Navigating complex extracellular environments requires extensive deformation of cells and their nuclei. Nuclear deformations are intricately linked to nuclear structure and mechanical properties, and abnormalities in nuclear mechanics contribute to various diseases including laminopathies and cancer. Most in vitro systems used to study nuclear deformations are typically designed to generate strong whole-cell confinement relevant for specific cell types such as immune or cancer cells. Here, we use microgroove substrates as a model of anisotropic basement membrane topography and we report that adherent cells including endothelial cells and myoblasts exhibit significant 3D (in-plane and out-of-plane) nuclear deformations, with partial to complete penetration into the microgrooves. These deformations are dynamic with nuclei cyclically entering and exiting the microgrooves. AFM measurements show that these deformation cycles are accompanied by transient changes in nuclear mechanical properties. We also show that nuclear penetration into the grooves is principally driven by cell-substrate adhesion, without the need for cytoskeleton-associated forces. Finally, we demonstrate that myoblasts from patients with LMNA mutations exhibit abnormal nuclear deformations which can be rapidly identified and quantified using automated image analysis. We therefore propose the use of microgrooves as a novel simple, tunable, and high throughput system to study nuclear deformations in adherent cells, with the potential to serve as a functional diagnostic platform for pathological alterations in nuclear mechanics.