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人类骨盆的机械限制与“产科困境”

Mechanical Constraints on the Hominin Pelvis and the "Obstetrical Dilemma".

作者信息

Ruff Christopher

机构信息

Center for Functional Anatomy and Evolution, Johns Hopkins University School of Medicine, 1830 E. Monument St, Baltimore, Maryland, 21205.

出版信息

Anat Rec (Hoboken). 2017 May;300(5):946-955. doi: 10.1002/ar.23539.

Abstract

The "obstetrical dilemma" posits that increases in birth canal dimensions during hominin evolution were constrained by mechanical factors associated with bipedal gait. This model has recently been challenged, in part on the basis of experimental data showing little association between pelvic and proximal femoral dimensions and locomotor costs among human experimental subjects. However, complete rejection of the model is premature, for two reasons: (1) it is difficult to extrapolate experimental results to naturalistic conditions and the much more varied body form and possibly locomotor style of early hominins. Relative pelvic breadth and femoral neck length in both australopiths and early Homo are at or beyond the limits observed among modern humans, and there is evidence that australopiths may have used an altered form of bipedal gait. (2) Other mechanical factors in addition to locomotor cost are important when assessing pelvic and proximal femoral morphology. Increasing biacetabular breadth increases the joint reaction force (JRF) on the femoral head. Increasing femoral neck length may reduce hip JRF, but also increases stress and fracture risk in the femoral neck. Increasing both biacetabular breadth and femoral neck length also increases mediolateral bending stress in the proximal femoral shaft, necessitating substantial buttressing of the diaphysis. Thus, there are mechanical consequences beyond simply locomotor costs that must be considered when evaluating variation in pelvic and femoral morphology among past and extant hominins. Anat Rec, 300:946-955, 2017. © 2017 Wiley Periodicals, Inc.

摘要

“产科困境”假说认为,在人类进化过程中,产道尺寸的增加受到与双足步态相关的机械因素的限制。该模型最近受到了挑战,部分原因是实验数据表明,在人类实验对象中,骨盆和股骨近端尺寸与运动成本之间几乎没有关联。然而,完全否定该模型还为时过早,原因有二:(1)很难将实验结果外推至自然条件以及早期人类更为多样的体型和可能不同的运动方式。南方古猿和早期人类的相对骨盆宽度和股骨颈长度都达到或超出了现代人类所观察到的极限,并且有证据表明南方古猿可能采用了一种改变的双足步态形式。(2)在评估骨盆和股骨近端形态时,除了运动成本外,其他机械因素也很重要。双髋臼宽度增加会增加股骨头的关节反应力(JRF)。股骨颈长度增加可能会降低髋关节JRF,但也会增加股骨颈的应力和骨折风险。双髋臼宽度和股骨颈长度同时增加还会增加股骨近端骨干的内外侧弯曲应力,这就需要对骨干进行大量支撑。因此,在评估过去和现存人类的骨盆和股骨形态变化时,必须考虑除运动成本之外的机械后果。《解剖学记录》,300:946 - 955,2017年。© 2017威利期刊公司。

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