Preview

Healthcare

Advanced search

Functional and structural features of fabella

Abstract

Objective. Conduct an analysis of literary data on the structural and functional features of the fabella. To study the shape, size and frequency of occurrence of the sesamoid bone in the population of the Republic of Belarus, depending on age and gender, to establish morphometric indicators of the fabella.

Materials and methods. The material for this study was data obtained from the study of ultrasound and radiographs in lateral projections of the knee joints in 224 patients aged 27 to 86 years.

Results. The study found that fabella occurs in 22,7 % of cases, with approximately the same frequency in men (51 %) and women (49 %). Unilateral location was more common on the left in 59 % of cases, on the right was observed in 41 % of cases. Bilateral position was noted in 4 % of cases.

The practical significance of the work is due to the fact that the fabella can be involved in various pathological conditions, such as fabella syndrome, chondromalacia, compression of the peroneal nerve, dislocation, and fabella fracture. The obtained data on the structural features of the osteoarticular and capsular-ligamentous apparatus of the knee joint play an important role in the doctor establishing the correct diagnosis and choosing the optimal tactics for further treatment of diagnosed diseases of the anatomical region being studied.

About the Authors

A. V. Kubeko
Белорусский государственный медицинский университет
Belarus


L. A. Davydova
Белорусский государственный медицинский университет
Belarus


A. P. Bespalchuk
Белорусский государственный медицинский университет
Belarus


References

1. Duncan W., Dahm D. L. Clinical anatomy of the fabella. Clin. Anat. 2003; 16 (9): 448—9.

2. Berthaume M. A., Federico Di E., Bull A. M. J. Fabella prevalence rate increases over 150 years, and rates of other sesamoid bones remain constant: a systematic review. J. Anat. 2019; 235 (Iss. 1): 67—79.

3. Gilev M. V. Anatomy of the knee joint: study. allowance. Ekaterinburg: Publishing house of USMU, 2016. 60 p. [(in Russian)]

4. Kapadzhi A. I., Jude T. Functional anatomy: in 3 volumes. M.: Ekmo; 2020. T. 2: Lower limb. Functional anatomy. 352 pp. [(in Russian)]

5. Raheem O., Philpott J., Ryan W., O´Brien M. Anatomical variations in the anatomy of the posterolateral corner of the knee. Knee Surg. Sports Traumatol. Arthrosc. 2007; 15 (Iss. 7): 895—900.

6. Dannawi Z., Khanduja V., Vemulapalli K. K. et al. Arthroscopic excision of the fabella. J. Knee of Surg. 2007; 20 (iss. 4): 299—301.

7. Tomokazu Kawashima, Hiroyuki Takeishi, Sayaka Yoshitomi et al. Anatomical study of the fabella, fabellar complex and its clinical implications. Surg. Radiol. Anat. 2007; 29 (Iss. 8): 611—6.

8. Seebacher J. R., Inglis A. E., Marshall J. L., Warren R. F. The structure of the posterolateral aspect of the knee. J. Bone Joint Surg. Am. 1982; 64 (4): 536—41.

9. Sagel, J. Sesamoid bone fracture: report of two cases. Am. J. Surg. 1932; 18: 507—9.

10. Zipple J. T., Hammer R. L., Loubert P. V. Treatment of fabella syndrome with manual therapy: a case report. J. Orthop. And Sports Phys. Ther. 2003; 33 (1): 33—9.

11. Provencher M. T., Sanchez G., B.S., Ferrari M. B. et al. Arthroscopy-Assisted Fabella Excision: Surgical Technique. Arthrosc. Tech. 2017; 6 (2): 369—74.

12. Nicolas J.A. Acute and chronic lateral instabilities of the knee: diagnosis, characteristics and treatment. AAOS Symposium on Reconstructive Surgery of the Knee, St. Louis, USA, May 1978 / ed. C.M. Evarts. St. Louis, 1978. P. 187— 206.

13. Muller W., Biedert R., Hefti F. et al. OAK knee evaluation. A new way to assess knee ligament injuries. Clin. Orthop. Relat. Res. 1988; 232: 37—50.

14. Sekiya J. K., Jacobson J. A., Wojtys E. M. Sonographic imaging of the posterolateral structures of the knee: findings in human cadavers. Arthroscopy. 2002; 18 (8): 872—81

15. Kim Y. C., Chung I. H., Yoo W. K. et al. Anatomy and magnetic resonance imaging of the posterolateral structures of the knee. Clin. Anat. 1997; 10 (iss. 6): 397—404.

16. Minowa T., Murakami G., Kura H. et al. Does the fabella contribute to the reinforcement of the posterolateral corner of the knee by inducing the development of associated ligaments. J. Orthop. Sci. 2004; 9 (iss. 1): 59—65.

17. Zazirny I. M., Rogozhkin V. A., Ternovoy N. K. Diagnostic value of magnetic resonance imaging in pathology of the knee joint. Traumatology and orthopedics of Russia. 2005. Special issue. [Materials of the VI Congress of the Russian Arthroscopic Society, St. Petersburg, September 14—17, 2005]. pp. 53—4. [(in Russian)]

18. McNally Youge. Ultrasound examinations of the musculoskeletal system: A practical guide. M.: Vidar Publishing House, 2007. 400 p. [(in Russian)]

19. Dyachkova G.V., Dyachkov K.A., Korabelnikov M.A. et al. The role of MRI and ultrasound in assessing the structures of the knee joint in intra-articular fractures. Orthopedic genius. 2013; 2:31-6. [(in Russian)]


Review

For citations:


Kubeko A.V., Davydova L.A., Bespalchuk A.P. Functional and structural features of fabella. Healthcare. 2024;(4):38-45. (In Russ.)

Views: 12


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1027-7218 (Print)