# Prevalence and morphometry of the fabella in cadaveric and radiological studies: Is there a link to knee osteoarthritis?

## TL;DR

This study examines the fabella bone in cadavers and X-rays to determine its prevalence and possible link to knee osteoarthritis.

## Contribution

Provides first morphometric data on the fabella in Turkish cadavers and evaluates its association with knee osteoarthritis.

## Key findings

- Fabella was detected in 18.4% of dissected knees with no sex-based morphometric differences.
- No significant association was found between fabella presence and knee osteoarthritis.
- Lateralization patterns of the fabella were similar in osteoarthritis patients and controls.

## Abstract

To investigate the morphometric features of the fabella in cadaveric specimens and evaluate its prevalence and potential association with knee osteoarthritis through radiological analysis.

In the cadaveric study, 65 knees from 32 cadavers and 3 leg specimens were dissected. Fabellas were measured and analyzed histologically. In the radiological study, bilateral knee X-rays of 1712 patients with osteoarthritis and 2304 control subjects were retrospectively reviewed. The presence and laterality of the fabella were recorded.

Fabella was detected in 18.4% of dissected knees. No significant sex-based differences were found in morphometric measurements (p > 0.05). In the radiological study, the overall prevalence was 36.5% (37.6% in patients, 35.7% in controls), with no statistically significant association between fabella presence and osteoarthritis (p > 0.05). Lateralization patterns did not differ between groups.

This study provides the first morphometric data on fabella in Turkish cadavers and suggests no significant relationship between fabella presence and knee osteoarthritis. While fabella is a common anatomical variant, its clinical relevance in osteoarthritis remains inconclusive, warranting further investigation.