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The caudal commencement of the azygos and hemiazygos veins revisited: They are not a direct continuation of the ascending lumbar veins 奇静脉和半奇静脉的尾端起始点:它们不是上升腰静脉的直接延续
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-04-01 Epub Date: 2026-01-21 DOI: 10.1016/j.aanat.2026.152793
Dustin Bauer , Michael L. Pretterklieber , Bettina Pretterklieber

Background

Contradictory information concerning the formation of the azygos and hemiazygos veins and their relation to the diaphragm is given in anatomical textbooks. Often, they are described to be a direct continuation of the right resp. left ascending lumbar veins. The aim of this study was to re-evaluate their caudal commencement and course. We hypothesize that both veins originate from several tributaries and are not a direct continuation of the ascending lumbar veins.

Methods

20 formalin-embalmed human anatomic specimens were dissected. Caudal commencement and relation to the diaphragm of the azygos and hemiazygos veins were examined.

Results

The azygos (100 %) and hemiazygos veins (90 %) were mostly formed by dorsal and ventral roots within the thorax. The dorsal root was almost always formed by the confluence of the ascending lumbar and subcostal veins and coursed dorsal to the psoas major muscle, thus far dorsally to the diaphragm. The ventral root was formed variably from the upper lumbar veins or from the inferior vena cava for the azygos vein, and from the left renal or upper lumbar veins for the hemiazygos vein. It passed the diaphragm variably either through the aortic hiatus or through its crura.

Conclusion

The azygos and hemiazygos veins stem almost exclusively from the confluence of a dorsal and ventral root uniting ventrolaterally to the body of the 12th thoracic vertebra cranial to the diaphragm. Due to their position, only the ventral root passes the diaphragm whereas the dorsal root has no contact to the diaphragm.
关于奇静脉和半奇静脉的形成及其与横膈膜的关系,解剖学教科书中给出了相互矛盾的信息。通常,它们被描述为正确响应的直接延续。左上升腰静脉。本研究的目的是重新评估它们的尾端起始和过程。我们假设这两条静脉起源于几条支流,而不是腰升静脉的直接延续。方法对20例经福尔马林防腐处理的人体解剖标本进行解剖。检查了奇静脉和半奇静脉的尾端起始和与膈肌的关系。结果奇静脉(100 %)和半奇静脉(90 %)主要由胸内背侧和腹侧根形成。背根几乎总是由上升的腰椎静脉和肋下静脉汇合而成,并向腰大肌的背侧延伸,因此远背向膈肌。腹侧根不同程度地由上腰静脉形成,奇静脉由下腔静脉形成,半奇静脉由左肾静脉或上腰静脉形成。它以不同的方式穿过横膈膜要么穿过主动脉裂孔,要么穿过它的脚。结论奇静脉和半奇静脉几乎完全起源于背侧根和腹侧根的汇合处,该汇合处与第12胸椎体腹侧相连,与横膈膜相连。由于它们的位置,只有腹侧根通过隔膜,而背侧根与隔膜没有接触。
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引用次数: 0
The sciatic gliding space 坐骨滑动空间。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-09 DOI: 10.1016/j.aanat.2025.152778
Karolina Böllinger , Dina Wiersbicki , Vaclav Klicnik , Andreas Wolfgang Reske , Wolfgang Gruener , Charlotte Kulow , Hanno Steinke

Background

This study investigates the connective tissue structures that enable the sciatic nerve to glide through the deep gluteal and upper limb area. Characterizing the gliding space may improve the understanding of non-discogenic sciatica and support clinical approaches to its treatment.

Methods

Thirty limbs of alcohol- and Thiel-fixed specimens (21 female, 9 male; mean age 85.2 years) were examined using macroscopic dissection. Additional visualization was achieved through methacrylate corrosion casts. Ultrasound examinations were performed on specimens and two healthy volunteers to assess the sciatic nerve and its surrounding connective tissue during movements.

Results

Dissections consistently revealed a C-shaped anatomical space surrounding the sciatic nerve, bordered by distinct connective tissue folds (“arches”) linking the nerve to pelvitrochanteric muscles and the adductor magnus muscle. This Sciatic Gliding Space (SGS) extended from the infrapiriform foramen into the proximal thigh, where it was divided by a sagittal septum. The SGS was identifiable through blunt dissection, injection, and sonography. Sonography demonstrated its dynamic adaptation during hip rotation. In 29 of 30 cases, the SGS appeared unobstructed, while one case showed fibrous structures comparable to fibrovascular tissue described in deep gluteal syndrome.

Conclusion

The SGS represents a structured anatomical space bordered by lamina of connective tissue (telae). It may facilitate vascular supply and tension-free gliding of the sciatic nerve. Recognition of this space may provide an anatomical basis for sciatic pain syndromes and guide endoscopic and sonographic diagnostic or therapeutic strategies.
背景:本研究探讨了使坐骨神经滑过臀深和上肢区域的结缔组织结构。表征滑动间隙可以提高对非盘源性坐骨神经痛的认识,并支持临床治疗方法。方法:采用肉眼解剖方法,对30例酒精和thil固定肢体标本进行解剖,其中女性21例,男性9例,平均年龄85.2岁。通过甲基丙烯酸酯腐蚀铸件实现了进一步的可视化。对标本和两名健康志愿者进行超声检查,评估运动过程中坐骨神经及其周围结缔组织。结果:解剖一致显示,坐骨神经周围有一个c形解剖空间,周围有明显的结缔组织褶皱(“弓”),连接神经与盆腔粗肌和大收肌。这个坐骨滑动间隙(SGS)从梨状下孔延伸到大腿近端,在那里被矢状隔隔开。通过钝性解剖、注射和超声检查可识别SGS。超声显示其在髋关节旋转过程中的动态适应性。在30例中,29例SGS无阻塞,而1例显示纤维结构,与臀深综合征的纤维血管组织相似。结论:SGS是一个以结缔组织层(端部)为边界的结构解剖空间。它可以促进血管供应和坐骨神经的无张力滑动。对这个空间的认识可以为坐骨疼痛综合征提供解剖学基础,并指导内窥镜和超声诊断或治疗策略。
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引用次数: 0
Anatomical feasibility study on direct coaptation of the lateral femoral cutaneous nerve to the tensor fasciae latae muscle nerve as a treatment for meralgia paresthetica by targeted muscle reinnervation 股外侧皮神经与阔筋膜张肌神经直接接合治疗感觉异常痛的解剖学可行性研究。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-05 DOI: 10.1016/j.aanat.2026.152780
Jérémy Hardy , Fabien Fredon , Cynthia Abane , Sylvaine Durand Fontanier

Introduction

Surgical treatment of meralgia paresthetica (MP) is difficult, with lateral femoral cutaneous nerve (LFCN) neurectomy appearing to give the best results at the cost of a potentially painful post-resection neuroma.
The targeted muscle reinnervation (TMR) surgical technique allows the axons of a damaged sensory nerve to regrow into the motor end plates of a muscle, thus preventing the formation of a neuroma.
This study describes the use of the terminal branch of the superior gluteal nerve for the tensor fasciae latae muscle (bSGN/TFL) as a recipient for LFCN regrowth for the treatment of MP by TMR.

Methods

20 dissections were performed on 10 fresh frozen donated bodies (mean age: 81.9, sex ratio 0.5). Using a single approach, the bSGN/TFL was accessed at its entry into the TFL muscle and dissected retrogradely as far as the space between the TFL muscle and the gluteus medius muscle allowed, then sectioned. The bSGN/TFL was then coapted with the LFCN stump above the inguinal ligament.

Main results

In all cases, coaptation was achieved. The maximum length of bSGN/TFL that could be harvested via a single incision was 7.1 (5−11) cm. The average length of bSGN/TFL required to achieve coaptation was 5.7 (4.3–9) cm. Intraneural dissection of one of the SGN branches to the gluteus muscles was necessary in 16 cases.

Discussion/Conclusion

TMR appears to be the only technique capable of both treating neuropathic pain and hyperalgesia secondary to MP. This technique could be used as a first-line treatment and/or in cases where neurectomies have failed to treat MP.
手术治疗感觉异常(MP)是困难的,股骨外侧皮神经(LFCN)神经切除术似乎提供了最好的结果,但代价是切除后可能出现疼痛的神经瘤。靶向肌肉神经再生(TMR)手术技术允许受损感觉神经的轴突再生到肌肉的运动端板中,从而防止神经瘤的形成。本研究描述了利用臀上神经阔筋膜张肌末梢支(bSGN/TFL)作为LFCN再生的受体,通过TMR治疗MP。方法:对10具新鲜冷冻捐献尸体进行20例解剖,平均年龄81.9岁,性别比0.5。采用单一入路,在TFL肌入口处进入bSGN/TFL,并在TFL肌与臀中肌之间的空间允许的范围内逆行解剖,然后切片。然后在腹股沟韧带上方用LFCN残端包覆bSGN/TFL。主要结果:所有病例均获得适应。单切口可切除的bSGN/TFL的最大长度为7.1 (5-11)cm,达到吻合所需的bSGN/TFL的平均长度为5.7 (4.3-9)cm。16例需要在神经内剥离SGN分支中的一条至臀肌。讨论/结论:TMR似乎是唯一能够同时治疗MP继发神经性疼痛和痛觉过敏的技术。这项技术可以作为一线治疗和/或在神经切除术未能治疗MP的情况下使用。
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引用次数: 0
Role of artificial intelligence in veterinary anatomical diagnostics and zoonotic disease monitoring 人工智能在兽医解剖诊断和人畜共患疾病监测中的作用
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-02-01 Epub Date: 2025-11-27 DOI: 10.1016/j.aanat.2025.152756
Ehsanullah , Bakhtawar Maqbool , Muhammad Imran Arshad , Nagah M. Abourashed , Shafia Tehseen Gul

Background

The use of artificial intelligence (AI) also playing a significant role in veterinary medicine due to the changing pattern of diseases in terms of climatic changes and advances in treatment protocols. About 60 % of emerging human diseases are zoonotic mainly originating from animals, so the conventional diagnostic tools and traceability protocols are not fast enough, precise and lack of ability to handle large number of cases. Use of AI tools can make a big difference in diagnosis of diseases/problems through diagnostic images, predicting outbreaks through the data from previous records ultimately leading to improved monitoring of zoonotic diseases in terms of early warning systems for future outbreaks, multisectoral collaborations to improve the health of humans, animals and environments. In diagnosis, AI shows great effectiveness, like being able to spot more than 90 % of bone and joint issues in X-rays, predicting sickness in farm animals up to two to three days before they show symptoms, and even predicting animal diseases those can transmitted to humans up to weeks in advance by looking at data about the environment changes and animals’ movements. But adoption to these AI systems is still not common because of many reasons including scattered data, lack of understanding about algorithms, ethical issues, and unequal access to technology etc.

Conclusions

As climate change speeds up the spread of diseases from animals to humans, AI is becoming a crucial tool for reaching health goals that affect both people and animals. But this will happen only if AI is used fairly and responsibly. This summary shows that working together across different fields is important to combine new technology with expert knowledge from vets. The goal is to use AI to support, not take over, what doctors do, and to make advanced care available to everyone around the world.
由于气候变化和治疗方案的进步导致疾病模式的变化,人工智能(AI)的使用也在兽医学中发挥着重要作用。大约60% %的新发人类疾病是主要源自动物的人畜共患疾病,因此传统的诊断工具和可追溯性方案不够快速、精确,缺乏处理大量病例的能力。使用人工智能工具可以在以下方面发挥重大作用:通过诊断图像诊断疾病/问题,通过以前记录的数据预测疫情,最终在未来疫情预警系统方面改善对人畜共患疾病的监测,通过多部门合作改善人类、动物和环境的健康。在诊断方面,人工智能显示出极大的有效性,比如能够在x射线中发现90% 以上的骨骼和关节问题,在农场动物出现症状前两到三天预测疾病,甚至通过观察环境变化和动物运动的数据,提前数周预测可能传播给人类的动物疾病。但由于数据分散、对算法缺乏了解、伦理问题、技术获取不平等等原因,这些人工智能系统的采用仍然不普遍。结论随着气候变化加速了疾病从动物向人类的传播,人工智能正在成为实现影响人类和动物的健康目标的关键工具。但这只有在人工智能得到公平和负责任的使用时才会发生。这一总结表明,跨领域合作对于将新技术与兽医的专业知识结合起来非常重要。我们的目标是利用人工智能来支持医生的工作,而不是接管医生的工作,并为世界各地的每个人提供先进的医疗服务。
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引用次数: 0
Pre-foraminal vertebral artery variation in the United States: A multi-institutional cadaveric study 美国椎间孔前椎动脉变异:一项多机构尸体研究。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-02 DOI: 10.1016/j.aanat.2025.152770
Jacob Tiell , Jodie Foster , Matt Vilburn , Megan Perry , Casey Boothe , Erin Norcross , Oheneba Boadum , Marli Crabtree , Nathan Tullos , Caroline Gundler

Background

While vertebral artery (VA) variants are uncommon, they may be more prevalent than previously reported. To date, there are no cadaveric studies that have examined VA segment 1 variations or defined normal VA anatomy in U.S. whole-body donors. This study addresses that gap through a multi-year, multi-state cadaveric analysis.

Methods

Donors (n = 188) from Ohio, Nebraska, and Mississippi were dissected to expose the pre-foraminal VA which were then categorized as normal or variant. Collected data included artery origin, vertebral level of origin, entrance level, diameter, lengths in relaxed/taut states, distance from subclavian or carotid origin, and demographics. Data were analyzed using T tests, Chi-Square, and Fisher’s exact tests.

Results

Normal segment 1 VA anatomy was present in 86.17 % of donors; 13.83 % exhibited anomalies, including abnormal origin (4.79 %), high entrance (10.64 %), and double VA (1.06 %). Most origin anomalies involved the left VA (LVA) originating from the aortic arch. High entrance anomalies were more frequent on the right. Anomalies decreased in donors over 80, with no sex association. The LVA had a significantly larger origin diameter than the right (5.31 mm vs. 4.77 mm; p < 0.001). Tortuosity increased with age and was greater in females on the right (p = 0.025).

Conclusion

The U.S. anomaly prevalence for the V1 segment may be higher (13.83 %) than what is reported in the literature, particularly concerning high entrance VAs. These findings have clinical implications, as VA variants may complicate vascular procedures. Increased LVA tortuosity with age suggests remodeling, and fewer anomalies in older donors may relate to longevity. This study supports the need for region-specific anatomical data and emphasizes the importance of preoperative imaging.
背景:虽然椎动脉(VA)变异并不常见,但它们可能比以前报道的更为普遍。到目前为止,还没有尸体研究检查了美国全身供体的VA 1段变异或定义了正常的VA解剖结构。这项研究通过多年,多状态的尸体分析解决了这一差距。方法:对来自俄亥俄州、内布拉斯加州和密西西比州的供体(n=188)进行解剖,暴露椎间孔前VA,然后将其分类为正常或变异。收集的数据包括动脉起源、椎体起源水平、入口水平、直径、松弛/紧绷状态下的长度、到锁骨下或颈动脉起源的距离以及人口统计学。数据分析采用T检验、卡方检验和Fisher精确检验。结果:86.17%的供体1VA节段解剖正常;13.83%表现异常,包括异常起源(4.79%)、高入口(10.64%)和双VA(1.06%)。大多数起源异常涉及起源于主动脉弓的左心室(LVA)。右侧高入口异常较多。在80岁以上的捐赠者中,异常情况有所减少,与性别无关。左左侧翼的起始直径明显大于右侧翼(5.31mm vs. 4.77mm, p < 0.001)。扭曲度随年龄增长而增加,右侧女性扭曲度更大(p = 0.025)。结论:美国V1段的异常患病率(13.83%)可能高于文献报道,特别是在高入口VAs方面。这些发现具有临床意义,因为VA变异可能使血管手术复杂化。随着年龄的增长,下下颌骨扭曲度增加,提示重构,老年供体畸形较少可能与长寿有关。本研究支持了对区域特异性解剖数据的需求,并强调了术前影像学的重要性。
{"title":"Pre-foraminal vertebral artery variation in the United States: A multi-institutional cadaveric study","authors":"Jacob Tiell ,&nbsp;Jodie Foster ,&nbsp;Matt Vilburn ,&nbsp;Megan Perry ,&nbsp;Casey Boothe ,&nbsp;Erin Norcross ,&nbsp;Oheneba Boadum ,&nbsp;Marli Crabtree ,&nbsp;Nathan Tullos ,&nbsp;Caroline Gundler","doi":"10.1016/j.aanat.2025.152770","DOIUrl":"10.1016/j.aanat.2025.152770","url":null,"abstract":"<div><h3>Background</h3><div>While vertebral artery (VA) variants are uncommon, they may be more prevalent than previously reported. To date, there are no cadaveric studies that have examined VA segment 1 variations or defined normal VA anatomy in U.S. whole-body donors. This study addresses that gap through a multi-year, multi-state cadaveric analysis.</div></div><div><h3>Methods</h3><div>Donors (n = 188) from Ohio, Nebraska, and Mississippi were dissected to expose the pre-foraminal VA which were then categorized as normal or variant. Collected data included artery origin, vertebral level of origin, entrance level, diameter, lengths in relaxed/taut states, distance from subclavian or carotid origin, and demographics. Data were analyzed using T tests, Chi-Square, and Fisher’s exact tests.</div></div><div><h3>Results</h3><div>Normal segment 1 VA anatomy was present in 86.17 % of donors; 13.83 % exhibited anomalies, including abnormal origin (4.79 %), high entrance (10.64 %), and double VA (1.06 %). Most origin anomalies involved the left VA (LVA) originating from the aortic arch. High entrance anomalies were more frequent on the right. Anomalies decreased in donors over 80, with no sex association. The LVA had a significantly larger origin diameter than the right (5.31 mm vs. 4.77 mm; p &lt; 0.001). Tortuosity increased with age and was greater in females on the right (p = 0.025).</div></div><div><h3>Conclusion</h3><div>The U.S. anomaly prevalence for the V1 segment may be higher (13.83 %) than what is reported in the literature, particularly concerning high entrance VAs. These findings have clinical implications, as VA variants may complicate vascular procedures. Increased LVA tortuosity with age suggests remodeling, and fewer anomalies in older donors may relate to longevity. This study supports the need for region-specific anatomical data and emphasizes the importance of preoperative imaging.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"264 ","pages":"Article 152770"},"PeriodicalIF":1.7,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145679633","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Proportional localisation of the peroneal nerve along the fibula 腓神经沿腓骨的比例定位。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-02-01 Epub Date: 2025-11-28 DOI: 10.1016/j.aanat.2025.152757
Gloria Maria Hohenberger , Marco Johannes Maier , Michael Pretterklieber , Niels Hammer , Bettina Pretterklieber

Purpose

The common peroneal nerve (CPN) and the superficial peroneal nerve (SPN) are among the most commonly iatrogenically injured peripheral nerves. The aim of this study was to localize the division point of the CPN into the deep peroneal nerve (DPN) and SPN and the exit point of the SPN through the crural fascia in relation to the length of the fibula.

Methods

101 lower extremities were included in this given study. The distance between the apex of the fibular head and the distal tip of the lateral malleolus was defined as the fibular length (FL). Measurements were taken from the apex of the fibular head to the division site of the CPN and from the tip of the lateral malleolus and the perforation point of the SPN. Data were projected proportionally along the FL and analysed using Dirichlet regression models. The rationale behind this approach was to predict the location of these anatomical characteristics in a reliable manner. Due to variations of anatomical structures depending on body length (e.g., taller people tend to have longer fibulae), it is reasonable to assume that the CPN's/SPN's location may also vary proportionally and is not fixed in relation to the lateral malleolus.

Results

The mean FL was 37.2 cm (SD: 2.8; median: 36.9; range: 32.4–45.6; IQR: 3.6). The CPN’s division point was located at a mean of 3.3 cm (SD: 1.2; median: 3.2; range: 1.6 cm proximal to 8.2 cm distal to the tip; IQR: 1.3) distal to the apex of the fibular head, which corresponded to an interval between 3.9 % and 15.9 % of the FL, starting from the same landmark. The exit point of the SPN was at an average length of 17.1 cm (SD: 4.5; median: 17.1; range: 7–23.7; IQR: 7.9) proximal to the tip of the lateral malleolus, matching a proportional interval between 23.9 % and 69.0 % of the FL. Concerning the division point of the CPN, there was less precision (i.e., more variance) in females (p = .042) and right-sided specimens (p = .007), compared to male left-sided specimens. Regarding the SPN’s perforation point, compared to fixation with ethanol and left-sided specimens, the diversion point was higher in Thiel-specimens (p = .034) and the interaction (Thiel on the right side; p = .029).

Conclusion

The current results offer easily applicable data for intraoperative localisation of the peroneal nerve’s main portions at risk.
目的:腓总神经(CPN)和腓浅神经(SPN)是最常见的医源性周围神经损伤。本研究的目的是定位CPN进入腓深神经(DPN)和SPN的分界点以及SPN通过脚筋膜的出口点与腓骨长度的关系。方法:选取101例下肢进行研究。腓骨头顶点与外踝远端之间的距离被定义为腓骨长度(FL)。测量从腓骨头的顶端到CPN的分裂部位,从外踝的尖端到SPN的穿孔点。数据按比例沿FL投影,并使用Dirichlet回归模型进行分析。这种方法背后的基本原理是以可靠的方式预测这些解剖特征的位置。由于解剖结构的变化取决于身体的长度(例如,高个子的人往往有较长的腓骨),我们有理由认为,CPN /SPN的位置也可能成比例地变化,而不是固定的相对于外踝。结果:平均FL为37.2cm (SD: 2.8;中位数:36.9;范围:32.4-45.6;IQR: 3.6)。CPN的分割点平均位于距腓骨头顶端3.3cm (SD: 1.2;中位数:3.2;范围:距尖端近端1.6cm至远端8.2cm; IQR: 1.3)处,对应于距腓骨头顶端3.9-15.9%的间隔,从同一标志点开始。SPN的出口点平均长度为17.1cm (SD: 4.5;中位数:17.1;范围:7-23.7;IQR: 7.9),靠近外踝尖,与FL的23.9% ~ 69.0%的比例区间相匹配。对于CPN的分割点,女性标本(p = 0.042)和右侧标本(p = 0.007)与男性左侧标本相比,精度较低(即方差较大)。对于SPN的穿孔点,与乙醇固定和左侧标本相比,Thiel-标本的导流点(p = 0.034)和相互作用(Thiel在右侧,p = 0.029)更高。结论:目前的结果为术中高危腓神经主要部位的定位提供了易于应用的数据。
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引用次数: 0
Investigation of the pull-off forces for implant-supported overdentures with two resilient attachment systems 两种弹性附着体种植覆盖义齿拔牙力的研究
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-02-01 Epub Date: 2025-11-27 DOI: 10.1016/j.aanat.2025.152755
Nicole Gumprecht , Anna Weber , Christoph Bourauel , Istabrak Dörsam
Here we evaluated the retention of two implant-supported overdenture attachment systems - Locator and CM-LOC - on edentulous mandibular models. We compared the retention force between these systems based on implant number and position, addressing complications like loss of retention and ease of denture removal. Implants were placed in various configurations (two, three or four implants) and two attachment systems were tested using different retention inserts. Locator system generally provided higher pull-off forces than the CM-LOC system, especially with the red and transparent inserts. However, the CM-LOC system showed less complications, such as loss of retention element. In terms of axial and non-axial pull-off tests, Locator system performed better than the CM-LOC system, particularly in the non-axial direction, which closely reflects real-life conditions. The results showed that implant angulation and choice of attachment system were critical factors influencing resulting retention forces. Overall, the study concluded that while the Locator system achieved high retention forces, the CM-LOC system had less complications and might be a better option for patients with difficulties in denture removal.
在这里,我们评估了两种种植支持覆盖义齿附着系统定位器和CM-LOC在无牙下颌模型上的固位。我们根据种植体数量和位置比较了这些系统之间的固位力,解决了诸如固位丧失和义齿移除难易等并发症。植入物放置在不同的配置(两个,三个或四个植入物),两种附着系统使用不同的固位插入物进行测试。定位器系统通常比CM-LOC系统提供更高的下入力,特别是在红色和透明嵌套的情况下。然而,CM-LOC系统显示较少的并发症,如保留元件的损失。在轴向和非轴向下入测试中,Locator系统的性能优于CM-LOC系统,尤其是在非轴向下入测试,更能反映实际情况。结果表明,种植体的角度和附着体系统的选择是影响固位力的关键因素。总的来说,该研究得出结论,虽然Locator系统具有较高的固位力,但CM-LOC系统的并发症较少,可能是义齿移除困难患者的更好选择。
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引用次数: 0
The supply of bodies to the Erlangen Institute of Anatomy during National Socialism 在国家社会主义时期,向埃尔兰根解剖研究所提供尸体。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-03 DOI: 10.1016/j.aanat.2025.152777
Tim S. Goldmann , Michael Scholz , Friedrich Paulsen , Mathias Schütz , Fritz Dross
During the Nazi era, the Institute of Anatomy of what is now Friedrich-Alexander University Erlangen-Nürnberg received bodies from institutions involved in Nazi crimes. As the body register (Leicheneingangsbuch) from April 1933 to September 1946 is missing, the provenance of anatomical body procurement at Erlangen during this period and certain specimens within the anatomical legacy collection there have remained unclear. Archival material from municipal, state and national archives, university records, and the specimens themselves were examined. Primary sources were analysed to identify the scientific use of human remains from victims of National Socialism. Secondary literature was reviewed to contextualise findings within previous research.
391 people, whose bodies were brought to the Institute of Anatomy in Erlangen from 1933 to 1944, were counted, and for 323 of them names could be reconstructed. The bodies were delivered from hospitals, nursing homes, prisons, workhouses, and execution sites. Vulnerable groups – such as patients, forced labourers, and children – were affected. The Erlangen anatomical legacy collection contains 84 datable Nazi era histological specimens (1936–1942), including identifiable victims from Munich-Stadelheim prison. Personnel and institutional continuities existed after 1945.
This study offers the first in-depth analysis of Erlangen’s anatomical body procurement during National Socialism, documenting identifiable Nazi victims. Although the original body register is missing, the findings demonstrate the need for systematic provenance research across all macroscopic and microscopic holdings and case-based investigations of identified individuals. The study provides a foundation for further, interdisciplinary research into the provenance and ethical reassessment of the anatomical collection in Erlangen.
在纳粹时期,现在的弗里德里希-亚历山大大学埃尔兰根-恩贝格解剖研究所从涉及纳粹罪行的机构接收了尸体。由于1933年4月至1946年9月的尸体登记(leicheneingangshbuch)缺失,这一时期在埃尔兰根获得的解剖尸体的来源以及那里解剖遗产收藏中的某些标本仍然不清楚。研究人员检查了来自市、州和国家档案馆的档案材料、大学记录和标本本身。对主要来源进行了分析,以确定国家社会主义受害者遗骸的科学用途。对二手文献进行了回顾,以将先前研究的结果置于背景中。从1933年到1944年,391人的尸体被送到埃尔兰根的解剖学研究所,其中323人的名字可以重建。这些尸体是从医院、养老院、监狱、济贫院和刑场运来的。弱势群体——如病人、强迫劳工和儿童——受到了影响。埃尔兰根解剖遗产收藏包含84个可追溯纳粹时代的组织学标本(1936-1942),其中包括慕尼黑斯塔德海姆监狱中可识别的受害者。1945年以后,人员和机构继续存在。这项研究首次深入分析了国家社会主义时期埃尔兰根的解剖尸体,记录了可识别的纳粹受害者。虽然原始的身体登记簿缺失,但研究结果表明,需要对所有宏观和微观持有的物种进行系统的来源研究,并对已识别的个体进行基于案例的调查。该研究为进一步跨学科研究埃尔兰根解剖标本的来源和伦理重新评估提供了基础。
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引用次数: 0
Neurocognitive outcomes of reinforced representational modelling in anatomical learning: The role of executive functions 解剖学习中强化表征建模的神经认知结果:执行功能的作用。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-15 DOI: 10.1016/j.aanat.2026.152783
Lorena Latre-Navarro , Alejandro Quintas-Hijós

Purpose

This study examined neurocognitive outcomes of an innovative teaching approach in undergraduate anatomical education, focusing on executive functions with emphasis on cognitive flexibility. Reinforced representational modelling was implemented to assess its potential to support learning processes.

Methods

A quasi-experimental study involved first-year anatomy students from two universities (n = 116). Each institution delivered a single 30-hour program with different teaching methods: conventional lectures using 3D atlases and standard drawing tasks (control group) versus reinforced representational modelling (experimental group), taught by its regular instructor and aligned with its syllabus. Pre- and post-intervention outcomes were assessed using psychometric instruments: the Webexec scale for perceived executive difficulties and the Cognitive Flexibility Scale for cognitive flexibility. Statistical analyses included independent-samples t-tests, repeated-measures factorial ANCOVAs (time × treatment), and effect size estimations (Cohen’s d, partial η²).

Results

Perceived executive difficulties showed a strong time effect across both groups (F(1) = 20.28, p < 0.001, η²p = 0.176), increasing over the course, whereas no treatment effect appeared after controlling for baseline differences. Cognitive flexibility was higher in the experimental group at post-test (p = 0.044, Cohen’s d = 0.36), although this advantage diminished once covariates were controlled.

Conclusions

Reinforced representational modelling may foster flexible learning strategies in anatomy education. Cognitive flexibility showed some responsiveness to the intervention, while increases in perceived executive difficulties likely reflect the cognitive demands of early anatomy learning. Although effects were modest and partly influenced by covariates and baseline differences, findings suggest that executive functioning remains a key neurocognitive determinant in anatomical learning.
目的:本研究考察了一种创新的本科解剖学教学方法的神经认知效果,重点关注执行功能,强调认知灵活性。强化表征模型的实施,以评估其潜力,以支持学习过程。方法:一项准实验研究涉及来自两所大学的一年级解剖学学生(n = 116)。每个机构都提供了一个30小时的课程,采用不同的教学方法:使用3D地图集和标准绘图任务的传统讲座(对照组)与强化的代表性建模(实验组),由常规讲师授课,并与教学大纲保持一致。干预前和干预后的结果使用心理测量工具进行评估:知觉执行困难的Webexec量表和认知灵活性量表。统计分析包括独立样本t检验、重复测量因子ancova(时间×处理)和效应大小估计(Cohen’s d,偏η²)。结果:认知执行困难在两组中均表现出较强的时间效应(F(1) = 20.28)。结论:强化表征模型可以促进解剖学教学中灵活的学习策略。认知灵活性对干预表现出一定的反应,而感知执行困难的增加可能反映了早期解剖学学习的认知需求。尽管影响不大,部分受协变量和基线差异的影响,但研究结果表明,执行功能仍然是解剖学习中关键的神经认知决定因素。
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引用次数: 0
Human tissue research ethics and consent models: Global reflections in anatomical sciences 人体组织研究伦理和同意模型:解剖科学的全球反思。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-02-01 Epub Date: 2025-12-24 DOI: 10.1016/j.aanat.2025.152774
S. Singh , BZ De Gama , P. Pillay

Background

Human tissue research has evolved to include three-dimensional (3-D) printing, genetic research, digital imaging of human tissue, plastination, and the public display of human tissue. This has resulted in several concerns about ethical acquisition, storage, and use of human tissue, particularly informed consent. This empirical study obtained the perspectives and viewpoints of anatomists and researchers across five countries on the ethical components of human tissue research.

Methods

Thirty in-depth Zoom interviews were conducted with participants from South Africa, the United States of America (USA), New Zealand, Germany, and France. Participants shared their perspectives and viewpoints on informed consent models, ethical challenges surrounding human tissue research, and existing gaps in policy guidelines. The data was analysed using thematic and content analysis.

Results

Participants (57 %) indicated that human tissue research on the living and deceased is ethically different; hence, requires separate policy guidelines and regulations. There was a clear preference for ‘broad consent’ and ‘fully informed consent’ when conducting research on living humans and using cadaveric tissue, respectively. Key ethical challenges and policy gaps were identified as contemporary human tissue research, commercialising human tissue, consent for foetal tissue, and using unconsented skeletal collections and unidentified bodies for human tissue research.

Conclusions

This study highlights the moral complexity of contemporary human tissue research. It underscores the necessity for context-specific consent models and regulatory alignment for commercialisation and contemporary research uses of human tissue. Additionally, recommendations are provided to fill the policy gaps highlighted on consent models and ethical challenges in human tissue research.
背景:人体组织研究已经发展到包括三维(3-D)打印、基因研究、人体组织的数字成像、塑化和人体组织的公开展示。这导致了关于人体组织获取、储存和使用的伦理问题,特别是知情同意问题。这项实证研究获得了五个国家的解剖学家和研究人员对人体组织研究的伦理成分的观点和观点。方法:对来自南非、美国、新西兰、德国和法国的参与者进行30次深度Zoom访谈。与会者就知情同意模式、围绕人体组织研究的伦理挑战以及政策指导方针中存在的差距分享了他们的观点和观点。使用主题和内容分析对数据进行分析。结果:57%的参与者表示,对生者和死者进行人体组织研究在伦理上是不同的;因此,需要单独的政策指导方针和法规。在对活人进行研究和使用尸体组织时,人们明显倾向于“广泛同意”和“完全知情同意”。主要的伦理挑战和政策空白被确定为当代人体组织研究,人体组织商业化,胎儿组织的同意,以及使用未经同意的骨骼收集和身份不明的尸体进行人体组织研究。结论:本研究突出了当代人体组织研究的道德复杂性。它强调了为商业化和人类组织的当代研究用途建立特定环境的同意模型和监管一致性的必要性。此外,还提出了一些建议,以填补人体组织研究中同意模型和伦理挑战方面突出的政策空白。
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引用次数: 0
期刊
Annals of Anatomy-Anatomischer Anzeiger
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