Rajila R. H. S, Abitha R, Logithkumar Ok, Gnanasundaram V. Profound Morphometric Evaluation of Acetabulum in South Indian Inhabitants (Acetabular dimensions). Biomed Pharmacol J 2024;17(1).
Manuscript accepted on :23-10-2023
Printed on-line on: 26-02-2024
Plagiarism Examine: Sure
Reviewed by: Dr. Asim Faraz
Second Assessment by: Dr. Aizman Roman
Last Approval by: Dr. Ian James Martin
Easy methods to Cite |
Publication Historical past
![Views](https://biomedpharmajournal.org/wp-content/uploads/2015/11/view_icon.png)
Hannah Sugirthabai RajilaRajendran 1, R Abitha2*
, S Logithkumar3
and Vaithianathan Gnanasundaram4
1Division of Anatomy, Chettinad Hospital and analysis Institute, Chettinad Academy of Analysis and Schooling, Chennai, Tamil Nadu, India.
2Chettinad Hospital and analysis Institute, Chettinad Academy of Analysis and Schooling, Chennai, Tamil Nadu, India.
Corresponding Writer E-mail: abitharaja2022@gmail.com
Summary
Goal- Acetabular dimensions performs a difficult position in numerous arthroplasties and reconstructions. Morphometric research of acetabulum of dry hip bones is a necessity to make correct prosthesis and to make sure good high quality of life. Supplies & strategies – On this 71 dry human hip bones of 35 proper and 36 left collected in division of anatomy of Chettinad Hospital and Analysis Institute, to investigate & measure the diameter, acetabular notch, acetabular circumference, depth and quantity of acetabulum. Outcomes – The transverse diameter on right- 49.33 ± 7.36 mm, left 48.57±6.79 mm, depth-right23.28±3.27 mm, left 22.50 ±3.18 mm, vertical diameter- proper 48.05±4.40 mm, left 47.66±4.95 mm, acetabular notch- proper 22.00±3.28 mm, left 20.56±2.61 mm, outer rim circumference -right 11.90±0.99 cm, left 12.43±0.87 cm, interior rim circumference- proper 7.66±0.84 cm, left 8.06±0.72 cm, acetabular circumference- proper 15.26±1.38 cm, left 14.60±1.35 cm, capacity- proper 27.22±5.43 ml, left-27.22±5.77 ml. Conclusion – All of the parameters had been statistically analysed and the outcomes counsel that the acetabular dimensions are principally smaller in South Indian inhabitants and hip prosthesis needs to be made affected person particular to extend the success price of arthroplasties.
Key phrases
Acetabulum; Arthroplasty; Biometry; Hip prosthesis
Copy the next to quote this text: Rajila R. H. S, Abitha R, Logithkumar Ok, Gnanasundaram V. Profound Morphometric Evaluation of Acetabulum in South Indian Inhabitants (Acetabular dimensions). Biomed Pharmacol J 2024;17(1).
|
Copy the next to quote this URL: Rajila R. H. S, Abitha R, Logithkumar Ok, Gnanasundaram V. Profound Morphometric Evaluation of Acetabulum in South Indian Inhabitants (Acetabular dimensions). Biomed Pharmacol J 2024;17(1). Accessible from: https://bit.ly/3SQPqvB
|
Introduction
The Acetabulum is called the vinegar
cup. Its deep concavity faces laterally and anteroinferiorly .The cup form socket
types the hip joint on articulation with the top of a femur which supplies stability to the joint . Growth of
cavity embryologically begins at 4th to sixth week and completion of cavity occurs
at eighth week of intrauterine life. Triradiate cartilage (immature ischium, ilium and pubis) fuses to type
acetabulum. The morphology of acetabulum reveals 2 surfaces, a smo oth articulating lunate floor, which
has its anterior and posterior finish and a tough non articulating half known as
acetabular fossa coated with a pad of fats.1,2,3
The peripheral moon-shaped articular floor of
acetabulum coated by hyaline cartilage and poor on the inferior margin
types acetabular notch. This hole is bridged by transverse acetabular ligament
to type acetabular foramen. Data of morphometry & anatomical framework is critical to grasp the mechanics and enhances the acumen to carry out hip arthroplasties.4,5 A joint
incongruity can also result in extra dislocation & fractures. So
a small change in any parameter of acetabulum results in anatomical variations.
AIM
The morphometry of acetabular fossa
enhances main baseline
knowledge for prosthesis building of acetabulum .6,7 In numerous hip dysplasia, harm to dimension and form of acetabulum parameters are evaluated by making use of measurements of acetabular
parameters by an orthopedic surgeon. The current research goals to acquire
morphometric knowledge of assorted acetabular parameters which offer
knowledge to enhance hip arthroplasty.
Supplies and Strategies
A complete 71 hip bones of unknown intercourse had been studied from Division of Anatomy of Chettinad Hospital and Analysis Institute. Out of 71 hip bones, 35 had been of proper aspect and 36 had been of left aspect no matter age and intercourse, as these parameters might be included when the bones are derived from a single particular person, which supplies a exact concept. However, when the gathering of bones are from completely different sources, the authenticity of the dedication of intercourse and age turns into controversial. All of the hip bones had been absolutely ossified with intact regular anatomical options.
Specimens with any pathological evidences or damages weren’t
included within the research. Measurements of the parameters had been performed with the assistance of digital vernier
caliper, twine with measuring
scale, plasticine, and urinometer. The parameters taken had been vertical diameter,
transverse diameter, acetabular notch width, acetabular rim, outer margin,
interior margin, depth and capability.
Vertical diameter: Most distance measured from the anterior superior iliac backbone to outstanding level on ischial tuberosity,
Transverse diameter:
Most distance measured
on acetabular rim in horizontal axis,
Depth: Distance measured from the brim of acetabulum to the deepest level in acetabular fossa with an skinny metallic strip of vernier caliper.
Acetabular
notch: Distance measured from the
two finish factors of lunate with vernier
caliper.
Acetabular Circumference: Circumference of the acetabular cavity
measured over the lip of the
acetabulum.
Outer rim circumference: Circumference measured across the outer margin of anterior
horn of
lunate floor to outer margin of posterior horn
of lunate floor.
Interior rim circumference: Circumference measured across the interior margin of anterior
horn of
lunate floor
to interior margin
of posterior horn of lunate
floor excluding acetabular notch.
Capability: A stable mass of plasticine was moulded to fill all the
acetabular cup until the circumference of acetabulum together with acetabular notch. The surplus plasticine after the filling was eliminated with a purpose to present correct
morphometric proof of quantity of acetabulum.
Then the stuffed plasticine was taken and submerged within the measuring
cylinder which was partially full of water. So the amount of displaced
fluid = quantity of immersed object in line with Archimedes precept. In response to Power of buoyancy
submerged quantity=quantity of object.
All these values
had been analyzed statistically utilizing SPSS software program.
Outcomes
The morphometry of acetabulum had been measured and tabulated as under with aspect distinction in respective items. Desk 1 present the assorted outcomes obtained in the course of the research interval. The worth of acetabulum circumference on this research on proper aspect was 15.26 ± 1.38 cm and left aspect was 14.60± 1.35 cm. Outer rim circumference on proper aspect was 11.90±0.99 cm & left aspect was 12.43±0.87cm and interior rim circumference on proper aspect was 7.66±0.84cm & left aspect wsa8.06±0.72cm.
Desk 1: Outcomes
ACETABULUM |
SIDE |
MEAN ± SD |
TRANSVERSE DIAMETER |
RIGHT |
49.33 ± 7.36 mm |
LEFT |
48.57±6.79 mm |
|
DEPTH |
RIGHT |
23.28±3.27 mm |
LEFT |
22.50 ±3.18 mm |
|
VERTICAL DIAMETER |
RIGHT |
48.05±4.40 mm |
LEFT |
47.66±4.95 mm |
|
ACETABULAR NOTCH |
RIGHT |
22.00±3.28 mm |
LEFT |
20.56±2.61 mm |
|
OUTER RIM CIRCUMFERENCE |
RIGHT |
11.90±0.99 cm |
LEFT |
12.43±0.87 cm |
|
INNER RIM CIRCUMFERENCE |
RIGHT |
7.66±0.84 cm |
LEFT |
8.06±0.72 cm |
|
ACETABULAR CIRCUMFERENCE |
RIGHT |
15.26±1.38 cm |
LEFT |
14.60±1.35 cm |
|
CAPACITY |
RIGHT |
27.22±5.43 ml |
LEFT |
27.22±5.77 ml |
Dialogue
Our research would give an elaborate concept of attainable parameters in
anthropometry of acetabulum of dry hip bone in South Indian inhabitants, which
supplies a robust anatomical
information to orthopedic surgeons for enhancing the success price of hip arthroplasties.
8,9,10,11 Anthropometry of acetabular fossa is a significant baseline knowledge
for making hip prosthesis. 12,13
Our research accounts for exact morphometric values of the attainable parameters measurable within the acetabular cavity. The transverse diameters of acetabulum of proper and left aspect had been 49.33 ± 7.36 mm, and 48.57±6.79mm respectively. The transverse diameter reported by Gursharan, 14 was discovered to be larger than the identical within the current research and fairly nearer to worth was reported by Archana ,15 47.43±3.43mm and 48.13±3.33mm on proper and left sides. The diameter of acetabular cavity on vertical axis was 48.05±4.40mm and 47.66±4.95mm on proper and left aspect respectively. The identical diameter as in contrast with Sridharan, was smaller and statistically important with p worth lower than 0.05 on each side (Desk 2). 16
Desk 2: Comparability Desk
Parameters |
Our Examine |
Gursharan 14 |
Archana 15 |
Ilankathir 16 |
Yugesh 17 |
TRANSVERSE DIAMETER[mm] |
49.33 ± 7.36 |
51.3±2.6 P= 0.073 |
47.43±3.43 P=0.031 |
|
|
48.57±6.79 |
50.3±3.5 |
48.13±3.33 |
|
|
|
P= 0.103 |
P= 0.591 |
||||
DEPTH[mm] |
23.28±3.27 |
26.7±2.7 P<0.0001 |
26.73±3.06 P<0.0001 |
24.34 ±2.53 P=0.01499 |
29.9±0.21 P<0.0001 |
22.50 ±3.18 |
26.4±3.0 P<0.0001 |
28.04±2.88 P<0.0001 |
24.35±2.54 P<0.0001 |
29.7±0.23 P<0.0001 |
|
VERTICAL DIAMETER[mm] |
48.05±4.40 |
|
48.00±3.56 P= 0.938 |
50.43±3.88 P= 0.0002 |
47.4±0.27 P= 0.256 |
47.66±4.95 |
|
48.38±3.12 P= 0.264 |
50.28±3.85 P<0.0001 |
48.0±0.37 P= 0.597 |
|
ACETABULAR NOTCH[mm] |
22.00±3.28 |
|
23.11±2.70 P= 0.021 |
24.48±1.89 P<0.0001 |
30.8±0.42 P<0.0001 |
20.56±2.61 |
|
23.98±2.79 P<0.0001 |
24.29±1.86 P<0.0001 |
31.1±0.72 P<0.0001 |
|
CAPACITY[ml] |
27.22±5.43 |
36.68±6.23 P<0.0001 |
|
|
|
27.22±5.77 |
33.56±5.63 P<0.0001 |
|
|
|
On the statistical evaluation of the transverse and vertical diameters of acetabulum in our research, there was no important distinction between the parameters of the proper and left aspect.
The depth of acetabulum in current research was 23.28±3.27mm on proper aspect and 22.50 ±3.18mm
on left aspect. Our values had been smaller and statistically important on
comparability with the research of Sridharan.16 The comparability of the identical with Archana of North Indian inhabitants can be
statistically important.15 The
cavity depth within the South Indian inhabitants ranges from 23mm to 29mm with reference of different comparable
research by Gursharan and Yugesh . 14,17 The width of acetabular notch of current research was measured
as 22.00±3.28mm and 20.56±2.61mm on proper
and left aspect. It was discovered that the findings had been once more smaller and
statistically important with Sridharan, Archana, and Yugesh as talked about in
[Table 2]. 15,16,17
The morphometric information of acetabular rim is essential for labral reconstruction, which is critical to restore labral tears. On this research the worth of acetabular rim measured was 15.26±1.38mm and 14.60±1.35mm on proper and left aspect respectively. Outer rim of acetabulum on proper and left aspect had been 11.90±0.99mm and 12.43±0.87mm and the interior rim measured had been 7.66±0.84mm and eight.06±0.72mm. This understanding of acetabular rim performs a major position in hip stability, however this parameter was sometimes famous in hip anthropometry research, which were performed until date.
The volumes of acetabulum on this current research had been 27.22±5.43mm
and 27.22±5.77mm on proper and left aspect respectively. The research by Gursharan,
performed by the identical methodology confirmed an enormous distinction in quantity with a relatively
larger vary and important statistically as effectively.14 Thereby the measured values
enhanced by handbook
methodology are extra correct than the
radiological methodology as these present a greater understanding for biomedical
engineers for modeling the prosthesis as readings are close to the actual worth. 18,19,20,21,22,23
Conclusion
This research emphasizes primarily on the detailed information of anatomical
parameters of acetabulum that are extra essential & important to orthopedic
surgeons for numerous hip surgical procedures. The depth of acetabular cavity performs an
essential position in acetabular dysplasia. Acetabular rim parameters had been studied
in nice element and performs essential position in labral reconstructions. The values obtained
listed here are pertaining to part of South Indian inhabitants . These values had been very smaller when in comparison with different races and even
different Indian states.
The research has proved the significance of constructing prosthesis at an individualized stage, slightly than on a basic stage. This data of acetabular parameters is crucial for anatomist, forensics consultants and orthopaedicians to ship their performances to the utmost of their specialties.
Acknowledgement
None
Battle of Curiosity
There isn’t any battle of curiosity.
Funding Sources
None
References
- Standring S. Grey’s Anatomy:The Anatomical Foundation of Medical Observe. forty first Version. Elsevier Churchil Livingstone; 2005.
CrossRef - Final RJ. Decrease limb. In: McMinn RM, editor. Final’s Anatomy Regional and Utilized. ninth ed. New York: Churchill Livingstone; 1996.
CrossRef - Govsa F, Ozer MA, Ozgur Z. Morphologic options of the acetabulum. Arch Orthop Trauma Surg. 2005; 125: 453-461.
CrossRef - Chauhan NS, Thakur L, Singh S, Awasthi B, Raina SK. Morphometric analysis of acetabular dimensions: A computed tomography primarily based research from a tertiary care middle in rural North- West India. J Med Soc. 2018 ;32: 195-198.
CrossRef - Murtha PE, Hafez MA, Jaramaz B, DiGioia AM III. Variations in acetabular anatomy with regards to complete hip substitute. J Bone Joint Surg [Br]. 2008;90-B: 308-13.
CrossRef - Eng JT, Baker A, Tang P, Thompson S, Gomez JM. 2012. Morphometric evaluation of acetabular rim form amongst historic Mongolian pastoralists. Poster offered on the nineteenth Annual Assembly of the Midwest Bioarchaeology and Forensic Anthropology Affiliation, Carbondale, IL, October 2012.
- Safir O, Lin C, Kosashvili Y, Mayne IP, Gross AE, Backstein D. Limitations of standard radipgraphs within the evaluation of acetabular defects following complete hip arthroplasty. Can J Surg. 2012; 55: 401-407.
CrossRef - Hettich G, Schierjott RA, Ramm H, Graichen H, Jansson V, Rudert M, Traina F, Grupp TM. Methodology for quantitative evaluation of acetabular bone defects. J Orthop Res. 2019; 37(1): 181- 189.
CrossRef - Gaurang P, Reliab SR, Patel SV, Patel SM, Jethvaa N. Morphology and morphometry of acetabulum. Indian J Biol Med Res. 2013; 4: 2924 – 6.
- Jadhav S, Rokade S, Nomulwar S, Ahire P, Bahetee B. Morphometric research of acetabulum. ApplPhysiolAnat Dig. 2017; 2: 26 – 34.
- Saikia KC, Bhuyan SK, Rongphar R. Anthropometric research of the hip joint in northeastern area inhabitants with computed tomography scan. Indian J Orthop. 2008 ; 42(3): 260-6.
CrossRef - Johanson NA, Driftmier KR, Cerynik DL, Stehman CC. Grading acetabular defects: the necessity for a common and legitimate system. J Arthroplasty. 2010 ; 25(3): 425-31.
CrossRef - Sreedevi G, Sangam MR. The research of morphology and morphometry of acetabulum on dry bones. Int J Anat Res. 2017; 5(4.2): 4558-4562.
CrossRef - Dhindsa GS. Acetabulum : A morphometric research. J EvolMedDentSci 2013; 2(7): 657-665.
CrossRef - Singh A, Gupta R, Singh A. Morphological and morphometric research of the acetabulum of dry human hip bone and its scientific implication in hip arthroplasty. J AnatSoc India 2020; 69: 220- 225.
CrossRef - Sridharan I ,Muthusamy S, ThangarasuR,Krishnamoorthy S, GanesanS.MorphometricStudyofAcetabuluminAdultDryHumanPelvicBone.IndianJAnat. 2019; 8(4): 289–292.
- Yugesh Ok, Kumar SS. Morphometric evaluation of acetabulum and its scientific correlation in south Indian inhabitants. Int J Appl Res. 2016; 2(6): 1011-1014.
- Benazzi S, Maestri C, Parisini S, Vecchi F, Gruppioni G. Intercourse evaluation from the acetabular rim via picture evaluation. Forensic Sci Int. 2008; 180: 58.e1–58.e3.
CrossRef - Pratibha Ok, Hema L, Devishankar. Acetabulum of the hip bone: A morphometric research within the south coastal area. Int J Rec Developments Sci Technol. 2015; 17(2): 136–39.
- R Chauhan, S Paul, Dhaon BK. Anatomical parameters of North Indian Hip joints- Cadaveric Examine. J Anat Soc. 2002; 51(1): 39-42.
CrossRef - San-Millán M, Rissech C, Turbón D. Form variability of the grownup human acetabulum and acetabular fossa associated to intercourse and age by geometric morphometrics. Implications for grownup age estimation. Forensic Sci Int. 2017;272:50-63.
CrossRef - Parmara G, Rupareliab S, Patelc SV, Patelb SM, Jethvaa N. Morphology and Morphometry of Acetabulum. Int J Biol Med Res. 2013; 4(1): 2924-2926.
- Krishan Ok, Chatterjee PM, Kanchan T, Kaur S, Baryah N, Singh RK. A overview of intercourse estimation methods throughout examination of skeletal stays in forensic anthropology casework. Forensic Sci Int. 2016;261:165.e1-165.e1658.
CrossRef
(Visited 18 occasions, 1 visits at this time)