Incidence of wormian bone in human skulls in Rajasthan.
Bhagwat SS et al (1984) (3) found no sex difference in incidence of wormian bones and are genetically determined. Chandershekhran P (1985) (4) has reported 20% of wormian bone in skulls of south Indian. Mishra BD (1960) (7) has also reported case of interparietal bone in his study. Berry AC et al (1974) (2) reported 4.6% of Inca bone as non-metrical skeletal variant in North America. Fakharud din S et al (1967) (5) has reported case of interparietal bone in three pieces in an adult skull and discussed its morphological and developmental importance. Muthukrishnan S (1987) (8) reported abnormal occipital bone in Hindu cadaver of 45 years of age. Bhagwat SS et al (1984) (3) studied 284 skull in Surat (Gujarat) and found no sex difference in incidence of wormian bones. They commented that wormian bones are genetically determined. The incidence of true interparietal bone of human skull is found to very rare, this may be in one, two or three pieces. This interparietal bone is believed to be homologous to the post-parietal (dermo-occipatalis) of primitive tetrapod and exist as an unpaired bone in therapiside reptiles (6). In mammalian skull the interparietal bone is present in carnivores e.g. dog and cat (5).
The interparietal bone in human skull is represented by that part of squamous occipitals which develop in one membrane. This ossifies in paired center which become continuous with each and with the sub occipital center. Which develop in cartilage, but like most ossification in membrane the number of center may vary (5).
AIM: To find the incidence of wormian bone. and compare the results with other study in India and abroad.
MATERIAL AND METHOD: Autopsy study was done in department of Anatomy in association with department of Forensic Medicine at J L N Medical college, Ajmer, Rajasthan on 150 human skulls of dead bodies those brought for autopsy. 122 male and 28 female dead bodies of all age group were studied.
Scalp was incised across the vertex from tip of one mastoid process to the other. The scalp tissue was reflected anteriorly up to superciliary arches on forehead and posteriorly up to external protuberance. The vault sutures were completely cleaned by peeling off the temporalis muscle, soft tissues, periosteum and the presence of wormian bone was noted.
OBSERVATION & DISCUSSION: Incidence of wormian bone was 4.7% (4.1% male and 3.6 % female). Out of 150 cases 7 cases showed wormian bone (Table 1). This incidence of wormian bone in present study is slightly higher i.e. 4.7% than the previous study of Berry AC et al (1974) (2) who have reported it in 4.6% of cases. Chandersekharan P (1985) (4) has reported 20% incidence of wormian bone in south-India.
The wormian bone were more in male (4.1%) than in (3.6%) in present study, whereas most of the previous study, Berry AC et al (1974) (2), Chandersekharan P (1985) (4), are silent about sex variation in wormian bone. Bhagwat SS et al (1984) (3) in their study in Gujarat have also found no sex difference in incidence of wormian bone. Murlimanju et al (2011) (9) reported 73.1% wormian bone in Indian skull.
The difference in the male/female population needs further study and explanation as no other study has been reported to compare the sex incidence of wormian bone. Other studies were on available skulls whose sex and age were unknown but in our study these were known hence the present documentary evidence needs further study on the population at large.
CONCLUSION: Incidence of wormian bone is 4.1% in males and 3.6% in females. The knowledge of wormian bone is clinically important; it may confuse the radiologist in case of head injuries as a multiple fractured bony fragments of skull. It may lead to the problem in posterior approach to cranial cavity. Knowledge of number of wormian bone is important to the anthropologist, radiologist, orthopedic and neurosurgeon.
(1.) Susan Standring: Gray Anatomy, 39th Edi.; page 486
(2.) Berry AC (1975). Factor affecting the incidence of Non-metrical skeletal variants, J Ana, 120:519-535.
(3.) Bhagwat SS, Pal GP, Qutal RVR and Patel V91984). A study of sutural bone in Gujrati Crania. J Anat Soc of India, 33(1):3
(4.) Chandersekharan P (1985). Identification of skull from its suture pattern. Forensic Science International. 27:205-214
(5.) Fakhruddin S and Bhalerao UK (1967), Inerparietal bone in three pieces, a case report, of Ana Soci of Ind, XVI: 146-147.
(6.) Hymen LH (1957). In Comparative Vertebrate Anatomy, 2nd Ed. University of Chicago Press, Chicago. pg183
(7.) Mishra BD (1960). Interparietal bone--A case report. J of Anat Soci of Ind., 9:39
(8.) Muthukrishnan S (1981). Case of abnormal Occipital Bone. J of Anat Soci. Of Ind. 29-30
(9.) Murlimanju BV, Prabhu LV, Ashraf CM, Kumar CG, Rai R and Maheswari C (2011): J. Morphol. Sci., vol. 28 no.3 pg.176-179
(10.) Shapiro R and Janzen HA (1960) .The normal skull-A roentgen study, Paul. B Huber: Inc. Medicals division of Harper and Brothers p.161.
William F. Masih, Sumit Gupta, Anita E. Chand, Pratima Jaiswal, P. K. Saraswat
[1.] Associate Professor. Department of Anatomy, Govt. Medical College, Kota, Rajasthan.
[2.] Assistant Professor. Department of Anatomy, Govt. Medical College, Kota, Rajasthan.
[3.] Professor. Department of Microbiology, Govt. Medical College, Kota, Rajasthan.
[4.] Associate Professor. Department of Anatomy, Govt. Medical College, Kota, Rajasthan.
[5.] Professor. Department of Forensic Medicine, JLN Medical College, Ajmer, Rajasthan.
Dr. William F. Masih, Associate Professor, Dept of Anatomy, Government Medical College, Kota-324005.
TABLE 1: AGE AND SEX WISE DISTRIBUTION OF WORMIAN BONE (N=150) Wormian bone Age in Male Female Total Years No. of Skulls No. of Skulls No. of Total Cases showing Cases showing Cases Skull wormian wormian showing bone bone wormian bone 0-30year 51 -- 18 69 -- 31-40 31 2 10 1 41 3 41-50 16 2 4 -- 20 2 51-70 16 2 4 -- 20 2 71-80 6 -- 2 -- 8 -- 81-90 2 -- 0 -- 2 -- Total 12 2 6 28 1 150 7 TABLE: 2 Comparison of incidence of wormian bone in Rajasthan with other studies. S. Study % of wormian bone Race No. 1 Bhagwat SS et al No sex difference Gujarat (1984) (3) 2 Chandersekheran P 20% South-Indians (1985) (4) 3 Berry et al 4.6% of Inca bone North America (1974) (2) 4 Murlimanju et al 73.1% of wormian bone India (2011) (9) 6 Present study 4.7 % of wormian bone Rajasthan (4.1% in male) (3.6% in female)
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|Title Annotation:||ORIGINAL ARTICLE|
|Author:||Masih, William F.; Gupta, Sumit; Chand, Anita E.; Jaiswal, Pratima; Saraswat, P.K.|
|Publication:||Journal of Evolution of Medical and Dental Sciences|
|Date:||Mar 4, 2013|
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