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T H E DETERMISATION O F OSSEOL-S 3 I O E P H O L O G T
XINETEEN FIGURES
ISTRODUCTIOS
I 2 3
3 3
Fig. 1 IXagrnininatic representation of oprrativr areas. Cross-liatcliing indi-
cates the approximate area of extirpation. Numerals correspond t o the procedures
ieferred t o in the text.
IIISTOLOGICAL MATERIA1,S
Menszwemcizts
Since these procedures involved alterations of the normal
relationships between the several cnlvarial bones, it 1vas neces-
sary to measure these bones in such a manner that the growth
of their several dimensions would be demonstrated. The
incasurements involved a modified anthropometric technic
(fig.. 2, 3).
Measurement 1 Pterion-bregma
Measurement 2 Rregma-lambda
Measurement 3 Lambda-asterion
Jlcasurement 4 Asterion-pterion
3lcasurement 5 Sasal length
Measurement 6 Xasal-lambda
Measurement 7 Projective frontal length
JIeasurement S Width of sknll (squamosal width)
338 M E L V I S L. MOSS
I-
4-
6-
9-
II-
13-
15 -
I8 -
Fig. 2 The ralvaria of 34-day control rat. Drawn f r o m a tracing
1 Anterior nasal point 11 Junction of squania and root of
2 Nasal bone zygomatic process
3 Xasnl suture 1 2 Sagittal suture
4 Fronto-nasal suture 13 Temporal crest
5 Xasioii 14 Parietal bone
6 Frontal bone 15 Lambda
7 Metopic suture 16 Anterior lambdoid siitiii P
8 Pterion I? Aistc.rioii
9 Coronal suture 18 Iiitcrparictal bone
1 0 Bregrna
liy the location of the sutures. The results indicate that the
butures did not primarily predetermine the morphology of the
individual bones of the skull vault of the rat during the first
post-natal week. On the contrary, the position of the sutures
seemed only to serve a s a n indication of the plane of articu-
lation between the adjacent bones. The normal location of
sutures was seemingly dependent upon the normal expansive
growth of the individual bones adjacent to these sutures.
TABlh: 2
dNU.9 mm
4-.j 29-30 Esperiniental ralne
Mean = 14.5 t .16 K = 12
34-day control m l n e
Mean = 14.3 & .08 S = 18
_ _ _ ~ ~
~- - ~ _-
._
mm
30 Experimental value
Mean = 28.8 k .24 N = 12
34-day control value
Mean = 28.2 t .23 N = 18
J
- 32-5
conlrol
\
L
contr o I
t o tlic bones and the edges of the skin incision were not ap-
proximated in a majority of the animals. The 39 aiiinials
utilized ranged three to 9 days of age at extirpation, and were
sacrificed 1 7 to 27 days post-operatively.
The effects of periosteal damage were evident in all cases.
The external tables were rough and pitted. In all cases there
~ v a sa displacement of sutural planes. The most coninion
finding was a n irregular anterior extension of the iiiter-
parietal bone, with consequent anterior displacement of the
anterior lambdoid suture. Other sutural areas exhibited dis-
placeineiits which varied from animal to animal. Sequestra-
tion of the sagittal sutural area occurred in the 8 aninials
operated on at three days of age in which the edges of tlie
incision were not approximated. The squamosal width of
the skull (measurement 8) was not decreased by this srqnes-
t r a t ion.
Additional cases of displacement of sutural planes conse-
quent to alteration of osseous morphology were also denion-
sti*ated. Accidental scarring of the periosteum during CRU-
tcrizatioii of sutural areas was the causative factor (figs.
12, 13).
,111 these cases of sutural displacement and osseous over-
growth had one factor in common. These was n o regeneration
of the extirpated or injured osteogenic tissues. The remaining
uninjured members of the calvarial complex seemed able to
continue their growth into areas not usually occupied by them,
with subsequent pcxssire distortion of the involved sutural
planes.
The continued growth of the calvaria following the removal
of the sutures, together with the frontal bone overgrowth
ohserved following parietal bone extirpation, tended to stress
the importance of the periosteal tissues as the active growth
site during the earliest stages and to relegate the sutures,
a s such, to a passive role during the first post-natal week.
It followed from this that the normal location of the calvarial
sutures depended on the normal growth of these periosteal
tissues, which thus determined the shape of the l m ~ c s . T,o-
caalized interfereiice of iiornial periosteal growth slioulcl then
have led to alterations of individual bone form and subse-
quent displacement of sutural planes. These results offer
evidence wliich may be interpreted a s supporting this hy-
lwthesis.
Periods of dez;clopnzent
The histological changes occurring i n the calvarial bones
and in the sutural areas will be discussed i n detail. All cal-
varial bones pass through a similar series of developmental
pt?i*iodsfrom the onset of ossification to the achievement of
definitive form. These three periods a r e : ( a ) histodiffereii-
tiation ; ( b ) growth, which may be conveniently divided into
i i i i early and later phase; (c) definitive form. Each of these
1,criods has a distinctive histological appearance.
The bone tissue nearer the original site of ossification, at
any one instant, is more advanced in this developmental
process than the newly formed peripheral bone. Iloreover,
the various calvarial bones differ a s to the times at which
ossification begins and at which they achieve definitive form.
I n addition, within any one bone, the rate a t which various
346 MELVIN L. M O S S
Period of growth ( l a t e p h a s e )
This late phase is characterized by the limitation of the
extent of the presumptive suture. This non-osseous area is
now relatively much narrower than in the previous phase,
except at the regions of the fontanelles. Osteogenesis con-
tinues to be active on all surfaces of the bones.
348 M E L V I F L. MOSS
Period of definitive f o r m
G r o ss o h s e ri (iti ons
‘
DISCESSIOK
M o d e of growth
The results of the sutural extirpation experiments, together
with those of periosteal extirpation, indicate that the suture
is not the primary, active site of growth of the calvaria.
Specifically, the growth of the rat neuro-cranium is not ac-
complished by means of a n interstitial expansive force origi-
nating within the soft tissues of the suture. The periosteal
osteogenic tissues, ectocranial a s well as endocranial, appear
to be the primary growth sites.
Utilizing this hypothesis, together with the data presented
on the developmental histolo,gy of the calvaria, it is possible
to present a conception of the growth of the skull vault which
will more adequately account for all of the available data.
GROWTH O F THE CALVARIA I N THE RAT 353
On the other hand, Xassler and Schour feel they have dis-
proved Brash’s concepts in two ways. First, by their finding
of osteogenesis on all surfaces of the rat calvarial bones below
60 days of age; a n d second, by the undoubted accretion of
bone at the periphery of the sutural areas. These younger
forms, however, have been studied while the bones were still
i n the period of growth, and undergoing a n increase in sur-
face area a s well a s a n increase in thickness. The sutural
areas a r e in the stage of the presumptive suture in these
younger forms. These sutures a r e only gradually transformed
into the stage of the definitive suture.
However, if a comparison is made between Brash’s find-
ings and those of his critics on rats past 60 days of age, the
results a r e identical. A t this age, the rat and the pig show
osteogenesis on only certain ectocranial areas and in certain
definitive sutures. The calvaria of the rat, however, docs not
undergo the alteration of calvarial curvature to the extent
that the pig does.
It is now clear that in reality both workers are reporting
complementary studies of different stages of one unified
process.
coNcLu8IoiYs
The growth of the iimro-cranium of the rat is essentially
complete at 34 days, while the growth of the visceral cranium
continues well past this age. The two poi*tions of the calvaria
develop at different r a tes. The individual calvarial bones
pass through a series of characteristic histological stages
during this developmental process. Simultaneously, the con-
tiguous soft tissue areas a r e transformed from the stage of
the presumptive sutni-e to that of the definitive suture.
The influence of these sutural tissues on the growth and
consequent shape of the rat calvaria a r e investigated by a
variety of extirpative technics. The normal calvarial mor-
phology depends on the osteogenic activity of all the perios-
teal tissues. Thc shape of the calvarial bones is not prede-
termined by the location of the sutures. It is possible to
produce overgrowth of calvarial bones by many methods
336 MISLT’IS L. MOSS
WEINMAXN, J. P., AND €1. SICHEH1947 Bone and Bones. St. Louis, c. V. JIoshy.
WETZEL,G. 1924 Studien zur Schadelststik: Funktionelle Rtruktur der SElite.
Grad. der Sicherheit Gengeniiber Beanspruchung. ~ ~ e r l i n u d (1.
l. h i a t .
Gesellsch., 33-4i. .Jena, C. Fischer.
PLATE I
ESPLANATIOX OF F I G C X E S
Graphite has bee11 1)urnished into tlie sutures to aid iii their il1ustr:itioii
9-70 Cauterizatioii of the sagitt:il aiid metopic siitrir:rl areas a t 5 da)-s of :igc
and sacrificed :it 31 (lays. All of tlie folloniiiy rats were opewted on aud
sacrificed a t the same ayes. Squ:tniosal width not decreased.
12 Chuterp of the riglit cornnal sutural are:i with accidental scarring of the
surrounding priostenni. Note shift of right aiiterior Iniiil~doid suture :in-
teriorly.
13 Cautery of the left coronal sutural area with aecideiital scarring of the sur-
rounding periosteuni. Xote shift of the sagittal sutiirc toivartls tlir left, a t
the bregma.
359
ESPLlNATION O F FIGrRES
,\I1 ~ilioto~iiic.rogr:iplis
are oricntcd with the ectocraninl surf;icr uppermost
14 Sagittal sotur:il area of the newborn rat. Kote tlica unil:iminar state of tlic
periphery of the hones. This and the following figure arc c1i:ir:ictcristic of
the early p h s c of tlic pciikd of growth. 2% silver nitr:ite.
15 Coroii:il sutur:rl area of tlie newliorii nit. 2% silver nitr:itc.
Ifi Sagittal sutural area of tlie 8-d:iy rat. Sotcb tlic inrilti1ainin:ir ;iljpwr:iItcc of
the peri1jliery of the bone. This is tlic stage of the trnnsition:il structure
wliicli is ch:iracteristic of the later 1iIi:ise of the lieriod of growtli.
17 Cornxi1 suture of the 8-day nit. S o t e t1i:it in this tr:insitioii:il structiirc the
diploc is in dirrct cont:ict wit11 tlic sutural tissues.
18 Coronal sutural area of the 1G-tl:iy rat. Kotc tlie direct osseous continuity
of the t:iblcs of Iioiic a t tlic pcripliery. Tlic transitional structurc has dis-
:ippcxred. Tlic rliplot~is iio longer in direct coiit:ict with the sutural tissues.
n ratc of growtli is rapidly decrcwsiiig.
This is n cli:ir:icteristic picture ~ d i c ~the
19 (‘oron:il sutiirr of the 98-day rat. This is :I definitive suture in the period of
definitive forni.
301