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Medicina
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Clinical Anatomy Implications and Musculoskeletal Disorders
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Clinical Anatomy Implications and Musculoskeletal Disorders

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Orthopedics".

Deadline for manuscript submissions: closed (31 May 2024) | Viewed by 12274

Special Issue Editors

Dr. Boris Šteňo

E-Mail Website
Guest Editor
Department of Orthopaedic and Trauma Surgery, University Hospital Bratislava, Faculty of Medicine, Comenius University Bratislava, Bratislava, Slovakia
Interests: surgical approaches, revision surgery, hip dysplasia, anatomic variation; topographic anatomy; cross-sectional, musculoskeletal system
Dr. Andrea Székely

E-Mail Website
Guest Editor
Semmelweis Egyetem, Budapest, Hungary
Interests: anatomy

Special Issue Information

Dear Colleagues,

The Special Issue “Clinical Anatomy Implications and Musculoskeletal Disorders” shall join clinicians, mainly orthopedic, trauma surgeons, and rehabilitation specialists with anatomists and clinicians engaged in imaging modalities, to introduce a new perspective on providing high-quality diagnostic and health care based on current research in musculoskeletal anatomy.

Historically anatomy always was the most important part of any surgical procedure. In the last decades, we have seen massive advances in musculoskeletal surgery, with minimal invasive surgery-arthroscopy of multiple joints, through spinal surgery to more physiological approaches in major joint arthroplasties, foot and ankle surgery, hand surgery, etc. This progress in all of the fields of musculoskeletal medicine is still based on principal anatomical foundation.

The aim of this Special Issue is to provide readers with insight into the application of musculoskeletal anatomy to clinical diagnostic, surgical, and therapeutic practice.

Musculoskeletal pathology is growing worldwide. Solid knowledge of anatomy will serve us to thoroughly understand the pathology and lead us to successful treatment, might this be either less invasive and more anatomical surgery or directly anatomically driven rehabilitation protocol.

It is an honor for us to invite You to submit Your manuscripts in this Special Issue. Original articles, case reports, reviews, and communications are cordially welcome.

Dr. Boris Šteňo
Dr. Andrea Székely
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2200 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • clinical anatomy
  • topographic anatomy
  • anatomic variation
  • surgical anatomy
  • surgical approach
  • cross-sectional anatomy
  • musculoskeletal disorders

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Further information on MDPI's Special Issue polices can be found here.

Published Papers (4 papers)

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Research

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11 pages, 1289 KiB  
Article
Is the Surface Anatomy of the Popliteal Crease Related to Lower Extremity Alignment or Knee Osseous Morphology? A Radiographic Study
by Dong Hwan Lee, Hwa Sung Lee, Bo-Hyoung Kim and Se-Won Lee
Medicina 2023, 59(10), 1849; https://doi.org/10.3390/medicina59101849 - 18 Oct 2023
Viewed by 3427
Abstract
Background and objectives: The popliteal crease varies among individuals, and there has been no prior study on this aspect. We assumed that it may be associated with lower extremity alignment and osseous morphology. To demonstrate this, we conducted a radiographic analysis. Materials and [...] Read more.
Background and objectives: The popliteal crease varies among individuals, and there has been no prior study on this aspect. We assumed that it may be associated with lower extremity alignment and osseous morphology. To demonstrate this, we conducted a radiographic analysis. Materials and Methods: The study was conducted on 121 knees of 63 patients, whose popliteal creases were well distinguished on clinical photographs. PCOA was defined as the angle between the longitudinal axis of the lower leg and the popliteal crease. Through the radiologic examinations performed, the HKA, MPTA, mLDFA, JLCA, MFCA/TEA, and PCA/TEA were measured. Pearson correlation analysis and multiple linear regression analysis were performed on the PCOA and the six radiologic measurements to analyze the relationship. Results: Pearson correlation analysis found HKA had the highest coefficient at 0.568. In multiple linear regression, only HKA was associated, excluding all other measurements. Conclusions: Popliteal crease obliquity is significantly associated with coronal plane lower extremity alignment and exhibits a stronger correlation than with underlying knee osseous morphology. If future research is conducted based on this, popliteal crease could serve as a valuable clue for predicting lower extremity alignment and the risk of osteoarthritis development. Full article
(This article belongs to the Special Issue Clinical Anatomy Implications and Musculoskeletal Disorders)
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Review

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11 pages, 1697 KiB  
Review
Current Concepts in Diagnosis and Management of Patients Undergoing Total Hip Replacement with Concurrent Disorders of Spinopelvic Anatomy: A Narrative Review
by Richard Ambrus, Pavel Douša, Jozef Almási and Boris Šteňo
Medicina 2023, 59(9), 1591; https://doi.org/10.3390/medicina59091591 - 3 Sep 2023
Cited by 1 | Viewed by 1673
Abstract
Despite the high success rate of primary total hip replacement (THR), a significant early revision rate remains, which is largely attributed to instability and dislocations. Despite the implants being placed according to the safe zone philosophy of Lewinnek, occurrence of THR dislocation is [...] Read more.
Despite the high success rate of primary total hip replacement (THR), a significant early revision rate remains, which is largely attributed to instability and dislocations. Despite the implants being placed according to the safe zone philosophy of Lewinnek, occurrence of THR dislocation is not an uncommon complication. Large diagnostic and computational model studies have shown variability in patients’ mobility based on the individual anatomic and functional relationship of the hip–pelvis–spine complex. The absolute and relative position of hip replacement components changes throughout motion of the patient’s body. In the case of spinopelvic pathology such as spine stiffness, the system reaches abnormal positional states, as shown with computerized models. The clinical result of such pathologic hip positioning is edge loading, implant impingement, or even joint dislocation. To prevent such complications, surgeons must change the dogma of single correct implant positioning and take into account patients’ individualized anatomy and function. It is essential to broaden the standard diagnostics and their anatomical interpretation, and correct the pre-operative surgical planning. The need for correct and personalized implant placement pushes forward the development and adaptation of novel technologies in THR, such as robotics. In this current concepts narrative review, we simplify the spinopelvic biomechanics and pathoanatomy, the relevant anatomical terminology, and the diagnosis and management algorithms most commonly used today. Full article
(This article belongs to the Special Issue Clinical Anatomy Implications and Musculoskeletal Disorders)
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Other

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8 pages, 8173 KiB  
Case Report
Fracture Dislocation of the Pisiform Bone in 14-Year-Old Boy—A Case Report
by Ondřej Procházka, Tomás Sánchez and Karolína Kašpárková
Medicina 2024, 60(4), 532; https://doi.org/10.3390/medicina60040532 - 25 Mar 2024
Viewed by 2327
Abstract
We present the case of a 14-year-old patient who suffered fracture dislocation of the pisiform bone (PB) along with fractures of the scaphoid, proximal radius, and proximal phalanx of the thumb due to high-energy trauma directly to the extended wrist. This combination of [...] Read more.
We present the case of a 14-year-old patient who suffered fracture dislocation of the pisiform bone (PB) along with fractures of the scaphoid, proximal radius, and proximal phalanx of the thumb due to high-energy trauma directly to the extended wrist. This combination of fractures has not been previously reported in the literature. Currently, there is no consensus in the literature regarding the optimal treatment approach for such cases. In our management, initial attempts at closed and open reduction were unsuccessful, leading to the decision for primary pisiformectomy. Our report includes a follow-up of 3.5 years, demonstrating a very good outcome. Based on this case and a few similar published cases, primary pisiformectomy appears to be a viable and well-accepted option, particularly among young patients. Additionally, we conducted a review of radiographic criteria and management strategies for this specific injury and related conditions. Full article
(This article belongs to the Special Issue Clinical Anatomy Implications and Musculoskeletal Disorders)
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10 pages, 4114 KiB  
Case Report
Anatomical Study of the Ventral Upper Arm Muscles with a Case Report of the Accessory Coracobrachialis Muscle
by Marko Vrzgula, Jozef Mihalik, Martin Vicen, Natália Hvizdošová and Ingrid Hodorová
Medicina 2023, 59(8), 1445; https://doi.org/10.3390/medicina59081445 - 10 Aug 2023
Cited by 2 | Viewed by 3917
Abstract
Background and Objectives: The muscles in the upper arm are categorized into two groups: ventral muscles, which include the biceps brachii, coracobrachialis, and brachialis, and dorsal muscles comprising the triceps brachii and anconeus. These muscles are positioned in a way that they contribute [...] Read more.
Background and Objectives: The muscles in the upper arm are categorized into two groups: ventral muscles, which include the biceps brachii, coracobrachialis, and brachialis, and dorsal muscles comprising the triceps brachii and anconeus. These muscles are positioned in a way that they contribute to movements at the shoulder and elbow joints. Given the importance of the upper arm muscles for various reasons, they need to be well-known by medical professionals. Ventral upper arm muscles exhibit various topographical and morphological variations. Understanding these variations is critical from both anatomical and clinical standpoints. Therefore, our aim was to conduct an anatomical study focusing on these muscles and potentially identify ventral upper arm muscle variations that could contribute to the broader understanding of this area. For this anatomical study, 32 upper limbs obtained from 16 adult cadavers were dissected. Case report: During our anatomical survey, an accessory coracobrachialis muscle in the left upper extremity of one cadaver was discovered. This additional muscle was located anterior to the classical coracobrachialis muscle and measured 162 mm in length. It originated from the distal anterior surface of the coracoid process and was inserted into the middle third of the humeral shaft. The accessory muscle was supplied by the musculocutaneous nerve. No apparent anatomic variations were observed in the other upper arm muscles in any of the cadavers. Conclusions: Gaining insight into the ventral upper arm muscle variations holds vital significance in both anatomy and clinical practice, as they can influence surgical approaches, rehabilitation strategies, and the interpretation of imaging studies. Based on the morphological characteristics of the accessory coracobrachialis muscle discovered in our case, we hypothesize that it could have caused an atypical palpable mass in the medial brachial area, adjacent to the short head of the biceps brachii. Full article
(This article belongs to the Special Issue Clinical Anatomy Implications and Musculoskeletal Disorders)
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