IJAR.2019.265
Type of Article: Original Research
Volume 7; Issue 3.3 (September 2019)
Page No.: 6944-6951
DOI: https://dx.doi.org/10.16965/ijar.2019.265
SUTURAL BONES: A STUDY ON INCIDENCE, LATERALITY AND CO-RELATION WITH CEPHALIC INDEX IN DRY CRANIA OF EAST INDIAN ETHNICITY
Kalpana Purohit 1, Bharati Yadav *2.
1 Associate Professor, Department of Anatomy, Bhima Bhoi Medical College and Hospital, Bolangir, Odisha, India.
*2 Assistant Professor, Department of Anatomy, MES Medical College, Perinthalmanna, Kerala, India.
Corresponding author: Dr. Bharati Yadav, Assistant Professor, Department of Anatomy, MES Medical College, Perinthalmanna, Kerala, India. E-Mail: dr.bharatiyadav@gmail.com
ABSTRACT:
Background: Sutural bones are supranumary bones occurring along the sutures and completely surrounded by sutures of the skull. Their number, morphology and location in skull vary in skulls. The knowledge of these bones is imperative in surgery, medicolegal cases involving child abuse or fracture of skulls and for anthropologic identification of human populations. This study was undertaken to examine incidence and pattern of distribution of sutural bones in dry skulls from Eastern India and compare the findings with similar studies across the world.
Materials and Method: 180 dry crania were identified as male or female skulls and studied for the incidence and pattern of distribution of sutural bones. Also the Cephalic Index was measured for finding its correlation with the number of sutural bones appearing in a skull.
Results: 124 skulls were identified as male and 56 as female skulls. Overall incidence of sutural bone occurrence was found to be 72.28% which was essentially similar across sexes. The most common sites for sutural bones, in descending order of occurrence, were found to be parieto-occipital suture, asterion, pterion and lambda. Bregma was the least common site where no sutural bone was encountered. A highly statistically significant finding was in regard to laterality of sutural bone occurrence. Sutural bones occurring along coronal, parieto-temporal, parieto-mastoid, occipito-mastoid sutures and pterion exhibited more than 80% tendency towards unilateral occurrence while those occurring at asterion exhibited around 70% tendency towards unilateral occurrence. All these findings, although displayed variable degree of sexual dimorphism, were statistically insignificant for variation among sexes. No correlation between the number of sutural bones with cephalic index was found.
Conclusion: The findings of this study are in agreement with the findings of many similar suitably powered studies across the world.
KEY WORDS: Sutural bones, Cephalic Index, dry crania, parieto-occipital, aterion, pterion, lambda, parieto-temporal, parieto-mastoid, occipito-mastoid.
REFERENCES
- Standring S, Gray H, editors. Head and Neck – External Skulls. In: Gray’s anatomy: the anatomical basis of clinical practice. 40. ed., reprinted. Edinburgh: Churchill Livingstone Elsevier; 2009. p. 409–15.
- Scheuer L, Black SM. The Head, Neck and Dentition. In: Developmental juvenile osteology. San Diego, CA: Academic Press; 2000. p. 36–66.
- Kague E, Roy P, Asselin G, Hu G, Simonet J, Stanley A, et al. Osterix/Sp7 limits cranial bone initiation sites and is required for formation of sutures. Dev Biol. 2016 15;413(2):160–72.
- Cremin B, Goodman H, Spranger J, Beighton P. Wormian bones in osteogenesis imperfecta and other disorders. Skeletal Radiol. 1982;8(1):35–8.
- Marti B, Sirinelli D, Maurin L, Carpentier E. Wormian bones in a general paediatric population. Diagn Interv Imaging. 2013 Apr;94(4):428–32.
- Govsa F, Ozer MA, Bayraktaroglu S, Aktas EO. Anatomoradiological identification of intrasutural bones for importance of cranial fracture. Turk Neurosurg. 2014;24(3):357–62.
- Hanihara T, Ishida H. Frequency variations of discrete cranial traits in major human populations. I. Supernumerary ossicle variations. J Anat. 2001 Jun;198(Pt 6):689–706.
- Beck LA. Standards for data collection from human skeletal remains. Edited by Jane E. Buikstra and Douglas H. Ubelaker. 272 pp. Fayetteville: Arkansas Archeological Survey Research Series No. 44, 1994. $25.00 (paper). American Journal of Human Biology. 1995;7(5):672–672.
- Garson JG. The Cephalic Index. The Journal of the Anthropological Institute of Great Britain and Ireland.1887;16:11-17.
- Jeanty P, Silva SR, Turner C. Prenatal diagnosis of wormian bones. J Ultrasound Med. 2000 Dec;19(12):863–9.
- Pandya NK, Baldwin K, Kamath AF, Wenger DR, Hosalkar HS. Unexplained fractures: child abuse or bone disease? A systematic review. Clin Orthop Relat Res. 2011 Mar;469(3):805–12.
- Natekar PE, DeSouza FM, Natekar SP. Pterion: An anatomical variation and surgical landmark. Indian Journal of Otology. 2011 Apr 1;17(2):83.
- Ersoy M, Evliyaoglu C, Bozkurt MC, Konuskan B, Tekdemir I, Keskil IS. Epipteric bones in the pterion may be a surgical pitfall. Minim Invasive Neurosurg. 2003 Dec;46(6):363–5.
- Hauser G, DeStefano GF. Epigenetic variants of the human skull. Stuttgart: Schweizerbart’sche Verlagsbuchhandlung; 1989. 301 p.
- Bergman RA, editor. Skeletal systems: Cranium. In: Compendium of human anatomic variation: text, atlas, and world literature. Baltimore, Md: Urban & Schwarzenberg; 1988. p. 197–215.
- Masih W, Gupta S, E.Chand A, Jaiswal P, P.K. S. Incidence of wormian bones in human skulls in Rajasthan. Journal of Evolution of medical and Dental Sciences. 2013 Feb 27;2:1001–4.
- Murlimanju BV, Prabhu LV, Ashraf CM, Kumar C, Rai R, Maheshwari C. Morphological and topographical study of Wormian bones in cadaver dry skulls. Journal of Morphological Sciences. 2011 Jan 1;28:176–9.
- Patil M, Sheelavant S. Sexual dimorphism among the wormian bones in adult human skulls. Journal of Indian Academy of Forensic Medicine. 2012 Apr 1;34:124–7.
- Hanihara T, Ishida H. Frequency variations of discrete cranial traits in major human populations. I. Supernumerary ossicle variations. J Anat. 2001 Jun;198(Pt 6):689–706.
- Pal GP, Bhagwat SS, Routal RV. A study of sutural bones in Gujarati (Indian) crania. Anthropol Anz. 1986 Mar;44(1):67–76.
- Shivaleela C, Kumar GV, Malipatil SB, Sandhya K. Morphological study of wormian bones in dried human skulls. Research Journal of Pharmaceutical, Biological and Chemical Sciences. 2013 Apr 1;4:584–9.
- Sudha R, Sridevi C, Ezhilarasi M. Anatomical variations in the formation of pterion and asterion in South Indian population. International Journal of Current Research and Review. 2013;5(9):92–101.
- Saxena SK, Jain SP, Chowdhary DS. A comparative study of pterion formation and its variations in the skulls of Nigerians and Indians. Anthropol Anz. 1988 Mar;46(1):75–82.
- Gupta R, Nema U, S.H.H Z, Singh K Alok. Incidence of Bregmatic bone in north Indian Skulls. National Journal of Integrated Research in Medicine. 2013 Apr 30;4(2):79–81.
- Singh R. Incidence of Sutural Bones at Asterion in Adults Indians Skulls. International Journal of Morphology. 2012 Jan 1;30:1182–6.
- Khan AA, Asari MA, Hassan A. Unusual presence of Wormian (sutural) bones in human skulls. Folia Morphol (Warsz). 2011 Nov;70(4):291–4.
- Praba A, Venkatramaniah C. Morphometric Study of different types of Pterion and It’s relation with middle meningeal artery in dry skulls of Tamil Nadu. Journal of Pharmaceutical and Biomedical Sciences [Internet]. 02(08). Available from: http://www.jpbms.info/index.php?option=com_docman&task=doc_view&gid=503&ttmp=component&format=raw&Itemid=48
- Gümüsburun E, Sevim A, Katkici U, Adigüzel E, Güleç E. A study of sutural bones in Anatolian-Ottoman skulls. Int J Anthropol. 1997 Apr 1;12(2):43–8.
- Pal GP, Routal RV. A study of sutural bones in different morphological forms of skulls. Anthropol Anz. 1986 Jun;44(2):169–73.
- Sanchez-Lara PA, Graham JM, Hing AV, Lee J, Cunningham M. The morphogenesis of wormian bones: a study of craniosynostosis and purposeful cranial deformation. Am J Med Genet A. 2007 Dec 15;143A(24):3243–51.