Vol 80, No 2 (2021)
Original article
Published online: 2020-06-08

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Morphology of sesamoid bones in keyboard musicians

K. P. Dąbrowski1, H. Stankiewicz-Jóźwicka2, A. Kowalczyk1, J. Wróblewski2, B. Ciszek13
Pubmed: 32639576
Folia Morphol 2021;80(2):410-414.

Abstract

Background: The sesamoid bones are small, usually oval bone structures often found in joints and under the tendons. Although their precise function is not fully understood, it is agreed upon that they protect the joints and make movements faster and less energy consuming. Sesamoid bones are found in hands, especially around first, second and fifth metacarpophalangeal joint and the interphalangeal joint of the thumb. Materials and methods: This study compares a group of 32 young musicians to 30 non-musicians of similar age and posture. The hands of the subjects were examined by ultrasound imaging for the presence of sesamoid bones. The results were noted and observed sesamoids were measured. Results: The results seem to prove that although there are no difference in the amount or the location of the sesamoid bones between the musicians and the non-musicians, there is statistically significant tendency for the musicians to have bigger sum of the sesamoid’s volume per hand (Fisher’s test p-value = 0.034 < 0.05). Conclusions: There was also observed an unusually shaped “Bactrian” sesamoid bone at the interphalangeal joint of the thumb in 8 cases in the musicians’ group and 1 case in the control group. All participants with the aforementioned structure were female.

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References

  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. , ;8(7):-. Int J Clin Exp Med. 2015; 8(7): 11721–11726.
  3. Dąbrowski K, Stankiewicz-Jóźwicka H, Kowalczyk A, et al. Ossa Sesamoidea - prevalence of sesamoid bones in human hands. Folia Morphol. 2019 [Epub ahead of print].
  4. Donison C. Hand Size vs the Standard Piano Keyboard. Med Problems Performing Artists. 2000; 15(3): 111–114.
  5. 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.
  6. 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.
  7. Jones FW. The principles of Anatomy as seen in hand. 2nd ed. Bailliere Tindall and Cox 1944.
  8. 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.
  9. 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.
  10. Kwon HH, Koo BS, Song Y, et al. AB1028 Prevalence and distribution of sesamoid bones in the hand determined using digital tomosynthesis. Abstracts Accepted for Publication. Clinical Anatomy. 2017; 30(5): 608–613.
  11. Miller G, Peck F, Watson J. Pain disorders and variations in upper limb morphology in music students. Med Problems Performing Artists. 2002; 17(4): 169–172.
  12. Ozcanli H, Sekerci R, Keles N. Sesamoid disorders of the hand. J Hand Surg Am. 2015; 40(6): 1231–1232.
  13. Rosengarten E. Occurence of Sesamoid bones in the hands of the Polish population. Folia Morphol. 1967; XXVI: 2.
  14. Sakai N. Keyboard span in old musical instruments: concerning hand span and overuse problems in pianists. Med Problems Performing Artists. 2008; 23(4): 169–171.
  15. Sang-Hie L. Hand biomechanics in skilled pianists playing a scale in thirds. Med Problems Performing Artists. 2010; 25(4): 167–174.
  16. Sang-Hie L. Pianists’ hand ergonomics and touch control. Med Problems Performing Artists. 1990; 5: 72–78.
  17. 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.
  18. 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.
  19. Sokołowska-Pituchowa J, Miaśkiewicz C. The Sesamoid bones in Negros. Folia Morphol. 1969; XXVIII: 2.
  20. Sokołowska-Pituchowa J, Miaśkiewicz C. Studies on the Sesamoid bones in the hands of women. Folia Morphol. 1967; XXVI: 1.
  21. Szmurło 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; XXXIV(3): 259–265.
  22. Ting L, San C, Ben Ng, et al. Distribution of sesamoid bones in the hand: a study in the Chinese population. J Orthopaedics Trauma Rehabilitation. 2017; 23(1): 45–48.
  23. Versalis A, De HuA, Garrison DH. De Humani Corporis Fabrica Libri Septem - An annotated translation of 1542 and 1555 editions. Garrison DH., Hast MH., Karger 2014.
  24. Wristen BG, Jung MC, Wismer A, et al. Assessment of muscle activity and joint angles in small-handed pianists: a pilot study on the 7/8-sized keyboard versus the full-sized keyboard. Med Problems Performing Artists. 2006; 21(1): 3–9.
  25. Yammine K. The prevalence of the sesamoid bones of the hand: a systematic review and meta-analysis. Clin Anat. 2014; 27(8): 1291–1303.