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ANTH 6- Forensic Anthropology
Measuring Adult Human Remains
Adapted from:  Buikstra and Ubelaker, 1994; Moore-Jansen et al., 1994.
 

 INTRODUCTION

Measurement landmarks, techniques, and instrumentation appropriate for the 24 cranial, 10 mandibular, and 44 postcranial measurements that comprise this primary data set are illustrated in Figures 1-24.  Definitions of  landmarks, measurement techniques, and instrumentation are based on Martin (1957, as translated in Moore-Jansen et al. 1994), with additional notes on landmarks from Bass (1987) and White and Folkens (1991, 2000). Further details concerning osteometry can be found in Bass (1987); Hrdlicka (1952); Montagu (1960); Olivier (1969), and White and Folkens (1991, 2000).

Basic instruments generally available in most skeletal biology laboratories can be used to take these measurements: spreading and sliding calipers, a mandibulometer, metal tape, and an osteometric board. If available, a craniophore should be used to establish the Frankfort horizontal plane which serves as a reference for Measurement 24: Mastoid Length. All measurements should be recorded to the nearest millimeter and taken on the left side in the case of bilateral measurements.

The right side may be substituted if the left is not measurable, with an "R" placed in parentheses next to the measurement. If bones are fragmented or distorted, measurements should not be taken. Dimensions should, however, be estimated in situations of minor erosion or reconstruction and identified by an asterisk "*" on the recording form.


CRANIAL LANDMARKS

The following landmarks are illustrated in Figure 1. 

Figure 1: Anatomical landmarks of the skull, anterior view.

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ALARE (al): Instrumentally determined as the most lateral points on the nasal aperture in a transverse plane. (Paired)

BREGMA (b): The ectocranial midline point where the coronal and sagittal sutures intersect.

DACRYON (d ): The point on the medial border of the orbit at which the frontal, lacrimal, and maxilla intersect: dacryon lies at the intersection of the lacrimo-maxillary suture and the frontal bone. There is often a small foramen at this point. (Paired)

ECTOCONCHION (ec): The intersection of the most anterior surface of the lateral border of the orbit and a line bisecting the orbit along its long axis. To mark ectoconchion, move a toothpick or other thin straight instrument up and down, keeping it parallel to the superior orbital border, until you divide the eye orbit into two equal halves. Mark the point on the anterior margin with a pencil. (Paired)

EURYON (eu): Instrumentally determined  ectocranial points on opposite sides of the  skull that form the termini of the line of greatest cranial breadth. (Paired)

FRONTOMALARE TEMPORALE  (fmt): The most laterally positioned point on the fronto-malar (fronto-zygomatic) suture. (Paired)

FRONTOTEMPORALE (ft): The point where the temporal line reaches its most anteromedial position on the frontal. (Paired)

GNATHION  (gn): The most inferior midline point on the mandible.

GONION (go): A point along the rounded posteroinferior corner of the mandible between the ramus and the body. To determine the point, imagine extending the posterior ramus border and the inferior corpus border to form an obtuse angle. The line bisecting this angle meets the curved gonial edge at gonion. (Paired)

INFRADENTALE (id): The midline point at the superior tip of the septum between the  mandibular central incisors.

NASION (n): The point of intersection between the frontonasal suture and the midsagittal plane.

NASOSPINALE (ns): The point where a line drawn between the inferiormost points of  the nasal (piriform) aperture crosses the midsagittal plane. Note that this point is not necessarily located at the tip of the nasal spine.

PROSTHION (pr): The most anterior point in the midline on the alveolar processes of the maxillae.

ZYGION (zy): Instrumentally determined as the most lateral point on the zygomatic arch. (Paired).

 

The following landmarks are illustrated in Figure 2.

 Figure 2: Anatomical landmarks of the skull, lateral view.

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 AURICULARE (au): Not a standard landmark as defined here. Instead it is defined as a point on the lateral aspect of the root of the zygomatic process at the deepest incurvature, wherever it may be. (Paired)

BREGMA (b): The ectocranial midline point where the coronal and sagittal utures intersect.

CONDYLION LATERALE (cdl): The most lateral point on the mandibular condyle. (Paired)

FRONTOMALARE TEMPORALE (fmt): The most laterally positioned point on the fronto-malar (fronto-zygomatic) suture. (Paired)

FRONTOTEMPORALE (ft): The point where the temporal line reaches its most anteromedial position on the frontal. (Paired)

GLABELLA (g): The most anterior midline point on the frontal bone, usually above the frontonasal suture.

GNATHION (gn): The most inferior midline point on the mandible.

GONION (go): A point along the rounded posteroinferior corner of the mandible between the ramus and the body. To determine the point, imagine extending the posterior ramus border and the inferior corpus border to form an obtuse angle. The line bisecting this angle meets the curved gonial edge at onion. (Paired)

INFRADENTALE (id): The midline point at the superior tip of the septum between the mandibular central incisors.

LAMBDA (l): The ectocranial midline point where the sagittal and lambdoidal sutures intersect. If location of this point is rendered difficult by the presence of wormian bones, locate the point where projections of the sagittal and lambdoid sutures would meet.

NASI0N (n): The point of intersection between the frontonasal suture and the midsagittal plane.

NASOSPINALE (ns): The point where a line drawn between the inferiormost points of the nasal (piriform) aperture crosses the midsagittal plane. Note that this point is not necessarily located at the tip of the nasal spine.

OPISthOCRANION (op): Instrumentally determined most posterior point of the skull not on the external occipital protuberance.

PROSTHION (pr): The most anterior point in the midline on the alveolar processes of the maxillae.

 

The following landmarks are illustrated in Figure 3.

Figure 3:  Anatomical landmarks of the skull, basilar view.

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ALVEOLON (alv): The point on the hard palate where a line drawn through the most posterior points of the alveolar ridges crosses the midline.

BASION (ba): The midline point on the anterior margin of the foramen magnum. For cranial height measurements, the point is placed on the antero-inferior portion of the foramen's rim. For basinasal and basiprosthion measurements, the point is located on the most posterior point on the foramen's anterior rim and is sometimes distinguished as endobasion.

ECTOMOLARE (ecm): The most lateral point on the outer surface of the alveolar borders of the maxilla, often opposite the middle of the second molar tooth. (Paired)

EURYON (eu): Instrumentally determined ectocranial points on opposite sides of the skull that form the termini of the line of greatest cranial breadth. (Paired)

OPISTHION (o): The midline point at the posterior margin of the foramen magnum.

OPISthOCRANION (op): Instrumentally determined most posterior point of the skull not on the external occipital protuberance.

ZYGION (zy): Instrumentally determined as the most lateral point on the zygomatic arch. (Paired)

 


DEFINITIONS OF CRANIAL AND POSTCRANIAL MEASUREMENTS
 

    1. Maximum Cranial Length (g-op): distance between glabella (g) and opisthocranion (op) in the midsagittal plane, measured in a straight line. Instrument: spreading caliper. Comment: Place skull on side, holding one end of caliper at glabella and extending caliper until maximum diameter at posterior aspect of skull is obtained (Figure 4).

    2. Maximum Cranial Breadth (eu-eu): maximum width of skull perpendicular to midsagittal plane wherever it is located, with the exception of the inferior temporal lines and the area immediately surrounding them. Instrument: spreading caliper (Figure 5).

    3. Bizygomatic Diameter (zy-zy): direct distance between most lateral points on the zygomatic arches (zy-zy). Instrument: spreading or sliding caliper. (Figure 5).

    4. Basion-Bregma Height (ba-b): direct distance from the lowest point on the anterior margin of foramen magnum (ba), to bregma (b). Instrument: spreading caliper (Figure 4).

    5. Cranial Base Length (ba-n): direct distance from nasion (n) to basion (ba). Instrument: spreading caliper (Figure 4).

    6. Basion-Prosthion Length (ba-pr): direct distance from basion (ba) to prosthion (pr). Instrument: spreading or sliding caliper (Figure 4).

 

Figure 4: Cranial measurements in the sagittal plane. 

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 Figure 5: Maximum cranial breadth and bizygomatic diameter.

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    7. Maxillo-Alveolar Breadth (ecm-ecm): maximum breadth across the alveolar borders of the maxilla measured on the lateral surfaces at the location of the second maxillary molars (ecm). Instrument: spreading caliper. Comment: the points of measurement (ecm) are customarily not found on the alveolar processes, but are located on the bony segment above the second maxillary molars (Figure 6).

    8. Maxillo-Alveolar Length (pr-alv): direct distance from prosthion (pr) to alveolon (alv). Instrument: spreading or sliding caliper. Comment: Sliding caliper applicable only if incisor teeth have been lost. Position skull with basilar portion facing up. Apply a thin wire, wooden rod, rubber band, or other similar device to the posterior borders of the alveolar arch and measure the distance from prosthion to the middle of the wire/band (on midsagittal plane) (Figure 6).

    9. Biauricular Breadth (au-au): least exterior breadth across the roots of the zygomatic processes (au), wherever found. Instrument: sliding caliper. Comment: With the skull resting on the occiput and with the base toward the observer, measure to the outside of the roots of the zygomatic processes at their deepest incurvature, generally slightly anterior to the external auditory meatus, with the sharp points of the caliper. This measurement makes no reference to standard landmarks of the ear region (Figure 6).

    Figure 6: Cranial measurements, basilar view.

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    10. Upper Facial Height (n-pr): direct distance from nasion (n) to prosthion (pr). Instrument: sliding caliper. Comment: this measurement may be estimated under conditions of minor alveolar resorption. It should not be taken if resorption is great (Figure 7).

    11. Minimum Frontal Breadth (ft-ft): direct distance between the two frontotemporale (ft). Instrument: sliding caliper. (Figure 7).

    12. Upper Facial Breadth (fmt-fmt): direct distance between the two external points on the frontomalar suture (fmt) Instrument: sliding caliper (Figure 7).

    13. Nasal Height (n-ns): direct distance from nasion (n) to the midpoint of a line connecting the lowest points of the inferior margin of the nasal notches (ns). Instrument: sliding caliper (Figure 7).

    14. Nasal Breadth (al-al): maximum breadth of the nasal aperture (al-al). Instrument: sliding caliper. Comment: Be certain measurement is perpendicular to the midsagittal plane (Figure 7).
     

Figure 7: Cranial measurements, anterior view 

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15. Orbital Breadth (d-ec): laterally sloping distance from dacryon (d) to ectoconchion (ec). Instrument: sliding caliper. Comment: for standardization and practical reasons, measure the left orbit. Measure the right orbit if the left is damaged, and record the side measured on the recording form (Figure 8).

    16. Orbital Height: direct distance between the superior and inferior orbital margins. Instrument: sliding caliper. Comment: measurement is taken perpendicular to orbital breadth and similarly bisects the orbit. Avoid notches on either orbital border (Figure 8).

    17. Biorbital Breadth (ec-ec): direct distance between right and left ectoconchion (ec). Instrument: sliding caliper. Comment: this measurement may be difficult if the anterior lateral orbital margins are sharp (Figure 8).

    18. Interorbital Breadth (d-d): direct distance between right and left dacryon (d). Instrument: sliding caliper. (Figure 8).

    Figure 8: Measurements of the orbital region.

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    19. Frontal Chord (n-b): direct distance from nasion (n) to bregma (b) taken in the midsagittal plane. Instrument: sliding caliper (Figure 9).

    20. Parietal Chord (b-l): direct distance from bregma (b) to lambda (1) taken in the midsagittal plane. Instrument: sliding caliper (Figure 9).

    21. Occipital Chord (l-o): direct distance from lambda (l) to opisthion (o) taken in the midsagittal plane (Figure 9).

 

Figure 9: Frontal, parietal and occipital chord measurements.

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    22. Foramen Magnum Length (ba-o): direct distance from basion (ba) to opisthion (o). Instrument: sliding caliper. Comment: tips of caliper should rest precisely on opposing edges of the border of foramen magnum. (Figure 10).

    23. Foramen Magnum Breadth: distance between the lateral margins of foramen magnum at the points of greatest lateral curvature. Instrument: sliding caliper (Figure 10).

    Figure 10: Foramen magnum length and breadth.

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    24. Mastoid Length: vertical projection of the mastoid process below and perpendicular to the eye-ear (Frankfort) plane. Instrument: sliding caliper (and craniophore). Comment: Rest skull on its right side and apply the calibrated bar of the caliper just behind the mastoid process, with the fixed flat arm tangent to the upper border of the external auditory meatus and pointing to the lower border of the orbit. Slide the measuring arm until it is level with the tip of the mastoid process. If craniophore is available, this should be used to establish the ear-eye (Frankfort) plane (Figure 11).

Figure 11: Mastoid length.

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    25. Chin Height (id-gn): direct distance from infradentale (id) to gnathion (gn). Instrument: sliding caliper. Comment: id may be estimated in slightly eroded specimens by reference to alveolus adjacent to lateral incisors. If alveolus is markedly eroded, specimen should not be measured (Figure 12).

    26. Height of the Mandibular Body: direct distance from the alveolar process to the inferior border of the mandible perpendicular to the base at the level of the mental foramen. Instrument: sliding caliper (Figure 13).

    27. Breadth of the Mandibular Body: maximum breadth measured in the region of the mental foramen perpendicular to the long axis of the mandibular body. Instrument: sliding caliper (Figure 12).

    28. Bigonial Width (go-go): direct distance between right and left gonion (go). Instrument: sliding caliper. Comment: Place the blunt points of the caliper to the most prominent external points at the mandibular angles (Figure 12).

    29. Bicondylar Breadth (cdl-cdl): direct distance between the most lateral points on the two condyles (cdl). Instrument sliding caliper (Figure 12).

    Figure 12: Measurements of the mandible, anterior view.

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    30. Minimum Ramus Breadth: least breadth of the mandibular ramus measured perpendicular to the height of the ramus. Instrument: sliding caliper (Figure 13).

    31. Maximum Ramus Breadth: distance between the most anterior point on the mandibular ramus and a line connecting the most posterior point on the condyle and the angle of the jaw. Instrument: sliding caliper (Figure 13).

    32. Maximum Ramus Height: direct distance from the highest point on the mandibular condyle to gonion (go). Instrument: sliding caliper or mandibulometer (Figure 13).

    33. Mandibular Length: distance of the anterior margin of the chin from a center point on the protected straight line placed along the posterior border of the two mandibular angles. Instrument: mandibulometer. Comment: apply movable board of the mandibulometer to the posterior borders of the mandibular rami and the fixed board against the most anterior point of the chin. Mandible may be stabilized by gently applying pressure (one or two fingers) to the left second molar (Figure 13).

    34. Mandibular Angle: angle formed by the inferior border of the corpus and the posterior border of the ramus. Instrument: mandibulometer. Comment Mandible may be stabilized by gently applying pressure (one or two fingers) to the left second molar (Figure 13).

Figure 13: Measurements of the mandible, lateral view.

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    35. Clavicle: Maximum Length: maximum distance between the most extreme ends of the clavicle. Instrument osteometrtc board (Figure 14).

    36. Clavicle: Anterior (Sagittal-Posterior) Diameter at Midshaft: distance from the anterior to the posterior surface at midshaft. Instrument: sliding caliper. Comment: determine the midpoint of the diaphysis on the osteometric board and mark it with a pencil. then determine sagittal diameter (Figure 14).

    37. Clavicle: Superior (Vertical-Inferior) Diameter at Midshaft: distance from the superior to the inferior surface at midshaft. Instrument: sliding caliper. Comment: taken perpendicular to sagittal diameter (Figure 14).

    Figure 14: Measurements of the clavicle, superior view.

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    38. Scapula: Height (Anatomical Breadth): direct distance from the most superior point of the cranial angle to the most inferior point on the caudal angle. Instrument: sliding caliper (Figure 15).

    39. Scapula: Breadth (Anatomical Length): distance from the midpoint on the dorsal border of the glenoid fossa to midway between the two ridges of the scapular spine on the vertebral border. Instrument: spreading caliper. Comment: project a line through the obtuse angle of a triangle formed by the vertebral border and the two ridges of the spine, dividing it into two equal halves. The medial measuring point is located where this line intersects the vertebral border (Figure 15).

Figure 15: Measurements of the scapula, dorsal view. 

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    40. Humerus: Maximum Length: direct distance from the most superior point on the head of the humerus to the most inferior point on the trochlea. Humerus shaft should be positioned parallel to the long axis of the osteometric board. Instrument osteometric board (Figure 16).

    41. Humerus: Epicondylar Breadth: distance of the most laterally protruding point on the lateral epicondyle from the corresponding projection of the medial epicondyle. Instrument: osteometric board. Comment: Place the bone with its posterior surface resting on the osteometric board. Put the medial epicondyle against the vertical endboard and apply the movable upright to the lateral epicondyle (Figure 16).

    42. Humerus: Vertical Diameter of Head: direct distance between the most superior and inferior points on the border of the articular surface. Instrument: sliding caliper (Figure 16).

    43. Humerus: Maximum Diameter at Midshaft: maximum diameter at midshaft. Instrument: sliding caliper. Comment: determine the midpoint of the diaphysis on the osteometric board and mark with a pencil. Record maximum diameter wherever it occurs (Figure 16).

     

     Figure 16: Measurements of the left humerus, anterior view.

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    44. Humerus: Minimum Diameter at Midshaft: minimum diameter of midshaft. Instrument: sliding caliper. Comment: determine the midpoint of the diaphysis on the osteometric board and mark with a pencil. Record minimum diameter wherever it occurs (Figure 17).

    45. Radius: Maximum Length: distance from the most proximally positioned point on the head of radius to the tip of the styloid process without regard for the long axis of the bone. Instrument: osteometric board (Figure 17).

    46. Radius: Anterior-Posterior (Sagittal) Diameter at Midshaft: distance between anterior and posterior surfaces at midshaft. Instrument: sliding caliper. Comment: determine the midpoint of the diaphysis on the osteometric board and mark with a pencil. Measure sagittal diameter at that point. This measurement is almost always less than the medial-lateral diameter (Figure 17).

    47. Radius: Medial-Lateral (Transverse) Diameter at Midshaft: distance between medial and lateral surfaces at midshaft. Instrument: sliding caliper. Comment perpendicular to anterior-posterior diameter (Figure 17).

 

Figure 17: Measurement of the left radius, anterior view.

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    48. Ulna: Maximum Length: distance from the most superior point on the olecranon to the most inferior point on the styloid process. Instrument: osteometric board (Figure 18).

    49. Ulna: Anterior-Posterior (Dorso-Volar) Diameter: maximum diameter of the diaphysis where the crest exhibits the greatest development in anterior-posterior (dorso-volar) plane. Instrument: sliding caliper (Figure 18).

    50. Ulna: Medial-Lateral (Transverse) Diameter: distance between medial and lateral surfaces at the level of greatest crest development. Instrument: sliding caliper. Comment: taken perpendicular to anterior-posterior diameter (Figure 18).

    51. Ulna: Physiological Length: distance between the most distal (inferior) point on the surface of the coronoid process and the most distal point on the inferior surface of the distal head of the ulna. Instrument: spreading caliper. Comment: do not include the styloid process or the groove between the styloid process and the distal surface of the head. Be certain that the proximal point is at the deepest concavity of the coronoid process (Figure 18).

    52. Ulna: Minimum Circumference: least circumference near the distal end of the bone. Instrument: metal tape (Figure 18).

    Figure 18: Measurement of the left ulna, anterior view.

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    53. Sacrum: Anterior Length: distance from a point on the promontory positioned in the midsagittal plane to a point on the anterior border of the tip of the sacrum measured in the midsagittal plane. Instrument sliding caliper. Comment: place the pointed tips of the caliper on the promontory and the antero-inferior border of the fifth sacral vertebra. If a sacrum exhibits more than five segments, note this on the recording form, and then measure all true sacral units (Figure 19).

    54. Sacrum: Anterior Superior Breadth: maximum transverse breadth of the sacrum at the level of the anterior projection of the auricular surface. Instrument: sliding caliper (Figure 19).

    Figure 19: Measurements of the sacrum. 

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    55. Sacrum: Maximum Transverse Diameter of Base: direct distance between the two most laterally projecting points on the sacral base measured perpendicular to the midsagittal plane. Instrument: sliding caliper (Figure 20).

    56. Os Coxae: Height: distance from the most superior point on the iliac crest to the most inferior point on the ischial tuberosity. Instrument: spreading caliper or osteometric board (Figure 20).

    57. Os Coxae: Iliac Breadth: distance from the anterior-superior iliac spine to the posterior-superior iliac spine. Instrument: spreading caliper (Figure 20).

    58. Os Coxae: Pubis Length: distance from the point in the acetabulum where the three elements of the os coxae meet to the upper end of the pubic symphysis. Instrument: sliding caliper. Comment: the measuring point in the acetabulum may be identified in the adult by (1) an irregularity which is frequently visible, both on the acetabular and pelvic surfaces; (2) a change in thickness which may be seen by holding the bone up to a light; (3) a notch often present in the border of the articular surface in the acetabulum. In measuring the pubis, care should be taken to hold the caliper parallel to the long axis of the bone (Figure 20).

    59. Os Coxae: Ischium length: distance from the point in the acetabulum where the three elements meet to the deepest point on the ischial tuberosity. Instrument: sliding caliper. Comment: ischium length should be measured approximately perpendicular to pubis length (Figure 20).

    Figure 20: Measurements of the os coxae. 

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    60. Femur: Maximum Length: distance from the most superior point on the head of the femur to the most inferior point on the distal condyles. Instrument: osteometric board. Comment: Place the medial condyle against the vertical endboard while applying the movable upright to the femoral head (Figure 21).

    61. Femur: Bicondylar Length: distance from the most superior point on the head to a plane drawn along the inferior surfaces of the distal condyles. Instrument: osteometric board. Comment: Place both distal condyles against the vertical endboard while applying the movable upright to the femoral head (Figure 21).

    62. Femur Epicondylar Breadth: distance between the two most laterally projecting points on the epicondyles. Instrument: osteometric board (Figure 21).

    63. Femur: Maximum Head Diameter: the maximum diameter of the femur head, wherever it occurs. Instrument: sliding caliper (Figure 21).

    64. Femur Anterior-Posterior (Sagittal) Subtrochanteric Diameter: distance between anterior and posterior surfaces at the proximal end of the diaphysis, measured perpendicular to the medial-lateral diameter. Instrument sliding caliper. Comment: be certain that the two subtrochanteric diameters are recorded perpendicular to one another. Gluteal lines and/or tuberosities should be avoided (Figure 21).

    65. Femur: Medial-Lateral (Transverse) Subtrochanteric Diameter: distance between medial and lateral surfaces of the proximal end of the diaphysis at the point of its greatest lateral expansion below the base of the lesser trochanter. Instrument sliding caliper. Comment: be certain that the two subtrochanteric diameters are recorded perpendicular to one another (Figure 21).

    66. Femur Anterior-Posterior (Sagittal) Midshaft Diameter: distance between anterior and posterior surfaces measured approximately at the midpoint of the diaphysis, at the highest elevation of linea aspera. Instrument: sliding caliper. Comment: the sagittal diameter should be measured perpendicular to the anterior bone surface (Figure 21).

    67. Femur: Medial-Lateral (Transverse) Midshaft Diameter: distance between the medial and lateral surfaces at midshaft, measured perpendicular to the anterior-posterior diameter (#66). Instrument: sliding caliper (Figure 21).

    68. Femur: Midshaft Circumference: circumference measured at the level of the midshaft diameters (#66 and 67). If the linea aspera exhibits a strong projection which is not evenly expressed across a large portion of the diaphysis, then this measurement is recorded approximately 10 mm above the midshaft. Instrument: metal tape (Figure 21).

    Figure 21: Measurements of the left femur, posterior view.

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    69. Tibia: Length: distance from the superior articular surface of the lateral condyle to the tip of the medial malleolus. Instrument: osteometric board. Comment: place the tibia on the board, resting on its posterior surface with the longitudinal axis parallel to the instrument. Place the lip of the medial malleolus on the vertical endboard and press the movable upright against the proximal articular surface of the lateral condyle (Figure 22).

    70. Tibia: Maximum Proximal Epiphyseal Breadth: maximum distance between the two most laterally projecting points on the medial and lateral condyles of the proximal articular region (epiphysis). Tibia diaphysis should parallel the upright of the osteometric board. Instrument osteometric board (Figure 22).

    71. Tibia: Maximum Distal Epiphyseal Breadth: maximum distance between the two most laterally projecting points on the medial malleolus and the lateral surface of the distal articular region (epiphysis). Instrument: osteometric board (Figure 22).

    72. Tibia: Maximum Diameter at the Nutrient Foramen: distance between the anterior crest and the posterior surface at the level of the nutrient foramen. Instrument: sliding caliper (Figure 22).

    73. Tibia: Medial-Lateral (Transverse) Diameter at the Nutrient Foramen: straight line distance of the medial margin from the interosseous crest at the level of the nutrient foramen. Instrument: sliding caliper (Figure 22).

    74. Tibia: Circumference at the Nutrient Foramen: circumference measured at the level of the nutrient foramen. Instrument metal tape (Figure 22).

Figure 22: Measurements of the left tibia, anterior view.

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    75. Fibula: Maximum Length: maximum distance between the most superior point on the fibula head and the most inferior point on the lateral malleolus. Instrument: osteometric board (Figure 23).

    76. Fibula: Maximum Diameter at Midshaft: maximum diameter at midshaft. Instrument: sliding caliper. Comment maximum diameter is most commonly located between the anterior and lateral crests. Find the midpoint of the diaphysis using the osteometric board and mark with a pencil. Place the diaphysis of the bone between the two branches of the caliper while turning the bone to obtain the maximum diameter (Figure 23).

     

     Figure 23: Measurements of the left fibula, lateral view.

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    77. Calcaneus: Maximum Length: distance between the most posteriorly projecting point on the tuberosity and the most anterior point on the superior margin of the articular facet for the cuboid measured in the sagittal plane and projected onto the underlying surface. Instrument: sliding caliper. Comment: measurement is taken in the sagittal plane and projected onto the underlying surface (Figure 24).

    78. Calcaneus: Middle Breadth: distance between the most laterally projecting point on the dorsal articular facet and the most medial point on the sustentaculum tali. Instrument: sliding caliper. Comment: the two measuring points lie at neither the same height nor in a plane perpendicular to the sagittal plane. Accordingly, the measurement is projected in both dimensions. Span the calcaneus from behind with the square branches of the caliper so that the ruler is positioned in a flat and transverse plane across the bone (Figure 24). 

 

 Figure 24: Measurements of the calcaneus.

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Here is the matching Word Document form for these measurements.

 


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April Garwin
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