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6 Fabella: more common than it once was, M. A. Berthaume et al.

Table 2. (continued)

Author Year Source Method Country No. of knees No. of fabellae Reported prevalence rate (*100) Adjusted rate (*100)


Zeng et al. 2012 28 X-ray South Africa 146 22 015.07 015.07
Kato et al. 2012 29 X-ray Macedonia 60 8 013.33 013.33
Tabira et al. 2012 30 Anatomical Japan 150 122 081.33 081.33
Dodevski et al. 2012 31 Anatomical Thailand 372 144 038.71 038.71
Damon 2012 32 Anatomical Japan 102 70 068.63 068.63
Piyawinijwong et al. 2012 33 Anatomical China 61 53m 086.89 086.89
Chew et al.n 2014 34 X-ray Asians 00 00
Chew et al.n 2014 34 MRI Asians 00 00
Hauser et al. 2015 35 Anatomical Central Europe 400 105 026.25 026.25
Upasna et al. 2016 36 Anatomical India 40 5 012.5 012.5
Mohite et al. 2016 37 Anatomical Indian 60 8 013.33 013.33
Jin et al. 2017 38 X-ray Turkey 1000 190 019 019
Ghimire et al. 2017 39 X-ray Nepal 155 19 012.26 012.26
Hedderwick et al. 2017 40 MRI New Zealand 25 14 056 056
Hedderwick et al. 2017 40 Anatomical New Zealand 28 8 028.57 028.57
Egerci et al. 2017 41 Anatomical Japan 16 9 056.25 056.25
Corvalan et al. 2018 42 Anatomical Australia 111 63 056.76 056.76
Ortega & Olave 2018 43 X-ray Chile 400 125 031.25 031.25
Tatagari et al. 2018 44 Anatomical USA 182 52 028.57 028.57
This study 2018 CT scans Korea 212 94 044.34 044.34
  • a Location: Alsace: Germany at the time, now France.
  • b 67/529 individuals had fabellae.
  • c Estimated 72 fabellae based on an prevalence rate of 17.6%.
  • d Estimated 145 fabellae based on an prevalence rate of 14.5%.
  • e When translated from characters, the spelling could be Ooi or Oi.
  • f Reported location was Aino, taken from Hessen (1946).
  • g Reported location was Hokuriku-Japaner.
  • h Estimated 83 fabellae based on an prevalence rate of 28.42%.
  • i Hessen had 96. Sutro had 81 patients with at least one fabella. 106 patients had roentgenograms of both knees, 16 were bilateral. Therefore, there are 97 fabellae in total.
  • j 11/31 individuals had fabellae.
  • k Estimated 18 fabellae based on an prevalence rate of 27%.
  • l Reports on fabellae in medial head – ignored here, as it is unusually high, particularly given the lack of medial fabellae in other studies.
  • m Reports a couple of medial fabellae – not possible to tease them out, prevalence rate may be too high.
  • n Prevalence rate of 31.25% (25/80) for individual. Unknown if one or two knees were inspected per individual.
  • Sources: 1Hessen, 1946; 2Parsons & Keith, 1897; 3Pancoast, 1909; 4Loth, 1931; 5Yano, 1928; 6Kaneko, 1966; 7Bircher & Oberholzer, 1934; 8Sutro et al. 1935; 9Lungmuss, 1954; 10Schönbauer, 1956; 11Kojima, 1958; 12Falk, 1963; 13Johnson & Brogdon, 1982; 14Miaskieqicz & Partyka 1934; 15Sudasna & Harnsiriwattanagit, 1990; 16Chihlas et al. 1993; 17Hagihara et al. 1993; 18Terry & LaPrade, 1996; 19Yu et al. 1996; 20De Maeseneer et al. 2001; 21Munshi et al. 2003; 22Minowa et al. 2004; 23Kawashima et al. 2007; 24Raheem et al. 2007; 25Lencina, 2007; 26Silva et al. 2010; 27Phukubye & Oyedele, 2011; 28Zeng et al. 2012; 29Kato et al. 2012; 30Tabira et al. 2012; 31Dodevski et al. 2012; 32Damon, 2012; 33Piyawinijwong et al. 2012; 34Chew et al. 2014; 35Hauser et al. 2015; 36Upasna et al. 2016; 37Mohite et al. 2016; 38Jin et al. 2017; 39Ghimire et al. 2017; 40Hedderwick et al. 2017; 41Egerci et al. 2017; 42Corvalan et al. 2018; 43Ortega & Olave, 2018; 44Tatagari et al. 2018.


50 years old were no more or less likely to have a fabella than were individuals > 50 years old (younger = 23/94, older = 35/118, v2 = 0.7099, P = 4448).

In this study, fabellae ranged in size from small (just a few pixels) to large (Fig. 1). In general, fabellae did not appear to articulate with the lateral femoral condyle. However, the CT scans were acquired postmortem, and soft tissues were severely deformed in most individuals, making it possible that some fabellae would have articulated with the condyle in life but were separated in death. Some large fabellae were still articulated with the posterior surface of the lateral femoral condyle, the most drastic of which was observed in female 005 (Fig. 2), which shows a large articulating surface in the femur.

Systematic review

Our searches revealed 2631 abstracts on fabella prevalence rates between 1875 and 2018, written in seven languages (English, German, French, Spanish, Italian, Japanese, and

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