Orthopedic Surgery Department, Upper Limb Surgery Unit, "San Cecilio" University Hospital of Granada, Madrid, Spain.
Department of Anthropology, School of Medicine of Granada, Madrid, Spain.
PLoS One. 2024 Jul 10;19(7):e0305410. doi: 10.1371/journal.pone.0305410. eCollection 2024.
Anthropometric studies of the scapula have been rare in Spanish populations, nevertheless they are of current interest in forensic anthropology for estimation of sex. Although the estimation of sex is usually carried out on the pelvis and skull, other measurements related to the scapula can be helpful when the skeletal remains are incomplete. Glenohumeral osteoarthritis development is influenced, among others, by the morphology of the scapula, which is one of the less studied aspects. We carried out a descriptive study of anthropometric parameters in a series of 157 scapulae (82 individuals) on bone remains dated to the 20th century from a population of Granada (Southern Spain). Seventy seven (49%) were right-side and 80 (51%) left-side; 72 (45.9%) were from males and 85 (54.1%) from females, and the mean age at death was 70.76±11.7 years. The objective was to develop a discrimination function for sex estimation based on anthropometric parameters of the scapula other than those considered to date, and to analyze the prevalence of glenohumeral osteoarthritis in relation to selected anthropometric parameters. A logistic regression model based on parameters of the upper-external segment of the scapula was done. The obtained formula: 1/1+e^ (- (-57.911 + 0.350B + 0283C + 0.249b + 0.166a +-0.100*β) classifies male sex with 98.3% accuracy and female sex with 92.1%. Glenohumeral osteoarthritis was detected in 16.6% of individuals and was related to age (p<0.05), scapular length (p<0.05), glenoid width (p<0.05), glenopolar angle (p<0.05), and α angle (p<0.05) in bivariate analyses but showed no significant associations in multivariate analyses. This approach can be useful for anthropological-forensic identification when scapula remains are incomplete. Glenohumeral osteoarthritis is significantly associated with a smaller α angle.
肩胛骨的人体测量研究在西班牙人群中很少见,但在法医人类学中,它们对于性别估计仍然很有意义。虽然性别通常是通过骨盆和颅骨来估计的,但当骨骼遗骸不完整时,与肩胛骨相关的其他测量值可能会有所帮助。肩胛盂肱关节炎的发展受到肩胛骨形态的影响,而肩胛骨形态是研究较少的方面之一。我们对来自格拉纳达(西班牙南部)的 20 世纪骨骼遗骸的 157 个肩胛骨(82 个人)进行了一系列人体测量参数的描述性研究。77 个(49%)是右侧,80 个(51%)是左侧;72 个(45.9%)是男性,85 个(54.1%)是女性,死亡时的平均年龄为 70.76±11.7 岁。目的是开发一种基于肩胛骨除了那些被认为是目前的性别估计的人体测量参数的判别函数,并分析肩胛盂肱关节炎与选定的人体测量参数的关系。我们做了一个基于肩胛骨上外部段参数的逻辑回归模型。得到的公式为:1/1+e^(-(-57.911 + 0.350B + 0283C + 0.249b + 0.166a +-0.100*β),该公式可将男性的准确率分类为 98.3%,女性的准确率为 92.1%。16.6%的个体患有肩胛盂肱关节炎,与年龄(p<0.05)、肩胛骨长度(p<0.05)、肩胛盂宽度(p<0.05)、肩胛冈角(p<0.05)和α角(p<0.05)相关。在多元分析中,这些相关性无统计学意义。当肩胛骨遗骸不完整时,这种方法对于人类学-法医学鉴定可能是有用的。肩胛盂肱关节炎与较小的α角显著相关。