Is there a sexual dimorphism in Wormian bones presence? A study on Polish and Lithuanian sample
Abstract
Background: Wormian bones (WB) originate from accessory ossification centers and occurr irregularly within cranial sutures. They are common, however some authors claim that in particular cases WB may reflect the developmental instability. Since males are more susceptible to environmental disturbances (which can lead to developmental instability), it is crucial to establish the possible discrepancy in WB appearance among sexes. The aim of study was to examine the sexual differences in WB presence.
Materials and methods: 317 adult skeletons from Polish and Lithuanian series: Ostrów Lednicki (185: 135 males and 50 females), Bokštro gatve 6 (69: 42 males and 27 females), and Subačiaus gatve 7 (63: 44 males and 19 females) were selected. Number of WB was noted, and their diameters were measured. In the Lithuanian sample the area of single WB’s was measured photogrammetrically. Statistical calculations were performed with the significance defined as p < 0.05.
Results: Among Polish sample 117/135 (86.7%) of males and 35/50 (70%) of females represented at least one WB. In the Lithuanian sample it was 65/86 (75.6%) and 28/46 (60.9%), respectively. Difference was significant in Polish (p = 0.009) sample. The sexual difference of WB number was significant (p = 0.01 for Polish and p = 0.02 for Lithuanian sample).
Conclusions: The sexual dimorphism of appearance and number of WB has been confirmed. WB are observed in greater numbers in males, but sexual differences are rarely analyzed statistically. There is a need for further work on sexual dimorphism of WB, especially in non-Asian populations.
Keywords: sutural bonessexual dimorphismskull
References
- Baa J, Patro S, Maharana PC. Study of wormian bones in relation to the size of the skull with an aim for sexual dimorphism. IOSR-JDMS. 2018; 17(8 ver. VII): 31–35.
- Barberini F, Bruner E, Cartolari R, et al. An unusually-wide human bregmatic Wormian bone: anatomy, tomographic description, and possible significance. Surg Radiol Anat. 2008; 30(8): 683–687.
- Basnet LM, Shrestha S, Sapkota S, et al. Prevalence of wormian bones in dried adult human skulls: an osteo-morphometric study in Nepal. Anat Sci Int. 2019; 94(1): 101–109.
- Battan SK, Sharma M, Singh P, et al. Forensic investigation of wormian bones in Northwest Indian population — a CT scan based study. Educ Adm Theory Pract. 2024; 30(5): 13308–13321.
- Bellary SS, Steinberg A, Mirzayan N, et al. Wormian bones: a review. Clin Anat. 2013; 26(8): 922–927.
- Bennett KA. The etiology and genetics of wormian bones. Am J Phys Anthropol. 1965; 23(3): 255–260.
- Brito JC, Araujo DN, Barbosa ABM, et al. Morphological analysis of intrasutural bones in human skulls from laboratories in Paraíba state (Brazil). BJMHS. 2022; 4(2): 1207–1213.
- Cirpan S, Aksu F, Mas N. The incidence and topographic distribution of sutures including wormian bones in human skulls. J Craniofac Surg. 2015; 26(5): 1687–1690.
- Cirpan S, Aksu F, Mas N, et al. Coexistence of wormian bones with metopism, and vice versa, in adult skulls. J Craniofac Surg. 2016; 27(2): 493–495.
- Craviari T, Pettifor JM, Thacher TD, et al. Rickets Convergence Group. Rickets: an overview and future directions, with special reference to Bangladesh. A summary of the Rickets Convergence Group meeting, Dhaka, 26-27 January 2006. J Health Popul Nutr. 2008; 26(1): 112–121.
- Cremin B, Goodman H, Spranger J, et al. Wormian bones in osteogenesis imperfecta and other disorders. Skeletal Radiol. 1982; 8(1): 35–38.
- De Lucena JD, Freitas FOR, Limeira ÍS, et al. Incidence of sutural bones at asterion in dry human skulls in Northeast Brazil. Acta Sci Anat. 2019; 1(3): 178–183.
- Di Ieva A, Bruner E, Davidson J, et al. Cranial sutures: a multidisciplinary review. Childs Nerv Syst. 2013; 29(6): 893–905.
- El-Najjar M, Dawson GL. The effect of artificial cranial deformation on the incidence of Wormian bones in the lambdoidal suture. Am J Phys Anthropol. 1977; 46(1): 155–160.
- Fedotova TK, Gorbacheva AK. Secular dynamics of body height and weight in Russian children aged 0–17. Archaeol Ethnol Anthropol Eurasia. 2019; 47(3): 145–157.
- Finkel DJ. Wormian bone formation in the skeletal population from Lachish. J Hum Evol. 1976; 5(3): 291–295.
- Gangestad SW. Developmental instability, fluctuating asymmetry, and human psychological science. Emerg Top Life Sci. 2022; 6(3): 311–322.
- Goyal N, Garg A, Kumar Y. Incidence and Medicolegal Significance of Wormian Bones in Human Skulls in North India Region. Int J Appl Basic Med Res. 2019; 9(3): 165–168.
- Groza VM, Vǎleanu CM, Bejenaru L. Osteopathies in a sample of human skulls from the mausoleum crypt of the First World War heroes, in Iași (Iaşi county, Romania). 131–141. doi: https://doi.org/10.5281/zenodo.7129180., Conference: Patrimoniul cultural de ieri — implicaţii în dezvoltarea societăţii durabile de mâine, Chişinău. Iași — Chișinău: 2022.
- Gümüsburun E, Sevim A, Katkici U, et al. A study of sutural bones in Anatolian-Ottoman skulls. Int J Anthropol. 1997; 12(2): 43–48.
- Güler H, Ekinci HG, Arpaçay BK. Variation of wormian and inca bones in adult skulls. Eur J Ther. 2024; 30(3): 332–339.
- Hanihara T, Ishida H. Frequency variations of discrete cranial traits in major human populations. I. Supernumerary ossicle variations. J Anat. 2001; 198(Pt 6): 689–706.
- Heizelmann A, Tasdemir S, Schmidberger J, et al. Measurements of the trapezius and erector spinae muscles using virtual touch imaging quantification ultrasound-Elastography: a cross section study. BMC Musculoskelet Disord. 2017; 18(1): 370.
- Howard TD, Paznekas WA, Green ED, et al. Mutations in TWIST, a basic helix-loop-helix transcription factor, in Saethre-Chotzen syndrome. Nat Genet. 1997; 15(1): 36–41.
- Jabs EW, Müller U, Li X, et al. A mutation in the homeodomain of the human MSX2 gene in a family affected with autosomal dominant craniosynostosis. Cell. 1993; 75(3): 443–450.
- Li JH, Chen ZJ, Zhong WX, et al. Anatomical characteristics and significance of the metopism and Wormian bones in dry adult-Chinese skulls. Folia Morphol. 2023; 82(1): 166–175.
- Marti B, Sirinelli D, Maurin L, et al. Wormian bones in a general paediatric population. Diagn Interv Imaging. 2013; 94(4): 428–432.
- Murlimanju BV, Prabhu LV, Ashraf CM, et al. Morphological and topographical study of Wormian bones in cadaver dry skulls. J Morphol Sci. 2011; 28(3): 176–179.
- Natsis K, Piagkou M, Lazaridis N, et al. Incidence, number and topography of Wormian bones in Greek adult dry skulls. Folia Morphol. 2019; 78(2): 359–370.
- Nayak SB, Shetty SD. High incidence of sutural bones, especially at the asterion — a South Indian study. Online J Health Allied Scs. 2019; 18(4): 8.
- Nowak J, Pawlak S, Poniewierski W, et al. Kości Worma — anatomia czy patologia? Implants. Implants. Int Mag Oral Implantol. 2018; 13(1): 42–45.
- O'Loughlin VD. Effects of different kinds of cranial deformation on the incidence of wormian bones. Am J Phys Anthropol. 2004; 123(2): 146–155.
- Ogut E, Yildirim F. Wormian bone types: investigating their appearance, correlation to sex, population affinity, and clinical syndromes. Egypt J Forensic Sci. 2023; 13(1).
- Pal GP, Bhagwat SS, Routal RV. A study of sutural bones in Gujarati (Indian) crania. Anthropol Anz. 1986; 44(1): 67–76.
- Patil M, Sheelavant S. Sexual dimorphism among the Wormian bones in adult human skulls. J Indian Acad Forensic Med. 2012; 34: 124–127.
- Pickett AT, Montes MA. Wormian bone in the anterior fontanelle of an otherwise well neonate. Cureus. 2019; 11(5): e4741.
- Purohit K, Yadav B. Sutural bones: a study on incidence, laterality and co-relation with cephalic index in dry crania of east indian ethnicity. Int J Anat Res. 2019; 7(3.3): 6944–6957.
- Rajni MG, Shalik RA, Hema N, et al. Incidence of Wormian bones in North India — a study on adult cadavers dried skull.2018; 10(8): 7272–7274. Int J Curr Res. 2018; 10(8): 72372–72374.
- Rasband WS. ImageJ, U. S. National Institutes of Health, Bethesda, Maryland, USA. 1997–2018. https://imagej.nih.gov/ij/ (5.10.2024).
- Rato MJCN, Maliawan S, Niryana IW, et al. Characteristics of congenital hydrocephalus patients at Prof. Dr. I.G.N.G. Ngoerah General Hospital Denpasar. NSMC. 2023; 6(1): 6–10.
- Rezaeian S, Moghimbeigi A, Esmailnasab N. Gender differences in risk factors of congenital hypothyroidism: an interaction hypothesis examination. Int J Endocrinol Metab. 2014; 12(2): e13946.
- Roldán SI, Restrepo LG, Isaza JF, et al. Are maximum bite forces of subjects 7 to 17 years of age related to malocclusion? Angle Orthod. 2016; 86(3): 456–461.
- Romero-Reverón R, Arráez-Aybar LA. Sutural bones: a literature review. Anatomy. 2019; 13(1): 61–65.
- Rubini M. Size correlation in Wormian bones. Anthropol Anz. 1998; 56(2): 145–149.
- Sadhu A, Meyur R, Kundu B, et al. Incidence of sutural bones with special reference to sex — a study in the eastern region of india. J Evol Med Dent Sci. 2013; 2(45): 8729–8735.
- Sanchez-Lara PA, Graham JM, Hing AV, et al. The morphogenesis of wormian bones: a study of craniosynostosis and purposeful cranial deformation. Am J Med Genet A. 2007; 143A(24): 3243–3251.
- Sarada T, Reddy GMK, Hariharan K, et al. et al.. A study on morphological and morphometric features of asterion in adult dry skulls and its clinical importance. Afr J Biol Sci. 2024; 6(2): 3131–3140.
- Semler O, Cheung MS, Glorieux FH, et al. Wormian bones in osteogenesis imperfecta: correlation to clinical findings and genotype. Am J Med Genet A. 2010; 152A(7): 1681–1687.
- Shankar S, Chawla H, Kumar R, et al. Study of incidence of wormian bones in southern Haryana — a prospective observational study. Indian J Forensic Community Med. 2020; 7(3): 129–133.
- Shigehara K, Izumi K, Kadono Y, et al. Testosterone and bone health in men: a narrative review. J Clin Med. 2021; 10(3).
- Singh R. Incidence of sutural bones at asterion in adults Indians skulls. Int J Morphol. 2012; 30(3): 1182–1186.
- Sreekanth T, Samala N, et al. Morphological study of wormian bones in dried adult human skulls in telangana. Int J Anat Res. 2016; 4(4.3): 3257–3262.
- Su N, Jin M, Chen L. Role of FGF/FGFR signaling in skeletal development and homeostasis: learning from mouse models. Bone Res. 2014; 2: 14003.
- Vishali N, Ebenraj TJ, Rojomon TC. A rare existence of significant number of Wormian bones in the lambdoid suture. IJSR. 2012; 3(8): 671–677.
- Walulkar S, Ksheersagar D, Walukar M. The study of Wormian bones in human skulls in Vidarbha region. PJMS. 2012; 2(2): 18–21.
- White TD, Black MT, Folkens PA. Human Osteology. Elsevier Academic Press, Amsterdam 2011.
- Yadav B, Salam R. A preliminary study on incidence of cranial sutural bones by 3D volume rendering of ct scan in current population in eastern india. Int J Anat Res. 2020; 8(1.3): 7390–7394.