Abstract
The human pelvis is one of the skeletons where sex differences are expressed, but few detailed studies have been conducted on sex-related differences in the sacroiliac joint morphology. Therefore, we conducted a three-dimensional morphological analysis evaluation of the sacroiliac joints to clarify the sex-related difference of the joint’s morphology. Right-side macerated innominate bones of Japanese males (n = 100) and females (n = 70) whose ages at death were recorded were included in the study. Three-dimensional images were created from the subjects’ iliac auricular surface images, and 16 measurement parameters were acquired on the basis of 11 defined measurement points. All measurement parameters were compared between the male and female groups. The values of the measurement parameters indicating the size of the iliac auricular surface were significantly larger in the male group than in the female group. In addition, the angle between the short and long arms of the auricular surface was larger in the male group. Furthermore, on the basis of the corrected values of the physical disparity, the long arm dimension of the iliac auricular surface was larger in the male group, while the short arm dimension was larger in the female group. The sex-based differences in the iliac auricular surface morphology that were confirmed in this study may reflect the sex-based differences in the sacroiliac joint function. The findings of this study may contribute to the elucidation of the pathophysiology of the sacroiliac joint dysfunction that frequently occurs in women.
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References
Abitbol MM (1996) The shapes of the female pelvis. Contributing factors. J Reprod Med 41:242–250
Aiello LC, Dean C (1990) Bipedal locomotion and the postcranial skeleton. an introduction to human evolutionary anatomy. Elsevier, San Diego, pp 244–274
Barker PJ, Hapuarachchi KS, Ross JA et al (2014) Anatomy and biomechanics of gluteus maximus and the thoracolumbar fascia at the sacroiliac joint. Clin Anat 27:234–240. https://doi.org/10.1002/ca.22233
Bellamy N, Parl W, Rooney P (1983) What do we know about the sacroiliac joint? Semin Arthritis Rheum 12:282–313
Bowen V, Cassidy J (1981) Macroscopic and microscopic anatomy of the sacroiliac joint from embryonic life to the eighth decade. Spine 6:620–628 (Phila Pa 1976)
Braune C, Fischer O (1892) Bestimmung der Tragheitsmomente des menschlichen Korpers und seine Glieder. Abhandl Math Phys Kl Sachs Ges Wiss 18:409
Brooke R (1924) The sacro-iliac joint. J Anat 58:299–305
Buckberry JL, Chamberlain AT (2002) Age estimation from the auricular surface of the ilium: a revised method. Am J Phys Anthropol 119:231–239. https://doi.org/10.1002/ajpa.10130
Carter M, Loewi G (1962) Anatomical changes in normal sacroiliac joints during childhood and comparison with the changes in Still’s disease. Ann Rheum Dis 21:121–134
Dalstra M, Huiskes R (1995) Load transfer across the pelvic bone. J Biomech 28:715–724. https://doi.org/10.1016/0021-9290(94)00125-N
Dijkstra PF, Vleeming A, Stoeckart R (1989) Complex motion tomography of the sacroiliac joint. An anatomical and roentgenological study. Rofo 150:635–642. https://doi.org/10.1055/s-2008-1047093
Dunsworth H, Eccleston L (2015) The evolution of difficult childbirth and helpless hominin infants. Annu Rev Anthropol 44:55–69. https://doi.org/10.1146/annurev-anthro-102214-013918
Ebraheim NA, Biyani A (2003) Percutaneous computed tomographic stabilization of the pathologic sacroiliac joint. Clin Orthop Relat Res 408:252–255. https://doi.org/10.1097/00003086-200303000-00033
Eichenseer PH, Sybert DR, Cotton JR (2011) A finite element analysis of sacroiliac joint ligaments in response to different loading conditions. Spine 36:E1446–E1452. https://doi.org/10.1097/BRS.0b013e31820bc705(Phila Pa 1976)
Fischer B, Mitteroecker P (2017) Allometry and sexual dimorphism in the human pelvis. Anat Rec 300:698–705. https://doi.org/10.1002/ar.23549
Igarashi Y, Uesu K, Wakebe T, Kanazawa E (2005) New method for estimation of adult skeletal age at death from the morphology of the auricular surface of the ilium. Am J Phys Anthropol 128:324–339. https://doi.org/10.1002/ajpa.20081
Jesse MK, Kleck C, Williams A et al (2017) 3D morphometric analysis of normal sacroiliac joints: a new classification of surface shape variation and the potential implications in pain syndromes. Pain Physician 20:E701–e709
Joukar A, Shah A, Kiapour A et al (2018) Gender specific sacroiliac joint biomechanics during standing upright. Spine 43(18):E1053–E1060. https://doi.org/10.1097/BRS.0000000000002623(Phila Pa 1976)
Kiapour A, Abdelgawad AA, Goel VK et al (2012) Relationship between limb length discrepancy and load distribution across the sacroiliac joint—a finite element study. J Orthop Res 30:1577–1580. https://doi.org/10.1002/jor.22119
Kurki HK (2011) Pelvic dimorphism in relation to body size and body size dimorphism in humans. J Hum Evol 61:631–643. https://doi.org/10.1016/j.jhevol.2011.07.006
Lewis CL, Laudicina NM, Khuu A, Loverro KL (2017) The human pelvis: variation in structure and function during gait. Anat Rec 300:633–642. https://doi.org/10.1002/ar.23552
Lovejoy CO (1988) Evolution of human walking. SciAm 259:118–125
Lovejoy CO (2005) The natural history of human gait and posture Part 1. Spine and pelvis. Gait Posture 21:95–112. https://doi.org/10.1016/j.gaitpost.2004.01.001
Lovejoy CO, Meindl RS, Pryzbeck TR, Mensforth RP (1985) Chronological metamorphosis of the auricular surface of the ilium: a new method for the determination of adult skeletal age at death. Am J Phys Anthropol 68:15–28. https://doi.org/10.1002/ajpa.1330680103
MacDonald GR, Hunt TE (1952) Sacroiliac joints: observations on the gross histological changes in the various age groups. Can Med Assoc J 66:157–163
McFadden C, Oxenham MF (2018) Sex, parity, and scars: a meta-analytic review. J Forensic Sci 63:201–206. https://doi.org/10.1111/1556-4029.13478
Meindl RS, Lovejoy CO, Mensforth RP, Carlos LD (1985) Accuracy and direction of error in the sexing of the skeleton: implications for paleodemography. Am J Phys Anthropol 68:79–85. https://doi.org/10.1002/ajpa.1330680108
Miller JAA, Schultz AB, Andersson GBJ (1987) Load–displacement behavior of sacroiliac joints. J Orthop Res 5:92–101. https://doi.org/10.1002/jor.1100050112
Moraitis K, Zorba E, Eliopoulos C, Fox SC (2014) A test of the revised auricular surface aging method on a modern European population. J Forensic Sci 59:188–194. https://doi.org/10.1111/1556-4029.12303
Mulhern D, Jones E (2005) Test of revised method of age estimation from the auricular surface of the ilium. Am J Phys Anthropol 126:61–65
Nagaoka T, Hirata K (2008) Demographic structure of skeletal populations in historic Japan: a new estimation of adult age-at-death distributions based on the auricular surface of the ilium. J Archaeol Sci 35:1370–1377. https://doi.org/10.1016/j.jas.2007.10.002
Nishi K, Saiki K, Imamura T et al (2017) Degenerative changes of the sacroiliac auricular joint surface—validation of influential factors. Anat Sci Int 92:530–538. https://doi.org/10.1007/s12565-016-0354-x
Nishi K, Tsurumoto T, Okamoto K et al (2018) Three-dimensional morphological analysis of the human sacroiliac joint: influences on the degenerative changes of the auricular surfaces. J Anat 232:238–249. https://doi.org/10.1111/joa.12765
Pardehshenas H, Maroufi N, Sanjari MA et al (2014) Lumbopelvic muscle activation patterns in three stances under graded loading conditions: proposing a tensegrity model for load transfer through the sacroiliac joints. J Bodyw Mov Ther 18:633–642. https://doi.org/10.1016/j.jbmt.2014.05.005
Passalacqua NV (2009) Forensic age-at-death estimation from the human sacrum. J Forensic Sci 209:255–262
Ridley M (1995) Pelvic sexual dimorphism and relative neonatal brain size really are related. Am J Phys Anthropol 97:197–200. https://doi.org/10.1002/ajpa.1330970209
Sashin D (1930) A critical analysis of the anatomy and the pathological changes of the sacroiliac joints. J Bone Jt Surg 12:891–910
Schmitt A (2004) Age-at-death assessment using the os pubis and the auricular surface of the ilium: a test on an identified Asian sample. Int J Osteoarchaeol 14:1–6
Schunke GB (1938) The anatomy and development of the sacro-iliac joint in man. Anat Rec 72:313–331
Snell CARD, Donhuysen HWA (1968) The pelvis in the bipedalism of primates. Am J Phys Anthropol 28:239–246. https://doi.org/10.1002/ajpa.1330280313
Solonen K (1957) The sacroiliac joint in the light of anatomical, roentgenological and clinical studies. Acta Orthop Scand 28(Suppl):1–127
Spring DB, Lovejoy CO, Bender GN, Duerr M (1989) The radiographic preauricular groove: its non-relationship to past parity. Am J Phys Anthropol 79:247–252. https://doi.org/10.1002/ajpa.1330790212
Stoev I, Powers AK, Puglisi JA et al (2012) Sacroiliac joint pain in the pediatric population. J Neurosurg Pediatr 9:602–607. https://doi.org/10.3171/2012.2.PEDS11220
Stupar M, Côté P, French MR, Hawker GA (2010) The association between low back pain and osteoarthritis of the hip and knee: a population-based cohort study. J Manip Physiol Ther 33:349–354. https://doi.org/10.1016/j.jmpt.2010.05.008
Tague RG (1992) Sexual dimorphism in the human bony pelvis, with a consideration of the Neandertal pelvis from Kebara cave, Israel. Am J Phys Anthropol 88:1–21. https://doi.org/10.1002/ajpa.1330880102
Tischauer E, Miller M, Nathan I (1973) Lordosimetry: a new technique for the measurement of postural response to materials handling. Am Ind Hyg Assoc J 1:1–12
Tsurumoto T, Saiki K, Okamoto K et al (2013) Periarticular osteophytes as an appendicular joint stress marker (JSM): analysis in a contemporary Japanese skeletal collection. PLoS ONE 8:e57049. https://doi.org/10.1371/journal.pone.0057049
Van Wingerden JP, Vleeming A, Buyruk HM, Raissadat K (2004) Stabilization of the sacroiliac joint in vivo: verification of muscular contribution to force closure of the pelvis. Eur Spine J 13:199–205. https://doi.org/10.1007/s00586-003-0575-2
Vleeming A, Stoeckart R (2007) The role of the pelvic girdle in coupling the spine and the legs: a cinical-anatomical perspective on pelvic stability. In: Vleeming A, Mooney V, Stoeckart R (eds) Movement, stability and lumbopelvic pain: integration and research. Churchill Livingstone, Edinburgh, pp 113–137
Vleeming A, Stoeckart R, Volkers AC, Snijders CJ (1990a) Relation between form and function in the sacroiliac joint. Part I: Clinical anatomical aspects. Spine 15:130–132 (Phila Pa 1976)
Vleeming A, Volkers A, Snijders C, Stoeckart R (1990b) Relation between form and function in the sacroiliac joint. Part II: Biomechanical aspects. Spine 15:133–136 (Phila Pa 1976)
Vleeming A, Schuenke MD, Masi AT et al (2012) The sacroiliac joint: an overview of its anatomy, function and potential clinical implications. J Anat 221:537–567. https://doi.org/10.1111/j.1469-7580.2012.01564.x
Washburn SL (1960) Tools and human evolution. Sci Am 203:63–75
Wells JCK, DeSilva JM, Stock JT (2012) The obstetric dilemma: an ancient game of russian roulette, or a variable dilemma sensitive to ecology? Yearb Phys Anthropol 149:40–71. https://doi.org/10.1002/ajpa.22160
Wu T, Ren X, Cui Y et al (2018) Biomechanical study of three kinds of internal fixation for the treatment of sacroiliac joint disruption using biomechanical test and finite element analysis. J Orthop Surg Res 13:1–8. https://doi.org/10.1186/s13018-018-0858-2
Acknowledgements
We would like to thank the members of the macroscopic anatomy laboratory of Nagasaki University that provided the specimens and the members of Community‐based Rehabilitation Sciences Laboratory of Nagasaki University who gave valuable suggestions in this research.
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Nishi, K., Saiki, K., Oyamada, J. et al. Sex-based differences in human sacroiliac joint shape: a three-dimensional morphological analysis of the iliac auricular surface of modern Japanese macerated bones. Anat Sci Int 95, 219–229 (2020). https://doi.org/10.1007/s12565-019-00513-2
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DOI: https://doi.org/10.1007/s12565-019-00513-2