Creutz U
Gegenbaurs Morphol Jahrb. 1977;123(6):787-814.
There has previously been no treatise on the inner architecture of the human cranial vault other than those dealing with common "age changes". Such a treatise ought to refer to a particular segment of the vault demonstrate the peculiar structure according to age in both sexes, and also take into consideration their normal variability as presupposition for using the results in estimating the age of prehistoric skeletal material. With the help of thin sections across the sagittal suture and the adjoining cranial vault 10 mm behind the bregma findings about the specific structure as to age and sex and their expected variability are demonstrated by more than 200 cases taken from the recent population. According to the results in hand there exists a contradiction to the opinions hitherto existing about a distinct age dependence in the bone structure and distinct sex differences in the findings of the structures of the Ist order. Though data about changes in the anatomical construction of the human cranial vault during the ontogenesis are to be correctly obtained only with the help of longitudinal investigation, the crosssectional investigation produced only differences between the age classes. Real differences were not to be found, but there are to be derived possible tendencies of development for the calvarial thickness, for the relation between the compact bone (tabula externa, tabula interna) and the porous bone (diploë), of the porosity in the diploë and the obliteration of the suture in the course of increasing age. No significant sex differences were found but there are sex peculiarities or at least inclinations to it. The use of the findings taken from the cross-sectional aspect of the cranial vault in order to estimate the age at death and the sex as well as indications of possible individual peculiarities, at present ead to a sufficiently reliable diagnosis only within a polysymptomatical practice.
除了那些论述常见“年龄变化”的著作外,以前没有关于人类颅顶内部结构的专著。这样的专著应该涉及颅顶的一个特定部分,展示男女不同年龄阶段的独特结构,并且还要考虑到它们的正常变异性,以此作为将研究结果用于估计史前骨骼材料年龄的前提。借助于穿过矢状缝以及在囟门后方10毫米处相邻颅顶的薄片,从近期人群中选取的200多个案例展示了关于年龄和性别的特定结构及其预期变异性的研究结果。根据手头的结果,与迄今为止关于骨骼结构中明显的年龄依赖性以及一级结构研究结果中明显的性别差异的观点存在矛盾。虽然只有通过纵向研究才能正确获取人类颅顶在个体发育过程中解剖结构变化的数据,但横断面研究仅显示了不同年龄组之间的差异。并未发现实际差异,但可以得出颅骨厚度、密质骨(外板、内板)与松质骨(板障)之间的关系、板障中的孔隙率以及随着年龄增长缝线闭塞等方面可能的发育趋势。未发现显著的性别差异,但存在性别特点或至少有这样的倾向。目前,仅在多症状实践中,利用从颅顶横断面研究中获得的结果来估计死亡年龄、性别以及可能的个体特点,才能得出足够可靠的诊断。