Indian Journal of Forensic Medicine & Toxicology

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Study of Metopism in Skulls of Central India


Affiliations
1 Department of Anatomy, People’s College of Medical Sciences And Research Centre, Bhopal 462 037, Madhya-Pradesh, India
2 Medico Legal Institute, Bhopal, Madhya – Pradesh, India
3 Department of Anatomy, People’s College of Dental Sciences and Research Centre, Bhopal 462 037, Madhya-Pradesh, India
4 Department of Anatomy, S. S. Medical College, Rewa, Madhya – Pradesh, India
     

   Subscribe/Renew Journal


Metopic suture usually obliterates by eight years, sometimes may persist as complete metopic suture or in traces. Metopism is a clinically rare condition but may be misdiagnosed as a fracture skull. Total 253 adult skulls were studied from the region of central India for the metopism. Ten skulls (3.95%) were found to be having complete metopic suture, extending from bregma to nasion without interruption. Incomplete metopic sutures were identified in 134 skulls (52.96%). Remains of sutures were seen in anterior and middle part, but not in the posterior part of suture. Five different patterns of remains of metopic sutures have been identified in this series. Sutural bones were also observed along the line of metopic suture in three skulls. The knowledge of morphological pattern of the metopic suture is important for the radiological and surgical point of view as well as for the forensic experts.

Keywords

Suture, Metopic Suture, Complete Suture, Incomplete Suture
Subscription Login to verify subscription
User
Notifications
Font Size


  • Breathnach AS. Frazer’s Anatomy of the Human Skeleton. 5th edn. J. & A. Churchill Ltd. London, 1958: 177-180.

  • Weinzweig J, Kirschner RE, Farley A, et al. Metopic synostosis: Defining the temporal sequence of normal suture fusion and differentiating it from synostosis on the basis of computed tomography images. Plast Reconstr Surg. 2003; 112(5):1211-8.

  • Kieth Sir A. The cranium, In: Human Embryology and Morphology, 6th edn. Edward Arnold & co., London. 1948: 205-233.

  • Boileau Grant JC. A Method of Anatomy, 6th edn. Williams and Wilkins, Toronto.1958: 806 – 833.

  • Romanes GJ. Osteology In: Cunningham’s Text book of Anatomy. 10th edn. Oxford University Press, London. 1964; 75: 211.

  • Standring S. Skull and mandible. In: Gray’s Anatomy. 39th edn. Edinburgh, Churchill Livingstone 2005: 455 – 491.

  • Le Gros Clark WE. The tissues of the body. 6th edn. Oxford University press, Great Britain.1980: 165-185.

  • Wood Jones F. Buchanan’s Manual of Anatomy, 8th ed. Pailliere, Tindall. London.1953.

  • Berry CA, Berry RJ (1967) Epigenetic variation in the human cranium. J Anat, 101: 361–379.

  • Parsons FG. Report on Hythe Crania. Journal of the Royal Anthropological Institute. 1908; 38: 419.

  • Jit I and Shah MA. Incidence of frontal or metopic sutures amongst Punjabi adults I.M. Gazette. 1948; 83: 507-508.

  • Agarwal SK, Melhotra VK & Tewari SP: Incidence of the metopic suture in adult Indian crania. Acta Anat., 1979; 105:469-74.

  • Jit I, Banga N. Metopism in north-west population of India. Journal of anatomical society India, 1988; 37: 45–60.

  • Del Sol, M.; Binvignat, O.; Bolini, P. D. A. & Prates, J. C. Metodismo no individuo brasileiro. Rev. Paul. Med., 1989; 107(2):105-7.

  • Ajmani ML, Mittal RK & Jain SP: Incidence of the metopic suture in adult Nigerian Skulls. J. Anat., 1983; 137(1):177-83.

  • Baaten PJJ, Haddad M, Abi-nader, K.; Abi-ghosn, A.; Alkutoubi, A. & Jurjus, AR: Incidence of metopism in the Lebanese population. Clin. Anat. 2003; 16:148-51.

  • Castilho SMA, Oda YJ, Santana GDM. Metopism in adult skulls from southern Brazil. Int. J. Morphol., 24(1):61- 66, 2006.

  • Bolk L. On metopism. Am J Anat. 1917: 22.

  • Bryce TH. Observations on metopism. J. Anat., 1917; 51:153-66.

  • Bademci, G.; Kendi; T.; Agalar, F.: Persistent metopic suture can mimic the skull fractures in the emergency setting? Neurocirugía (Astur.) 2007; 18: 238-240.


Abstract Views: 182

PDF Views: 0




  • Study of Metopism in Skulls of Central India

Abstract Views: 182  |  PDF Views: 0

Authors

Ashutosh Sudhakar Mangalgiri
Department of Anatomy, People’s College of Medical Sciences And Research Centre, Bhopal 462 037, Madhya-Pradesh, India
Dibya Kishore Satpathi
Medico Legal Institute, Bhopal, Madhya – Pradesh, India
Raza Razvi
Department of Anatomy, People’s College of Dental Sciences and Research Centre, Bhopal 462 037, Madhya-Pradesh, India
Deepak C. Naik
Department of Anatomy, S. S. Medical College, Rewa, Madhya – Pradesh, India

Abstract


Metopic suture usually obliterates by eight years, sometimes may persist as complete metopic suture or in traces. Metopism is a clinically rare condition but may be misdiagnosed as a fracture skull. Total 253 adult skulls were studied from the region of central India for the metopism. Ten skulls (3.95%) were found to be having complete metopic suture, extending from bregma to nasion without interruption. Incomplete metopic sutures were identified in 134 skulls (52.96%). Remains of sutures were seen in anterior and middle part, but not in the posterior part of suture. Five different patterns of remains of metopic sutures have been identified in this series. Sutural bones were also observed along the line of metopic suture in three skulls. The knowledge of morphological pattern of the metopic suture is important for the radiological and surgical point of view as well as for the forensic experts.

Keywords


Suture, Metopic Suture, Complete Suture, Incomplete Suture

References