1
|
Carman L, Besier T, Stott NS, Choisne J. Sex differences in linear bone measurements occur following puberty but do not influence femoral or tibial torsion. Sci Rep 2023; 13:11733. [PMID: 37474546 PMCID: PMC10359265 DOI: 10.1038/s41598-023-38783-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2023] [Accepted: 07/14/2023] [Indexed: 07/22/2023] Open
Abstract
Torsional, angular, and linear measurements in a paediatric population are clinically important but not well defined and understood. Different methods of measurement and discrepancies between assessors leads to a lack of understanding of what should be defined as typical or atypical for the growing skeleton. From a large dataset of 333 paediatric CT scans, we extracted three-dimensional torsional, angular, and linear measurements from the pelvis, femur, and tibia/fibula. Sex differences in linear measurements were observed in bones of children aged 13+ (around puberty), but femoral and tibial torsion were similar between males and females. The rotational profile (femoral anteversion minus tibial torsion) tended to increase with growth. Epicondylar, condylar, and malleolar widths were smaller in females than males for the same bone length after the age of 13 years, which could explain why females may be more at risk for sport injuries during adolescence. This rich dataset can be used as an atlas for researchers and clinicians to understand typical development of critical rotational profiles and linear bone measurements in children.
Collapse
Affiliation(s)
- Laura Carman
- Auckland Bioengineering Institute, The University of Auckland, Auckland, New Zealand
| | - Thor Besier
- Auckland Bioengineering Institute, The University of Auckland, Auckland, New Zealand
- Department of Engineering Science, The University of Auckland, Auckland, New Zealand
| | - N Susan Stott
- Department of Surgery, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand
| | - Julie Choisne
- Auckland Bioengineering Institute, The University of Auckland, Auckland, New Zealand.
| |
Collapse
|
2
|
Vuillemin N, Meier MK, Moosmann AM, Siebenrock KA, Steppacher SD. Retrotilt of the Pelvis During Periacetabular Osteotomy: How to Avoid a Systematic Error Resulting in Acetabular Retroversion and Possible Femoroacetabular Impingement. Am J Sports Med 2023; 51:1224-1233. [PMID: 36876866 DOI: 10.1177/03635465231155201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 03/07/2023]
Abstract
BACKGROUND Pelvic tilt directly influences acetabular version on radiographs. Changes of pelvic tilt potentially affect acetabular reorientation after periacetabular osteotomy (PAO). PURPOSE (1) To compare the ratio of the pubic symphysis height to the sacroiliac width (PS-SI) between hips with dysplasia and acetabular retroversion, uni- and bilateral PAO, and male and female patients. (2) To evaluate pelvic tilt (quantified using the PS-SI ratio) in patients after PAO by tracking it from preoperative to intra- and postoperative and short- and middle-term follow-up. STUDY DESIGN Case series; Level of evidence, 4. METHODS A retrospective and radiographic study was conducted evaluating pelvic tilt in 124 patients (139 hips) with dysplasia and 46 patients (57 hips) with acetabular retroversion who were undergoing PAO (January 2005-December 2019). Patients were excluded if they had insufficient radiographic data, previous or concomitant hip surgery, posttraumatic or pediatric deformities, or combined dysplasia and retroversion (90 patients, 95 hips). Dysplasia was defined as a lateral center-edge angle <23°; retroversion was defined by simultaneous appearance of a retroversion index 30% and positive ischial spine and posterior wall signs. Anteroposterior pelvic radiographs were taken in the supine position preoperatively, during PAO, postoperatively, and at short- and middle-term follow-up (mean ± SD [range]; 9 ± 3 weeks [5-23 weeks] and 21 ± 21 weeks [6-125 months]). The PS-SI ratio was calculated at 5 observation periods (preoperatively to middle-term follow-up) for different subgroups (dysplasia vs retroversion, uni- vs bilateral surgery, male vs female) and validated with intra- and interobserver agreement (intraclass correlation coefficients, 0.984 (95%CI, 0.976-0.989) and 0.991 (95% CI, 0.987-0.994), respectively). RESULTS The PS-SI ratio differed between dysplasia and retroversion at all observation periods (P = .041 to P < .001). Male dysplastic hips had a lower PS-SI ratio when compared with female dysplastic hips at all observation periods (P < .001 to P = .005). In hips with acetabular retroversion, the PS-SI ratio was lower in men than women at short- and middle-term follow-up (P = .024 and .003). No difference was found between uni- and bilateral surgery (P = .306 to P = .905) except for short-term follow-up in dysplasia (P = .040). The PS-SI ratio decreased in all subgroups preoperatively to intra- or postoperatively (P < .001 to P = .031). At short- and middle-term follow-up, the PS-SI ratio increased as compared with intraoperatively (P < .001 to P = .044) and did not differ from preoperatively in all subgroups (P = .370 to P = .795). CONCLUSION A lower PS-SI ratio was found for male or dysplastic hips. In all subgroups, the PS-SI ratio decreased during surgery, indicating retrotilt of the pelvis. Correct pelvic orientation during surgery is crucial for accurate acetabular reorientation. Retrotilt during surgery results in underestimation of acetabular version and iatrogenic retroversion of the acetabulum at follow-up, with the pelvis in the correct and more forward-tilted orientation. Not taking into account retrotilt during PAO potentially results in femoroacetabular impingement. Therefore, we changed our intraoperative setting with adjustment of the central beam to compensate for retrotilt of the pelvis.
Collapse
Affiliation(s)
- Nicolas Vuillemin
- Department of Orthopedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Malin Kristin Meier
- Department of Orthopedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Angela Maria Moosmann
- Department of Orthopedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Klaus Arno Siebenrock
- Department of Orthopedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| | - Simon Damian Steppacher
- Department of Orthopedic Surgery and Traumatology, Inselspital, Bern University Hospital, University of Bern, Bern, Switzerland
| |
Collapse
|
3
|
Uy J, Laudicina NM. Assessing the role of the pelvic canal in supporting the gut in humans. PLoS One 2021; 16:e0258341. [PMID: 34634091 PMCID: PMC8504728 DOI: 10.1371/journal.pone.0258341] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2021] [Accepted: 09/25/2021] [Indexed: 11/19/2022] Open
Abstract
The human pelvic canal (true pelvis) functions to support the abdominopelvic organs and serves as a passageway for reproduction (females). Previous research suggests that these two functions work against each other with the expectation that the supportive role results in a narrower pelvic midplane, while fetal passage necessitates a larger opening. In this research, we examine how gut size relates to the size and shape of the true pelvis, which may have implications on how gut size can influence pelvic floor integrity. Pelves and in vivo gut volumes were measured from CT scans of 92 adults (48 female, 44 male). The true pelvis was measured at three obstetrical planes (inlet, midplane, outlet) using 11 3D landmarks. CT volumetry was used to obtain an individual’s gut size. Gut volume was compared to the pelvic planes using multiple regression to evaluate the relationship between gut size and the true pelvis. We find that, in males, larger gut sizes are associated with increased mediolateral canal dimensions at the inlet and midplane. In females, we find that larger gut sizes are associated with more medially-projecting ischial spines and an anteroposteriorly longer outlet. We hypothesize that the association of larger guts with increased canal width in males and increased outlet length in females are adaptations to create adequate space for the gut, while more medially projecting ischial spines reduce the risk of pelvic floor disorders in females, despite its possible spatial consequences for fetal passage.
Collapse
Affiliation(s)
- Jeanelle Uy
- Anthropology, California State University Long Beach, Long Beach, California, United States of America
- * E-mail:
| | - Natalie M. Laudicina
- Biomedical Sciences, Grand Valley State University, Allendale, Michigan, United States of America
| |
Collapse
|
4
|
Liu J, Salem GJ, Powers CM. Sex Difference in Hip Adduction during the Stance Phase of Running: A Swing Phase Problem? Med Sci Sports Exerc 2021; 53:1412-1416. [PMID: 34127634 DOI: 10.1249/mss.0000000000002610] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
PURPOSE The purpose of the current study was 1) to evaluate sex differences in peak hip adduction during the late swing and stance phases of running and 2) to determine whether peak hip adduction during late swing is predictive of peak hip adduction during stance. METHODS A total of 15 female and 16 male heel strike runners ran over ground at a speed of 4 m·s-1. Hip joint kinematics during running were quantified using a 3D motion capture system. Sex differences in peak hip adduction during the late swing and stance phases were compared using independent-samples t-tests. Linear regression analysis was used to determine the relationship between late swing and stance phase hip adduction. RESULTS Compared with males, females exhibited significantly greater peak hip adduction during both the late swing (8.5° ± 2.6° vs 6.1° ± 2.8°, P = 0.019) and the stance phases of running (13.3° ± 4.2° vs 9.6° ± 3.4°, P = 0.011). Furthermore, late swing peak hip adduction was predictive of subsequent stance phase peak hip adduction (r = 0.63, P < 0.001). CONCLUSION Sex differences in hip adduction during stance are influenced in part by late swing phase hip adduction. Further studies are needed to identify potential causes of excessive hip adduction during the late swing phase of running.
Collapse
Affiliation(s)
- Jia Liu
- Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA
| | | | | |
Collapse
|
5
|
Frémondière P, Thollon L, Marchal F. Pelvic and neonatal size correlations in light of evolutionary hypotheses. Am J Hum Biol 2021; 34:e23619. [PMID: 34028115 DOI: 10.1002/ajhb.23619] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/20/2020] [Revised: 04/26/2021] [Accepted: 05/03/2021] [Indexed: 12/13/2022] Open
Abstract
OBJECTIVE This study aimed to analyze the correlations between maternal size, neonatal size, and gestational variables. METHODS Our sample comprises 131 mother-infant dyads. We investigated correlations between five neonatal traits (gestational age, birthweight, head, suboccipito-brematic, and abdominal girths), three maternal traits (height, BMI, and uterus height), and three pelvic variables (conjugate, inter-spinous diameters, and sub-pubic angle) using computed tomography pelvimetry. RESULTS We found that the five neonatal traits were significantly intercorrelated. BMI was not correlated with neonatal traits while maternal height was correlated with birthweight, suboccipito-brematic, and abdominal girth. In the multiple regression models, gestational age was correlated with birthweight, head, and abdominal girth. Among the neonatal and pelvimetry correlations, conjugate diameter was slightly correlated with suboccipito-bregmatic girth, but inter-spinous and sub-pubic angle were not correlated with neonatal traits. Uterus height predicted all neonatal variables, but it was not correlated with gestational age. DISCUSSION Our results suggest that fetal growth is shaped by maternal phenotype rather than external ecological factors. The association of the inlet size with suboccipito-bregmatic girth reflects the tight fit between the neonatal brain and the maternal pelvis dimensions, an adaptation that would reduce the risk of cephalo-pelvic disproportion, while the absence of tight fit at the midplane and outlet could be due to the effect of the pelvic relaxation. Uterus distention is not the only mechanism involved in the initiation of parturition. Birth and pregnancy are complex processes and we suggest that maternal-neonatal associations are the result of a combination of multiple obstetric tradeoffs.
Collapse
Affiliation(s)
- Pierre Frémondière
- Aix Marseille Univ, School of Midwifery, Faculty of Medical and Paramedical Sciences, Marseille, France.,Aix Marseille Univ, CNRS, EFS, ADES, Marseille, France
| | - Lionel Thollon
- Applied Biomechanics Laboratory (UMR-T24), Marseille, France
| | | |
Collapse
|
6
|
Waxenbaum EB, Feiler ME. Influence of climatic stress on nonmetric sexually dimorphic features of the skull and pelvis. Am J Hum Biol 2020; 33:e23559. [PMID: 33377211 DOI: 10.1002/ajhb.23559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 11/05/2020] [Accepted: 12/11/2020] [Indexed: 11/09/2022] Open
Abstract
OBJECTIVES Human sexual dimorphism is frequently assessed through skull and pelvic size and shape. Researchers suggest that climatic variation and the associated stress may be significant factors in sexual dimorphism's etiology. However, little research has specifically investigated climatic effects on nonmetric skeletal indicators of sex. To further appreciate the plasticity of human biology, a comparative study of standard skull and pelvic nonmetric sex indicators is presented. METHODS A Native Alaskan archeological sample (n = 104) and a component of the Terry collection (n = 99) represent populations originating from different climatic environments in recent history. These sex-balanced groups are compared through Tukey-Kramer's method and Greene's t-test to determine any variation in degree of sexual dimorphism within and between samples. RESULTS The results reinforce the complex and multifaceted relationship between climate and sexual dimorphism. The Terry sample demonstrated a greater degree of sexual dimorphism with statistically significant differences in robusticity of the mastoid process and nuchal crest compared with the Native Alaskans. A more "male" morphotype and reduced dimorphism are appreciated in the pelves of Native Alaskans than the Terry sample. CONCLUSIONS This research highlights a reduction in sexual dimorphism in populations under greater climatic stress and contributes to the production of more accurate skeletal assessments in future investigations. Discussion of confounding factors suggest more research is necessary to untangle climate and human morphology's complex relationship. This study contributes to a greater appreciation of human biological plasticity, ecogeographic variation, and the evolution of modern human diversity.
Collapse
Affiliation(s)
- Erin B Waxenbaum
- Department of Anthropology, Northwestern University, Evanston, Illinois, USA
| | - Maria E Feiler
- Department of Anthropology, Northwestern University, Evanston, Illinois, USA
| |
Collapse
|
7
|
Uy J, Hawks J, VanSickle C. Sexual dimorphism of the relationship between the gut and pelvis in humans. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2020; 173:130-140. [PMID: 32519366 DOI: 10.1002/ajpa.24084] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Revised: 02/04/2020] [Accepted: 05/06/2020] [Indexed: 01/12/2023]
Abstract
OBJECTIVES Obstetric demands have long been considered in the evolution of the pelvis, yet consideration of the interaction of pregnancy, the pelvis, and the gastrointestinal tract (gut) is lacking. Here, we explore sex differences in the relationship of gut volume with body size and pelvic dimensions. MATERIALS AND METHODS Computed tomography (CT) scans of living adult Homo sapiens (46 females and 42 males) were obtained to measure in vivo gut volume (GV) and to extract 3D models of the pelvis. We collected 19 3D landmarks from each pelvis model to acquire pelvic measurements. We used ordinary least squares regression to explore relationships between GV and body weight, stature, and linear pelvic dimensions. RESULTS The gut-pelvis relationship differs between males and females. Females do not exhibit significant statistical correlations between GV and any variable tested. GV correlates with body size and pelvic outlet size in males. GV scales with negative allometry relative to body weight, stature, maximum bi-iliac breadth, inferior transverse outlet breadth, and bispinous distance in males. DISCUSSION The lack of association between GV and body size in females may be due to limits imposed by the anticipation of accommodating a gravid uterus and/or the increased plasticity of the pelvis. The pattern of relationship between GV and the pelvic outlet suggests the role of the bony pelvis in supporting the adominal viscera in females may be small relative to its role in childbirth. We conclude that gut size inference in fossil hominins from skeletal proxies is limited and confounded by sexual dimorphism.
Collapse
Affiliation(s)
- Jeanelle Uy
- Department of Anthropology, California State University, Long Beach, California, USA
| | - John Hawks
- Department of Anthropology, University of Wisconsin-Madison, Madison, Wisconsin, USA.,Evolutionary Studies Institute, University of the Witwatersrand, Private Bag 3, Johannesburg, South Africa
| | - Caroline VanSickle
- Department of Anatomy, A.T. Still University Kirksville College of Osteopathic Medicine, 800 W. Jefferson St., Kirksville, Missouri, USA
| |
Collapse
|
8
|
Mohd Ali SH, Omar N, Shafie MS, Nik Ismail NA, Hadi H, Nor FM. Sex estimation using subpubic angle from reconstructed three-dimensional computed tomography pelvic model in a contemporary Malaysian population. Anat Cell Biol 2020; 53:27-35. [PMID: 32274246 PMCID: PMC7118257 DOI: 10.5115/acb.19.135] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2019] [Revised: 09/02/2019] [Accepted: 09/25/2019] [Indexed: 12/17/2022] Open
Abstract
Research in forensic anthropology is recent in Malaysia due to limited access to documented skeletal collections. However, advanced imaging techniques provide virtual bone samples for use in morphometric studies to establish population-specific standards by virtual anthropology. This study examined sexual dimorphism in the subpubic angle using a three-dimensional computed tomography model of the pelvis, in a contemporary Malaysian population. The sample comprised multidetector computed tomography (MDCT) scans of 50 male and 50 female adults. Segmentation of the MDCT scans was performed using 3D Slicer, and four landmarks were acquired using Stratovan Checkpoint for the subpubic angle measurement. The technical error of measurement (TEM), relative TEM, and coefficient of reliability (R) exhibited high reliability in measurements. Results showed that the subpubic angle in males was 68.6°±7.6° and in females 87.4°±6.5°. The subpubic angle in females was significantly larger than in males (P<0.001). Inverse correlation was found between the subpubic angle and age, in both males (r=−0.449, P<0.01) and females (r=−0.385, P<0.01). The overall accuracy of sex estimation using the subpubic angle was 94% (P<0.001). The subpubic angle, with a demarcating point of 78.6°, showed a sensitivity and specificity of 94% in the classification of female individuals. In conclusion, sex estimation using the subpu bic angle is highly accurate, with a high degree of expected sensitivity and specificity in the Malaysian population.
Collapse
Affiliation(s)
- Siti Hanum Mohd Ali
- Forensic Unit, Department of Pathology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.,Department of Basic Medical Science I, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Kuala Lumpur, Malaysia
| | - Normaliza Omar
- Forensic Unit, Department of Pathology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia.,Department of Basic Medical Science I, Faculty of Medicine and Health Sciences, Universiti Sains Islam Malaysia, Kuala Lumpur, Malaysia
| | - Mohamed Swarhib Shafie
- Forensic Unit, Department of Pathology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
| | - Nik Azuan Nik Ismail
- Radiology Department, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
| | - Helmi Hadi
- School of Health Sciences, Universiti Sains Malaysia, Kubang Kerian, Malaysia
| | - Faridah Mohd Nor
- Forensic Unit, Department of Pathology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia
| |
Collapse
|
9
|
DelPrete H. Similarities in pelvic dimorphisms across populations. Am J Hum Biol 2019; 31:e23282. [DOI: 10.1002/ajhb.23282] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2018] [Revised: 04/04/2019] [Accepted: 05/29/2019] [Indexed: 12/31/2022] Open
Affiliation(s)
- Hillary DelPrete
- Department of History and AnthropologyMonmouth University Long Branch New Jersey
| |
Collapse
|
10
|
Auerbach BM, King KA, Campbell RM, Campbell ML, Sylvester AD. Variation in obstetric dimensions of the human bony pelvis in relation to age‐at‐death and latitude. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2018; 167:628-643. [DOI: 10.1002/ajpa.23690] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/31/2017] [Revised: 06/11/2018] [Accepted: 07/10/2018] [Indexed: 12/24/2022]
Affiliation(s)
- Benjamin M. Auerbach
- Department of Anthropology The University of Tennessee Knoxville Tennessee
- Department of Ecology and Evolutionary Biology The University of Tennessee Knoxville Tennessee
| | - Kathyrn A. King
- Department of Anthropology University of Arkansas at Little Rock Little Rock Arkansas
| | - Ryan M. Campbell
- Center for Archaeological Investigations Southern Illinois University Carbondale Illinois
| | - Meadow L. Campbell
- Basic Sciences, College of Chiropractic Medicine, Logan University Chesterfield Missouri
| | - Adam D. Sylvester
- Center for Functional Anatomy and Evolution Johns Hopkins University School of Medicine Baltimore Maryland
| |
Collapse
|
11
|
Delprete H. Pelvic Inlet Shape Is Not as Dimorphic as Previously Suggested. Anat Rec (Hoboken) 2017; 300:706-715. [PMID: 28297189 DOI: 10.1002/ar.23544] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2016] [Revised: 11/07/2016] [Accepted: 12/06/2016] [Indexed: 12/15/2022]
Abstract
It is well known that there are significant differences in the pelves of males and females due, in part, to differing constraints. The male and female pelves must be suitable for upright posture and locomotion, but the female pelvis must also be suitable for reproduction. These differing requirements lead to differences in the shape and size of various pelvic dimensions. These differences are reflected in the pelvic inlet, midplane, and outlet. Current research has documented dimorphisms in the posterior and anterior spaces in all three of these planes. One measure however, that is calculated from the relationship between the length of the anterior-posterior diameter (APD) and the transverse diameter (TD) of the inlet, is not as dimorphic as previously suggested. This computed value is used to describe four main categories of inlet shape: android, gynecoid, anthropoid, and platypelloid. Current textbooks in anatomy and midwifery describe these forms and identify the typical male inlet shape as android and the typical female inlet shape as gynecoid. In this study, however, using skeletonized pelves of 378 adult individuals from three identified skeletal collections, the most common inlet shape for both males and females was android. In addition, when examining shape as a continuous variable, inlet shape is not sexually dimorphic in two of the three populations examined in this study. Based on the results of this study, the inlet shape for males and females is less dimorphic than previously thought, and we need to discontinue using pelvic categories to describe typical inlet shape. Anat Rec, 300:706-715, 2017. © 2017 Wiley Periodicals, Inc.
Collapse
Affiliation(s)
- Hillary Delprete
- Department of History and Anthropology, Monmouth University, Long Branch, New Jersey
| |
Collapse
|
12
|
Ruff C. Mechanical Constraints on the Hominin Pelvis and the “Obstetrical Dilemma”. Anat Rec (Hoboken) 2017; 300:946-955. [DOI: 10.1002/ar.23539] [Citation(s) in RCA: 39] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2016] [Revised: 07/28/2016] [Accepted: 10/09/2016] [Indexed: 01/05/2023]
Affiliation(s)
- Christopher Ruff
- Center for Functional Anatomy and Evolution; Johns Hopkins University School of Medicine; 1830 E. Monument St Baltimore Maryland 21205
| |
Collapse
|
13
|
Kurki HK. Bilateral Asymmetry in the Human Pelvis. Anat Rec (Hoboken) 2017; 300:653-665. [DOI: 10.1002/ar.23546] [Citation(s) in RCA: 34] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2016] [Revised: 09/26/2016] [Accepted: 12/19/2016] [Indexed: 12/14/2022]
Affiliation(s)
- Helen K. Kurki
- Department of Anthropology; University of Victoria; Victoria BC V8W 2Y2 Canada
| |
Collapse
|
14
|
Claxton AG, Hammond AS, Romano J, Oleinik E, DeSilva JM. Virtual reconstruction of the Australopithecus africanus pelvis Sts 65 with implications for obstetrics and locomotion. J Hum Evol 2016; 99:10-24. [DOI: 10.1016/j.jhevol.2016.06.001] [Citation(s) in RCA: 29] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2014] [Revised: 03/05/2016] [Accepted: 06/03/2016] [Indexed: 11/28/2022]
|
15
|
Developmental evidence for obstetric adaptation of the human female pelvis. Proc Natl Acad Sci U S A 2016; 113:5227-32. [PMID: 27114515 DOI: 10.1073/pnas.1517085113] [Citation(s) in RCA: 89] [Impact Index Per Article: 11.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022] Open
Abstract
The bony pelvis of adult humans exhibits marked sexual dimorphism, which is traditionally interpreted in the framework of the "obstetrical dilemma" hypothesis: Giving birth to large-brained/large-bodied babies requires a wide pelvis, whereas efficient bipedal locomotion requires a narrow pelvis. This hypothesis has been challenged recently on biomechanical, metabolic, and biocultural grounds, so that it remains unclear which factors are responsible for sex-specific differences in adult pelvic morphology. Here we address this issue from a developmental perspective. We use methods of biomedical imaging and geometric morphometrics to analyze changes in pelvic morphology from late fetal stages to adulthood in a known-age/known-sex forensic/clinical sample. Results show that, until puberty, female and male pelves exhibit only moderate sexual dimorphism and follow largely similar developmental trajectories. With the onset of puberty, however, the female trajectory diverges substantially from the common course, resulting in rapid expansion of obstetrically relevant pelvic dimensions up to the age of 25-30 y. From 40 y onward females resume a mode of pelvic development similar to males, resulting in significant reduction of obstetric dimensions. This complex developmental trajectory is likely linked to the pubertal rise and premenopausal fall of estradiol levels and results in the obstetrically most adequate pelvic morphology during the time of maximum female fertility. The evidence that hormones mediate female pelvic development and morphology supports the view that solutions of the obstetrical dilemma depend not only on selection and adaptation but also on developmental plasticity as a response to ecological/nutritional factors during a female's lifetime.
Collapse
|
16
|
Sharma K, Gupta P, Shandilya S. Age related changes in pelvis size among adolescent and adult females with reference to parturition from Naraingarh, Haryana (India). HOMO-JOURNAL OF COMPARATIVE HUMAN BIOLOGY 2016; 67:273-93. [PMID: 27157866 DOI: 10.1016/j.jchb.2016.04.002] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2014] [Accepted: 10/02/2015] [Indexed: 10/21/2022]
Abstract
This research examines the ontogenic patterns of changes in growth during adolescence, pelvis variations and growth during twenties and thirties of age, structural remodeling of pelvis related to childbirth and relationship of pelvis area with physique based on the cross-sectional data on 391 females from the state of Haryana. Peak growth velocity for body height and breadths of skeletal traits occurred between 11 and 12 years, much before mean age of menarche at 13.5 years; while for body weight and body mass index (BMI) occurred between 14 and 15 years, after the mean age of menarche. Untill the age 11 years, 11.87% of growth in stature was remaining, 19.37% for bi-cristal breadth, 25.96% for bi-ischial breadth and 35.82% for pelvic area. The hypothesis of critical value of pelvic width of 240mm at iliocristale for menarche to occur has been only a statistical association. Higher prevalence of malnutrition during pubertal phase than pre- and post-pubertal phases was due to greater nutritional needs during puberty. Among adult females, BMI was very poorly correlated with stature but very strongly correlated with body breadths, body breadth-stature indices and body weight. The body mass and pelvis size continued to change during 20s and first half of 30s. The continued increase of BMI was due to increase in body fat and muscle mass in females 18 years and older. To tease apart age and parturition effects on pelvis variations, the analysis showed that pelvic bones remodeling took place after the first child was born and not after the subsequent births, and it was a sign of childbirth phenotypic plasticity rather than age. Pelvis area was strongly associated with stature, BMI and age. Mean pelvic area of tall females was greater than those of medium and short stature. Females with broad shoulders had significantly greater mean pelvis area than those with narrow shoulders and medium shoulders. Females having thin/lean physique had the smallest mean pelvis area compared to those having medium and obese types of physiques. The stepwise multiple regression analysis revealed that BMI was the major determinant factor (multiple r=0.37) of pelvis area; addition of stature component increased the value of multiple r to 0.50, while addition of age marginally increased multiple r to 0.53.
Collapse
Affiliation(s)
- Krishan Sharma
- Department of Anthropology, Panjab University, Chandigarh 160014, India.
| | - Puneet Gupta
- Department of Anthropology, Panjab University, Chandigarh 160014, India
| | - Shailza Shandilya
- Department of Anthropology, Panjab University, Chandigarh 160014, India
| |
Collapse
|
17
|
Munabi IG, Luboga SA, Mirembe F. Using survival analysis to determine association between maternal pelvis height and antenatal fetal head descent in Ugandan mothers. Pan Afr Med J 2016; 22:175. [PMID: 26918071 PMCID: PMC4750886 DOI: 10.11604/pamj.2015.22.175.7145] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2015] [Accepted: 10/12/2015] [Indexed: 11/25/2022] Open
Abstract
Introduction Fetal head descent is used to demonstrate the maternal pelvis capacity to accommodate the fetal head. This is especially important in low resource settings that have high rates of childbirth related maternal deaths and morbidity. This study looked at maternal height and an additional measure, maternal pelvis height, from automotive engineering. The objective of the study was to determine the associations between maternal: height and pelvis height with the rate of fetal head descent in expectant Ugandan mothers. Methods This was a cross sectional study on 1265 singleton mothers attending antenatal clinics at five hospitals in various parts of Uganda. In addition to the routine antenatal examination, each mother had their pelvis height recorded following informed consent. Survival analysis was done using STATA 12. Results It was found that 27% of mothers had fetal head descent with an incident rate of 0.028 per week after the 25th week of pregnancy. Significant associations were observed between the rate of fetal head descent with: maternal height (Adj Haz ratio 0.93 P < 0.01) and maternal pelvis height (Adj Haz ratio 1.15 P < 0.01). Conclusion The significant associations observed between maternal: height and pelvis height with rate of fetal head descent, demonstrate a need for further study of maternal pelvis height as an additional decision support tool for screening mothers in low resource settings.
Collapse
Affiliation(s)
- Ian Guyton Munabi
- Department of Human Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, New Mulago Hospital Complex, Kampala, Uganda
| | - Samuel Abilemech Luboga
- Department of Human Anatomy, School of Biomedical Sciences, Makerere University College of Health Sciences, New Mulago Hospital Complex, Kampala, Uganda
| | - Florence Mirembe
- Department of Obstetrics and Gynecology, School of Medicine, Makerere University College of Health Sciences, New Mulago Hospital Complex, Kampala, Uganda
| |
Collapse
|
18
|
Kurki HK, Decrausaz SL. Shape variation in the human pelvis and limb skeleton: Implications for obstetric adaptation. AMERICAN JOURNAL OF PHYSICAL ANTHROPOLOGY 2015; 159:630-8. [PMID: 26699269 DOI: 10.1002/ajpa.22922] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/28/2015] [Revised: 11/26/2015] [Accepted: 11/28/2015] [Indexed: 12/22/2022]
Abstract
OBJECTIVES Under the obstetrical dilemma (OD) hypothesis, selection acts on the human female pelvis to ensure a sufficiently sized obstetric canal for birthing a large-brained, broad shouldered neonate, while bipedal locomotion selects for a narrower and smaller pelvis. Despite this female-specific stabilizing selection, variability of linear dimensions of the pelvic canal and overall size are not reduced in females, suggesting shape may instead be variable among females of a population. Female canal shape has been shown to vary among populations, while male canal shape does not. Within this context, we examine within-population canal shape variation in comparison with that of noncanal aspects of the pelvis and the limbs. MATERIALS AND METHODS Nine skeletal samples (total female n = 101, male n = 117) representing diverse body sizes and shapes were included. Principal components analysis was applied to size-adjusted variables of each skeletal region. A multivariate variance was calculated using the weighted PC scores for all components in each model and F-ratios used to assess differences in within-population variances between sexes and skeletal regions. RESULTS Within both sexes, multivariate canal shape variance is significantly greater than noncanal pelvis and limb variances, while limb variance is greater than noncanal pelvis variance in some populations. Multivariate shape variation is not consistently different between the sexes in any of the skeletal regions. DISCUSSION Diverse selective pressures, including obstetrics, locomotion, load carrying, and others may act on canal shape, as well as genetic drift and plasticity, thus increasing variation in morphospace while protecting obstetric sufficiency.
Collapse
Affiliation(s)
- Helen K Kurki
- Department of Anthropology, University of Victoria, Victoria, BC, V8P 5C2, Canada
| | - Sarah-Louise Decrausaz
- Division of Biological Anthropology, Department of Archaeology and Anthropology, University of Cambridge, Cambridge, CB2 3QG
| |
Collapse
|