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Anatomic mapping of osteochondral lesions of the distal tibial plafond reveals regional lesion characteristics – A retrospective MRI study 胫骨远端平台骨软骨病变的解剖定位揭示了区域病变特征-回顾性MRI研究。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-01-01 Epub Date: 2025-09-11 DOI: 10.1016/j.aanat.2025.152733
Zheheng Li , Lin Huang , Wei Wei , Jie Zhao , Jinshan Xing , Lei Zhang

Background

Current systematic imaging analyses of osteochondral lesions of the distal tibial plafond (OLTP) remain insufficient. This study aimed to define the anatomical characteristics of OLTP using MRI to provide detailed morphological data that can guide diagnosis and inform surgical decision-making.

Methods

We retrospectively analyzed MRI data from 105 OLTP patients (mean age 47.88 ± 16.46 years; 51 males, 54 females). Anatomical parameters were measured, and statistical analyses were performed to compare results across different lesion zones, sexes, and laterality (left and right).

Results

The anterolateral zone (Zone 3) and anterocentral zone (Zone 2) of the distal tibial plafond were the most frequently injured areas, accounting for 25.71 % and 24.76 % of cases, respectively. The central-medial zone (Zone 4) demonstrated the most severe lesions, with the lesion area in the sagittal view measuring 162.86 ± 91.95 mm² and the lesion area in the axial view reaching 213.07 ± 135.31 mm². Pairwise comparisons of anatomical parameters across specific injury zones showed statistically significant differences (P < 0.05) in the maximum width of the lesion in the sagittal view, the lesion area in the sagittal view, and the depth of osteochondral lesion with subchondral bone involvement. Furthermore, males had significantly greater cartilage thickness and deeper lesions than females (P < 0.05), with no significant laterality differences.

Conclusion

This study provides the first systematic anatomical map of OLTP, revealing significant regional variations in lesion distribution and sex-specific differences. These findings offer objective criteria to enhance diagnostic precision and guide personalized treatment.
背景:目前对胫骨远端平台(OLTP)骨软骨病变的系统影像学分析仍然不足。本研究旨在通过MRI确定OLTP的解剖学特征,为指导诊断和手术决策提供详细的形态学数据。方法:回顾性分析105例OLTP患者的MRI资料(平均年龄:47.88±16.46岁,男51例,女54例)。测量解剖参数,并进行统计分析,比较不同病变区域、性别和侧边(左和右)的结果。结果:胫骨远端平台前外侧区(3区)和前中央区(2区)是最常见的损伤区域,分别占25.71%和24.76%。中内侧区(4区)病变最严重,矢状面病变面积为162.96±91.95mm²,轴向面病变面积为213.07±135.31mm²。各损伤区解剖参数两两比较,矢状面最大病变宽度、矢状面病变面积、软骨下受累骨软骨病变深度差异均有统计学意义(P < 0.05)。此外,男性的软骨厚度和病变深度均显著高于女性(P < 0.05),但侧边性差异不显著。结论:本研究首次提供了OLTP的系统解剖图谱,揭示了病变分布的明显区域偏好和性别差异。这些发现为提高诊断精度和指导个性化治疗提供了客观标准。
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引用次数: 0
Impact of Myb deficiency on Rankl/Opg expression within the developing mouse mandible Myb缺乏对发育中小鼠下颌骨Rankl/Opg表达的影响。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-01-01 Epub Date: 2025-11-17 DOI: 10.1016/j.aanat.2025.152753
S. Varadinkova , E. Matalova , J. Frampton , M. Clarke , B. Vesela , P. Bartos , H. Lesot , Oralova V
The Rank-Rankl-Opg axis is a fundamental regulatory triad in bone development and remodelling. While extensively studied, novel modulators of this system continue to emerge, with the transcription factor Myb recently gaining attention due to its unexpected presence and physiological significance in tooth and bone, beyond its well-established role in haematopoiesis. To establish a baseline for normal development, we first elucidated the developmental dynamics of Rankl and Opg expression during prenatal mandibular development and osteocytogenesis in wild-type mice within distinct morphological regions of the developing mandible (incisor, diastema, molar), revealing intricate temporal expression patterns. Building upon this foundational understanding, we then investigated the hitherto uncharacterized impact of Myb deficiency on Rankl and Opg expression at their survival limit (prenatal day 15), using Myb knock-out mice. We observed a significant and region-specific upregulation of both Rankl and Opg expression in the molar region of Myb-deficient mandibles, as assessed by qPCR. Intriguingly, increased expression of both genes was also evident in the incisor region, while no significant changes were noted within the diastema. In contrast, Rank expression remained unaffected across all three segments. To confirm the reciprocal effect of Myb, we demonstrated that its overexpression in mandibular micromasses reciprocally altered Rankl and Opg expression. By confronting the established developmental dynamics with the effects of Myb deficiency and Myb’s own expression pattern, we provide compelling evidence for a potent and direct influence of Myb on Rankl and Opg regulation, particularly prominent in the molar region. The observed temporal peaks of Myb and Rankl expression at the osteoblast-osteocyte transition further suggest broader, pivotal roles for Myb in osteogenesis. Our findings unravel Myb as a critical orchestrator of the Rank-Rankl-Opg system in craniofacial bone development, opening new avenues for understanding bone dysregulation.
Rank-Rankl-Opg轴是骨发育和骨重塑的一个基本调控三元轴。在广泛研究的同时,该系统的新调节剂不断出现,转录因子Myb最近因其在牙齿和骨骼中的意外存在和生理意义而受到关注,超出了其在造血中的既定作用。为了建立正常发育的基线,我们首先阐明了野生型小鼠在产前下颌骨发育和骨细胞发生过程中Rankl和Opg表达的发育动态,揭示了复杂的时间表达模式。在此基础上,我们利用Myb敲除小鼠研究了Myb缺乏对存活极限(产前第15天)Rankl和Opg表达的影响。我们观察到,通过qPCR评估,myb缺乏症下颌骨臼齿区域的Rankl和Opg表达均有显著的区域特异性上调。有趣的是,这两种基因的表达在门牙区域也明显增加,而在隔膜内没有明显的变化。相比之下,Rank表达在所有三个片段中都不受影响。为了证实Myb的相互作用,我们证明了Myb在下颌微肿块中的过表达会相互改变Rankl和Opg的表达。通过与Myb缺乏和Myb自身表达模式的影响相比较,我们提供了令人信服的证据,证明Myb对Rankl和Opg调控的直接影响,特别是在臼齿区域。Myb和Rankl在成骨细胞-成骨细胞转化过程中表达的时间峰值进一步表明Myb在成骨过程中具有更广泛的关键作用。我们的发现揭示了Myb作为颅面骨发育中Rank-Rankl-Opg系统的关键协调者,为理解骨失调开辟了新的途径。
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引用次数: 0
Pneumatisation patterns surrounding the internal acoustic meatus 内声道周围的气化模式。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-01-01 Epub Date: 2025-09-04 DOI: 10.1016/j.aanat.2025.152724
Răzvan Costin Tudose , George Triantafyllou , Maria Piagkou , Mugurel Constantin Rusu

Purpose

This study aimed to investigate the prevalence and anatomical patterns of temporal bone pneumatisation surrounding the internal acoustic meatus (IAM), specifically across its three anatomical regions: the porus acusticus internus (medial opening), the proper IAM (tubular midportion), and the fundus (lateral end). A secondary objective was to evaluate the association between pneumatisation and the thickness of the overlying tegmen in each region.

Methods

A total of 160 IAMs (80 patients, bilateral assessment) were analyzed using cone-beam computed tomography (CBCT). The IAM was anatomically subdivided into the porus, proper IAM, and fundus. Pneumatisation was assessed separately for each region's superior (tegmen), inferior, anterior, and posterior bony walls. Linear measurements of tegmen thickness were obtained and compared between pneumatised and non-pneumatised regions. Statistical analyses included Shapiro-Wilk normality tests, Levene’s variance equality test, and independent samples t-tests.

Results

Complete superior wall pneumatisation was observed in 23.8 % of right sides and 22.5 % of left sides. Inferior wall pneumatisation was absent bilaterally in 52.5 % of cases, while anterior wall involvement was noted in fewer than 17 % of cases. Posterior wall pneumatisation was absent in 80.0 % (right) and 75.0 % (left) sides. Pneumatised regions demonstrated significantly greater tegmen thickness across all areas (p < 0.001 in most cases). Gender-based analyses were conducted.

Conclusion

IAM-adjacent pneumatisation most often involves the superior wall and correlates with greater tegmen thickness, supporting targeted imaging for safer skull-base surgery and updating clinicians’ understanding of this region.
目的:本研究旨在探讨内声道(IAM)周围颞骨充气的患病率和解剖模式,特别是在其三个解剖区域:耳孔内(内侧开口),适当的IAM(管状中段)和眼底(外侧端)。第二个目的是评估在每个区域上覆盖的被盖厚度之间的关联。方法:采用锥束计算机断层扫描(CBCT)对160例IAMs(80例,双侧评估)进行分析。在解剖学上可将IAM细分为多孔、固有IAM和眼底。分别评估每个区域的上(被盖)、下、前、后骨壁的通气情况。获得了被盖厚度的线性测量值,并在充气和未充气区域之间进行了比较。统计分析包括Shapiro-Wilk正态性检验、Levene方差相等性检验和独立样本t检验。结果:23.8%的右侧和22.5%的左侧肺壁完全充气。52.5%的病例没有双侧下壁肺炎,而前壁受累的病例不到17%。80.0%(右)和75.0%(左)侧未见后壁充气。结论:iam邻近的气肿最常累及上壁,且与更大的被膜厚度相关,这为更安全的颅底手术提供了靶向成像支持,并更新了临床医生对该区域的理解。
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引用次数: 0
Investigating the effect of olfactory bulbectomy on vagal circuits and the pancreas: A new hypothesis 嗅球切除对迷走神经回路和胰腺影响的研究:一个新的假说
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-01-01 Epub Date: 2025-09-21 DOI: 10.1016/j.aanat.2025.152740
Burhan Yarar , Cengiz Öztürk , Erdem Karadeniz , Remzi Arslan , Ufuk Temtek , Mete Zeynal , Mehmet Dumlu Aydın , Osman Nuri Keleş

Background

It is well known how the olfactory nerves regulate the pancreas via the vagal nerves. However, there is no clear information explaining the actual neuropathological mechanism of how olfactory pathway damage destroys pancreatic beta cells. The aim of this study was to investigate whether the dorsal vagal nucleus and pancreas are histologically affected in olfactory bulb lesions.

Methods

This study was conducted on twenty-six male rats. Group-I was the control group (n: 5), group-II was the SHAM group (n: 5) and group-III was the olfactory bulbectomy group (n: 16). All animals were observed for ten weeks and then decapitated. Olfactory bulb volume and degenerated neuron densities of the dorsal vagal motor nucleus and degenerated pancreatic beta cells per cubic millimeter were determined stereologically.

Results

The mean olfactory bulb volume, degenerated dorsal vagal motor nucleus and degenerated pancreatic beta cells were measured as 4.31 ± 0.25 mm3, 4 ± 1/mm3, 2 ± 1/mm3 in the control group (Group-I); 3.92 ± 0.38 mm3, 9 ± 3/mm3, 7 ± 3/mm3 in the SHAM group (Group-II) and 2.97 ± 0.41 mm3, 29 ± 5/ mm3, 43 ± 9/ mm3 in the olfactory bulbectomy group (Group-III). Main p value for all data: p < 0.005 between Group-I and Group-II, p < 0.0005 between Group-II and Group-III; p < 0.0001 between Group-I and Group-III

Conclusions

It can be suggested that olfactory bulb lesion causes denervation injury in intrapancreatic ganglia and beta cells due to decreased effect of vagal efferents, which stimulate intrapancreatic neuro-beta cell communication by decreasing olfactory signals stimulating vagal nerve nuclei. This study may help clinicians to investigate etiological factors in cases of impaired insulin and glucose metabolism.
背景嗅觉神经是如何通过迷走神经调节胰腺的,这是众所周知的。然而,嗅觉通路损伤如何破坏胰腺细胞的实际神经病理机制还没有明确的解释。本研究的目的是探讨在嗅球病变中迷走神经背核和胰腺是否受到组织学影响。方法选用雄性大鼠26只。第一组为对照组(n: 5),第二组为SHAM组(n: 5),第三组为嗅球切除术组(n: 16)。所有动物观察10周,然后斩首。用体视学方法测定每立方毫米迷走背运动核的嗅球体积、退行性神经元密度和退行性胰腺细胞密度。结果对照组(ⅰ组)平均嗅球体积、退行性迷走背运动核和胰腺β细胞分别为4.31 ± 0.25 mm3、4 ± 1/mm3、2 ± 1/mm3; 3.92±0.38  mm3 9 ± 3 / mm3 7 ± 3 / mm3虚假的组(第二组)和2.97 ±0.41  mm3, 29日 ± 5 / mm3 43 ± 9 / mm3嗅觉bulbectomy组(3组)。所有数据的主p值:组i与组ii之间p <; 0.005,组ii与组iii之间p <; 0.0005;p <; 0.0001组与组间差异分析结论:嗅球病变引起胰内神经节和β细胞去神经支配损伤,可能是由于迷走神经传出神经的作用减弱,迷走神经传出神经通过减少刺激迷走神经核的嗅觉信号来刺激胰腺内神经- β细胞的通讯。本研究可能有助于临床医生调查胰岛素和葡萄糖代谢受损病例的病因。
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引用次数: 0
Biomechanical mapping of porcine dentin and branches with Brillouin confocal VIPA-based microscopy 基于布里渊共聚焦vipa显微镜的猪牙本质和分支的生物力学制图。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-01-01 Epub Date: 2025-10-04 DOI: 10.1016/j.aanat.2025.152743
Richard Younes , Frédéric Cuisinier , Benoit Rufflé , Rémy Vialla , Shahid Ali Shah , Pierre-Yves Collart-Dutilleul , Alban Desoutter

Objective

This study aimed to investigate the mechanical properties of porcine dentin using Brillouin confocal microscopy, focusing on its tubules and canaliculi. By mapping the Brillouin shift, we aimed to gain deeper insight into dentin biomechanics and assess how porcine dentin compares to human dentin as a model for dental research.

Design

Porcine molars were prepared by dehydration, precision cutting and polishing. A Brillouin microscope with a dual-VIPA configuration was used for spectral acquisition at 0.3 µm steps. Brillouin frequency shift, full width at half maximum (FWHM) and intensity were analyzed.

Results

Brillouin microscopy identified three distinct zones in porcine dentin: tubules, intertubular regions and branching areas, similar to human dentin. The Brillouin shifts ranged from 17 to 21.5 GHz, with an average around 19 GHz, lower than the 20–25 GHz typically found in human dentin. Mapping revealed branching tubules resembling tree trunks, with intricate branch-like structures in the intertubular regions. Peritubular areas exhibited higher frequency shifts, reaching around 21 GHz, distinguishing them from the more uniform intertubular zones. The dense branch networks surrounded by harder material provided insights into dentin’s microstructure. However, challenges in refractive index and density measurements hindered direct conversion of frequency shifts to precise elastic longitudinal modulus values.

Conclusion

This study demonstrated that Brillouin VIPA-based microscopy can effectively map the mechanical properties of porcine dentin. The results show its potential for non-contact, high-resolution mechanical histology in biological tissues, offering promise for studying healthy and diseased mineralized tissues. Further optimization is needed to adapt the technique for human samples, considering differences in optical and mechanical properties.
目的:利用布里渊共聚焦显微镜研究猪牙本质的力学特性,重点观察其小管和小管。通过绘制布里渊位移,我们旨在更深入地了解牙本质生物力学,并评估猪牙本质与人类牙本质的比较,作为牙科研究的模型。设计:猪磨牙经脱水、精密切割、抛光加工而成。采用双vipa结构的布里渊显微镜在0.3µm步长处进行光谱采集。分析了布里渊频移、半峰全宽和强度。结果:布里渊显微镜在猪牙本质中发现了三个不同的区域:小管、管间区和分支区,与人类牙本质相似。布里渊频移的范围从17 ghz到21.5GHz,平均约为19GHz,低于人类牙本质中通常发现的20-25GHz。地图显示了类似树干的分枝小管,在管间区域具有复杂的枝状结构。管周区域表现出更高的频率偏移,达到21GHz左右,与更均匀的管间区域区分开来。被较硬材料包围的密集分支网络提供了对牙本质微观结构的深入了解。然而,折射率和密度测量方面的挑战阻碍了频移直接转换为精确的弹性纵向模量值。结论:基于布里渊vipa的显微技术可以有效地绘制猪牙本质的力学性质。结果表明,该方法具有在生物组织中进行非接触、高分辨率机械组织学研究的潜力,为研究健康和患病的矿化组织提供了希望。考虑到光学和机械性能的差异,需要进一步优化以适应人类样品的技术。
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引用次数: 0
Anatomical variation in the external vasculature of the human heart: A cadaveric investigation of dominance in coronary artery branching and cardiac venous drainage 人类心脏外血管的解剖变异:冠状动脉分支和心静脉引流优势的尸体调查。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-01-01 Epub Date: 2025-10-27 DOI: 10.1016/j.aanat.2025.152749
Colton P. Lane , Milena Douglas , Matthew Mckoy , Jonathan Rozeboom , Eshwar S. Karupakula , Harsh C. Patel , Kianna P. Ruble , Rosemary Josenkoski , Samuel Ryabov , Jasmine Zhai , Alexander Rich , Ainsley Durning , Cole McNeil , Georgianna Miller , Dominik Valdez , Timothy L. Campbell , Terrence B. Ritzman , Heather F. Smith , Leigha M. Lynch
<div><div>Coronary artery and cardiac venous drainage patterns exhibit substantial anatomical variability, which can impact surgical planning and patient outcomes. While each system's variation has been studied independently, little is known about potential correlations between arterial supply and venous drainage of the heart. This study investigates coronary artery dominance and cardiac venous drainage dominance in a sample of 167 adult human cadaveric donors to better understand their prevalence and potential relationship. Coronary artery dominance was assessed based on the origin of the posterior interventricular artery (PIA), and cardiac venous drainage dominance was classified by examining the association of the great and middle cardiac veins to the apex of the heart. Among 165 hearts evaluated for arterial dominance, 81.21 % were right dominant, 12.73 % left dominant, and 6.06 % codominant. Of 80 hearts scored for cardiac venous dominance, 48.75 % were middle vein dominant (MVD), 6.25 % great vein dominant (GVD), and 45.00 % intermediate type (IM). No significant differences in dominance patterns were found between sexes or age at death. Additionally, analysis of 78 hearts with both arterial and venous structures showed no significant correlation between coronary artery dominance and venous drainage dominance. These findings confirm prior prevalence reports, underscore the anatomical variability in cardiac vasculature, and suggest that arterial and venous dominance patterns may develop independently. Understanding this variation is crucial for improving clinical outcomes in cardiac interventions.</div></div><div><h3>Purpose</h3><div>This study investigates coronary artery dominance and cardiac venous drainage dominance in a sample of 167 adult human cadaveric donors to better understand their prevalence and potential relationship.</div></div><div><h3>Methods</h3><div>Coronary artery dominance was assessed based on the origin of the posterior interventricular artery (PIA), and cardiac venous drainage dominance was classified by examining the association of the great and middle cardiac veins to the apex of the heart.</div></div><div><h3>Results</h3><div>Among 167 hearts evaluated for arterial dominance, 81.21 % were right dominant, 12.73 % left dominant, and 6.06 % codominant. Of 80 hearts scored for cardiac venous dominance, 48.75 % were middle vein dominant (MVD), 6.25 % great vein dominant (GVD), and 45.00 % intermediate type (IM). No significant differences in dominance patterns were found between sexes (artery p = 0.45; vein p = 0.43) or age at death (artery p = 0.43, vein=0.48). Additionally, analysis of 78 hearts with both arterial and venous structures showed no significant correlation between coronary artery dominance and venous drainage dominance (p = 0.39).</div></div><div><h3>Implications</h3><div>These findings confirm prior prevalence reports, underscore the anatomical variability in cardiac vasculature, and suggest that arteria
冠状动脉和心静脉引流模式表现出实质性的解剖变异,这可能影响手术计划和患者的预后。虽然每个系统的变化已被独立研究,但对心脏动脉供应和静脉引流之间的潜在相关性知之甚少。本研究调查了167例成人尸体供体的冠状动脉优势和心静脉引流优势,以更好地了解它们的患病率和潜在关系。根据后室间动脉(PIA)的起源来评估冠状动脉优势,通过检查心大静脉和心中静脉与心尖的关系来分类心静脉引流优势。165颗动脉优势型心脏中,右优势型占81.21%,左优势型占12.73%,共优势型占6.06%。80例心脏静脉优势型心脏中,中静脉优势型(MVD)占48.75%,大静脉优势型(GVD)占6.25%,中间型(IM)占45.00%。在死亡时,性别或年龄之间的优势模式没有显著差异。此外,对78例动脉和静脉结构心脏的分析显示,冠状动脉优势和静脉引流优势没有显著相关性。这些发现证实了先前的患病率报告,强调了心脏血管的解剖学变异性,并表明动脉和静脉优势模式可能独立发展。了解这种变异对改善心脏干预的临床结果至关重要。目的:本研究调查167例成人尸体供体的冠状动脉优势和心静脉引流优势,以更好地了解它们的患病率和潜在关系。方法:根据后室间动脉(PIA)的来源判断冠状动脉优势,根据心大静脉和心中静脉与心尖的关系判断心静脉引流优势。结果:167颗动脉优势型心脏中,右优势型占81.21%,左优势型占12.73%,共优势型占6.06%。80例心脏静脉优势型心脏中,中静脉优势型(MVD)占48.75%,大静脉优势型(GVD)占6.25%,中间型(IM)占45.00%。在性别(动脉p=0.45,静脉p=0.43)和死亡年龄(动脉p=0.43,静脉p= 0.48)之间,优势模式无显著差异。此外,对78个同时存在动脉和静脉结构的心脏的分析显示,冠状动脉优势与静脉引流优势无显著相关性(p=0.39)。意义:这些发现证实了先前的患病率报告,强调了心脏血管的解剖学变异性,并表明动脉和静脉优势模式可能独立发展。
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引用次数: 0
Ethical use of the human body for teaching anatomy is not transgressive 在解剖学教学中道德地使用人体并没有越界。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-01-01 Epub Date: 2025-09-19 DOI: 10.1016/j.aanat.2025.152736
Bernard Moxham , Diogo Pais , Odile Plaisant , Beverley Kramer
A transgressive act is one that breaks a moral code, going beyond what are acceptable boundaries of taste and decorum. In this regard, the history of anatomy, although illustrious, is also inglorious as body snatching by resurrectionists and the anatomisation of convicted and executed prisoners is nowadays universally condemned and recognised as being transgressive. The public display of anatomised bodies in contemporary times, whether or not the bodies are obtained legally, is controversial and is arguably transgressive, as is the dissection of unclaimed bodies for the education of healthcare professionals. It has also been claimed that, even when bodies are obtained from donors who have given informed consent, anatomical dissection for the education of healthcare workers involves transgressive behaviour that does not fit with modern concepts of a caring, life-enhancing practitioner. Consequently, there are medical schools that do not have anatomy dissection rooms, and the use of digitalised anatomical imagery is advocated as a more moral pedagogic tool. However, not all the digitised images emanate from consented individuals. In this article, we argue that the public display of anatomised bodies (including the display and publication of images without informed consent) and the use of unclaimed bodies for dissection are transgressive. We are of the opinion that the dissection of human bodies obtained through a donor programme need not be transgressive if due respect is accorded the donated bodies and if the students benefitting from the experience are properly controlled, well-informed about the ethical issues, and if the process considers issues relating to equality, diversity and inclusivity.
越轨行为是违反道德准则的行为,超出了品味和礼仪的可接受范围。在这方面,解剖学的历史虽然辉煌,但也不光彩,因为复活者的身体掠夺和对被定罪和被处决的囚犯的解剖现在普遍受到谴责,并被认为是违法的。在当代,公开展示解剖过的尸体,无论尸体是否合法获得,都是有争议的,可以说是违法的,就像解剖无人认领的尸体来教育医疗专业人员一样。还有人声称,即使从已给予知情同意的捐赠者处获得尸体,为保健工作者的教育进行解剖也涉及违法行为,不符合关怀、改善生活的行医者的现代概念。因此,有些医学院没有解剖解剖室,而数字化解剖图像的使用被提倡为一种更道德的教学工具。然而,并非所有的数字化图像都来自个人同意。在这篇文章中,我们认为公开展示解剖过的尸体(包括未经知情同意的图像展示和出版)和使用无人认领的尸体进行解剖是违法的。我们认为,透过捐赠计划为教学目的而进行的人体解剖,只要对捐赠的遗体给予应有的尊重,而从中受益的学生受到适当的控制,对伦理问题有充分的了解,并考虑到平等、多元和包容的问题,就不必触犯法律。
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引用次数: 0
Prevalence, variability, and clinical anatomy of the sesamoid bones of the hand: A systematic review and meta-analysis 手籽骨的患病率、变异性和临床解剖:系统回顾和荟萃分析。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-01-01 Epub Date: 2025-11-19 DOI: 10.1016/j.aanat.2025.152754
Grzegorz Fibiger , Katarzyna Majka , Jonasz Tempski , Miłosz Czeliński , Jakub Obrzut , Maksymilian Osiowski , Aleksander Osiowski , Szymon Matejuk , Tetiana Tkachuk , Tomasz Kozioł , Dominik Taterra , Jerzy A. Walocha , Przemysław Pękala , Wojciech Fibiger

Background

Sesamoid bones are small, tendon-embedded bones in the hand, which play a role in reducing friction and redirecting tendon forces. Their variable presence highlights the need for detailed anatomical knowledge, particularly for radiologists and orthopedic specialists diagnosing conditions in this region. Given their significance in both diagnostic and surgical contexts, an updated meta-analysis on this issue is highly important.

Methods

A large-scale search through the major databases was conducted with no date or language restrictions to determine and pool all available and relevant data. Anatomical Quality Assessment Tool was used to assess the quality of included studies.

Results

A total of 29 studies were included (n = 15011 hands). The prevalence of sesamoid bone at 1st metacarpophalangeal joint (MCP) was 99.85 % (95 %CI: 99.7–99.95), 2nd MCP was 39.49 % (95 %CI: 35.31–43.76), 3rd was 1.74 % (95 %CI: 1.24–2.32), 4th was 0.64 % (95 %CI: 0.38–0.96), 5th 52.22 % (95 %CI: 45.36–59.04) and 1st interphalangeal joint was 48.03 % (95 %CI: 37.00–59.16). Our analysis showed that in total of 0.09 % of hands (95 %CI: 0.01–0.22) no sesamoid bones were found. Furthermore, no significant differences in balance could be found when comparing the left (0.30 %, 95 %CI: 0.00–0.81) and the right (0.13 %, 95 %CI: 0.00–0.36) hand.

Conclusion

Understanding sesamoid bones variability might be crucial for anatomical insight and clinical diagnosis, particularly in orthopedics or radiology.
背景:籽骨是手部小的肌腱嵌入骨,它在减少摩擦和重定向肌腱力方面发挥作用。他们多变的存在强调了对详细解剖知识的需求,特别是对于放射科医生和骨科专家诊断该地区的情况。鉴于它们在诊断和手术方面的重要性,对这一问题进行更新的荟萃分析是非常重要的。方法:在主要数据库中进行大规模检索,不受日期和语言限制,以确定和汇总所有可用的相关数据。采用解剖质量评估工具评估纳入研究的质量。结果:共纳入29项研究(n = 15011手)。第一掌指关节(MCP)的籽骨患病率为99.85% (95%CI: 99.7 ~ 99.95),第二掌指关节为39.49% (95%CI: 35.31 ~ 43.76),第三掌指关节为1.74% (95%CI: 1.24 ~ 2.32),第四掌指关节为0.64% (95%CI: 0.38 ~ 0.96),第五掌指关节为52.22% (95%CI: 45.36 ~ 59.04),第一指间关节为48.03% (95%CI: 37.00 ~ 59.16)。我们的分析显示,总共0.09%的手(95%CI: 0.01 ~ 0.22)没有发现籽骨。此外,左手(0.30%,95%CI: 0.00 - 0.81)和右手(0.13%,95%CI: 0.00 - 0.36)在平衡方面没有显著差异。结论:了解籽骨变异性可能对解剖学和临床诊断至关重要,特别是在骨科或放射学方面。
{"title":"Prevalence, variability, and clinical anatomy of the sesamoid bones of the hand: A systematic review and meta-analysis","authors":"Grzegorz Fibiger ,&nbsp;Katarzyna Majka ,&nbsp;Jonasz Tempski ,&nbsp;Miłosz Czeliński ,&nbsp;Jakub Obrzut ,&nbsp;Maksymilian Osiowski ,&nbsp;Aleksander Osiowski ,&nbsp;Szymon Matejuk ,&nbsp;Tetiana Tkachuk ,&nbsp;Tomasz Kozioł ,&nbsp;Dominik Taterra ,&nbsp;Jerzy A. Walocha ,&nbsp;Przemysław Pękala ,&nbsp;Wojciech Fibiger","doi":"10.1016/j.aanat.2025.152754","DOIUrl":"10.1016/j.aanat.2025.152754","url":null,"abstract":"<div><h3>Background</h3><div>Sesamoid bones are small, tendon-embedded bones in the hand, which play a role in reducing friction and redirecting tendon forces. Their variable presence highlights the need for detailed anatomical knowledge, particularly for radiologists and orthopedic specialists diagnosing conditions in this region. Given their significance in both diagnostic and surgical contexts, an updated meta-analysis on this issue is highly important.</div></div><div><h3>Methods</h3><div>A large-scale search through the major databases was conducted with no date or language restrictions to determine and pool all available and relevant data. Anatomical Quality Assessment Tool was used to assess the quality of included studies.</div></div><div><h3>Results</h3><div>A total of 29 studies were included (n = 15011 hands). The prevalence of sesamoid bone at 1st metacarpophalangeal joint (MCP) was 99.85 % (95 %CI: 99.7–99.95), 2nd MCP was 39.49 % (95 %CI: 35.31–43.76), 3rd was 1.74 % (95 %CI: 1.24–2.32), 4th was 0.64 % (95 %CI: 0.38–0.96), 5th 52.22 % (95 %CI: 45.36–59.04) and 1st interphalangeal joint was 48.03 % (95 %CI: 37.00–59.16). Our analysis showed that in total of 0.09 % of hands (95 %CI: 0.01–0.22) no sesamoid bones were found. Furthermore, no significant differences in balance could be found when comparing the left (0.30 %, 95 %CI: 0.00–0.81) and the right (0.13 %, 95 %CI: 0.00–0.36) hand.</div></div><div><h3>Conclusion</h3><div>Understanding sesamoid bones variability might be crucial for anatomical insight and clinical diagnosis, particularly in orthopedics or radiology.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"263 ","pages":"Article 152754"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145575023","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
Comparative study on biological characteristics of dental mesenchymal stem cells isolated from gingiva, periodontal ligament, and dental follicle and their derived conditioned medium 牙龈、牙周韧带和牙滤泡间充质干细胞及其衍生条件培养基生物学特性的比较研究。
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-01-01 Epub Date: 2025-10-29 DOI: 10.1016/j.aanat.2025.152751
Xianyi He , Yichen Gao , Haiyin Wan , Xia Wang , Jie Shen , Yun He , Junliang Chen

Background

Dental mesenchymal stem cells are seed cells for oral and maxillofacial bone tissue engineering. The aim of this study was to compare the biological characteristics of gingival mesenchymal stem cells (GMSCs), periodontal ligament stem cells (PDLSCs), and dental follicle stem cells (DFSCs), and to evaluate the effects of their corresponding conditioned medium (CM) on the biological characteristics of bone marrow mesenchymal stem cells (BMSCs). The findings may expound a theoretical foundation for the development of treatments for oral and maxillofacial bone defects.

Methods

GMSCs, PDLSCs, and DFSCs were isolated and cultured from the same donors to compare their proliferation, migration, chondrogenic and osteogenic differentiation potentials. CM derived from each stem cell type were obtained through serum-free culture. Transwell assays, alkaline phosphatase staining, Alizarin Red staining, western blotting, quantitative real-time polymerase chain reaction, and immunofluorescence were carried out to evaluate the effects of the different CM on the osteogenic differentiation and migration abilities of BMSCs.

Results

This study demonstrated that GMSCs, PDLSCs, and DFSCs exhibited similar morphologies. The proliferation and migration potentials of GMSCs and DFSCs were significantly higher than those of PDLSCs. DFSCs also showed the highest osteogenic and chondrogenic differentiation capability. In addition, DFSC-CM significantly promoted the osteogenic differentiation and migration abilities of BMSCs compared with PDLSC-CM and GMSC-CM.

Conclusions

DFSCs are promising candidate for maxillofacial bone regeneration due to their robust regenerative properties. DFSC-CM, as a cell-free therapeutic, could overcome limitations of direct stem cell transplantation by leveraging paracrine signaling. This study provides a foundation for clinical applications, such as combining DFSC-CM with biomaterials to enhance bone defect repair.
背景:牙间充质干细胞是口腔颌面部骨组织工程的种子细胞。本研究的目的是比较龈间充质干细胞(GMSCs)、牙周韧带干细胞(PDLSCs)和牙滤泡干细胞(DFSCs)的生物学特性,并评价其相应的条件培养基(CM)对骨髓间充质干细胞(BMSCs)生物学特性的影响。研究结果可为口腔颌面骨缺损的治疗提供理论基础。方法:从同一供体中分离培养GMSCs、PDLSCs和DFSCs,比较其增殖、迁移、成软骨和成骨分化潜能。通过无血清培养获得每种干细胞类型的CM。采用Transwell法、碱性磷酸酶染色法、茜素红染色法、western blotting法、实时定量聚合酶链反应法和免疫荧光法评价不同CM对骨髓间充质干细胞成骨分化和迁移能力的影响。结果:本研究表明,GMSCs、PDLSCs和DFSCs具有相似的形态。GMSCs和DFSCs的增殖和迁移能力明显高于PDLSCs。DFSCs还显示出最高的成骨和软骨分化能力。此外,与PDLSC-CM和GMSC-CM相比,DFSC-CM显著促进了BMSCs的成骨分化和迁移能力。结论:DFSCs具有良好的再生性能,是颌面部骨再生的理想材料。dscs - cm作为一种无细胞治疗药物,可以利用旁分泌信号克服直接干细胞移植的局限性。本研究为临床应用,如将dscs - cm与生物材料结合,增强骨缺损修复提供了基础。
{"title":"Comparative study on biological characteristics of dental mesenchymal stem cells isolated from gingiva, periodontal ligament, and dental follicle and their derived conditioned medium","authors":"Xianyi He ,&nbsp;Yichen Gao ,&nbsp;Haiyin Wan ,&nbsp;Xia Wang ,&nbsp;Jie Shen ,&nbsp;Yun He ,&nbsp;Junliang Chen","doi":"10.1016/j.aanat.2025.152751","DOIUrl":"10.1016/j.aanat.2025.152751","url":null,"abstract":"<div><h3>Background</h3><div>Dental mesenchymal stem cells are seed cells for oral and maxillofacial bone tissue engineering. The aim of this study was to compare the biological characteristics of gingival mesenchymal stem cells (GMSCs), periodontal ligament stem cells (PDLSCs), and dental follicle stem cells (DFSCs), and to evaluate the effects of their corresponding conditioned medium (CM) on the biological characteristics of bone marrow mesenchymal stem cells (BMSCs). The findings may expound a theoretical foundation for the development of treatments for oral and maxillofacial bone defects.</div></div><div><h3>Methods</h3><div>GMSCs, PDLSCs, and DFSCs were isolated and cultured from the same donors to compare their proliferation, migration, chondrogenic and osteogenic differentiation potentials. CM derived from each stem cell type were obtained through serum-free culture. Transwell assays, alkaline phosphatase staining, Alizarin Red staining, western blotting, quantitative real-time polymerase chain reaction, and immunofluorescence were carried out to evaluate the effects of the different CM on the osteogenic differentiation and migration abilities of BMSCs.</div></div><div><h3>Results</h3><div>This study demonstrated that GMSCs, PDLSCs, and DFSCs exhibited similar morphologies. The proliferation and migration potentials of GMSCs and DFSCs were significantly higher than those of PDLSCs. DFSCs also showed the highest osteogenic and chondrogenic differentiation capability. In addition, DFSC-CM significantly promoted the osteogenic differentiation and migration abilities of BMSCs compared with PDLSC-CM and GMSC-CM.</div></div><div><h3>Conclusions</h3><div>DFSCs are promising candidate for maxillofacial bone regeneration due to their robust regenerative properties. DFSC-CM, as a cell-free therapeutic, could overcome limitations of direct stem cell transplantation by leveraging paracrine signaling. This study provides a foundation for clinical applications, such as combining DFSC-CM with biomaterials to enhance bone defect repair.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"263 ","pages":"Article 152751"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145423743","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
The prefemoral fat pad of the knee: A large and underrecognized structure with potential clinical relevance 膝关节股前脂肪垫:一个巨大且未被充分认识的结构,具有潜在的临床意义
IF 1.7 3区 医学 Q2 ANATOMY & MORPHOLOGY Pub Date : 2026-01-01 Epub Date: 2025-10-22 DOI: 10.1016/j.aanat.2025.152748
Pierre Hepp , Christoph Hellmund , Leon Weigelt , Jeanette Henkelmann , Hanno Steinke

Purpose

The prefemoral fat pad (PFP) is a widely known but in comparison to the suprapatellar and infrapatellar fat pad (IFP) a drastically underreported anatomical structure in the ventral knee. Although it is mentioned in the context of osteoarthritis and as a source of ventral knee pain, there are no reports on its anatomical characteristics and relationships.

Methods

We investigated the PFP radiologically and via dissection in 10 fresh frozen cadaveric knees. Thereby we focused on its size, anatomical relationship to neighboring structures and blood and nerve supply and compared our findings to the IFP. Samples of the PFP were also evaluated histologically and through epoxy resin plastination. Additionally, we compared its size to the size of the IFP and the extracted descriptive data of the cadavers.

Results

We found the PFP in all knees with a mean size of 24,79 cm3, whereas the mean size of the IFP was 20,06 cm3. The PFP was directly adjacent to the femur, the articularis genus muscle and suprapatellar bursa, as well as the medial and lateral intermuscular septum and the trochlear cartilage. We found blood vessels and nerves inserting into the PFP in all cases. The size of the PFP significantly correlated with the size of the IFP and the weight of the body donor. Additionally, the PFP was larger in males than in females.

Conclusion

In our study the PFP was the largest of the three fat pads in the anterior knee. It always exists with a describable anatomy. The anatomical similarities between the PFP and the IFP may imply that characteristics and properties of the PFP may be similar to those of the IFP. Ultimately, the PFP's anatomical existence suggests a potential role in patellar stability and tracking.
目的:股骨前脂肪垫(PFP)是众所周知的,但与髌上和髌下脂肪垫(IFP)相比,这是一个严重被低估的腹侧膝关节解剖结构。虽然它在骨关节炎的背景下被提及,并作为腹侧膝关节疼痛的来源,但没有关于其解剖学特征和关系的报道。方法对10例新鲜冷冻尸体膝关节的PFP进行影像学和解剖研究。因此,我们将重点放在其大小,与邻近结构的解剖关系以及血液和神经供应上,并将我们的发现与IFP进行比较。PFP样品也通过组织学和环氧树脂塑化进行评估。此外,我们将其大小与IFP的大小以及提取的尸体描述性数据进行了比较。结果所有膝关节PFP的平均大小为2479 cm3,而IFP的平均大小为2006 cm3。PFP直接毗邻股骨、关节属肌和髌上滑囊,以及内侧和外侧肌间隔和滑车软骨。我们在所有病例中都发现血管和神经插入PFP。PFP的大小与IFP的大小和供体体重显著相关。此外,男性的PFP比女性大。结论在我们的研究中,PFP是膝关节前三个脂肪垫中最大的。它总是以可描述的解剖结构存在。PFP和IFP之间的解剖相似性可能意味着PFP的特征和性质可能与IFP相似。最终,PFP在解剖学上的存在表明其在髌骨稳定性和追踪方面的潜在作用。
{"title":"The prefemoral fat pad of the knee: A large and underrecognized structure with potential clinical relevance","authors":"Pierre Hepp ,&nbsp;Christoph Hellmund ,&nbsp;Leon Weigelt ,&nbsp;Jeanette Henkelmann ,&nbsp;Hanno Steinke","doi":"10.1016/j.aanat.2025.152748","DOIUrl":"10.1016/j.aanat.2025.152748","url":null,"abstract":"<div><h3>Purpose</h3><div>The prefemoral fat pad (PFP) is a widely known but in comparison to the suprapatellar and infrapatellar fat pad (IFP) a drastically underreported anatomical structure in the ventral knee. Although it is mentioned in the context of osteoarthritis and as a source of ventral knee pain, there are no reports on its anatomical characteristics and relationships.</div></div><div><h3>Methods</h3><div>We investigated the PFP radiologically and via dissection in 10 fresh frozen cadaveric knees. Thereby we focused on its size, anatomical relationship to neighboring structures and blood and nerve supply and compared our findings to the IFP. Samples of the PFP were also evaluated histologically and through epoxy resin plastination. Additionally, we compared its size to the size of the IFP and the extracted descriptive data of the cadavers.</div></div><div><h3>Results</h3><div>We found the PFP in all knees with a mean size of 24,79 cm<sup>3</sup>, whereas the mean size of the IFP was 20,06 cm<sup>3</sup>. The PFP was directly adjacent to the femur, the articularis genus muscle and suprapatellar bursa, as well as the medial and lateral intermuscular septum and the trochlear cartilage. We found blood vessels and nerves inserting into the PFP in all cases. The size of the PFP significantly correlated with the size of the IFP and the weight of the body donor. Additionally, the PFP was larger in males than in females.</div></div><div><h3>Conclusion</h3><div>In our study the PFP was the largest of the three fat pads in the anterior knee. It always exists with a describable anatomy. The anatomical similarities between the PFP and the IFP may imply that characteristics and properties of the PFP may be similar to those of the IFP. Ultimately, the PFP's anatomical existence suggests a potential role in patellar stability and tracking.</div></div>","PeriodicalId":50974,"journal":{"name":"Annals of Anatomy-Anatomischer Anzeiger","volume":"263 ","pages":"Article 152748"},"PeriodicalIF":1.7,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145362509","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
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Annals of Anatomy-Anatomischer Anzeiger
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