School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, 510515, China.
Surg Radiol Anat. 2022 Mar;44(3):361-368. doi: 10.1007/s00276-021-02854-y. Epub 2022 Jan 25.
To examine the presence and characteristics of cranial vault suture closure in Chinese adults and to explore whether craniosacral therapy (CST) manipulation is rational from the anatomical perspective.
Anthropological non-metric observation and craniometry were used to study 285 dry skull specimens of Chinese adults.
A total of 91 specimens with closed extracranial sutures were observed, with an occurrence rate of 31.93%. Based on the mode of closure, there were 32 cases of single type closure, with sagittal suture closure predominating with 20 cases (21.98%); 59 cases of composite closure, with a partial closure of coronal suture + sagittal suture + lambdoid suture predominating with 26 cases (28.57%). In terms of the degree of closure, there were 13 cases (14.28%) of sagittal suture grade 0 closure and 78 cases (85.72%) of grade 1 - 4 closure; 34 cases (37.36%) of coronal suture grade 0 closure and 57 cases (62.64%) of grade 1 - 4 closure; 47 cases (51.65%) of lambdoid suture grade 0 closure and 44 cases (48.35%) of grade 1 - 4 closure. The segment and degree of coronal suture closure (46, 80.7%) and lambdoid suture (31, 70.45%) were mostly left-right symmetrical. The bone surfaces on either side of the cranial vault sutures are embedded in each other, forming a rough, complex and interlocking bone-suture-bone structure.
This study observed the closure of the cranial vault suture, summarized its characteristics, and explored the irrationality of the CST manipulation. The anatomical characteristics of the cranial suture dictate that manipulation cannot push the cranial suture at will.
研究中国人颅骨矢状缝闭合的存在和特征，并从解剖学角度探讨颅骶疗法（CST）操作的合理性。
采用人类学非测量观察和颅测法对 285 例中国成人干颅骨标本进行研究。
共观察到 91 例颅外缝完全闭合的标本，发生率为 31.93%。根据闭合方式，有 32 例为单一类型闭合，以矢状缝闭合为主，有 20 例（21.98%）；59 例为复合闭合，以冠状缝部分闭合+矢状缝+人字缝为主，有 26 例（28.57%）。在闭合程度方面，矢状缝 0 级闭合有 13 例（14.28%），14 级闭合有 78 例（85.72%）；冠状缝 0 级闭合有 34 例（37.36%），14 级闭合有 57 例（62.64%）；人字缝 0 级闭合有 47 例（51.65%），1~4 级闭合有 44 例（48.35%）。冠状缝（46 例，80.7%）和人字缝（31 例，70.45%）的闭合部位和程度多为左右对称。颅缝两侧的骨面相互嵌入，形成粗糙、复杂、相互交错的骨缝骨结构。
本研究观察了颅骨矢状缝的闭合情况，总结了其特征，并探讨了 CST 操作的不合理性。颅缝的解剖学特征决定了操作不能随意推动颅缝。
