Our aim was to assess the anatomic localization, dimensions and incidence of the transverse and meniscofemoral ligaments, which can show anatomic variations or be mistaken for some pathologic conditions. In 100 healthy subjects (52 female, 48 male) whose ages ranged from 12 to 84 years, sagittal and coronal magnetic resonance images of the knee were obtained. There was at least one anterior or posterior meniscofemoral ligament in 82 cases. The anterior meniscofemoral ligament was present in 8 of the female and 4 of the male subjects. The posterior meniscofemoral ligament was found in 20 female and 22 male subjects. Both the anterior and posterior meniscofemoral ligaments were present in 15 female and 13 male subjects. The transverse ligament of knee was encountered in 19 female and 12 male subjects. In the females, average lengths of the anterior and posterior meniscofemoral ligaments were 9.87 +/- 4.79 mm and 25.60 +/- 5.50 mm, respectively. The corresponding values in the males were 11.11 +/- 2.57 mm and 28.80 +/- 5.49 mm, respectively. In the females, average width of the anterior and posterior meniscofemoral ligaments were 2.45 +/- 1.02 mm and 2.30 +/- 1.15 mm, respectively. The corresponding values in the males were 2.52 +/- 0.87 mm and 2.30 +/- 1.15 mm, respectively. On MRI assessment, in order to differentiate intra-articular lesions such as osteochondral and meniscal fragments or pseudotear of the lateral meniscus from the normal ligamentous anatomy of knee, the orientation and characteristic localization of the meniscofemoral ligaments should be taken into account. The French version of this article is available in the form of electronic supplementary material and can be obtained by using the Springer LINK server located at http://dx.doi.org/10.1007/s00276-002-0023-8.
Objectives: To examine the craniofacial morphologic features of children with celiac disease and to investigate the presence of specific features in this disease. Methods: Totally 100 celiac patients between the ages of 3 and 17 years who were diagnosed with celiac disease by biopsy and 100 healthy age-and sex-matched children were included in the study. Photographs of the children were taken using a SLR digital camera by one and the same person at a natural head position. The parameters specified on the photograph were measured with ImageJ 1.50b software. Twenty eight landmarks were identified on the photos. Using these landmarks, 41 distances and 5 angles were measured. Thirty eight anthropometric ratios were calculated. Results: Twenty seven distances, 1 angle and 9 ratios were determined shorter; 3 distances, 2 angles and 7 ratios were determined larger in patients with celiac disease compared with the healthy individuals. These differences were statistically significant. Conclusions: There were significant alterations in some craniofacial morphometric parameters in children with celiac disease when compared with healthy controls. However, since the data is limited, a clear conclusion could not be achieved about a morphological feature directly associated with celiac disease in children. Further prospective studies with longer follow-up periods are warranted to determine the effects of celiac disease on craniofacial morphological measurements.
Anomalies of the coronary artery are often asymptomatic and uncommon. We report an extremely rare coronary artery anomaly, a double right coronary artery. A 50-year-old male patient was hospitalized with the diagnosis of unstable angina pectoris. Right coronary artery (RCA) injection showed filling of two separately originating RCAs, coursing towards the right atrio-ventricular groove. Then they give a marginal branch and a septal artery, terminated by giving off the posterior descending artery (PDA) in posterior interventricular groove. Coronary anomalies should be recognized to avoid problems during coronary intervention and cardiac surgery.
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