis and clinical implications of a hemangioma located between the pronator quadratus and interosseous membrane 旋前方肌与骨间膜间血管瘤的病例分析及临床意义
Q3 Medicine Pub Date : 2025-11-01 Epub Date: 2025-09-08 DOI: 10.1016/j.tria.2025.100441
Arene S. Barwari , Parker Murphy , Anders S. Mattecheck , Yorell Manon-Matos , Ethan L. Snow

Background

Hemangiomas are seldom considered as a differential diagnosis for conditions with common etiologies. Reports detailing hemangiomas in unique locations with comprehensive analyses are scarce. This study aims to investigate a hemangioma uniquely located between the pronator quadratus (PQ) and the interosseous membrane (IOM) with gross, histological, and biomechanical analyses.

Methods

A unilateral (right) hemangioma was discovered during routine dissection of an adult human cadaver, measured, weighed, transected, and photographed. Two tissue samples were collected, processed for histology (H&E), and scanned for examination via digital light microscopy. Maximal isometric force (Fmax) of the overlying PQ was calculated to determine the central force vector that would compress the hemangioma upon contraction.

Results

The 4.85 g multilobulated hemangioma was supplied by the anterior interosseous artery and bound by the PQ, IOM, and distal radius and ulna. The hemangioma was roughly circular (r = ∼2.65 cm) in the coronal plane and disproportionally thicker on its ulnar side (1.88 cm vs. 0.45 cm). Histological analysis revealed atrophic skeletal muscle and clusters of leukocytes. The PQ muscle exhibited a Fmax of 45.47 N and the ability to compress the hemangioma with 12.56 N.

Conclusions

Despite its likelihood for provoking sequelae, a hemangioma presenting between the PQ and IOM may not be considered when evaluating musculoskeletal pain, distal forearm fractures, compartment syndrome, or carpal tunnel syndrome. This study may provide new and important insights to orthopedists, vascular surgeons, medical educators, clinical anatomists, and allied health professionals when analyzing, diagnosing, or treating related cases.
背景:血管瘤很少被认为是具有共同病因的疾病的鉴别诊断。详细介绍独特位置血管瘤的综合分析报告很少。本研究旨在通过大体、组织学和生物力学分析来研究位于旋前方肌(PQ)和骨间膜(IOM)之间的血管瘤。方法对一具成人尸体进行常规解剖,发现单侧(右侧)血管瘤,测量、称量、横切、拍照。收集两个组织样本,进行组织学处理(H&;E),并通过数字光学显微镜扫描检查。计算上覆PQ的最大等距力(Fmax),以确定在收缩时压缩血管瘤的中心力矢量。结果4.85 g多叶状血管瘤由骨间前动脉供血,并由PQ、IOM和远端桡骨、尺骨结合。血管瘤在冠状面大致呈圆形(r = ~ 2.65 cm),在尺侧不成比例地增厚(1.88 cm vs. 0.45 cm)。组织学分析显示骨骼肌萎缩和白细胞聚集。PQ肌的Fmax为45.47 N,压缩血管瘤的能力为12.56 N。结论:尽管有可能引发后遗症,但在评估肌肉骨骼疼痛、前臂远端骨折、筋膜室综合征或腕管综合征时,PQ和IOM之间出现的血管瘤可能不被考虑。本研究可能为骨科医生、血管外科医生、医学教育者、临床解剖学家和相关卫生专业人员在分析、诊断或治疗相关病例时提供新的重要见解。
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引用次数: 0
Mind the gap: Reproducibility of methods for studying paraspinal muscles 注意间隙:研究棘旁肌肉方法的可重复性
Q3 Medicine Pub Date : 2025-11-01 Epub Date: 2025-08-21 DOI: 10.1016/j.tria.2025.100431
Nayia Aza , David James Halliday , Chandrasekaran Kaliaperumal

Background

We respond to a recent study on Magnetic Resonance Imaging-based measurement of paraspinal muscles in patients with chronic back pain.

Methods

We reviewed their methodology with a focus on segmentation tools and observer reliability.

Results

Key details, including the software used and inter-observer reliability, were not reported.

Conclusions

Clarifying the methodology would improve reproducibility and support comparability across studies.
我们对最近一项基于磁共振成像测量慢性背痛患者棘旁肌肉的研究做出回应。方法我们回顾了他们的方法,重点是分割工具和观察者可靠性。结果关键细节,包括使用的软件和观察者之间的信度,没有报告。结论澄清方法学将提高研究的可重复性和可比性。
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引用次数: 0
Circumaortic left renal vein with an accessory retroaortic branch in a cadaver: A rare combination of type I and III variants 尸体左肾动脉环静脉伴副主动脉后分支:罕见的I型和III型变异组合
Q3 Medicine Pub Date : 2025-11-01 Epub Date: 2025-10-15 DOI: 10.1016/j.tria.2025.100447
Maura Null, Maddison O'Quinn, Jake Shearer, Jonathan J. Wisco, Dustin Lin

Background

Congenital anomalies in renal venous anatomy are of clinical significance due to their implications in diagnostic imaging, surgical interventions, and renal transplantation. Among these, retroaortic and circumaortic left renal veins (RLRVs) are rare and often discovered incidentally during imaging or dissection.

Purpose

This case report aims to document and describe multiple rare congenital variations in renal venous anatomy observed during routine cadaveric dissection, with a focus on their classification and potential clinical relevance.

Methods

Routine anatomical dissection was performed on the cadaver of an 84-year-old female donor in a medical anatomy laboratory setting. Detailed observation and documentation of the renal venous drainage patterns were conducted, with findings compared to existing anatomical classifications of RLRVs.

Results

Dissection revealed a circumaortic left renal vein composed of an anterior branch and an accessory retroaortic branch. Additionally, two distinct right renal veins were identified, draining independently into the inferior vena cava. These findings represent an unusual combination of Type I and Type III RLRV anomalies, along with bilateral supernumerary renal veins.

Conclusion

This case highlights a rare and complex variation in bilateral renal venous anatomy, emphasizing the importance of a thorough understanding of venous developmental embryology. Such knowledge is crucial for clinicians involved in surgical planning, abdominal imaging, and renal transplant procedures to minimize the risk of iatrogenic injury and improve patient outcomes.
背景:肾静脉解剖的先天性异常在诊断成像、手术干预和肾移植方面具有重要的临床意义。其中,主动脉后静脉和环主动脉左肾静脉(rlrv)是罕见的,通常在成像或解剖时偶然发现。目的本病例报告旨在记录和描述在常规尸体解剖中观察到的多种罕见的肾静脉解剖先天性变异,并重点讨论其分类和潜在的临床相关性。方法在医学解剖实验室对84岁女性供体尸体进行常规解剖。对肾静脉引流模式进行了详细的观察和记录,并与现有的rlrv解剖分类进行了比较。结果解剖发现左肾主动脉周围静脉由主动脉前支和主动脉后副支组成。此外,还发现了两条不同的右肾静脉,分别汇入下腔静脉。这些发现代表了一种不寻常的I型和III型RLRV异常的组合,以及双侧肾旁静脉。结论本病例突出了双侧肾静脉解剖中罕见而复杂的变异,强调了深入了解静脉发育胚胎学的重要性。这些知识对于参与手术计划、腹部成像和肾移植手术的临床医生来说是至关重要的,可以最大限度地减少医源性损伤的风险,改善患者的预后。
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引用次数: 0
Anatomical reassessment of the rat cortical drill-hole injury model 大鼠皮质钻孔损伤模型的解剖学再评价
Q3 Medicine Pub Date : 2025-11-01 Epub Date: 2025-10-24 DOI: 10.1016/j.tria.2025.100450
Nao Yashima , Takumi Okunuki , Wataru Minamizono , Kaoru Fujikawa , Hirai Suito , Shingo Nakai , Masafumi Osako

Background

The drill-hole injury model is used to evaluate the efficacy of interventions aimed at enhancing fracture healing and supporting clinical application. However, despite its frequent use, the detailed anatomical understanding required for accurate assessment of bone repair remains limited. This study aimed to conduct morphological and histological analyses of cortical bone healing following drill-hole injury in rat tibiae, providing fundamental anatomical insights to support future use of this model in translational research.

Methods

A 2.0-mm drill-hole injury was made bilaterally in rat proximal tibiae of rats. The rats were euthanized at predetermined time points, and the tibiae were collected for analysis. The outer surface and longitudinal and transverse sections of the defect were examined. For cross-sectional evaluation, the drill-hole injury was divided into defect and intramedullary regions.

Results

By day 5, a transition from inflammation to bone formation was observed. New bone was visible on the intramedullary region inner surface by day 7, expanding toward the defect region and narrowing progressively. Bone remodeling began in the intramedullary region after day 10, while bone formation in the defect region continued. By day 28, surface closure was macroscopically apparent on scanning electron microscopy images, but histology showed incomplete internal architecture and bone quality.

Conclusions

Accurate evaluation of the healing process in the drill-hole injury model requires a three-dimensional perspective and the incorporation of morphological and histological analyses. Such anatomical insights may have been overlooked previously and provide critical baseline data for precise bone-healing assessment in future translational research using this model.
钻孔损伤模型用于评估旨在促进骨折愈合和支持临床应用的干预措施的效果。然而,尽管它经常使用,但准确评估骨修复所需的详细解剖理解仍然有限。本研究旨在对大鼠胫骨钻孔损伤后皮质骨愈合进行形态学和组织学分析,为该模型未来在转化研究中的应用提供基础解剖学见解。方法对大鼠胫骨近端进行双侧2.0 mm钻孔损伤。在预定的时间点对大鼠实施安乐死,并收集胫骨进行分析。检查了缺陷的外表面和纵、横截面。将钻孔损伤分为缺损区和髓内区进行横断面评价。结果到第5天,观察到从炎症到骨形成的转变。第7天髓内区内表面可见新生骨,向缺损区扩展并逐渐缩小。10天后髓内区开始骨重塑,而缺损区骨形成仍在继续。第28天,扫描电镜图像显示宏观表面闭合明显,但组织学显示内部结构和骨质量不完整。结论准确评价钻孔损伤模型的愈合过程需要三维视角,并结合形态学和组织学分析。这种解剖学上的见解以前可能被忽视了,并为使用该模型的未来转化研究中精确的骨愈合评估提供了关键的基线数据。
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引用次数: 0
Intramuscular variations in the exit of C5 and C6 roots of the brachial plexus: A case series from Rwanda 臂丛C5和C6根出口的肌内变异:来自卢旺达的一系列病例
Q3 Medicine Pub Date : 2025-11-01 Epub Date: 2025-09-16 DOI: 10.1016/j.tria.2025.100442
Paul Ndahimana , Victor Bassey Archibong , Akeem Okesina , Julien Gashegu

Background

Anatomical variations in the brachial plexus, particularly the relationship of its roots to the scalene muscles, can significantly impact surgical approaches, nerve blocks, and trauma management. However, such variations are underreported in human cadaveric studies from the East African region in general, and Rwanda in particular.

Objective

This case series documents four distinct variations of the brachial plexus identified during routine cadaveric dissection.

Materials and methods

Forty eight brachial plexus (24 human donors) were dissected using Grant's dissector protocol. All specimens were formalin-fixed and dissected in the anatomy laboratory of the University of Rwanda, with ethical clearance obtained.

Results

Four cases (4/48 = 8.33 %) of intramuscular variation in the exit of C5 and C6 were identified. In case 1, right C5 and C6 roots pierced the anterior scalene muscle instead of passing in the scalenic space. Case 2 showed left C5 piercing the anterior scalene. In case 3 and 4 (bilateral variations in one cadaver), C5 and C6 pierced the anterior scalene on both sides but at different locations. These deviations from the classical interscalene passage may pose risks during surgical or anesthetic procedures.

Conclusion

Anatomical variations of the brachial plexus are not rare and warrant routine consideration during clinical procedures. Preoperative imaging and surgeon awareness are recommended to mitigate iatrogenic risks.
臂丛神经的解剖学变异,特别是其根与斜角肌的关系,可以显著影响手术入路、神经阻滞和创伤处理。然而,在整个东非地区,特别是卢旺达的人类尸体研究中,这种差异被低估了。目的:本病例系列记录了在常规尸体解剖中发现的臂丛的四种不同变化。材料和方法采用Grant解剖方案对48例臂丛(24例供体)进行解剖。所有标本都用福尔马林固定,并在卢旺达大学解剖实验室进行解剖,并获得伦理许可。结果发现C5、C6出口肌内变异4例(4/48 = 8.33%)。在病例1中,右侧C5和C6根刺穿前斜角肌而不是穿过斜角肌间隙。病例2显示左侧C5刺穿前斜角肌。病例3和4(同一具尸体的双侧变异),C5和C6刺穿了两侧的前斜角肌,但位置不同。这些与经典斜角肌间通道的偏离可能在手术或麻醉过程中造成危险。结论臂丛神经的解剖变异并不罕见,在临床手术中应予以常规考虑。建议术前影像学检查和外科医生的意识来降低医源性风险。
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引用次数: 0
Biomechanical parameters and intermuscular comparability of asymmetrical pronator quadratus muscle variations with reversed tendon aponeuroses 不对称方前旋肌变异与逆行腱膜的生物力学参数和肌间比较
Q3 Medicine Pub Date : 2025-11-01 Epub Date: 2025-09-02 DOI: 10.1016/j.tria.2025.100439
Fischer A. Clarke , Branden C. Fox , Jessica Pillatzki , Joseph X. Anders , Robert E. Van Demark Jr. , Ethan L. Snow

Background

The pronator quadratus (PQ) is a quadrangular muscle deep in the anterior compartment of the forearm that executes pronation and stabilizes the distal radioulnar joint (DRUJ). A thin, superficial tendon aponeurosis is commonly present on its ulnar side. Reports of non-typical PQ morphologies involving biomechanical parameters and intermuscular comparability are scarce despite the important knowledge they would contribute to understanding PQ variations and their clinical implications. Thus, the purpose of this study is to investigate the biomechanical parameters and intermuscular comparability of asymmetrical PQ variations with reversed tendon aponeuroses.

Methods

A case of asymmetrical bilateral PQ variations was discovered during routine human cadaver dissection. The variations were photographed in situ with scale, and anatomical parameters of each muscle were measured. Mean postmortem fixed sarcomere states were evaluated via light microscopy to calculate a normalized maximal isometric force (Fmax) for each muscle. Intermuscular architectural comparability indices (δ2,1) were calculated between each muscle to indicate suitability as flap/autograft tissue.

Results

Despite differences in mass and Fmax, the left distal PQ muscle (PQd; 3.81 g; Fmax = 2.22 N), left proximal PQ muscle (PQp; 4.13 g; Fmax = 2.72 N), and right PQd (6.97 g; Fmax = 4.16 N) were architecturally indifferent (0.30 < δ2,1 < 0.80). However, each of these muscles were significantly different in structure (δ2,1 ≥ 0.80), size, and functional capability compared to the right PQp (0.87 g; Fmax = 0.79 N). Notably, each ipsilateral pair of variant PQ muscles exhibited reversed location of their tendon aponeuroses.

Conclusions

The PQ is encountered and utilized in many surgical procedures, including volar (modified Henry) or open reduction internal fixation (ORIF) approaches for surgically repairing a distal radius fracture. Chronic refractory myofascial pain in the distal forearm and DRUJ osteoarthritis may warrant differential evaluation for variations of the PQ. This report may provide new and important insights to orthopedists, clinical anatomists, and allied health professionals when diagnosing and treating patients with PQ variations.
旋前方肌(PQ)是前臂前房室深处的一块四边形肌肉,执行旋前和稳定远端尺桡关节(DRUJ)。尺侧常有薄而浅的肌腱膜。涉及生物力学参数和肌肉间可比性的非典型PQ形态的报道很少,尽管它们有助于理解PQ变异及其临床意义。因此,本研究的目的是研究不对称PQ变化与逆行腱膜的生物力学参数和肌间可比性。方法在常规人体解剖中发现2例不对称双侧PQ变异。用比例尺原位拍照,测量每块肌肉的解剖参数。通过光镜评估平均死后固定肌节状态,以计算每块肌肉的标准化最大等距力(Fmax)。计算每块肌肉之间的肌间结构相似性指数(δ2,1),以表明作为皮瓣/自体移植物组织的适宜性。结果左PQ远端肌(PQp; 3.81 g; Fmax = 2.22 N)、左PQ近端肌(PQp; 4.13 g; Fmax = 2.72 N)和右PQ远端肌(PQp; 6.97 g; Fmax = 4.16 N)在结构上无差异(0.30 < δ2,1 < 0.80)。然而,与右PQp (0.87 g; Fmax = 0.79 N)相比,这些肌肉在结构(δ2,1≥0.80)、大小和功能能力上均有显著差异。值得注意的是,每一对同侧变异PQ肌肉表现出肌腱腱膜的反转位置。结论PQ在许多外科手术中都有应用,包括掌侧(改良Henry)或切开复位内固定(ORIF)入路,用于桡骨远端骨折的手术修复。前臂远端慢性难治性肌筋膜疼痛和DRUJ骨关节炎可能需要鉴别评估PQ的变化。该报告可能为骨科医生、临床解剖学家和相关卫生专业人员在诊断和治疗PQ变异患者时提供新的重要见解。
{"title":"Biomechanical parameters and intermuscular comparability of asymmetrical pronator quadratus muscle variations with reversed tendon aponeuroses","authors":"Fischer A. Clarke ,&nbsp;Branden C. Fox ,&nbsp;Jessica Pillatzki ,&nbsp;Joseph X. Anders ,&nbsp;Robert E. Van Demark Jr. ,&nbsp;Ethan L. Snow","doi":"10.1016/j.tria.2025.100439","DOIUrl":"10.1016/j.tria.2025.100439","url":null,"abstract":"<div><h3>Background</h3><div>The pronator quadratus (PQ) is a quadrangular muscle deep in the anterior compartment of the forearm that executes pronation and stabilizes the distal radioulnar joint (DRUJ). A thin, superficial tendon aponeurosis is commonly present on its ulnar side. Reports of non-typical PQ morphologies involving biomechanical parameters and intermuscular comparability are scarce despite the important knowledge they would contribute to understanding PQ variations and their clinical implications. Thus, the purpose of this study is to investigate the biomechanical parameters and intermuscular comparability of asymmetrical PQ variations with reversed tendon aponeuroses.</div></div><div><h3>Methods</h3><div>A case of asymmetrical bilateral PQ variations was discovered during routine human cadaver dissection. The variations were photographed in situ with scale, and anatomical parameters of each muscle were measured. Mean postmortem fixed sarcomere states were evaluated via light microscopy to calculate a normalized maximal isometric force (<em>F</em><sub><em>max</em></sub>) for each muscle. Intermuscular architectural comparability indices (<em>δ</em><sub>2,1</sub>) were calculated between each muscle to indicate suitability as flap/autograft tissue.</div></div><div><h3>Results</h3><div>Despite differences in mass and <em>F</em><sub><em>max</em></sub>, the left distal PQ muscle (PQ<sub>d</sub>; 3.81 g; <em>F</em><sub><em>max</em></sub> = 2.22 N), left proximal PQ muscle (PQ<sub>p</sub>; 4.13 g; <em>F</em><sub><em>max</em></sub> = 2.72 N), and right PQ<sub>d</sub> (6.97 g; <em>F</em><sub><em>max</em></sub> = 4.16 N) were architecturally indifferent (0.30 &lt; <em>δ</em><sub>2,1</sub> &lt; 0.80). However, each of these muscles were significantly different in structure (<em>δ</em><sub>2,1</sub> ≥ 0.80), size, and functional capability compared to the right PQ<sub>p</sub> (0.87 g; <em>F</em><sub><em>max</em></sub> = 0.79 N). Notably, each ipsilateral pair of variant PQ muscles exhibited reversed location of their tendon aponeuroses.</div></div><div><h3>Conclusions</h3><div>The PQ is encountered and utilized in many surgical procedures, including volar (modified Henry) or open reduction internal fixation (ORIF) approaches for surgically repairing a distal radius fracture. Chronic refractory myofascial pain in the distal forearm and DRUJ osteoarthritis may warrant differential evaluation for variations of the PQ. This report may provide new and important insights to orthopedists, clinical anatomists, and allied health professionals when diagnosing and treating patients with PQ variations.</div></div>","PeriodicalId":37913,"journal":{"name":"Translational Research in Anatomy","volume":"41 ","pages":"Article 100439"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010661","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
3D modelling in anatomy teaching: state of the art and pilot investigations for its application 三维建模在解剖学教学中的应用现状及初步研究
Q3 Medicine Pub Date : 2025-11-01 Epub Date: 2025-09-20 DOI: 10.1016/j.tria.2025.100444
Stella Fahrni, Sara Sabatasso

Backgroud

Technological advancements have revolutionized anatomy education, introducing “virtual anatomy” as complement or alternative to traditional dissection. At the Faculty Unit of Anatomy and Morphology (UFAM) of the University Center of Legal Medicine Lausanne-Geneva (CURML), we integrated digital tools into musculoskeletal and embryology teaching for first-year medical students. Aim: This study presents a state of the art survey on the use of imaging technologies for anatomy teaching and a pilot pedagogical project on 3D imaging at UFAM. Our aims are to present the implementation of 3D printing in practical works on the musculoskeletal system, and the implementation of 3D models to complement embryology practicals.

Material&methods

Vertebrae were replicated using high-resolution 3D surface scanning and printing. 3D models of genitalia, brain hemisphere, and thoracic spine with spinal cord were created using photogrammetry. Printed vertebrae were used during musculoskeletal, and anatomical 3D models during embryology practicals. Students received interactive 3D PDFs and usage guidelines beforehand. Feedback was collected via an online questionnaire.

Results & discussion

Students reported high satisfaction, improved spatial understanding, and enhanced practical skills. However, large file sizes of 3D PDFs and software compatibility issues limited access. While 3D tools proved effective for anatomy education, improving accessibility and usability remains essential for broader implementation.
技术进步已经彻底改变了解剖学教育,引入了“虚拟解剖学”作为传统解剖的补充或替代。在洛桑-日内瓦大学法律医学中心(CURML)的解剖学和形态学学部(UFAM),我们将数字工具整合到一年级医学生的肌肉骨骼和胚胎学教学中。目的:本研究介绍了在解剖学教学中使用成像技术的最新情况,并在UFAM进行了3D成像的试点教学项目。我们的目标是在肌肉骨骼系统的实际工作中实现3D打印,并实现3D模型以补充胚胎学实践。材料方法使用高分辨率3D表面扫描和打印复制椎骨。三维模型的生殖器,大脑半球,胸椎与脊髓使用摄影测量创建。在胚胎学实践中,打印的椎骨在肌肉骨骼和解剖3D模型中使用。学生们事先收到了交互式3D pdf文件和使用指南。反馈是通过在线问卷收集的。结果与讨论学生们报告了高满意度,提高了空间理解能力,增强了实践技能。然而,3D pdf的大文件大小和软件兼容性问题限制了访问。虽然3D工具被证明对解剖学教育是有效的,但提高可访问性和可用性对于更广泛的实施仍然至关重要。
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引用次数: 0
A triple incidence report of pancreatic surface morphology, tail-spleen relationships, and artery pseudoaneurysm 胰脏表面形态、尾脾关系及动脉假性动脉瘤的三重发生率报告
Q3 Medicine Pub Date : 2025-11-01 Epub Date: 2025-11-06 DOI: 10.1016/j.tria.2025.100453
Tanamin Sithsetthakool , Phatthiraporn Aorachon , Yutthaphong Patjorn , Nichapa Phunchago , Sitthichai Iamsaard

Background

The pancreas has anatomical variations in surface morphology and positional relationships with adjacent organs, which can influence diagnostic interpretation and surgical risk. Despite extensive reports in several populations, the precise classification of pancreatic surface morphology, the position of the pancreatic tail relative to the spleen, and the incidence of artery pseudoaneurysms (AP) have never been documented in the Northeastern Thais.

Materials and methods

This study was conducted using 69 embalmed cadaveric samples from Northeastern Thai body donors. Pancreatic surface morphology (PSM) was classified, and the position of the pancreatic tail in relation to the spleen was observed. Concurrently, the vascular anatomy was investigated for the presence of AP. Data were analyzed for prevalence by morphological type, sex, tail-spleen relationship (TSR), and arterial anomaly.

Results

It was found that PSM was classified into 9 types: oblique (Type 1, 50.7 %), sigmoid (Type 2, 13.0 %), inverted V (Type 3, 2.9 %), L-shaped (Type 4, 2.90 %), inverted L (Type 5, 1.5 %), transverse (Type 6, 24.6 %), horseshoe (Type 7, 1.5 %), U-shaped (Type 8, 1.5 %), and short (Type9, 1.5 %), with notable sex-specific differences. The TSR was most commonly observed at the lower pole of the spleen (53.6 %), followed by the hilum (33.3 %), upper pole (7.3 %), and in 5.8 % of cases, did not reach the spleen. Incidence of AP was 2.9 %, identified in the hepatic artery of one female and the splenic artery of one male.

Conclusion

We reported nine distinct PSM types, with the oblique type being most prevalent, and differences between sexes in a Northeastern Thai population. The pancreatic tail was most frequently located at the lower pole of the spleen. These findings can impact clinical practice and future research in pancreatic anatomy and pathology.
胰腺在表面形态和与邻近器官的位置关系上存在解剖差异,这可能影响诊断解释和手术风险。尽管在一些人群中有广泛的报道,但在泰国东北部,胰腺表面形态的精确分类、胰腺尾部相对于脾脏的位置以及动脉假性动脉瘤(AP)的发生率从未被记录。材料和方法本研究使用了69具来自泰国东北部尸体捐献者的防腐尸体样本。胰表形态(PSM)分类,观察胰尾相对脾的位置。同时,研究血管解剖是否存在AP。根据形态学类型、性别、尾脾关系(TSR)和动脉异常分析数据。淬硬发现PSM分为9类:斜(类型1,50.7 %),乙状结肠(类型2,13.0 %),倒V(类型3,2.9 %),L型(Type 4、2.90 %),倒L(式5,1.5 %)、横向(类型6、24.6 %)、马蹄(类型7、1.5 %),u型(类型8,1.5 %),和短(1.5 Type9, %),有显著的性别差异。TSR最常见于脾脏下极(53.6 %),其次是脾门(33.3% %),上极(7.3 %),在5.8 %的病例中,未到达脾脏。AP的发生率为2.9 %,其中1例女性在肝动脉,1例男性在脾动脉。结论我们报道了泰国东北部人群中9种不同的PSM类型,其中斜向型最为普遍,并且存在性别差异。胰尾最常位于脾脏的下极。这些发现可以影响临床实践和未来胰腺解剖病理学的研究。
{"title":"A triple incidence report of pancreatic surface morphology, tail-spleen relationships, and artery pseudoaneurysm","authors":"Tanamin Sithsetthakool ,&nbsp;Phatthiraporn Aorachon ,&nbsp;Yutthaphong Patjorn ,&nbsp;Nichapa Phunchago ,&nbsp;Sitthichai Iamsaard","doi":"10.1016/j.tria.2025.100453","DOIUrl":"10.1016/j.tria.2025.100453","url":null,"abstract":"<div><h3>Background</h3><div>The pancreas has anatomical variations in surface morphology and positional relationships with adjacent organs, which can influence diagnostic interpretation and surgical risk. Despite extensive reports in several populations, the precise classification of pancreatic surface morphology, the position of the pancreatic tail relative to the spleen, and the incidence of artery pseudoaneurysms (AP) have never been documented in the Northeastern Thais.</div></div><div><h3>Materials and methods</h3><div>This study was conducted using 69 embalmed cadaveric samples from Northeastern Thai body donors. Pancreatic surface morphology (PSM) was classified, and the position of the pancreatic tail in relation to the spleen was observed. Concurrently, the vascular anatomy was investigated for the presence of AP. Data were analyzed for prevalence by morphological type, sex, tail-spleen relationship (TSR), and arterial anomaly.</div></div><div><h3>Results</h3><div>It was found that PSM was classified into 9 types: oblique (Type 1, 50.7 %), sigmoid (Type 2, 13.0 %), inverted V (Type 3, 2.9 %), L-shaped (Type 4, 2.90 %), inverted L (Type 5, 1.5 %), transverse (Type 6, 24.6 %), horseshoe (Type 7, 1.5 %), U-shaped (Type 8, 1.5 %), and short (Type9, 1.5 %), with notable sex-specific differences. The TSR was most commonly observed at the lower pole of the spleen (53.6 %), followed by the hilum (33.3 %), upper pole (7.3 %), and in 5.8 % of cases, did not reach the spleen. Incidence of AP was 2.9 %, identified in the hepatic artery of one female and the splenic artery of one male.</div></div><div><h3>Conclusion</h3><div>We reported nine distinct PSM types, with the oblique type being most prevalent, and differences between sexes in a Northeastern Thai population. The pancreatic tail was most frequently located at the lower pole of the spleen. These findings can impact clinical practice and future research in pancreatic anatomy and pathology.</div></div>","PeriodicalId":37913,"journal":{"name":"Translational Research in Anatomy","volume":"41 ","pages":"Article 100453"},"PeriodicalIF":0.0,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145519434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Bony bridges and selected variations of the first cervical vertebra (Atlas): A brief encyclopedic overview with comments on clinical and neurological implications 骨桥和选择变异的第一颈椎(图集):简要的百科全书概述与评论的临床和神经学意义
Q3 Medicine Pub Date : 2025-11-01 Epub Date: 2025-10-17 DOI: 10.1016/j.tria.2025.100449
Robert Haładaj , Roksana Haładaj , Nikola Haładaj , Ivan Varga

Background

The first cervical vertebra, the atlas (C1), is a unique and complex structure responsible for supporting the skull and facilitating head movement. Due to its intimate anatomical relationship with the vertebral artery and cervical nerves, any variation in its morphology—particularly the presence of bony bridges—may have important clinical consequences.

Aim

This brief encyclopedic overview summarizes the anatomy of the atlas, its most common bony bridge variants, and their potential clinical significance, particularly in neurology and cervical spine surgery.

Conclusions

Bony bridges involving the atlas, such as the arcuate foramen and retrotransverse canal, are common anatomical variants with potentially significant clinical implications. While often asymptomatic, these variants can affect vascular and neural structures, contribute to symptoms such as headache or vertigo, and complicate surgical procedures in the craniocervical region.
第一颈椎,寰椎(C1),是一个独特而复杂的结构,负责支撑头骨和促进头部运动。由于其与椎动脉和颈神经的密切解剖关系,其形态的任何变化-特别是骨桥的存在-可能具有重要的临床后果。目的:这篇百科全书式的综述总结了寰椎的解剖、最常见的骨桥变异及其潜在的临床意义,特别是在神经病学和颈椎外科方面。结论累及寰椎的骨桥,如弓状孔和横后管,是常见的解剖变异,具有潜在的重要临床意义。虽然通常无症状,但这些变异可影响血管和神经结构,导致头痛或眩晕等症状,并使颅颈区域的外科手术复杂化。
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引用次数: 0
A neuroanatomical analysis of the link between muscle variants and innervation patterns: The accessory head of the biceps brachii muscle as a case example 肌肉变异与神经支配模式之间联系的神经解剖学分析:以肱二头肌副头为例
Q3 Medicine Pub Date : 2025-11-01 Epub Date: 2025-10-13 DOI: 10.1016/j.tria.2025.100446
Grzegorz Wysiadecki , Ethan Snow , Piotr Wysocki , Wojciech Przybycień , Nikola Haładaj , Roksana Haładaj , Magdalena Grzonkowska , Andrzej Żytkowski

Background

Anatomical variations of skeletal muscles have been frequently documented in the anatomical literature. Early anatomists, including Albinus, Macalister, and many other researchers of the 18th, 19th, and 20th centuries, conducted detailed studies on muscle morphology and its variability. Contemporary approaches, however, increasingly emphasize the analysis of anatomical variants within the broader context of systems rather than as isolated organs or structures.

Aim

This report presents a case of an accessory head of the biceps brachii muscle, along with an analysis of the associated neural pattern. The aim is to provide an integrative anatomical description that highlights the interrelationship between muscular and neural variations in the upper limb.

Results

During a routine dissection of an isolated left upper limb, a muscular variation of the biceps brachii muscle was observed, consisting of an accessory head. This additional muscular slip was located deep (posterior) to the short head of the biceps brachii and originated from the anteromedial surface of the humeral shaft, just below the insertion of the coracobrachialis muscle. The accessory head of the biceps brachii received its innervation from a slender muscular branch of the musculocutaneous nerve.

Conclusions

The biceps brachii is one of the muscles most prone to anatomical variations. Muscular anomalies may correlate with neural variations, either in the course of the nerve or, as in the present case, through additional communicating branches. The clinical relevance of such variations extends beyond altered muscle biomechanics; they should also be considered during surgical procedures, as they may pose a risk of compression of adjacent neurovascular structures.
背景:骨骼肌的解剖变异在解剖学文献中经常被记录。早期的解剖学家,包括Albinus, Macalister,以及18、19和20世纪的许多其他研究人员,对肌肉形态及其变异性进行了详细的研究。然而,当代方法越来越强调在更广泛的系统背景下分析解剖变异,而不是作为孤立的器官或结构。目的报告一例肱二头肌副头,并分析其相关神经模式。目的是提供一个综合的解剖描述,强调上肢肌肉和神经变异之间的相互关系。结果在对孤立左上肢的常规解剖中,观察到肱二头肌的肌肉变异,包括副头。这个额外的肌肉滑脱位于肱二头肌短头的深处(后方),起源于肱骨干的前内侧表面,就在喙臂肌止点的下方。肱二头肌副头的神经支配来自于肌皮神经的一个细长的肌肉分支。结论肱二头肌是最容易发生解剖变异的肌肉之一。肌肉异常可能与神经变异有关,要么是在神经的过程中,要么是在本病例中,通过额外的交流分支。这些变化的临床意义超出了改变的肌肉生物力学;在外科手术过程中也应考虑到它们,因为它们可能会造成邻近神经血管结构的压迫。
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Translational Research in Anatomy
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