2019
DOI: 10.1111/joa.12994
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Fabella prevalence rate increases over 150 years, and rates of other sesamoid bones remain constant: a systematic review

Abstract: The fabella is a sesamoid bone located behind the lateral femoral condyle. It is common in non‐human mammals, but the prevalence rates in humans vary from 3 to 87%. Here, we calculate the prevalence of the fabella in a Korean population and investigate possible temporal shifts in prevalence rate. A total of 52.83% of our individuals and 44.34% of our knees had fabellae detectable by computed tomography scanning. Men and women were equally likely to have a fabella, and bilateral cases (67.86%) were more common … Show more

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Cited by 41 publications
(60 citation statements)
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References 94 publications
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“…Similar to the increase in the prevalence of persistent median arteries of the forearms, the prevalence of other anatomical features such as spina bifida occulta Solomon et al, 2009;Lee et al, 2010), tarsal coalitions (Solomon et al, 2003) and fabella (Berthaume et al, 2019) has increased over the last 2-3 centuries. Evidence indicates that changes in the natural selection pressures acting on these specific anatomical features could have caused microevolutionary processes, leading to the observed increases in prevalence rates (Henneberg and Henneberg 1999;Solomon et al, 2009;Lee et al, 2010;Rühli and Henneberg, 2013;Berthaume et al, 2019).…”
Section: Rodriguezmentioning
confidence: 85%
“…Similar to the increase in the prevalence of persistent median arteries of the forearms, the prevalence of other anatomical features such as spina bifida occulta Solomon et al, 2009;Lee et al, 2010), tarsal coalitions (Solomon et al, 2003) and fabella (Berthaume et al, 2019) has increased over the last 2-3 centuries. Evidence indicates that changes in the natural selection pressures acting on these specific anatomical features could have caused microevolutionary processes, leading to the observed increases in prevalence rates (Henneberg and Henneberg 1999;Solomon et al, 2009;Lee et al, 2010;Rühli and Henneberg, 2013;Berthaume et al, 2019).…”
Section: Rodriguezmentioning
confidence: 85%
“…A recent review (Berthaume et al, ) on the prevalence rate of the fabella in humans, revealed fascinating insights. They highlight that although the presence/absence of the fabella is due to a combination of genetic and environmental determinants, the increased prevalence rate recorded during the last 150 years is likely to be due to environmental factors.…”
Section: Sesamoids In Veterinary and Human Medicinementioning
confidence: 99%
“…However, the enormous amount of research published about them over more than a century tells another story. Sesamoids have been intensively studied in the context of clinical research, producing an extensive literature (Gruber, ; Pfitzner, ; Müller, ; Pires de Lima, ; Skillern, ; Bizarro, ; Gunn, ; Kewenter, ; Sindberg, ; Stener, ; Scapinelli, , , ; Ellis et al, ; Helal, ; Weiner & Macnab, ; Wood, ; Hansen & Peterson, ; Goldberg & Nathan, ; Le Minor, , , , ; McBryde Jr & Anderson, ; Gibeault et al, ; Bianchi et al, ; Lennox et al, ; Bareither, Muehleman & Feldman, ; Richardson, ; Duncan & Dahm, ; Mellado et al, ; Feller et al, ; Griffith et al, ; Bakerly & Saleh, ; Seki, Hoshino & Kuroda, ; Chen et al, ; Hauser et al, ; DeCamp & Schaefer, ; Tzatzairis et al, ; Vaz & Trippia, ; Yammine, ; Dalip, Iwanaga & Oskouian, ; Berthaume, Di Federico & Bull, , among many others). This represents an enormous and continued interest over time.…”
Section: Introductionmentioning
confidence: 99%
“…Sarin et al (1999) examined the incidence of two sesamoids (the fabella and os peroneum) in primates, finding intra-species variation in the occurrence of the former sesamoid (vs. quasi-constancy of the latter), and inferring a decline in its incidence along the primate stem lineage and then secondary increase in Homo. Berthaume et al (2019) then found remarkable increases in the ossification of the fabella over the past 150 years in human populations, attributing this to improved health and nutrition favouring larger body sizes and thus increased mechanical stimuli.…”
Section: Discussionmentioning
confidence: 99%