Voisin J-L, Ropars M, Thomazeau H
UMR 7268 ADES, Aix-Marseille Université/EFS/CNRS, Faculté de Médecine, La Timone, 27, boulevard Jean-Moulin, 13385 Marseille Cedex 05, France; Département de Préhistoire, Muséum National d'Histoire Naturelle, UMR 7194 et USM 103/CNRS, 1, rue René-Panhard, 75013 Paris, France.
Service de Chirurgie Orthopédique et Traumatologique, CHU de Rennes, 2, rue Henri-Le-Guilloux, 35033 Rennes, France; Laboratoire M2S, Université Rennes 2 - ENS Rennes, avenue Robert-Schuman, 35170 Bruz, France.
Orthop Traumatol Surg Res. 2014 Dec;100(8 Suppl):S355-60. doi: 10.1016/j.otsr.2014.09.011. Epub 2014 Oct 22.
The high prevalence of rotator cuff tendinopathy in modern humans may be partly related to the shape acquired by the scapula as species changed throughout evolution. Here, we compared the anatomic features of the scapula across members of the Hominoid group. The results support the hypothesis that the scapula of Homo sapiens sapiens exhibits distinctive anatomic characteristics compared to that of other Hominoids. We studied 89 scapulae from five species. For each scapula, we measured eight parameters and determined six index. We then compared the results across species. We identified two distinctive characteristics of the lateral aspect of the human scapula, namely, a lateral orientation of the glenoid cavity and a narrow coraco-acromial arch. Similar to the gorilla acromion, the human one is steeply sloped and, above all, larger and squarer than the acromion of other Hominoids. These features may explain, in part at least, the pathogenesis of rotator cuff tendinopathy in modern man.
在现代人中,肩袖肌腱病的高发病率可能部分与整个进化过程中物种变化时肩胛骨所呈现的形状有关。在此,我们比较了类人猿群体成员的肩胛骨解剖特征。结果支持了这样一种假说,即与其他类人猿相比,智人的肩胛骨表现出独特的解剖特征。我们研究了来自五个物种的89块肩胛骨。对于每块肩胛骨,我们测量了八个参数并确定了六个指数。然后我们比较了不同物种的结果。我们确定了人类肩胛骨外侧的两个独特特征,即关节盂的外侧方向和狭窄的喙肩弓。与大猩猩的肩峰相似,人类的肩峰倾斜度大,最重要的是,比其他类人猿的肩峰更大且更方。这些特征至少可以部分解释现代人肩袖肌腱病的发病机制。