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المؤلفKalbouneh, Heba
المؤلفAlajoulin, Omar
المؤلفShawaqfeh, Jamil
المؤلفMustafa, Ayman
المؤلفJaber, Shehab
المؤلفZaben, Shaima’
المؤلفZapen, Ja’Far
المؤلفAlsalem, Mohammad
تاريخ الإتاحة2023-10-15T10:58:33Z
تاريخ النشر2021-10-29
اسم المنشورMedicina (Lithuania)
المعرّفhttp://dx.doi.org/10.3390/medicina57111178
الاقتباسKalbouneh, H., Alajoulin, O., Shawaqfeh, J., Mustafa, A., Jaber, S., Zaben, S., ... & Alsalem, M. (2021). Accessory ossicles in the region of the foot and ankle: An epidemiologic survey in a Jordanian population. Medicina, 57(11), 1178.
الرقم المعياري الدولي للكتاب1010-660X
معرّف المصادر الموحدhttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85118632212&origin=inward
معرّف المصادر الموحدhttp://hdl.handle.net/10576/48506
الملخصBackground and Objectives: The incidence of accessory bones in the region of foot and ankle is quite variable between studies and are often confused with avulsion fractures in trauma patients with musculoskeletal injuries. The aim of this study was to assess the incidence of accessory ossicles of the foot and ankle according to gender, side and coexistence, and to determine how frequently accessory ossicles were misdiagnosed as avulsion fractures. Materials and Methods: Oblique and/or lateral foot radiographs of 1000 adult patients referred from emergency departments to foot and ankle clinic were retrospectively reviewed for the presence of accessory ossicles. The Kappa statistic was used in order to assess the validity of radiographic interpretation for the presence of these bones. Results: Accessory ossicles were detected in 40.2% of the radiographs. The incidence rates for the accessory ossicles in order of frequency were: Os trigonum (15.4%), accessory navicular (13.7%), os peroneum (11.5%), os vesalianum (1.1%), os supranaviculare (0.7%), os subfibulare (0.6%), os talotibiale (0.4%), os calcaneus secundarius (0.3%), os supratalare (0.3%), os infranaviculare (0.3%), os intermetatarseum (0.2%), and os subtibiale (0.1%). Coexistence of two or three ossicles in the same foot was observed in 4.4% of the cases, mostly coexistence with os peroneum (2.9%), followed by accessory navicular (1.6%). 2.7% of accessory ossicles were initially misdiagnosed as avulsion fractures at emergency departments. Interrater agreement over identification of different accessory ossicles was found to be reasonably reliable, with a Kappa greater than 0.80 for all assessed bones. Conclusions: In clinical practice, a thorough knowledge of normal anatomical variants is essential to facilitate appropriate diagnosis and treatment and can help to prevent diagnostic errors.
اللغةen
الناشرMultidisciplinary Digital Publishing Institute (MDPI)
الموضوعAccessory ossicle
Anatomy
Ankle
Foot radiology
Incidence
Jordanians
العنوانAccessory ossicles in the region of the foot and ankle: An epidemiologic survey in a jordanian population
النوعArticle
رقم العدد11
رقم المجلد57
ESSN1648-9144
dc.accessType Open Access


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