SPHENOID BONE LIGAMENTS’ ENTHESOPATHY WITH THEIR CLINICAL MANIFESTATIONS

SUMITA AGARWAL

doi:10.22159/ajpcr.2024v17i11.52614

Authors

SUMITA AGARWAL Department of Anatomy, Gautam Buddha Chikitsa Mahavidyalaya, Dehradun, Uttarakhand, India. https://orcid.org/0000-0002-8001-8897

DOI:

https://doi.org/10.22159/ajpcr.2024v17i11.52614

Keywords:

Intracranial sphenoid ligaments, Extracranial sphenoid ligaments, Enthesopathy, Enthesis

Abstract

Objective: The Cortical bone formation at enthesial sites of ligament attachments to the sphenoid bone is indeed multifactorial, involving various biological, mechanical, and biomechanical processes. The present study is aimed to observe the ossified ligaments of sphenoid bone of skull manifesting various neurological complications.

Methods: An observational study conducted on sphenoid bones of 36 dried human skulls of unknown gender and age procured from the Department of Anatomy at Gautam Buddha Chikitsa Mahavidyalaya, Dehradun and People’s College of Medical Sciences and Research Centre, Bhopal. These bones were observed for enthesopathic modifications in their ligaments.

Results: The present study showed ossified caroticoclinoid ligament (intra cranial ligament) predominated by 41.66% followed by pterygospinous ligament ossification (extra cranial ligament) with total 38.88% prevalence.

Conclusion: Altered morphology of sphenoid bone knowledge is a must for neurosurgeons and orthopedic surgeons while operating at these sites to avoid hindrances and has scope for newer approaches for better prognosis.

Downloads

Download data is not yet available.

References

Dutta AK. Essentials of Human Anatomy Head and Neck. 6th ed., Part II. Kolkata: Current Book International; 2017. p. 17.

Cunha E, Umbelino C. What can bones tell about labour and occupation: The analysis of skeletal markers of occupational stress in the identified Skeletal Collection of the Anthropological Museum of the University of Coimbra. Antropol Port. 1995;13:49-68.

Lagier R. Enthèses normales et enthésopathies. In: Simon L, Hérisson C, Rodineau J, editors. Pathologie des Insertions et Enthésopathies. Masson: Paris-Milan-Barcelone-Bonn; 1991. p. 1-7.

Niepel GA, Sit’aj Š. Enthesopathy. Clin Rheum Dis. 1979;5(3):857-72. doi: 10.1016/S0307-742X(21)00266-6

Tebo HG. The pterygospinous bar in panoramic roentgenography. Oral Surg Oral Med Oral Pathol. 1968;26(5):654-7. doi: 10.1016/0030- 4220(68)90433-7, PMID: 5245687

Dorello P. Considerations concerning the cause of temporary paralysis of the abducent in middle ear inflammation. J Laryngol Otol. 1905;3:209-17.

Piagkou M, Fiska A, Tsakotos G, Triantafyllou G, Politis C, Koutserimpas C, et al. A morphological study on the sphenoid bone ligaments’ ossification pattern. Surg Radiol Anat. 2023;45(11):1405- 17. doi: 10.1007/s00276-023-03226-4, PMID: 37550483, PMCID PMC10587028

Nikolova S, Toneva D, Zlatareva D, Fileva N. Osseous bridges of the sphenoid bone: Frequency, bilateral and sex distribution. Biology (Basel). 2023;12(4):492. doi: 10.3390/biology12040492, PMID: 37106693

Galdames IS, Matamala DZ, Smith RL. Anatomical study of the pterygospinous and pterygoalar bony bridges and foramens in dried crania and its clinical relevance. Int J Morphol. 2010;28:405-8.

Nayak SR, Saralaya V, Prabhu LV, Pai MM, Vadgaonkar R, D’Costa S. Pterygospinous bar and foramina in Indian skulls: Incidence and phylogenetic significance. Surg Radiol Anat. 2007;29(1):5-7. doi: 10.1007/s00276-006-0154-4, PMID: 17164987

Sindhe VS, Mallikarjun M, Patil R. Astudy on an ossified pterygospinous ligament. J Clin Diagn Res. 2011 Oct;5(5):978-9.