Prevalence and distribution of sesamoid bones and accessory ossicles in the hand region in patients presenting to the emergency department: a radiographic study

Emre Atay; Abdülkadir Bilir; Ayşe Ertekin; Tolga Ertekin

doi:10.17826/cumj.1352091

EN TR

Prevalence and distribution of sesamoid bones and accessory ossicles in the hand region in patients presenting to the emergency department: a radiographic study

Abstract

Purpose: This study aimed to retrospectively examine the accessory ossicles and sesamoid bones of the patients who applied to the emergency department with any hand and wrist complaints, on radiological images according to gender, frequency of incidence and extremity side. Materials and Methods: This retrospective study was performed on radiological images (digital x-ray) of 500 patients (297 men, 203 women). Presence, prevalence, coexistence and distribution of accessory ossicles and sesamoids in the hand of patients without hand skeletal deformities were retrospectively analyzed. Results: Accessory ossicles were detected in 8 (1.6%) of 500 cases. In our study, all of the accessory ossicles seen in the wrist and the hand region were ulnar styloid ossicles. Sesamoid bone was detected in 500 cases (100%) in metacarpophalangeal I (MCP I), in 192 cases (38.4%) in metacarpophalangeal II (MCP II), in 17 cases (3.4%) in metacarpophalangeal III (MCP III), in 2 cases (0.4%) in metacarpophalangeal IV (MCP IV), and in 34 cases (6.8%) in metacarpophalangeal V (MCP V). Conclusion: This study will contribute to the literature in terms of Turkish population incidence by using digital x-ray images for hand sesamoid bones and accessory ossicles.

Keywords

accessory ossicles , hand , incidence , radiography , sesamoid bones

Acil servise başvuran hastalarda el bölgesindeki sesamoid kemiklerin ve aksesuar kemikçiklerin prevalansı ve dağılımı: radyografik bir çalışma

Öz

Amaç: Bu çalışmada acil servise herhangi bir el ve el bileği şikayeti ile başvuran hastaların radyolojik görüntülerinde aksesuar kemikçiklerin ve sesamoid kemiklerin cinsiyet, görülme sıklığı ve ekstremite tarafına göre retrospektif olarak incelenmesi amaçlanmıştır. Gereç ve Yöntem: Bu retrospektif çalışma 500 hastanın (297 erkek, 203 kadın) radyolojik görüntüleri (dijital x-ray) üzerinde yapıldı. El iskelet deformitesi olmayan hastaların ellerinde aksesuar kemikçiklerin ve sesamoidlerin varlığı, prevalansı, birlikteliği ve dağılımı retrospektif olarak analiz edildi. Bulgular: Aksesuar kemikçikler 500 olgunun 8'inde (%1.6) saptandı. Çalışmamızda el bileği ve el bölgesinde görülen aksesuar kemikçiklerin tamamı ulnar stiloid kemikçiklerdi. Sesamoid kemik 500 olguda (%100) metakarpofalangeal I (MCP I), 192 olguda (%38.4) metakarpofalangeal II (MCP II), 17 olguda (%3,4) metakarpofalangeal III (MCP III), 2 olguda (%0.4) metakarpofalangeal IV (MCP IV) ve 34 olguda (%6.8) metakarpofalangeal V'te (MCP V) tespit edildi. Sonuç: Bu çalışma el sesamoid kemikleri ve aksesuar kemikçiklerin dijital röntgen görüntüleri kullanılarak Türk toplumunda görülme sıklığı açısından literatüre katkı sağlayacaktır.

Anahtar Kelimeler

Aksesuar kemikçikler , el , insidans , radyografi , sesamoid kemikler

Kaynakça

Wood VE. The sesamoid bones of the hand and their pathology. J Hand Surg Br. 1984;9:261-4.
Yammine K. The prevalence of the sesamoid bones of the hand: a systematic review and meta-analysis. Clin Anat. 2014;27:1291-303.
Pancoast H. Radiographic statistics of the sesamoid in the tendon of the gastrocnemius. Univ Pa Med Bull. 1909;22:213-7.
Ogden JA. Radiology of postnatal skeletal development. Skeletal Radiol. 1984;11:246-57.
Bizarro AH. On sesamoid and supernumerary bones of the limbs. J Anat. 1921;55:256-68.
Goldberg I, Nathan H. Anatomy and pathology of the sesamoid bones. Int Orthop. 1987;11:141-7.
Amar E, Rozenblat Y, Chechik O. Sesamoid and accessory bones of the hand-An epidemiologic survey in a Mediterranean population. Clin Anat. 2011;24:183-7.
Dharap AS, Al-Hashimi H, Kassab S, Abu-Hijleh MF. Incidence and ossification of sesamoid bones in the hands and feet: a radiographic study in an Arab population. Clin Anat. 2007;20:416-23.
Seybold EA, Warhold LG. Impingement of the flexor pollicis longus tendon by an enlarged radial seasamoid causing trigger thumb: a case report. J Hand Surg Am. 1996;21:619-20.
Abdel-Kader HM. The potential of digital dental radiography in recording the adductor sesamoid and the mp3 stages. Br J Orthod. 1999;26:291-4.

Sokolowska-Pituchowa J, Miaśkiewicz C. Studies on the sesamoid bones of the hands in women. Folia Morphol. 1967;26:25-32.
Sokołowska-Pituchowa J, Miaśkiewicz C. Studies on the sesamoid bones in the hands of men. Folia Morphol. 1965;24:141-7.
Butt IS, Kim WY. Complex dorsal subluxation of the metacarpo-phalangeal joint of the thumb requiring open reduction: a case report. Acta Orthop Belg. 2006;72:93-5.
Yammine K. The relationship between digit independence and digital sesamoids in humans and a proposal of a new digital sesamoid evolutionary hypothesis. Anat Rec. 2018;301:1046-60.
Mohler LR, Trumble TE. Disorders of the thumb sesamoids. Hand Clin. 2001;17:291-01.
Ozcanli H, Sekerci R, Keles N. Sesamoid disorders of the hand. J Hand Surg Am. 2015;40:1231-2.
Gursoy M, Coban I, Mete BD, Bulut T. The incidence of accessory ossicles of the wrist: a radiographic study. J Wrist Surg. 2021;10:458-64.
Ting LGY, San CEC, Ben N, Gerry HCH, Wai CC. Distribution of sesamoid bones in the hand—a study in the Chinese population. Journal of Orthopaedics, Trauma and Rehabilitation. 2017;23:45-8.
Kose O, Guler F, Turan A, Canbora K, Akalin S. Prevalence and distribution of sesamoid bones of the hand: a radiographic study in Turkish subjects. Int J Morphol. 2012;30:1094-9.
Al Khabori H, Al Asmi M, Sirasanagandla SR, Rashdi FA, Dhuhli HA, Jaju S et al. Prevalence and distribution of sesamoid bones of the hand in Omani subjects: a radiological study. Anat Sci Int. 2021;96:79-86.
Chen W, Cheng J, Sun R, Zhang Z, Zhu Y, Ipaktchi K et al. Prevalence and variation of sesamoid bones in the hand: a multi-center radiographic study. Int J Clin Exp Med. 2015;8:11721-6.
Ergen E, Yılmaz Ö, Arı B, Nacar E, Çimen AÖ, Ertem K et al. Prevalence of metacarpophalangeal sesamoid bones of the hand in Turkish population. Jt Dis Relat Surg. 2021;32:391-6.
Dąbrowski K, Stankiewicz-Jóźwicka H, Kowalczyk A, Markuszewski M, Ciszek B. Ossa sesamoidea - prevalence of sesamoid bones in human hands. Folia Morphol. 2020;79:570-5.
Civan O, Şekerci R, Ercıktı N, Özer Ş, Güvenç İ, Çevik NK et al. Sesamoid bones of the hand: a multicenter study. Jt Dis Relat Surg. 2020;31:68-72.
Msamati BC, Igbigbi PS. Radiographic appearance of sesamoid bones in the hands and feet of Malawian subjects. Clin Anat. 2001;14:248-53.
Bogart F. Variations of the bones of the wrist. Am J Roentgenol. 1932;28:638-46.
Aydınlıoğlu A, Rağbetli MÇ, Akpınar F, Tosun N, Doğan A. The accessory ulnar styloid process. Ulus Travma Acil Cerrahi Derg. 1998;4:53-7.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Acil Tıp , Radyoloji ve Organ Görüntüleme

Bölüm

Araştırma Makalesi

Yazarlar

Emre Atay ^*
0000-0002-2378-1183
Türkiye

Abdülkadir Bilir
0000-0003-0633-9542
Türkiye

Ayşe Ertekin
0000-0002-9947-9917
Türkiye

Tolga Ertekin
0000-0003-1756-4366
Türkiye

Yayımlanma Tarihi

29 Aralık 2023

Gönderilme Tarihi

30 Ağustos 2023

Kabul Tarihi

15 Kasım 2023

Yayımlandığı Sayı

Yıl 1970 Cilt: 48 Sayı: 4

DOI

https://doi.org/10.17826/cumj.1352091

IZ

https://izlik.org/JA32LM72LK

MLA

Atay, Emre, vd. “Prevalence and distribution of sesamoid bones and accessory ossicles in the hand region in patients presenting to the emergency department: a radiographic study”. Cukurova Medical Journal, c. 48, sy 4, Aralık 2023, ss. 1258-64, doi:10.17826/cumj.1352091.

Cited By

Imaging Report With Radiologic Criteria for Differentiation: Avulsion Fracture or Os Triquetrum Secundarium?

Cureus

https://doi.org/10.7759/cureus.93942

Bu eser Creative Commons Atıf-Gayriticari-Türetilemez 4.0 Uluslararası Lisansı ile lisanslanmıştır.

Prevalence and distribution of sesamoid bones and accessory ossicles in the hand region in patients presenting to the emergency department: a radiographic study

Abstract

Keywords

Acil servise başvuran hastalarda el bölgesindeki sesamoid kemiklerin ve aksesuar kemikçiklerin prevalansı ve dağılımı: radyografik bir çalışma

Öz

Anahtar Kelimeler

Kaynakça

Ayrıntılar

Birincil Dil

Konular

Bölüm

Yazarlar

Yayımlanma Tarihi

Gönderilme Tarihi

Kabul Tarihi

Yayımlandığı Sayı

DOI

IZ

Kaynak Göster

Cited By

Imaging Report With Radiologic Criteria for Differentiation: Avulsion Fracture or Os Triquetrum Secundarium?