Weapon‐related Cranial Lesions from Medieval and Renaissance Turin,Italy

Archaeological excavations carried out in the square around the Cathedral of S. Giovanni in Turin brought to light burials referable to the medieval and Renaissance periods. The anthropological examination of the skeletal remains allowed to identify two skeletons from the medieval period (10th–11th centuries) and four skeletons from the Renaissance age (15th century) showing weapon‐related cranial injuries. These peri mortem lesions are indicators of interpersonal aggression and in particular of armed conflicts. The two individuals from the early medieval period presented three traumas consisting in sharp force lesions caused by bladed weapons. As regards the Renaissance sample, the majority of the nine peri mortem injuries were sharp force wounds, followed by a blunt force trauma. These distribution patterns might reflect different fighting techniques, whereas the side distribution and location of the skull trauma provide further indications on the fighting modalities. Identification of the weapons that caused these traumas is suggested. The lack of post‐cranial wounds at Piazza S. Giovanni might be explained by the greater attention paid to the head, which was the main target of attack, or by adequate protection of the body through medieval and Renaissance armours. Otherwise, the wounds in the body would have been found only in the soft tissues, with no involvement of the bones. Despite the presence of weapon injuries, the results obtained from the study of the Renaissance sample are different from the findings of other contemporary battlefields. It is highly likely that the individuals of the Renaissance age were not young soldiers employed in war episodes and brought back for burial in Turin after battles that had taken place elsewhere. Instead, they were probably individuals who had died in riots or in other violent city episodes, as the historical records for the Renaissance age seem to confirm. Copyright © 2013 John Wiley & Sons, Ltd.     

Childhood Cranial Trauma from a Late Roman and Merovingian Context from Michelet,Lisieux, France

The Michelet necropolis in Lisieux, France, dating to the late Roman and Merovingian period, comprises of a large number of well‐preserved subadult remains offering a unique opportunity to better understand childhood trauma in the past. The focus of this study was to determine the amount, type and mechanisms of trauma evidenced in subadults from the 4th–8th century AD, and explore potential circumstances surrounding the trauma. The remains of 109 subadults from the Michelet necropolis were examined for the presence of cranial and post‐cranial trauma. Three individuals exhibited perimortem trauma, one individual had an antemortem cranial injury, and no cases of post‐cranial trauma were identified. Cranial trauma affected 4.1% of children with observable cranial remains (N  = 4/97). The children affected were young (2–7 years old), making it unlikely that they would have participated in militaristic activities. Based on the location, morphology and mechanism of injury identified, it is likely that the perimortem injuries sustained by three children were not accidental. The presence of a number of cranial injuries from this site may be related to increased stress in the community related to the decline of the Roman Empire in Gaul, possible raiding barbarian groups during the 4th–5th centuries, or stresses related to the Gallic aristocracy solidifying political powers in northern Gaul during the 5th–7th centuries AD. The consideration and inclusion of childhood trauma in bioarchaeological analyses allows for a more detailed and in‐depth understanding of violence and childhood in the past. Copyright © 2017 John Wiley & Sons, Ltd.     

NEW EVIDENCE FOR IRON AGE SECONDARY BURIAL PRACTICE AND BONE MODIFICATION FROM GUSSAGE ALL SAINTS AND MAIDEN CASTLE (DORSET, ENGLAND)

Summary.   The Middle and Late Iron Age samples of disarticulated human remains from the settlement site of Gussage All Saints and the hillfort of Maiden Castle (Dorset, England) were investigated for evidence of funerary rites. The samples were examined using osteological, forensic and archaeological methodologies for evidence of excarnation and secondary burial. The study found evidence for dry-fractures, animal gnawing and peri-mortem trauma, indicating that many individuals had received blunt-force cranial fractures and/or weapon injuries at the time of death. The taphonomic indicators showed that bodies were excarnated, received secondary burial treatment and then selected skull and long bones were incorporated into structured deposits. Osteological analysis also showed that the majority of individuals were adult males, which corresponded to patterns of trauma in the inhumated sample from Dorset. Two bones also provided unique evidence within Dorset for the cultural modification of human remains.     

Leprosy at the Lazaretto on St Eustatius,Netherlands Antilles

Leprosaria established in the Americas during the Colonial period bear many similarities with those found in medieval Europe. They are comparable in terms of isolation, the objectification of leprosy sufferers and their association with religious charities. The Lazaretto on St Eustatius was operated from 1866 to 1923. The site was investigated to recover palaeopathological evidence of leprosy at a leprosarium in the Americas. Five burials were excavated; three individuals showed evidence of bone modifications consistent with those caused by leprosy, including aspects of ‘rhinomaxillary syndrome’ and the bilaterally symmetrical post‐cranial changes that have been described in leprosy examples from medieval Europe. An exceptional find was the presence of potentially leprous bone changes to the hyoid, thyroid and 3^rd–6^th cervical vertebrae. Copyright © 2007 John Wiley & Sons, Ltd.     

Survival of a multiple skull trauma: the case of an early neolithic individual from the LBK enclosure at Herxheim (Southwest Germany)

The Early Neolithic enclosure of Herxheim yielded the human remains of more than 450 individuals mainly represented by cranial vaults and numerous fractured cranial and postcranial bones. The skulls were shaped post‐mortem into skull caps by intentional separation of the cranial base and facial bones. One of these calottes revealed four ante‐mortem traumatic lesions and additional cut marks.The defects of this individual were analysed in detail to obtain information on the chronology and consequences of the traumata and manipulations and their probable intention. Four marks could be attributed to at least two violent incidents because of their different stages in the healing process. There is no evidence of cranial surgery, but the individual may have received some medical treatment and social care to survive the injuries without complications. The peri‐mortem cut marks and the post‐mortem intentional shaping of the skull cap, however, can be seen as typical for the treatment of the Herxheim dead and cannot be attributed to violent conflicts. The results support the evidence gained from preliminary examinations of the Herxheim human remains and suggest a more complex view of the final phase of the Linear Pottery Culture (LBK) in southwest Germany. Copyright © 2003 John Wiley & Sons, Ltd.     

Embryotomy in the 19th Century of Central Italy

An enormous earthquake in L'Aquila in 2009 brought to light human bodies buried in the underground rooms of the medieval St. John the Evangelist church (Casentino, Central Italy). Among the remains, we discovered a human fetus, whose post‐cranial bones were wrapped in bandages and cranial bones were reallocated inside a sort of hood. Anthropometrical investigation revealed an age at death of 29 ± 2 weeks of pregnancy for the little mummy. Radiograph analysis of the fetus showed that the skull was dissected and disconnected from the vertebral column, and the post‐cranial bones were completely disarticulated from the axial skeleton. The body was reassembled in a way of anatomic connection at a later stage. This mummified fetus dated to ad 1840 showed paleopathological evidence of a possible embryotomy and could be a rare and unquestionable case of embryotomy in archaeological context. Copyright © 2014 John Wiley & Sons, Ltd.     

A possible massacre at Early Bronze Age Titriş Höyük,Anatolia

Trauma is among the most important sources of data providing information related to systematic violence, battles and massacres among ancient populations. In this study, a mass grave from Titriş Höyük in the Southeast Anatolia was examined in terms of cranial traumas. Skeletal remains of minimum 19 individuals were placed on a plaster basin as a secondary interment. The frequency of cranial trauma was 81.3% among 16 available adult crania. The fact that the perimortem traumas were observed on both sex groups and the presence of two children and an infant on the basin suggest the possibility of these individuals being subjected to an attack or a massacre. It has been determined that the frequency of traumas in the common burials increased more than twofold from Early‐Mid EBA (6.7%) to Late EBA (14.3%). While all of the injuries observed in Early‐Mid EBA were in the form of healed depressed trauma, penetrated traumas were also encountered in Late EBA. The increased frequency of cranial trauma with unusual interment on a plaster basin indicated that a social stress might have taken place in Titriş Höyük. It is concluded that the collapse of the Akkadian Empire, the deterioration of the trade‐based economy and resource stress might have been possible factors that played a role in the excessive violence, or a massacre in Titriş Höyük. Copyright © 2010 John Wiley & Sons, Ltd.     

Trauma to the Skull: A Historical Perspective from the Southern Levant (4300BCE–1917CE)

Background: Although the southern Levant is commonly perceived as having been a violent region throughout history, few studies have explored the pattern and intensity of skull trauma through time in the general population. The aim of this study is to follow changes in traumatic injury patterns in the southern Levant, over an extensive period of 6,000 years. Methods: 783 archaeological skulls from the Tel Aviv University osteological collection were examined for evidence of trauma. The specimens were divided into three periods: Chalcolithic‐Bronze‐Iron Age (4300–520 BCE), Hellenistic‐Roman‐Byzantine Period (332 BCE‐640 CE), and Early and Late Arab Period (640–1917 CE). The characteristics of injury on each skull were recorded. Results: A high frequency (25%) of traumatic lesions to the skull was evident among historic populations of the southern Levant, a rate that did not fluctuate significantly over 6,000 years. The most common pattern of trauma was minor circular depressed injuries. Most of the injuries were located on the parietal or frontal bones. Traumatic lesions were more frequent in males than in females, and in mature individuals than in adolescents and children, during all periods. Conclusions: The rate of trauma in the southern Levantine populations was shown to be considerably higher than in other archaeological populations worldwide. The fact that no significant differences in trauma rates were found over time implies that socio‐economical shifts (from agrarian to urban populations) had little impact on the local populations’ aggressive behavior. In contrast, changes in type of injury, from blunt force trauma to sharp force trauma and eventually projectile trauma, reflects changes in weaponry over time. The accumulated characteristics of cranial trauma pattern (type, location, side, size, sex, age) suggest that most of the individuals studied were not engaged directly in warfare. Rather, most injuries seem to be due to blows given during interpersonal violent encounters. Copyright © 2012 John Wiley & Sons, Ltd.     

Ancient injury recidivism: an example from the Kerma period of ancient Nubia

A topical trend in clinical research has been the study of repeat trauma, referred to by clinicians as “injury recidivism,” which lends itself to the assessment of accumulated injuries among ancient people. The present investigation examined the healed injuries among two archaeological skeletal samples from the Kerma period (ca. 2500–1500 BC) of Sudanese Nubia. Both groups were known to have a high prevalence of multiple trauma—80% of 54 adults from the rural sites (O16 and P37) located near Dongola and 42% of 212 adults from the urban site of Kerma sustained nonfatal injuries. It was observed that a higher frequency of multi‐injured adults displayed one or more violence‐associated injury (cranial trauma, parry fracture). When all injuries were considered 38% of individuals with violence‐related injuries had other traumatic lesions in contrast to 22% of individuals who experienced injuries associated with accidental falls (e.g., Colles', Smiths', Galeazzi, and paired forearm fractures), although this difference was not significant. When only the skulls and long bones were evaluated 81% of adults with multiple injuries to these major bones bore one or more violence‐related injuries, while 60% of adults with single injuries sustained violence‐related injuries. Most individuals with multiple injuries were male and less than 35 years of age; there was no significant difference in the frequency of violence‐ or accident‐related multiple injury between the rural and urban communities. Although it cannot be established whether or not some of an individual's injuries were experienced during simultaneous or independent incidents, the pattern of multiple injury among these two ancient Nubian skeletal samples reflected the profile of injury recidivism observed by modern clinicians cross‐culturally. Copyright © 2002 John Wiley & Sons, Ltd.     

Cranial suture closure and its implications for age estimation

Three age estimation techniques using ectocranial and/or endocranial suture closure are tested on a sample of known age from Spitalfields, London in order to determine the value of cranial suture closure as an indicator of age at death. The three techniques are those proposed by Acsádi and Nemeskéri, Meindl and Lovejoy and Perizonius. Results indicate that the Acsádi and Nemeskéri technique, which is based on endocranial sutures, can be used to distinguish young and middle-aged individuals in the Spitalfields sample but gives no information for crania over the age of 50 years. Age estimation using the Meindl and Lovejoy and Perizonius (Old system) techniques, which use ectocranial sutures, was found to be subject to a number of complicating factors, of which sexual dimorphism in the rate and pattern of closure is the most significant. A method of estimating age at death based on both endocranial and ectocranial suture closure is developed on the basis of the Spitalfields sample. The technique attempts to overcome some of the problems associated with both intra- and interpopulation variation in cranial suture closure. For a truly accurate age-estimation technique based on cranial suture closure we would need to know more about the causes and functions of suture closure in human populations.     

Skeletal trauma in the burials from the royal church of St. Mary in medieval Oslo

The considerable collection of skeletal remains from the royal Church of St. Mary (c.1050–1540 AD) in Oslo constitutes part of The Schreiner Collection at the Department of Anatomy, University of Oslo. The remains reveal a high incidence of skeletal trauma, especially injuries caused by sharp‐edged weapons and extensive violence. Evidence of sharp force trauma was primarily observed on the crania. There were a surprisingly few injuries on postcranial skeletal elements. The injuries were mostly observed on middle‐aged and older men, but also on women and subadults. Some of these injuries may be linked to the civil wars in Norway during the 12th and 13th centuries. In most cases, the trauma distribution pattern suggests standardized fighting techniques. Copyright © 2010 John Wiley & Sons, Ltd.     

Indirect Evidence of Falconry in Medieval Poland as Inferred from Published Zooarchaeological Studies

Although written sources indicate that falconry or hawking was very popular already in early medieval Poland, there is no hard zooarchaeological evidence that would support it. So far, only two studies based on animal remains suggested hawking in medieval Poland. The purpose of this study was to examine all published zooarchaeological reports from all archaeological sites in Poland and check for possible clues of hawking. Altogether, 281 remains of 12 species of diurnal birds of prey were recorded from 38 sites (49 time‐site units) in Poland beginning from the Middle Ages onward. The most frequently found was the goshawk Accipiter gentilis followed by the white‐tailed eagle Haliaeetus albicilla and the sparrowhawk Accipiter nisus. Clues of possible hawking include high status of sites, occurrence of species used in falconry outside their natural ranges, preponderance of females, the presence of sub‐adult specimens and others. It is suggested that surface damage observed on prey bones done by the hawks' beaks and claws may be an extra evidence of hawking. The present study strongly supports the notion that hawking was a very popular activity in medieval Poland. In the future, medieval bone assemblages should always be checked for clues of hawking. The present study may also be used as a source of raw data for other analyses because it includes detailed information on birds of prey from all zooarchaeological reports published so far in Poland. Copyright © 2015 John Wiley & Sons, Ltd.     

Human mummified brain from a medieval tomb with lime‐soil mixture barrier of the Joseon Dynasty,Korea

Although all of the Korean medieval mummies found up to the present time have shown relatively well‐preserved brains, relevant biomedical information has been difficult to acquire owing to the obstacles to obtaining permission to conduct invasive investigations. However, recently we were able to secure permission to investigate, through various forms of examination including dissection, a well‐preserved brain found in a lime‐soil mixture barrier (LSMB) tomb in Yongin, Korea, because the remains found within the tomb were mostly skeletal. As in the cases of mummified brains from tombs found in other countries, the current Yongin case showed well‐preserved grey and white matter within well demarcated brain lobes, on which sulci and gyri could be identified. On histological examination, we found that the remaining brain tissue was composed mainly of lipids, which seems to correspond to the preserved myelin sheath. The present paper is the first report on the general preservation status of a mummified brain found in Korea. Moreover, because mummified brains are found quite frequently in LSMB medieval tombs, this study could provide a good basis upon which further such palaeo‐neuropathological studies can be progressed. Copyright © 2008 John Wiley & Sons, Ltd.     

Consequences of conquest? The analysis and interpretation of subadult trauma at Puruchuco-Huaquerones, Peru

This paper examines bioarchaeological evidence of violence and traumatic injury on subadult skeletal remains from two Late Horizon (A.D. 1470-1540) cemeteries within the archaeological zone of Puruchuco-Huaquerones, Peru. Here we present the frequency and types of traumatic lesions on the 242 subadults analyzed. We observed significant increases in the frequency of subadult trauma, particularly among the burials associated with Spanish Conquest. Specifically, we noted a statistically significant increase in the frequency of cranial trauma in a subsample of individuals from one of two cemeteries at the site, 57AS03. These perimortem cranial injuries suggest an intensification of violence and lethality that may have affected the children from this community. We then discuss the biocultural implications of this analysis within the context of Spanish invasion and conquest.     

Comparative Study of Perimortem Weapon Trauma in Two Early Medieval Skeletal Populations (AD 400–1200) from Ireland

Violence was a reality of life in early medieval Ireland (AD 400–1200). Its omnipresence is indicated from numerous narratives of regicide, mortal conflicts, battles and warfare that survive in ancient myths, legends and annalistic accounts. The archaeological evidence of violence and conflict is mainly identified in the osteoarchaeological record, and approximately 13% of all skeletal populations from excavated early medieval cemeteries in Ireland have shown evidence of weapon trauma. This study considers the osteological representation of violent deaths in two contemporaneous Irish skeletal populations dating to this period: Mount Gamble in County Dublin and Owenbristy in County Galway. This analysis involves assessing the different anatomical regions of the body for evidence of lesions that can be attributed to weapon trauma. The results indicate that these populations are likely to have been exposed to violence under differing circumstances; the evidence suggests that the individuals from Mount Gamble may have been well equipped or skilled at interpersonal battle, in contrast to the majority of individuals from Owenbristy who may have been unprotected and unprepared. The presence of two adolescents and two adult females amongst the victims from the latter population gives insight into a wider social dimension of weapon trauma in early medieval Ireland. There is also evidence of postmortem mutilations and decapitations, which reflect ritualistic aspects of violence. Copyright © 2012 John Wiley & Sons, Ltd.     

Childhood trauma in several populations from the Iberian Peninsula

A study was conducted on a collection of 123 juvenile skeletons from various sites dating to the Bronze Age (Argar culture) and from the medieval cemeteries of La Torrecilla, Villanueva de Soportilla and San Baudelio, all in the Iberian Peninsula. No cranial trauma was observed. However, four postcranial fractures were found, including three from Castellón Alto, a typical Argaric village of some urban complexity built on steep terraces in high and rugged terrain. The combination of a hazardous environment and a climate that encourages outdoor play may explain the relatively high frequency of childhood trauma in the burials from the Argar culture. Copyright © 2006 John Wiley & Sons, Ltd.     

A Large‐Scale Palaeopathological Study of Hip Fractures from Post‐Medieval Urban England

Hip fractures have high incidence rates in many current groups and are associated with high morbidity, mortality, and considerable expenditure. Although hip fractures associated with significant traumatic events can occur at any age, many hip fractures occur in older adults. To date, few hip fractures have been reported from archaeological skeletal material, and a number of hypotheses have been suggested for this. This research presents a comprehensive assessment of hip fractures in archaeological bone; 1597 adult (18+ years) skeletons from eight urban post‐medieval sites from England dating from the 18^th and 19^th centuries were recorded, and contemporary medical texts reviewed. This adult sample included 834 males and 652 females as well as 11 persons of undetermined sex. Ways of classifying and describing fractures in the clinical literature were reviewed and a methodology applicable to paleopathology determined. Of this sample, 15 (0.94%) had fractures in the femoral neck or intertrochanteric area: nine males, four females, and two individuals of undetermined sex. The numbers of fractures in males were interesting and most likely represent examples of accidental trauma as well as osteoporosis‐related fractures, the latter receiving growing awareness in recent clinical literature. Overall there was an age‐related trend with more individuals aged 50+ years with fractures than in other age categories. Underlying osteoporosis was potentially a complicating factor in five individuals and was likely associated with a vitamin D deficiency osteomalacia and a metastatic neoplastic condition in a further two cases. Fractures occurring close to the time of death and healed fractures were observed, indicating that the risk of mortality following this trauma was not consistent across this 18^th and 19^th century sample. Skeletal and historical evidence presented in this study indicate that the impact of hip fracture injuries varied, with survival likely linked to the fracture type. Copyright © 2016 John Wiley & Sons, Ltd.     

Patterns of Cranial Trauma in a Prehistoric Population from Central California

Evidence of cranial trauma was investigated in a skeletal sample from the site CA-Ala-329 located on the eastern side of San Francisco Bay, Central California. The sample included 365 crania, including 134 adult males, 104 adult females, 22 adults of indeterminate sex and 105 subadults. Evidence of cranio-facial fracture was found in eight individuals, one of whom is an adolescent. Thus, the frequency in adult crania of traumatic injury is 7/260 (2.7 per cent). Of the seven individuals of known sex displaying such cranial trauma, all are male. The injuries are generally suggestive of some form of interpersonal aggression, with five healed vault fractures, one lesion with an embedded obsidian fragment (a probable projectile point) and two healed facial fractures. Further clear evidence of interpersonal aggression has been previously determined in this sample and has been reported at even higher levels elsewhere in California. © 1997 by John Wiley & Sons, Ltd.     

Αge‐associated Variation and Sexual Dimorphism in Adult Cranial Morphology: Implications in Anthropological Studies

The current paper explores the impact of age and sex on adult cranial shape and size variation in the documented collections from St Bride's and Spitalfields. The scope is to assess the extent to which it is valid to pool age and sex groups in inter‐population comparisons that use cranial data. For this purpose, age and sex differences in cranial shape and size were explored using multivariate analysis of variance, Discriminant analysis and Mann–Whitney tests. The results suggest a clear change in cranial shape with increasing age; however, this change is not statistically significant. Therefore, it is justifiable to pool different age groups in bioarchaeological analyses. Increasing age also has a minimal impact on cranial size among females, whereas among males, its impact is small but statistically significant. Finally, cranial shape and size are significantly different between males and females, irrespective of their age. This dimorphism can be used for the assessment of sex, although attention should be given to over‐classification problems when using discriminant analysis. Copyright © 2012 John Wiley & Sons, Ltd.