It matters how widespread it is because humans have limited time and resources to solve problems. If these conditions only exist in 0.001% of installs, is it worth the man hours to fix it? Alpine may think not, because like others have mentioned, there are likely other higher probability vulnerabilities being exposed in order to meet the conditions for this to even matter. A judgement call can (and clearly has?) be made to prioritize other work.

The good news is that considering Alpine is open-source, you can be the one to make the judgement call that it is worth fixing and go out there and fix it ;)