A survey of anatomical items relevant to the practice of rheumatology: upper extremity, head, neck, spine, and general concepts

Villaseñor-Ovies, Pablo; Navarro‐Zarza, José Eduardo; Saavedra, Miguel Ángel; Hernández‐Díaz, Cristina; Canoso, Juan J.; Biundo, Joseph J.; Kalish, Robert A.; Toro, Javier de; McGonagle, Dennis; Carette, Simon; Álvarez-Nemegyei, José

doi:10.1007/s10067-016-3378-7

Cited by 4 publications

(4 citation statements)

References 12 publications

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“…One is the flat dorsal distal head of the radius, and the other is the dorsal tubercle of the radius, located distally on the flat surface of the radius adjacent to the radiocarpal joint. Identifying the dorsal tubercle of the radius was emphasized in a Delphi study of anatomical structures useful to rheumatologists [ 17 ]. Pantukosit’s fascinating report [ 8 ] observed that all but one of 30 FIS cases occurred on the dominant side, and most of the patients were rice farmers who performed repetitive, forceful wrist movements.…”

Section: Discussionmentioning

confidence: 99%

Examining the Forearm Intersection through Palpation and Ultrasonography

Naredo,

Murillo-González,

Mérida Velasco

et al. 2024

Diagnostics

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Background: Forearm intersection syndrome causes pain, swelling, and a rub at the dorsal distal forearm where the first extensor compartment muscles intersect with the second compartment tendons. Although primary care settings tend to treat mild cases, high-performance athletes may suffer from severe symptoms that require surgery. This proof-of-concept study aims to help detect the anatomical substrate of forearm intersection syndrome using palpation and ultrasonography when available. Methods: Five individuals were studied using independent palpation and ultrasonography to identify the first dorsal compartment muscles and the second dorsal compartment tendons. The distances between the dorsal (Lister’s) tubercle of the radius and the ulnar and radial edges of the first dorsal compartment muscles were measured to determine the location and extent of the muscle–tendon intersection. The palpatory and ultrasonographic measurements were compared using descriptive statistics and the paired t-test. Results: The mean distances from the dorsal tubercle of the radius to the ulnar and radial borders of the first dorsal compartment muscles were 4.0 cm (SE 0.42) and 7.7 cm (SE 0.56), respectively, based on palpation. By ultrasonography, the corresponding distances were 3.5 cm (SD 1.05, SE 0.47) and 7.0 cm (SD 1.41, SE 0.63). Both methods showed a similar overlap length. However, ultrasonography revealed a shorter distance between the dorsal tubercle of the radius and the ulnar border of the first compartment than palpation (p = 0.0249). Conclusions: Our findings indicate that a basic knowledge of anatomy should help health professionals diagnose forearm intersection syndrome through palpation and, if available, ultrasonography.

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Section: Discussionmentioning

confidence: 99%

Examining the Forearm Intersection through Palpation and Ultrasonography

Naredo,

Murillo-González,

Mérida Velasco

et al. 2024

Diagnostics

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“…The strengths and limitations of our survey methodology were discussed in our previous paper that dealt with the upper extremity and spine [3]. Briefly, one strength includes the individual contribution and then the merging of items by all members of our group.…”

Section: Discussionmentioning

confidence: 99%

“…The combined list contained 470 items: 137 (29.15%) pelvis and hip items, 82 (17.45%) knee items, 168 (35.74%) ankle and foot items, 68 (14.46%) neurologic items, and 15 gait items (3.20%). This master list was sent to the same GMAC and international experts that participated in the initial study [3], via a oneround, web-supported Delphi survey (SurveyMonkey Inc., Palo Alto, CA, USA). The international experts were from Boston (RAK) and New Orleans (JB), USA; La Coruña (FJTS), Spain; Leeds (DMcG), UK; and Toronto (SC), Canada.…”

Section: Methodsmentioning

confidence: 99%

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A survey of anatomical items relevant to the practice of rheumatology: pelvis, lower extremity, and gait

et al. 2017

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This study aimed to generate a minimum list of structural and functional anatomical items about the pelvis/hip, knee, ankle/foot, gait, and lower limb innervation, which are most relevant to the practice of rheumatology. To determine their perceived relevance to clinical practice, seven members of the Mexican Clinical Anatomy Task Force compiled an initial list of 470 anatomical items. Ten local and international experts according to a 0-10 Likert scale ranked these items. Of the original list, 101 (21.48%) items were considered relevant (global rate >40). These included 36/137 (26.27%) pelvis and hip items, 25/82 (30.48%) knee items, 22/168 (13.98%) ankle/foot items, 11/68 (16.17%) neurologic items, and 7/15 (46.66%) gait-related items. We propose that these 101 anatomical items of the lower extremity, when added to the 115 anatomic items of the upper extremity and spine we previously reported, may represent an approximation to the minimal anatomical knowledge central to the competent practice of rheumatology. The meager representation of ankle and foot items may reflect a lesser emphasis in these anatomical regions during rheumatologic training. Attention to these and related items during rheumatologic training and beyond may sharpen the rheumatologist's ability in the differential diagnosis of regional pain syndromes as well as strengthen an endangered art: the rheumatologic physical examination.

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