人体跟腱扭转的临床解剖学--荟萃分析

IF 2 3区 医学 Q2 ANATOMY & MORPHOLOGY Annals of Anatomy-Anatomischer Anzeiger Pub Date : 2024-04-25 DOI:10.1016/j.aanat.2024.152271
Dominik P. Łazarz , Alicia del Carmen Yika , Jakub R. Pękala , Jerzy A. Walocha , Przemysław A. Pękala
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引用次数: 0

摘要

方法在多个数据库中进行了广泛的文献检索,以确定所有报告了跟腱扭转相关数据的研究,没有日期或语言限制。本荟萃分析按照系统综述和荟萃分析首选报告项目(PRISMA)指南进行数据提取和评估。采用解剖学质量评估(AQUA)工具对纳入文章的质量进行了检查。结果本荟萃分析共纳入七篇文章(n=690 个肢体)。跟腱扭转类型的发生率如下:II型最常见(46.7%,95% CI:31.6-60.9%),其次是I型(44.7%,95% CI:29.8-59.0%),最不常见的是III型(8.6%,95% CI:1.8-18.8%)。此外,采用 van Gils 等人描述的方法进行的形态计量分析表明,跟腱的平均扭转角度为 46.5°(95% CI:25.1-67.9°)。此外,该研究还强调了将扭转角度视为影响跟腱断裂病理和生物力学功能的潜在因素的重要性。
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Clinical anatomy of the human Achilles subtendons twist - meta-analysis

Purpose

This study aimed to provide a comprehensive and current overview of the anatomy of the Achilles tendon (AT) twisted structure, as there is a discrepancy in the literature regarding its rotating morphology.

Methods

An extensive literature search was conducted across multiple databases to identify all studies that reported relevant data on the AT torsion, with no date or language restrictions applied. Data was extracted and assessed for this meta-analysis following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The quality of the included articles was examined using the anatomical quality assessment (AQUA) tool.

Results

Seven articles (n=690 limbs) were pooled into this meta-analysis. The prevalence of Achilles tendon torsion types was as follows: type II was the most common (46.7%, 95% CI: 31.6–60.9%), followed by type I (44.7%, 95% CI: 29.8–59.0%), and least commonly, type III (8.6%, 95% CI: 1.8–18.8%). Additionally, morphometric analysis, utilizing the method described by van Gils et al., revealed a mean Achilles tendon torsion of 46.5° (95% CI: 25.1–67.9°).

Conclusions

This meta-analysis underscores the prominent and variable twist within the Achilles tendon among individuals, emphasizing the inherent diversity in AT morphology. Furthermore, the study highlights the importance of considering torsion angle as a potential factor influencing AT pathologies and biomechanical function.

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来源期刊
Annals of Anatomy-Anatomischer Anzeiger
Annals of Anatomy-Anatomischer Anzeiger 医学-解剖学与形态学
CiteScore
4.40
自引率
22.70%
发文量
137
审稿时长
33 days
期刊介绍: Annals of Anatomy publish peer reviewed original articles as well as brief review articles. The journal is open to original papers covering a link between anatomy and areas such as •molecular biology, •cell biology •reproductive biology •immunobiology •developmental biology, neurobiology •embryology as well as •neuroanatomy •neuroimmunology •clinical anatomy •comparative anatomy •modern imaging techniques •evolution, and especially also •aging
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