open access

Vol 79, No 3 (2020)
ORIGINAL ARTICLES
Published online: 2019-11-15
Submitted: 2019-09-02
Accepted: 2019-10-21
Get Citation

Ossa Sesamoidea — prevalence of sesamoid bones in human hands

K. Dąbrowski, H. Stankiewicz-Jóźwicka, A. Kowalczyk, M. Markuszewski, B. Ciszek
DOI: 10.5603/FM.a2019.0123
·
Pubmed: 31750538
·
Folia Morphol 2020;79(3):570-575.

open access

Vol 79, No 3 (2020)
ORIGINAL ARTICLES
Published online: 2019-11-15
Submitted: 2019-09-02
Accepted: 2019-10-21

Abstract

Background: This study describes the morphology of sesamoid bones in the human hand. Ultrasound imaging was used to record the presence and measurements of sesamoids in 120 hands of 60 healthy, young adults of Caucasian ethnicity.

Materials and methods: The mean number of sesamoid bones was 4.16 in the left hand and 4.03 in the right hand. 21.6% of cases showed asymmetry between the right hand and the left. There was a significant difference in the prevalence of sesamoid bones between right and left hand in males in this study. Females show a higher incidence of sesamoid bones overall, but do not demonstrate a significant difference between the sides.

Results: Prevalence findings: Two in the 1st metacarpophalangeal joint (MCPJ) in 99.2% of cases, with 1 case of a single bone. One in the 2nd MCPJ in 43.3% of cases. One in the 5th MCPJ in 84.2% of cases. One in the 1st interphalangeal joint (IPJ) in 83.4% of cases. Aside from that there was 1 case of sesamoid in the 3rd MCPJ and separate case of sesamoid in the 3rd proximal IPJ.

Conclusions: Moreover, this study discusses discrepancies of opinion regarding sesamoid bones in morphological research.

Abstract

Background: This study describes the morphology of sesamoid bones in the human hand. Ultrasound imaging was used to record the presence and measurements of sesamoids in 120 hands of 60 healthy, young adults of Caucasian ethnicity.

Materials and methods: The mean number of sesamoid bones was 4.16 in the left hand and 4.03 in the right hand. 21.6% of cases showed asymmetry between the right hand and the left. There was a significant difference in the prevalence of sesamoid bones between right and left hand in males in this study. Females show a higher incidence of sesamoid bones overall, but do not demonstrate a significant difference between the sides.

Results: Prevalence findings: Two in the 1st metacarpophalangeal joint (MCPJ) in 99.2% of cases, with 1 case of a single bone. One in the 2nd MCPJ in 43.3% of cases. One in the 5th MCPJ in 84.2% of cases. One in the 1st interphalangeal joint (IPJ) in 83.4% of cases. Aside from that there was 1 case of sesamoid in the 3rd MCPJ and separate case of sesamoid in the 3rd proximal IPJ.

Conclusions: Moreover, this study discusses discrepancies of opinion regarding sesamoid bones in morphological research.

Get Citation

Keywords

sesamoids; palm; morphology; ultrasound; pattern

About this article
Title

Ossa Sesamoidea — prevalence of sesamoid bones in human hands

Journal

Folia Morphologica

Issue

Vol 79, No 3 (2020)

Pages

570-575

Published online

2019-11-15

DOI

10.5603/FM.a2019.0123

Pubmed

31750538

Bibliographic record

Folia Morphol 2020;79(3):570-575.

Keywords

sesamoids
palm
morphology
ultrasound
pattern

Authors

K. Dąbrowski
H. Stankiewicz-Jóźwicka
A. Kowalczyk
M. Markuszewski
B. Ciszek

References (23)
  1. Becciolini M, Bonacchi G. Fracture of the sesamoid bones of the thumb associated with volar plate injury: ultrasound diagnosis. J Ultrasound. 2015; 18(4): 395–398.
  2. Chen W, Cheng j, Sun R, et al. Prevalence and variation of sesamoid bones in the hand: a multi-center radiographic study. Int J Clin Exp Med. 2015; 8(7): 11721–11726.
  3. Dauwe J, Van der Cruyssen F, De Smet L, et al. Case report: Oblique fracture of the ulnar sesamoid bone of the metacarpophalangeal joint, a rare pathology. J Orthop Case Rep. 2017; 7(2): 29–32.
  4. Egerci OF, Kose O, Turan A, et al. Prevalence and distribution of the fabella: a radiographic study in Turkish subjects. Folia Morphol. 2017; 76(3): 478–483.
  5. Jin ZW, Shibata S, Abe H, et al. A new insight into the fabella at knee: the foetal development and evolution. Folia Morphol. 2017; 76(1): 87–93.
  6. Jones FW. The principles of Anatomy as seen in hand. 2nd ed. Bailliere Tindall and Cox 1994.
  7. Koo BS, Song Y, Lee S, et al. Prevalence and distribution of sesamoid bones and accessory ossicles of the foot as determined by digital tomosynthesis. Clin Anat. 2017; 30(8): 1072–1076.
  8. Kose O, Guler F, Turan A, et al. Prevalence and distribution of sesamoid bones of the hand: a radiographic study in turkish subjects. Int J Morphol. 2012; 30(3): 1094–1099.
  9. Koo BS, Song Y, Sung YK, et al. Prevalence and distribution of sesamoid bones in the hand determined using digital tomosynthesis. Clin Anat. 2017; 30(5): 608–613.
  10. Ozcanli H, Sekerci R, Keles N. Sesamoid disorders of the hand. J Hand Surg Am. 2015; 40(6): 1231–1232.
  11. Rosengarten E. Occurence of Sesamoid bones in the hands of the Polish population. Folia Morphol. 1967: 2.
  12. Samuels ME, Regnault S, Hutchinson JR. Evolution of the patellar sesamoid bone in mammals. PeerJ. 2017; 5: e3103.
  13. Seki Y, Hoshino Y, Kuroda H. Prevalence of sesamoid bones in the interphalangeal joint of the thumb and fingers: a radiographic study. Clin Anat. 2013; 26(7): 823–826.
  14. Seki Y, Hoshino Y, Kuroda H. Locking of the ring finger at proximal interphalangeal joint due to a sesamoid bone: a case report. Hand (N Y). 2012; 7(1): 119–120.
  15. Sokołowska-Pituchowa J, Miaśkiewicz C. Studies on the Sesamoid bones in the hands of Men. Folia Morphol. 1965: 2.
  16. Sokolowska-Pituchowa J, Miaśkiewicz C. [Studies on the sesamoid bones of the hands in women]. Folia Morphol. 1967; 26(1): 25–32.
  17. Sokołowska-Pituchowa J, Miaśkiewicz C. The Sesamoid bones in Negros. Folia Morphol. 1969: 2.
  18. Szmurlo J, Szwaykowski W, Olczak A. Time of appearance of the ossification centre in the metacarpophalangeal sesamoid bone of the thumb in girls during puberty. Folia Morphol. 1975; 34(3): 259–265.
  19. Ting Lam GY, Chow E, Ng B, et al. Distribution of sesamoid bones in the hand — a study in the Chinese population. J Orthop Trauma Rehab. 2017; 23: 45–48.
  20. Vargas A, Chiapas-Gasca K, Hernández-Díaz C, et al. Clinical anatomy of the hand. Reumatol Clin. 2012; 8 Suppl 2: 25–32.
  21. Versalis A., De Humani Corporis Fabrica Libri Septem - An annotated translation of 1542 and 1555 editions, Garrison DH., Hast MH., Karger 2014.
  22. Yammine K. The prevalence of the sesamoid bones of the hand: a systematic review and meta-analysis. Clin Anat. 2014; 27(8): 1291–1303.
  23. Yune S, Lee H, Kim M, et al. Beyond human perception: sexual dimorphism in hand and wrist radiographs is discernible by a deep learning model. J Digit Imaging. 2019; 32(4): 665–671.

Important: This website uses cookies. More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

By  "Via Medica sp. z o.o." sp.k., Świętokrzyska 73, 80–180 Gdańsk, Poland

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail:  viamedica@viamedica.pl