Research Article
BibTex RIS Cite

Morphometric Characterization of the Collum Chirurgicum

Year 2021, Volume: 5 Issue: 1, 35 - 41, 26.02.2021
https://doi.org/10.30621/jbachs.856197

Abstract

Purpose: Collum chirurgicum is the most frequently fractured part on the proximal humerus. While, collum fractures have been a subject to vast numbers of researches, its structural dispositions depending on the variants of sex and directional morphometry requires further investigation. Therefore, we aimed to evaluate sex and side differences by using morphometric measurements of humerus and collum chirurgicum.
Methods: In order to achieve the above-mentioned objective, measurements were performed on dry humerus specimens from 60 male and 60 female origins. The circumference of collum chirurgicum (CC) and humerus length (HL) were measured. After the completion of these measurements the area (CA) of collum chirurgicum was calculated and the data obtained was utilized to create two separate indexes.
Results: The circumference of collum chirurgicum differed significantly between the sexes, but not between the right-left sides. Although there was a significant difference between male and female HL on the right side, there was no significant difference on the left side. The highest mean value of the CC in females was lower than the minimum value obtained in males. The mean value of the CA in males was higher than the maximum value obtained in females. There was a significant difference between sexes for both indexes.
Conclusion: We think that collum chirurgicum is an important region in sex determination. Therefore, morphometric data of this area can shed light on forensic research and can give an idea about the approach to fracture treatment and help in solving the clinical problems that may occur.

Thanks

We would like to thank to Gizem Sakalli, PhD student, for her contribution to data collection.

References

  • Standring S. Gray's anatomy. The Anatomical Basis of Clinical Practice. 40st ed. Elsevier; 2015. p.804-808.
  • Jamal L, Cherrad T, Bousbaa H, Wahidi M, Amhajji L, Rachid K. Centro-medullary Nailing in the Complex Fractures of the Upper End of the Humerus: Preliminary Results in 6. The Pan African Medical Journal 2016; 25.
  • Schumaier A, Grawe B. Proximal humerus fractures: evaluation and management in the elderly patient. Geriatric Orthopaedic Surgery & rehabilitation 2018; 9: 1-11.
  • Hansen JT. Netter's clinical anatomy. Elsevier Health Sciences 2014; 293-306.
  • Demirtaş M, Aydin M. Minimaly invasive surgery and locking plate fixation in proximal humerus fractures. Turkish Journal of Orthopedics and Traumatology Association 2012; 11(1): 20-27.
  • Lind T, Krøner K, Jensen J. The epidemiology of fractures of the proximal humerus. Archives of Orthopaedic and trauma surgery 1989; 108(5): 285-287.
  • Aydin Kabakci AD, Buyukmumcu M, Yilmaz MT, Cicekcibasi AE, Akın D, Cihan E. An Osteometric Study on Humerus. International Journal of Morphology 2017; 35(1).
  • Roux A, Decroocq L, El Batti S, et al. Epidemiology of proximal humerus fractures managed in a trauma center. Orthopaedics & Traumatology: Surgery & Research 2012; 98(6): 715-719.
  • Kulkarni NV. Clinical Anatomy (A Problem-Solving Approach). Second Edition. Jaypee Brothers Medical Publishers; 2012.
  • Harrison AK, Gruson KI, Zmistowski B, et al. Intermediate outcomes following percutaneous fixation of proximal humeral fractures. JBJS 2012; 94(13): 1223-1228.
  • Fenichel I, Oran A, Burstein G, Perry, M. Percutaneous pinning using threaded pins as a treatment option for unstable two-and three-part fractures of the proximal humerus: a retrospective study. International orthopaedics 2006; 30(3): 153-157.
  • Horn J, Gueorguiev B, Brianza S, Steen H, Schwieger K. Biomechanical evaluation of two-part surgical neck fractures of the humerus fixed by an angular stable locked intramedullary nail. Journal of orthopaedic trauma 2011; 25(7): 406-413.
  • Maier D, Jäger M, Strohm PC, Südkamp NP. Treatment of proximal humeral fractures–a review of current concepts enlightened by basic principles. Acta Chir Orthop Traumatol Cech 2012; 79(4): 307-316.
  • Kocadal O, Aktekin CN. Treatment of Proximal Humeral Fractures: A Current Concept. Turkiye Klinikleri Journal of Orthopaedics and Traumatology 2015; 8(4): 25-32.
  • Kralinger F, Blauth M, Goldhahn J, et al. The influence of local bone density on the outcome of one hundred and fifty proximal humeral fractures treated with a locking plate. JBJS 2014; 96: 1026–1032.
  • Krappinger D, Bizzotto N, Riedmann S, Kammerlander C, Hengg C, Kralinger FS. Predicting failure after surgical fixation of proximal humerus fractures. Injury 2011; 42(11): 1283–1288.
  • Hertel RW. Fractures of the proximal humerus in osteoporotic bone. Osteoporosis International 2005; 16: 65–72.
  • Olerud P, Ahrengart L, So¨derqvist A, Saving J, Tidermark J. Quality of life and functional outcome after a 2-part proximal humeral fracture: A prospective cohort study on 50 patients treated with a locking plate. Journal of shoulder and elbow surgery 2010; 19: 814–822.
  • Ahmed SS, Siddiqui FB, Bayer SB. Sex Differentiation of Humerus: An Osteometric Study. Journal of Clinical & Diagnostic Research 2018; 12(12): 1-5.
  • Desai S, Shaik HS. A morphometric study of humerus segments. Journal of Pharmaceutical Sciences and Research 2012; 4(10): 1943-1945.
  • Holman DJ, Bennett KA. Determination of sex from arm bone measurements. American Journal of Physical Anthropology 1991; 84(4): 421-426.
  • Somesh MS, Prabhu LV, Shilpa K, et al. Morphometric study of the humerus segments in Indian population. International Journal of Morphology 2011; 29(4): 1174-1180.
  • Barnes J, Wescott DJ. Sex determination of Mississippian skeletal remains from humeral measurements. The Missouri Archaeologist, Journal of the Missouri Archaeological Society 2007; 68: 133-137.
  • Kranioti EF, Michalodimitrakis M. Sexual Dimorphism of the Humerus in Contemporary Cretans-A Population‐Specific Study and a Review of the Literature. Journal of Forensic Sciences 2009; 54(5): 996-1000.
  • Al Shehri F, Soliman KE. Determination of sex from radiographic measurements of the humerus by discriminant function analysis in Saudi population, Qassim region, KSA. Forensic Science International 2015; 253: 138.
  • Steyn M, İşcan MY. Osteometric variation in the humerus: sexual dimorphism in South Africans. Forensic Science International 1999; 106(2): 77-85.
  • Ndou R, Schepartz LA. Morphometric characteristics of the humerus and ulna in limbs bearing the supratrochlear aperture (STA). The Anatomical Record 2016; 299(2): 220-233.
  • Ogedengbe OO, Ajayi SA, Komolafe OA, Zaw AK, Naidu ECS, Okpara Azu O. Sex determination using humeral dimensions in a sample from KwaZulu-Natal: an osteometric study. Anat Cell Biol 2017; 50(3): 180-186.
  • Reddy BB, Doshi M. Sex determination from adult human humerus by discriminant function analysis. International Journal of Research in Medical Sciences 2017; 5(9): 3891-3897.
  • Dare SS, Masilili G, Mugagga K, Ekanem PE. Evaluation of Bilateral Asymmetry in the Humerus of Human Skeletal Specimen. BioMed research international 2019; 2019: 1-11.

Collum Chirurgicum'un Morfometrik Değerlendirilmesi

Year 2021, Volume: 5 Issue: 1, 35 - 41, 26.02.2021
https://doi.org/10.30621/jbachs.856197

Abstract

Amaç: Collum chirurgicum, proksimal humerusta en sık kırılan bölümdür. Bu bölümün kırıkları çok sayıda araştırmaya konu olurken, cinsiyet ve taraf morfometrisinin varyantlarına bağlı yapısal eğilimleri daha fazla araştırma gerektirmektedir. Bu nedenle, humerus ve collum chirurgicum'un morfometrik ölçümlerini kullanarak cinsiyet ve taraf farklılıklarını değerlendirmeyi amaçladık.
Yöntemler: Bu nedenle, 60 erkek ve 60 kadın orijinli kuru humerus numuneleri üzerinde ölçümler yapıldı. Collum chirurgicum (CC) çevresi ve humerus uzunluğu (HL) ölçüldü. Bu ölçümler tamamlandıktan sonra collum chirurgicum alanı (CA) hesaplandı ve elde edilen veriler iki ayrı indeks oluşturmak için kullanıldı.
Bulgular: Collum chirurgicum'un çevresi cinsiyetler arasında önemli ölçüde farklılık gösterdi, ancak sağ-sol taraflar arasında değil. Sağ tarafta erkek ve kadın HL arasında anlamlı fark olmasına rağmen sol tarafta anlamlı bir fark yoktu. Kadınlarda CC'nin en yüksek ortalama değeri erkeklerde elde edilen CC'nin minimum değerinden daha düşüktü. Erkeklerde CA ortalama değeri kadınlarda elde edilen maksimum değerden daha yüksekti. Her iki indeks için cinsiyetler arasında anlamlı bir fark vardı.
Sonuçlar: Collum chirurgicum'un cinsiyet belirlemede önemli bir bölge olduğu kanısındayız. Bu nedenle, bu alanın morfometrik verilerinin adli araştırmalara ışık tutabileceğini, kırık tedavisinin yaklaşımında ve oluşabilecek klinik problemlerin çözümünde yardımcı olabileceğini düşünüyoruz.

References

  • Standring S. Gray's anatomy. The Anatomical Basis of Clinical Practice. 40st ed. Elsevier; 2015. p.804-808.
  • Jamal L, Cherrad T, Bousbaa H, Wahidi M, Amhajji L, Rachid K. Centro-medullary Nailing in the Complex Fractures of the Upper End of the Humerus: Preliminary Results in 6. The Pan African Medical Journal 2016; 25.
  • Schumaier A, Grawe B. Proximal humerus fractures: evaluation and management in the elderly patient. Geriatric Orthopaedic Surgery & rehabilitation 2018; 9: 1-11.
  • Hansen JT. Netter's clinical anatomy. Elsevier Health Sciences 2014; 293-306.
  • Demirtaş M, Aydin M. Minimaly invasive surgery and locking plate fixation in proximal humerus fractures. Turkish Journal of Orthopedics and Traumatology Association 2012; 11(1): 20-27.
  • Lind T, Krøner K, Jensen J. The epidemiology of fractures of the proximal humerus. Archives of Orthopaedic and trauma surgery 1989; 108(5): 285-287.
  • Aydin Kabakci AD, Buyukmumcu M, Yilmaz MT, Cicekcibasi AE, Akın D, Cihan E. An Osteometric Study on Humerus. International Journal of Morphology 2017; 35(1).
  • Roux A, Decroocq L, El Batti S, et al. Epidemiology of proximal humerus fractures managed in a trauma center. Orthopaedics & Traumatology: Surgery & Research 2012; 98(6): 715-719.
  • Kulkarni NV. Clinical Anatomy (A Problem-Solving Approach). Second Edition. Jaypee Brothers Medical Publishers; 2012.
  • Harrison AK, Gruson KI, Zmistowski B, et al. Intermediate outcomes following percutaneous fixation of proximal humeral fractures. JBJS 2012; 94(13): 1223-1228.
  • Fenichel I, Oran A, Burstein G, Perry, M. Percutaneous pinning using threaded pins as a treatment option for unstable two-and three-part fractures of the proximal humerus: a retrospective study. International orthopaedics 2006; 30(3): 153-157.
  • Horn J, Gueorguiev B, Brianza S, Steen H, Schwieger K. Biomechanical evaluation of two-part surgical neck fractures of the humerus fixed by an angular stable locked intramedullary nail. Journal of orthopaedic trauma 2011; 25(7): 406-413.
  • Maier D, Jäger M, Strohm PC, Südkamp NP. Treatment of proximal humeral fractures–a review of current concepts enlightened by basic principles. Acta Chir Orthop Traumatol Cech 2012; 79(4): 307-316.
  • Kocadal O, Aktekin CN. Treatment of Proximal Humeral Fractures: A Current Concept. Turkiye Klinikleri Journal of Orthopaedics and Traumatology 2015; 8(4): 25-32.
  • Kralinger F, Blauth M, Goldhahn J, et al. The influence of local bone density on the outcome of one hundred and fifty proximal humeral fractures treated with a locking plate. JBJS 2014; 96: 1026–1032.
  • Krappinger D, Bizzotto N, Riedmann S, Kammerlander C, Hengg C, Kralinger FS. Predicting failure after surgical fixation of proximal humerus fractures. Injury 2011; 42(11): 1283–1288.
  • Hertel RW. Fractures of the proximal humerus in osteoporotic bone. Osteoporosis International 2005; 16: 65–72.
  • Olerud P, Ahrengart L, So¨derqvist A, Saving J, Tidermark J. Quality of life and functional outcome after a 2-part proximal humeral fracture: A prospective cohort study on 50 patients treated with a locking plate. Journal of shoulder and elbow surgery 2010; 19: 814–822.
  • Ahmed SS, Siddiqui FB, Bayer SB. Sex Differentiation of Humerus: An Osteometric Study. Journal of Clinical & Diagnostic Research 2018; 12(12): 1-5.
  • Desai S, Shaik HS. A morphometric study of humerus segments. Journal of Pharmaceutical Sciences and Research 2012; 4(10): 1943-1945.
  • Holman DJ, Bennett KA. Determination of sex from arm bone measurements. American Journal of Physical Anthropology 1991; 84(4): 421-426.
  • Somesh MS, Prabhu LV, Shilpa K, et al. Morphometric study of the humerus segments in Indian population. International Journal of Morphology 2011; 29(4): 1174-1180.
  • Barnes J, Wescott DJ. Sex determination of Mississippian skeletal remains from humeral measurements. The Missouri Archaeologist, Journal of the Missouri Archaeological Society 2007; 68: 133-137.
  • Kranioti EF, Michalodimitrakis M. Sexual Dimorphism of the Humerus in Contemporary Cretans-A Population‐Specific Study and a Review of the Literature. Journal of Forensic Sciences 2009; 54(5): 996-1000.
  • Al Shehri F, Soliman KE. Determination of sex from radiographic measurements of the humerus by discriminant function analysis in Saudi population, Qassim region, KSA. Forensic Science International 2015; 253: 138.
  • Steyn M, İşcan MY. Osteometric variation in the humerus: sexual dimorphism in South Africans. Forensic Science International 1999; 106(2): 77-85.
  • Ndou R, Schepartz LA. Morphometric characteristics of the humerus and ulna in limbs bearing the supratrochlear aperture (STA). The Anatomical Record 2016; 299(2): 220-233.
  • Ogedengbe OO, Ajayi SA, Komolafe OA, Zaw AK, Naidu ECS, Okpara Azu O. Sex determination using humeral dimensions in a sample from KwaZulu-Natal: an osteometric study. Anat Cell Biol 2017; 50(3): 180-186.
  • Reddy BB, Doshi M. Sex determination from adult human humerus by discriminant function analysis. International Journal of Research in Medical Sciences 2017; 5(9): 3891-3897.
  • Dare SS, Masilili G, Mugagga K, Ekanem PE. Evaluation of Bilateral Asymmetry in the Humerus of Human Skeletal Specimen. BioMed research international 2019; 2019: 1-11.
There are 30 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Article
Authors

Nazlı Gülriz Çeri

Publication Date February 26, 2021
Submission Date January 7, 2021
Published in Issue Year 2021 Volume: 5 Issue: 1

Cite

APA Çeri, N. G. (2021). Morphometric Characterization of the Collum Chirurgicum. Journal of Basic and Clinical Health Sciences, 5(1), 35-41. https://doi.org/10.30621/jbachs.856197
AMA Çeri NG. Morphometric Characterization of the Collum Chirurgicum. JBACHS. February 2021;5(1):35-41. doi:10.30621/jbachs.856197
Chicago Çeri, Nazlı Gülriz. “Morphometric Characterization of the Collum Chirurgicum”. Journal of Basic and Clinical Health Sciences 5, no. 1 (February 2021): 35-41. https://doi.org/10.30621/jbachs.856197.
EndNote Çeri NG (February 1, 2021) Morphometric Characterization of the Collum Chirurgicum. Journal of Basic and Clinical Health Sciences 5 1 35–41.
IEEE N. G. Çeri, “Morphometric Characterization of the Collum Chirurgicum”, JBACHS, vol. 5, no. 1, pp. 35–41, 2021, doi: 10.30621/jbachs.856197.
ISNAD Çeri, Nazlı Gülriz. “Morphometric Characterization of the Collum Chirurgicum”. Journal of Basic and Clinical Health Sciences 5/1 (February 2021), 35-41. https://doi.org/10.30621/jbachs.856197.
JAMA Çeri NG. Morphometric Characterization of the Collum Chirurgicum. JBACHS. 2021;5:35–41.
MLA Çeri, Nazlı Gülriz. “Morphometric Characterization of the Collum Chirurgicum”. Journal of Basic and Clinical Health Sciences, vol. 5, no. 1, 2021, pp. 35-41, doi:10.30621/jbachs.856197.
Vancouver Çeri NG. Morphometric Characterization of the Collum Chirurgicum. JBACHS. 2021;5(1):35-41.