Human shoulder development is adapted to obstetrical constraints
Edited by Robert Tague, Louisiana State University, Baton Rouge, LA; received August 12, 2021; accepted March 2, 2022 by Editorial Board Member C. O. Lovejoy
Significance
During human birth, the risk of complications is relatively high because of the comparatively large dimensions of the fetal head and shoulders relative to the maternal birth canal. Here we show that humans exhibit a developmental mode of the shoulders that likely contributes to mitigating obstetrical problems. Human shoulder growth is decelerated before birth but accelerated after birth, which stands in contrast to the more uniform shoulder growth trajectories of chimpanzees and macaques. This indicates that fetal developmental modifications were required during human evolution not only in the head but also in the shoulders to compensate obstetrical constraints.
Abstract
In humans, obstetrical difficulties arise from the large head and broad shoulders of the neonate relative to the maternal birth canal. Various characteristics of human cranial development, such as the relatively small head of neonates compared with adults and the delayed fusion of the metopic suture, have been suggested to reflect developmental adaptations to obstetrical constraints. On the other hand, it remains unknown whether the shoulders of humans also exhibit developmental features reflecting obstetrical adaptation. Here we address this question by tracking the development of shoulder width from fetal to adult stages in humans, chimpanzees, and Japanese macaques. Compared with nonhuman primates, shoulder development in humans follows a different trajectory, exhibiting reduced growth relative to trunk length before birth and enhanced growth after birth. This indicates that the perinatal developmental characteristics of the shoulders likely evolved to ease obstetrical difficulties such as shoulder dystocia in humans.
Data Availability
All study data are included in the article and/or SI Appendix.
Acknowledgments
We thank the staff of the Center for Human Evolution Modeling Research at KUPRI for assistance in this study and daily care of the subjects. We thank P. Jans for help with CT scanning. We also appreciate the Great Ape Information Network project (https://shigen.nig.ac.jp/gain/about_gain.jsp) and Tennoji Zoo for their help in collecting great ape specimens. This research is an outcome of the strategic research partnership between Kyoto University and the University of Zurich. The insightful comments of the editor and two anonymous reviewers are greatly acknowledged. This study was supported by Cooperative Research Program at KUPRI Grants 2015-A-22, 2018-C-8, 2019-C-15, and 2020-B-26 and Japan Society for the Promotion of Science KAKENHI Grant Number 17K07585.
Supporting Information
Appendix 01 (PDF)
- Download
- 438.54 KB
References
1
K. Rosenberg, W. Trevathan, Birth, obstetrics and human evolution. BJOG 109, 1199–1206 (2002).
2
K. R. Rosenberg, The evolution of modern human childbirth. Am. J. Phys. Anthropol. 35, 89–124 (1992).
3
C. B. Ruff, Biomechanics of the hip and birth in early Homo. Am. J. Phys. Anthropol. 98, 527–574 (1995).
4
R. G. Tague, C. O. Lovejoy, The obstetric pelvis of A.L. 288-1 (Lucy). J. Hum. Evol. 15, 237–255 (1986).
5
A. B. Wittman, L. L. Wall, The evolutionary origins of obstructed labor: Bipedalism, encephalization, and the human obstetric dilemma. Obstet. Gynecol. Surv. 62, 739–748 (2007).
6
E. H. M. Sze, N. Kohli, J. R. Miklos, T. Roat, M. M. Karram, Computed tomography comparison of bony pelvis dimensions between women with and without genital prolapse. Obstet. Gynecol. 93, 229–232 (1999).
7
E. Stansfield, K. Kumar, P. Mitteroecker, N. D. S. Grunstra, Biomechanical trade-offs in the pelvic floor constrain the evolution of the human birth canal. Proc. Natl. Acad. Sci. U.S.A. 118, e2022159118 (2021).
8
M. M. Abitbol, Evolution of the ischial spine and of the pelvic floor in the Hominoidea. Am. J. Phys. Anthropol. 75, 53–67 (1988).
9
K. M. Brown, V. L. Handa, K. J. Macura, V. B. DeLeon, Three-dimensional shape differences in the bony pelvis of women with pelvic floor disorders. Int. Urogynecol. J. Pelvic Floor Dysfunct. 24, 431–439 (2013).
10
M. Pavličev, R. Romero, P. Mitteroecker, Evolution of the human pelvis and obstructed labor: New explanations of an old obstetrical dilemma. Am. J. Obstet. Gynecol. 222, 3–16 (2020).
11
E. Alentorn-Geli et al., Prevention of non-contact anterior cruciate ligament injuries in soccer players. Part 1: Mechanisms of injury and underlying risk factors. Knee Surg. Sports Traumatol. Arthrosc. 17, 705–729 (2009).
12
S. L. Washburn, Tools and human evolution. Sci. Am. 203, 63–75 (1960).
13
P. Mitteroecker, S. M. Huttegger, B. Fischer, M. Pavlicev, Cliff-edge model of obstetric selection in humans. Proc. Natl. Acad. Sci. U.S.A. 113, 14680–14685 (2016).
14
B. Fischer, P. Mitteroecker, Covariation between human pelvis shape, stature, and head size alleviates the obstetric dilemma. Proc. Natl. Acad. Sci. U.S.A. 112, 5655–5660 (2015).
15
H. M. Dunsworth, There is no “obstetrical dilemma”: Towards a braver medicine with fewer childbirth interventions. Perspect. Biol. Med. 61, 249–263 (2018).
16
H. M. Dunsworth, A. G. Warrener, T. Deacon, P. T. Ellison, H. Pontzer, Metabolic hypothesis for human altriciality. Proc. Natl. Acad. Sci. U.S.A. 109, 15212–15216 (2012).
17
H. Correia, S. Balseiro, M. De Areia, Sexual dimorphism in the human pelvis: Testing a new hypothesis. Homo 56, 153–160 (2005).
18
E. A. Moffett, Dimorphism in the size and shape of the birth canal across anthropoid primates. Anat. Rec. (Hoboken) 300, 870–889 (2017).
19
A. H. Schultz, Sex differences in the pelves of primates. Am. J. Phys. Anthropol. 7, 401–423 (1949).
20
M. LaVelle, Natural selection and developmental sexual variation in the human pelvis. Am. J. Phys. Anthropol. 98, 59–72 (1995).
21
A. Huseynov et al., Developmental evidence for obstetric adaptation of the human female pelvis. Proc. Natl. Acad. Sci. U.S.A. 113, 5227–5232 (2016).
22
M. K. Stoller, “The obstetric pelvis and mechanism of labor in nonhuman primates,” PhD thesis, University of Chicago, Chicago, IL (1995).
23
N. M. Laudicina, M. Cartmill, Obstetric constraints in large-brained cebids and modern humans: A comparison of coping mechanisms. Am. J. Phys. Anthropol. 168, 137 (2019).
24
K. Björklund, P. G. Lindgren, S. Bergström, U. Ulmsten, Sonographic assessment of symphyseal joint distention intra partum. Acta Obstet. Gynecol. Scand. 76, 227–232 (1997).
25
M. Kawada, M. Nakatsukasa, T. Nishimura, A. Kaneko, N. Morimoto, Covariation of fetal skull and maternal pelvis during the perinatal period in rhesus macaques and evolution of childbirth in primates. Proc. Natl. Acad. Sci. U.S.A. 117, 21251–21257 (2020).
26
O. Ami et al., Three-dimensional magnetic resonance imaging of fetal head molding and brain shape changes during the second stage of labor. PLoS One 14, e0215721 (2019).
27
S. R. K. Chopra, The cranial suture closure in monkeys. Proc. Zool. Soc. Lond. 128, 67–112 (1957).
28
N. A. Beischer, E. V. Mackay, Obstetrics and the Newborn: An Illustrated Textbook (Saunders, 1986).
29
D. Falk, C. P. E. Zollikofer, N. Morimoto, M. S. Ponce de León, Metopic suture of Taung (Australopithecus africanus) and its implications for hominin brain evolution. Proc. Natl. Acad. Sci. U.S.A. 109, 8467–8470 (2012).
30
J. M. DeSilva, J. J. Lesnik, Brain size at birth throughout human evolution: A new method for estimating neonatal brain size in hominins. J. Hum. Evol. 55, 1064–1074 (2008).
31
E. A. Øverland, L. J. Vatten, A. Eskild, Risk of shoulder dystocia: Associations with parity and offspring birthweight. A population study of 1 914 544 deliveries. Acta Obstet. Gynecol. Scand. 91, 483–488 (2012).
32
J. G. Ouzounian, R. B. Gherman, Shoulder dystocia: Are historic risk factors reliable predictors? Am. J. Obstet. Gynecol. 192, 1933–1935, discussion 1935–1938 (2005).
33
R. B. Gherman et al., Shoulder dystocia: The unpreventable obstetric emergency with empiric management guidelines. Am. J. Obstet. Gynecol. 195, 657–672 (2006).
34
J. Bérard et al., Fetal macrosomia: Risk factors and outcome. A study of the outcome concerning 100 cases >4500 g. Eur. J. Obstet. Gynecol. Reprod. Biol. 77, 51–59 (1998).
35
H. Ju, Y. Chadha, T. Donovan, P. O’Rourke, Fetal macrosomia and pregnancy outcomes. Aust. N. Z. J. Obstet. Gynaecol. 49, 504–509 (2009).
36
H. U. Ezegwui, L. C. Ikeako, C. Egbuji, Fetal macrosomia: Obstetric outcome of 311 cases in UNTH, Enugu, Nigeria. Niger. J. Clin. Pract. 14, 322–326 (2011).
37
H. Vidarsdottir, R. T. Geirsson, H. Hardardottir, U. Valdimarsdottir, A. Dagbjartsson, Obstetric and neonatal risks among extremely macrosomic babies and their mothers. Am. J. Obstet. Gynecol. 204, 423.e1–423.e6 (2011).
38
I. Sjöberg, K. Erichs, I. Bjerre, Cause and effect of obstetric (neonatal) brachial plexus palsy. Acta Paediatr. Scand. 77, 357–364 (1988).
39
T. L. Gross, R. J. Sokol, T. Williams, K. Thompson, Shoulder dystocia: A fetal-physician risk. Am. J. Obstet. Gynecol. 156, 1408–1418 (1987).
40
H. F. Sandmire, T. J. O’Halloin, Shoulder dystocia: Its incidence and associated risk factors. Int. J. Gynaecol. Obstet. 26, 65–73 (1988).
41
N. K. Dajani, E. F. Magann, Complications of shoulder dystocia. Semin. Perinatol. 38, 201–204 (2014).
42
W. R. Trevathan, Fetal emergence patterns in evolutionary perspective. Am. Anthropol. 90, 674–681 (1988).
43
R. B. Gherman et al., Shoulder dystocia: The unpreventable obstetric emergency with empiric management guidelines. Am. J. Obstet. Gynecol., 195, 657–672 (2006).
44
I. G. Fazekas, F. Kosà, E. Kerner, Forensic Fetal Osteology (Akadémiai Kiadó, Budapest, Hungary, 1978).
45
S. Yarkoni, W. Schmidt, P. Jeanty, E. A. Reece, J. C. Hobbins, Clavicular measurement: A new biometric parameter for fetal evaluation. J. Ultrasound Med. 4, 467–470 (1985).
46
S. Black, L. Scheuer, Age changes in the clavicle: From the early neonatal period to skeletal maturity. Int. J. Osteoarchaeol. 6, 425–434 (1996).
47
D. M. Sherer et al., Fetal clavicle length throughout gestation: A nomogram. Ultrasound Obstet. Gynecol. 27, 306–310 (2006).
48
K. Feld, M. Bonni, F. Körber, F. Eifinger, S. Banaschak, Post-mortem estimation of gestational age and maturation of new-borns by CT examination of clavicle length, femoral length and femoral bone nuclei. Forensic Sci. Int. 314, 110391 (2020).
49
J. M. DeSilva, A shift toward birthing relatively large infants early in human evolution. Proc. Natl. Acad. Sci. U.S.A. 108, 1022–1027 (2011).
50
M. Kagaya, N. Ogihara, M. Nakatsukasa, Is the clavicle of apes long? An investigation of clavicular length in relation to body mass and upper thoracic width. Int. J. Primatol. 31, 209–217 (2010).
51
W. Trevathan, K. Rosenberg, The shoulders follow the head: Postcranial constraints on human childbirth. J. Hum. Evol. 39, 583–586 (2000).
52
E. R. Agosto, B. M. Auerbach, Evolvability and constraint in the primate basicranium, shoulder, and hip and the importance of multi-trait evolution. Evol. Biol. 48, 221–232 (2021).
53
M. W. Grabowski, J. D. Polk, C. C. Roseman, Divergent patterns of integration and reduced constraint in the human hip and the origins of bipedalism. Evolution 65, 1336–1356 (2011).
54
M. Grabowski, C. C. Roseman, Complex and changing patterns of natural selection explain the evolution of the human hip. J. Hum. Evol. 85, 94–110 (2015).
55
N. M. Young, G. P. Wagner, B. Hallgrímsson, Development and the evolvability of human limbs. Proc. Natl. Acad. Sci. U.S.A. 107, 3400–3405 (2010).
56
A. M. Mallard, K. R. R. Savell, B. M. Auerbach, Morphological integration of the human pelvis with respect to age and sex. Anat. Rec. (Hoboken) 300, 666–674 (2017).
57
D. M. Bramble, D. E. Lieberman, Endurance running and the evolution of Homo. Nature 432, 345–352 (2004).
58
N. T. Roach, M. Venkadesan, M. J. Rainbow, D. E. Lieberman, Elastic energy storage in the shoulder and the evolution of high-speed throwing in Homo. Nature 498, 483–486 (2013).
59
R. M. J. Campbell Jr. et al., The characteristics of thoracic insufficiency syndrome associated with fused ribs and congenital scoliosis. J. Bone Joint Surg. Am. 85, 399–408 (2003).
60
J. M. DeSilva, N. M. Laudicina, K. R. Rosenberg, W. R. Trevathan, Neonatal shoulder width suggests a semirotational, oblique birth mechanism in Australopithecus afarensis. Anat. Rec. (Hoboken) 300, 890–899 (2017).
61
R. L. Holloway, D. C. Broadfield, K. J. Carlson, New high-resolution computed tomography data of the Taung partial cranium and endocast and their bearing on metopism and hominin brain evolution. Proc. Natl. Acad. Sci. U.S.A. 111, 13022–13027 (2014).
62
T. Sakai et al., Fetal brain development in chimpanzees versus humans. Curr. Biol. 22, R791–R792 (2012).
63
A. C. Halley, Minimal variation in eutherian brain growth rates during fetal neurogenesis. Proc. Biol. Sci. 284, 20170219 (2017).
64
Y. Yamaguchi, S. Yamada, The Kyoto Collection of Human Embryos and Fetuses: History and recent advancements in modern methods. Cells Tissues Organs 205, 314–319 (2018).
65
B. J. Anson, T. H. Bast, S. F. Richany, The fetal and early postnatal development of the tympanic ring and related structures in man. Ann. Otol. Rhinol. Laryngol. 64, 802–823 (1955).
66
B. H. Smith, T. L. Crummett, K. L. Brandt, Ages of eruption of primate teeth: A compendium for aging individuals and comparing life histories. Am. J. Phys. Anthropol. 37, 177–231 (1994).
67
M. F. Ashley-Montagu, The medio-frontal suture and the problem of metopism in the primates. J. R. Anthropol. Inst. Great Brit. Ireland 67, 157–201 (1937).
68
W. M. Krogman, Studies in growth changes in the skull and face of anthropoids. II. Ectocranial and endocranial suture closure in anthropoids and Old World apes. Am. J. Anat. 46, 315–353 (1930).
Information & Authors
Information
Published in
Classifications
Copyright
Copyright © 2022 the Author(s). Published by PNAS. This article is distributed under Creative Commons Attribution-NonCommercial-NoDerivatives License 4.0 (CC BY-NC-ND).
Data Availability
All study data are included in the article and/or SI Appendix.
Submission history
Received: August 12, 2021
Accepted: March 2, 2022
Published online: April 11, 2022
Published in issue: April 19, 2022
Keywords
Acknowledgments
We thank the staff of the Center for Human Evolution Modeling Research at KUPRI for assistance in this study and daily care of the subjects. We thank P. Jans for help with CT scanning. We also appreciate the Great Ape Information Network project (https://shigen.nig.ac.jp/gain/about_gain.jsp) and Tennoji Zoo for their help in collecting great ape specimens. This research is an outcome of the strategic research partnership between Kyoto University and the University of Zurich. The insightful comments of the editor and two anonymous reviewers are greatly acknowledged. This study was supported by Cooperative Research Program at KUPRI Grants 2015-A-22, 2018-C-8, 2019-C-15, and 2020-B-26 and Japan Society for the Promotion of Science KAKENHI Grant Number 17K07585.
Notes
This article is a PNAS Direct Submission. R.T. is a guest editor invited by the Editorial Board.
Authors
Competing Interests
The authors declare no competing interest.
Metrics & Citations
Metrics
Citation statements
Altmetrics
Citations
Cite this article
119 (16) e2114935119,
Export the article citation data by selecting a format from the list below and clicking Export.
Cited by
Loading...
View Options
View options
PDF format
Download this article as a PDF file
DOWNLOAD PDFLogin options
Check if you have access through your login credentials or your institution to get full access on this article.
Personal login Institutional LoginRecommend to a librarian
Recommend PNAS to a LibrarianPurchase options
Purchase this article to access the full text.