Oval in males and triangular in females? A quantitative evaluation of sexual dimorphism in the human obturator foramen.

Among the numerous pelvic traits presenting sex differences, the obturator foramen is classically described as being oval in males and triangular in females. However, no demonstrations or detailed studies seem available in the literature. The purpose of this work was to study quantitatively this trait using Fourier analysis, because this methodological approach is particularly well adapted for discrimination between different simple shapes. Using this approach, an outline can be characterized by a series of harmonics (1 to n), each defined by two Fourier descriptors: amplitude (C(n)), describing the relative importance of the harmonic contribution to the original shape, and phase (Phi(n)), representing the orientation of the harmonic contribution. The material consisted of 104 three-dimensional CT reconstructions of adult pelves (52 males and 52 females). After size normalization, the outlines of the 104 left obturator foramens were studied. Significant differences were demonstrated with, in total, 84.6% of individuals presenting a correct inferred sex. The most discriminating descriptors were the phase of the second harmonic (C(2),) related to the oval (or elliptic) aspect and thus the elongation of the shape, and the amplitude of the third harmonic (Phi(3)), describing the triangularity of the shape. Because the trend for an outline to be more or less oval or triangular is difficult to visually assess and because there is an infinite number of transitional shapes, only a precise quantitative approach such as Fourier analysis allows for unambiguous characterization and statistical analysis.