WORMIAN BONES IN THE HUMAN SKULL: ANATOMICAL DISTRIBUTION, SHAPE PATTERNS, AND ASSOCIATION WITH CRANIAL SUTURE LENGTHS

Authors

  • ASHOK PAL GOBIND Department of Anatomy, Andaman and Nicobar Islands Institute of Medical Sciences (ANIIMS), Sri Vijaya Puram, Andaman and Nicobar Islands, India
  • VIDYA R. PILLAI Department of Anatomy, A. J. Institute of Medical Sciences and Research Centre, Kuntikana, NH-66, Mangalore-575004, Karnataka, India
  • RITURAJ MAJUMDER Department of Anatomy, Andaman and Nicobar Islands Institute of Medical Sciences (ANIIMS), Sri Vijaya Puram, Andaman and Nicobar Islands, India https://orcid.org/0009-0007-3543-4596
  • ARBIND KUMAR CHOUDHARY Department of Pharmacology, Government Erode Medical College and Hospital, Erode, Tamil Nadu-638002, India

DOI:

https://doi.org/10.22159/ijcpr.2025v17i4.7020

Keywords:

Wormian bones, Cranial sutures, Sutural ossicles, Anatomical variation, Lambdoid suture, Skull morphometry, Forensic anthropology

Abstract

Objective: To investigate the prevalence, anatomical distribution, and morphological characteristics of Wormian bones in adult human skulls, and to assess their association with the lengths of major cranial sutures.

Methods: A total of 125 fully ossified adult skulls were examined from osteological archives at ANIIMS (Port Blair) and AJIMS and RC (Mangaluru). Wormian bones were identified across predefined cranial suture sites. Their shape and edge morphology were categorized, and the lengths of the sagittal, coronal, and lambdoid sutures were measured using standardized osteometric techniques. Group comparisons were performed using independent t-tests.

Results: Wormian bones were present in 48.8% of specimens. The lambdoid suture was the most frequently involved site, followed by the lambda and sagittal sutures. Quadrangular ossicles were the predominant morphological type. Comparative analysis revealed no statistically significant differences in mean cranial suture lengths between skulls with and without Wormian bones (p>0.05).

Conclusion: Wormian bones represent common anatomical variants in the examined population, with a predilection for the posterior cranial vault. Despite their morphologic variability, they do not significantly influence the linear dimensions of major cranial sutures. Recognizing their typical features and locations is essential for accurate radiological assessment and anthropological documentation.

Downloads

Download data is not yet available.

References

1. Cruveilhier J. The anatomy of the human body. In: Pattison GS, editor. Philadelphia: lea and Blanchard; 1844.

2. Masih WF, Gupta S, Chand AE, Jaiswal P, Saraswat PK. Incidence of wormian bone in human skulls in Rajasthan. J Evol Med Dent Sci. 2013;2(9):1007-12. doi: 10.14260/jemds/370.

3. Berry RJ. Section I. Genes and skeletons ancient and modern. J Hum Evol. 1979;8(7):669-77. doi: 10.1016/0047-2484(79)90067-8.

4. Pryles CV, Khan AJ. Wormian bones a marker of CNS abnormality? Am J Dis Child. 1979;133(4):380-2. doi: 10.1001/archpedi.1979.02130040034007, PMID 433853.

5. Liu YH, Tang Z, Kundu RK, Wu L, Luo W, Zhu D. Msx2 gene dosage influences the number of proliferative osteogenic cells in growth centers of the developing murine skull: a possible mechanism for MSX2-mediated craniosynostosis in humans. Dev Biol. 1999;205(2):260-74. doi: 10.1006/dbio.1998.9114, PMID 9917362.

6. Jeanty P, Silva SR, Turner C. Prenatal diagnosis of wormian bones. J Ultrasound Med. 2000;19(12):863-9. doi: 10.7863/jum.2000.19.12.863, PMID 11127012.

7. Graham JM JR, Kreutzman J, Earl D, Halberg A, Samayoa C, Guo X. Deformational brachycephaly in supine sleeping infants. J Pediatr. 2005;146(2):253-7. doi: 10.1016/j.jpeds.2004.10.017, PMID 15689919.

8. Bhanu PS, Sankar KD. Interparietal and pre-interparietal bones in the population of south coastal Andhra Pradesh, India. Folia Morphol (Warsz). 2011;70(3):185-90. PMID 21866530.

9. Srivastava HC. Ossification of the membranous portion of the squamous part of the occipital bone in man. J Anat. 1992;180(2):219-24. PMID 1506277, PMCID PMC1259666.

10. Walulkar S, Ksheersagar D, Walulkar M. The study of wormian bones in human skulls in Vidarbha region. Pak J Med Sci. 2012;2(2):18-21.

11. Singh R. Incidence of sutural bones at Asterion in adults Indians skulls. Int J Morphol. 2012;30(3):1182-6. doi: 10.4067/S0717-95022012000300066.

12. Cirpan S, Aksu F, Mas N, Magden AO. Coexistence of wormian bones with metopism and vice versa in adult skulls. J Craniofac Surg. 2016;27(2):493-5. doi: 10.1097/SCS.0000000000002370, PMID 26845093.

13. Murlimanju BV, Prabhu LV, Ashraf CM, Kumar C, Rai R, Maheshwari C. Morphological and topographical study of wormian bones in cadaver dry skulls. J Morphol Sci. 2011;28(3):176-9.

14. Bellary SS, Steinberg A, Mirzayan N, Shirak M, Tubbs RS, Cohen Gadol AA. Wormian bones: a review. Clin Anat. 2013;26(8):922-7. doi: 10.1002/ca.22262, PMID 23959948.

15. Marti B, Sirinelli D, Maurin L, Carpentier E. Wormian bones in a general paediatric population. Diagn Interv Imaging. 2013;94(4):428-32. doi: 10.1016/j.diii.2013.01.001, PMID 23352712.

16. Govsa F, Ozer MA, Bayraktaroglu S, Aktas EO. Anatomoradiological identification of intrasutural bones for importance of cranial fracture. Turk Neurosurg. 2014;24(3):357-62. doi: 10.5137/1019-5149.JTN.8380-13.2, PMID 24848174.

17. Khan AA, Asari MA, Hassan A. Unusual presence of wormian (sutural) bones in human skulls. Folia Morphol (Warsz). 2011;70(4):291-4. PMID 22117248.

Published

15-07-2025

How to Cite

GOBIND, ASHOK PAL, et al. “WORMIAN BONES IN THE HUMAN SKULL: ANATOMICAL DISTRIBUTION, SHAPE PATTERNS, AND ASSOCIATION WITH CRANIAL SUTURE LENGTHS”. International Journal of Current Pharmaceutical Research, vol. 17, no. 4, July 2025, pp. 88-93, doi:10.22159/ijcpr.2025v17i4.7020.

Issue

Section

Original Article(s)