Craniofacial trauma in the Prehispanic Canary Islands

The current project is a study of craniofacial trauma in a large sample (n = 896) of Prehispanic Canary Islanders (PCIs). The possible causes and social implications of the trauma found are considered, with reference to archaeological and historical data. Variables include the island, period and ecology, the sex and age of the individuals, the distribution of lesions across the skull (by side and by individual bone) and ante‐mortem tooth loss. The results show a fairly high trauma rate (16%), a low prevalence of peri‐mortem trauma (3.8% of all lesions), higher prevalence of trauma in males than in females (25% vs. 13% of all individuals), more cranial than facial lesions (8.9% vs. 3.5% of all elements) and more lesions on the left side of the skull (6.7% vs. 4.5% of all elements) which suggests that the lesions were sustained through intentional rather than accidental agency. There was no correspondence between trauma prevalence and ecology. The archaeological and historical data support the assertion that the lesions may be the result of skirmishing between groups, using weapons such as slingshots, stones and staves. The presence of edged‐weapon lesions on some individuals suggests that these may have been the victims of contact‐period European groups. Copyright © 2007 John Wiley & Sons, Ltd.     

Adipocere Inside Nineteenth Century Femora: The Effect of Grave Conditions.

Adipocere has, infrequently, been reported from archaeological contexts normally on the external surface of bodies. In contrast to those cases, this study focuses on a white, powdery and greasy substance found inside two right human femora during sampling. These samples were obtained from two identified individuals buried in the late 19th century, who were exhumed from a rock‐cut and a brick‐lined grave in a steeply sloping graveyard with wet soil conditions. Both individuals were buried in coffins. Fourier transform infrared spectroscopy was used to test the composition of the substances, and both were found to conform to the spectrum of adipocere. This is likely to be a breakdown product of the fats in bone marrow in an anaerobic, moist environment mediated by bacteria. None of the other individuals (n = 6) buried in similar graves displayed evidence of adipocere; this includes those whose femora were in a similar state of preservation (n = 4). Contemporaneous data on precipitation for the month of burials do not highlight any obvious trends, but one of the individuals was found in a water‐logged grave. The similar preservation of other femora buried in brick‐lined graves highlights the interplay of multiple factors in the formation and degradation of adipocere. More importantly, it demonstrates differential preservation, which may impact on DNA and other biomolecular research. Furthermore, this adds to the limited data currently available on adipocere found in archaeological contexts. Copyright © 2013 John Wiley & Sons, Ltd.     

Bioarchaeological Investigation of Possible Gunshot Wounds in 18th Century Human Skeletons from Korea

Notwithstanding the relative abundance of bioarchaeological evidence of pre‐20th century gunshot wounds discovered at European and American archaeological sites, similar findings in East Asian countries have been very rare. In this study, we report evidence of possible gunshot wounds sustained by two individuals buried in Joseon tombs of Korea. The shapes of the trauma seemed to indicate low‐velocity projectiles, most likely musket balls. To our knowledge, this is the first bioarchaeological report specifically concerning possible gunshot‐wound evidence in East Asian skeletons recovered from archaeological fields. Copyright © 2011 John Wiley & Sons, Ltd.     

A Bioarchaeological Investigation into the Human Remains Discovered in the Chloorkop Area,South Africa

In November 2008, human skeletal remains were discovered during construction works undertaken by Carlop Properties in the Chloorkop industrial area, Kempton Park, Gauteng. The Forensic Anthropology Unit of the University of Pretoria, Forensic Anthropology Research Centre (FARC) was notified, and rescue excavations of both the exposed and the undisturbed remains were undertaken. The skeletonised remains of at least 18 individuals were recovered and sent to the Department of Anatomy at the University of Pretoria for standard anthropological analysis. The identity and the time period of these human remains are unknown, and during social consultation, no relatives could be identified. Excavations revealed a formal burial pattern, which suggests a formal cemetery, probably associated with a historic institution. All individuals were buried in wooden coffins in an extended, supine position. The remains consist of both adult and juvenile remains. Some of the remains were found in a commingled state because of disturbance caused by construction work. The minimum number of individuals was determined by the visual pair matching of skeletal elements on the basis of similarities observed in bone morphology, age and sex, trauma and pathology and taphonomic alterations. Bioarchaeological techniques were used, and the following results were obtained. Of the 18 individuals, at least 15 were identified to be males, one possibly female and two juveniles. At least five of the adult male individuals presented with cut marks associated with standard autopsy procedures. No reference to the individuals' identity or to the context of the cemetery within the historical span of the Chloorkop area has been located. However, the burial pattern observed, as well as the demographic profile and pathology observed on the skeletal remains, suggests that these individuals could be linked to the Klipfontein Organic Products Factory (ca 1941s–1970s), which employed many migrant labourers, most to whom lived in compounds on the factory premises. Copyright © 2011 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.     

A Medieval/Early Modern Alpine Population from Zweisimmen,Switzerland: A Comparative Study of Anthropology and Palaeopathology

To date, anthropological comparative studies from Switzerland are rare. Therefore, this research aims to make a comparison between the alpine individuals from Zweisimmen (ca. 14th–19th), and 17 other rural and urban populations from Switzerland all dating to the medieval and early modern period. An osteoarchaeological analysis was carried out on the rural population of Zweisimmen, consisting of 134 skeletons. For each individual, the arm position and orientation were observed in the field, while preservation, representation, sex, age, stature, trauma and pathologies were recorded in the laboratory. These results were compared with data from published and grey literature in order to gain a better understanding of chronological and regional patterns in Switzerland. A chronological development was observed in the orientation, arm position and use of a coffin, which suggests a change in burial practices and beliefs throughout time. The demographic profile represents a natural mortality; however, children and especially neonates are underrepresented in this sample. Some individuals were buried in groups, suggesting simultaneous burial during a period of increased mortality. The palaeopathological findings suggest that the living conditions in rural alpine Zweisimmen were similar to those of other contemporaneous populations, as well as those living in an urban setting. Copyright © 2017 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.     

Analysis of ante mortem trauma in three modern skeletal populations

When archaeological skeletons are assessed, the prevalence (and patterns of bone involvement) of trauma is important. The number and pattern of fractures can be used to gain insight into the occurrence of interpersonal violence, workload and living conditions. However, the question remains as to how these results should be interpreted—such as what constitutes high or low levels of trauma? The aim of this study was to investigate the occurrence of trauma in a population of modern Greeks living in Crete, as well as South African (SA) whites and blacks in the Pretoria Bone and Raymond Dart collections. The sample comprised mostly of older individuals (n = 90–100 within a sex‐population group). Each skeleton was studied for healed trauma. For the vertebrae, only spondylolysis was assessed. In the Greek sample, it was found that 42% of the males and 46% of females had at least one fracture, with corresponding figures of 63 and 44% for SA whites and 83 and 69% for SA blacks. Radius, rib and femur fractures were most common in Greeks, with skull, radius and ribs most common in SA whites and skull, ulna and ribs in SA blacks. These prevalences of trauma are high, but the composition of the samples (mostly of lower socio‐economic origin) should be kept in mind. It may also be questioned whether these individuals reflect the society as a whole. It seems that the fractures in Greeks are mostly related to old age due to falls and accidents (radius and hip fractures), while the SA black sample reflects high prevalences of interpersonal violence (such as cranial vault and ulna fractures). The SA white sample follows a comparatively moderate pattern of trauma. These comparative figures may be useful when assessing trauma in other skeletal populations. Copyright © 2009 John Wiley & Sons, Ltd.     

The Diagnosis and Context of a Facial Deformity from an Anglo‐Saxon Cemetery at Spofforth,North Yorkshire

An individual aged between 6 and 7 years at death from a 7th to 9th century cemetery at Village Farm, Spofforth, North Yorkshire, presented significant pathological swelling to the left facial bones. The ectocranial surface was bulbous and uneven, and the expanded diploë was densely packed with a mass of thick trabeculae. Radiographic and histological analysis, in combination with the macroscopically observed pathological changes, supported the differential diagnosis of fibrous dysplasia. The skeletal changes to the left face and jaw would have resulted in a significant facial deformity. Examples of individuals with physical impairments or disfigurements from Anglo‐Saxon cemeteries are rare. Nevertheless, it seems that a significant proportion are afforded unusual burial practices more often associated with deviancy, for example, at the edge of cemeteries or on a reversed orientation, seemingly indicating that their diminished physical capabilities or altered physical appearance had a detrimental effect on their social status. The child from Spofforth was, however, buried in a normative manner, extended, supine and in a plain earth‐cut grave, with no indication that their facial deformity had prompted unusual funerary provision. This example of facial disfigurement contributes to a growing corpus of potentially disabled individuals from early medieval England. Copyright © 2011 John Wiley & Sons, Ltd.     

Evidence of interpersonal violence at the Chalcolithic village of Shiqmim (Israel)

Three circumscribed depressed fractures were found on the skull of an adolescent boy recovered from a primary intramural burial at the Chalcolithic site of Shiqmim, northern Negev, Israel dated to (∼4500–3200 BCE). The fractures were located on the left side and back of the skull. They are circular in outline and have sharp margins containing numerous small bone fragments. These indicate that the skull was fractured when the bone was still fresh and were the probable cause of death. The location of the fractured areas is typical of blows inflicted by a right‐handed individual in face‐to‐face conflict. The size and shape of the fractures, suggests that they were inflicted by a blunt instrument, possibly a mace head. The absence of any signs of healing or infection indicates that all fractures occurred within a short space of time and resulted in death. Neither biological characteristics nor burial pattern show any unique features that distinguish this individual from others recovered at this site. Copyright © 2003 John Wiley & Sons, Ltd.     

A review of trepanations in Anatolia with new cases

In this study, trepanations in ancient Anatolia were discussed from a historical perspective. Trepanations were studied in respect to temporal and spatial distribution, sex and age distribution, techniques and reasons, completeness, healing and number of holes. Forty individuals from 23 different Anatolian settlements are identified to have undergone trepanations. Cranial trepanations in Anatolia show a distribution over a period of 10 000 years ranging from the Aceramic Neolithic period to the Late Ottoman period and spread to whole Anatolia. The greater majority of the individuals had single trepanation orifices while only four individuals were identified with multiple holes. It is observed that the surgical procedure was predominantly carried out on males in Anatolia. Main techniques of trepanations used in Anatolia are drilling and cutting. Early cases of trepanation were made by drilling; however, this technique has been used for cranial surgery until the Ottoman period. Scraping and rectangular sawing techniques first applied in the Early Bronze Age. The boring‐and‐cutting technique was only applied in the Iron Age. More than half of the trepanations practiced due to cranial trauma. Training and treatment besides of cranial trauma are also considered as likely causes of trepanations in Anatolia. It is concluded that trepanation techniques are similar to South America and the Mediterranean region rather than Europe. Copyright © 2010 John Wiley & Sons, Ltd.     

Perimortem trauma in the Atacama Desert and social violence during the late Formative period (2500–1700 years BP)

This paper describes a case of a mass grave containing three naturally mummified adults with multiple traumas to the skeletal and soft tissues, buried in an isolated and informal grave in one of the valleys that traverses the Atacama Desert, north of Chile. These traumas do not appear to be indicative of post‐depositional alterations. Instead, we hypothesise that the observed marks correspond to lethal perimortem trauma, the result of acts of extreme violence brought to bear on the three individuals. Three radiocarbon dates from the site identify that the burial occurred circa 2000 BP in the Azapa Valley, which corresponds to an epoch of important cultural changes linked to the development of farming communities that broke away from an ancient marine hunter–gatherer cultural tradition. Copyright © 2009 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.     

Cases of hydatid disease in medieval Iceland

Eight individuals with calcified cysts preserved in the thorax and abdomen, one of which had a maximum diameter of 17–20 cm, were recovered during recent excavations at Skriðuklaustur, a medieval monastic site which also functioned as a hospital during its operation from AD 1493–1554 in Eastern Iceland. Hydatid cysts are the result of parasitic infection by Echinococci commonly in the liver and lungs of the accidental human host. Echinococcus granulosus was likely introduced to Iceland soon after the settlement period (9th century AD) and became endemic around AD1200 when dogs were introduced from Germany. It has since been eradicated in Iceland due to an extensive educational literature programme and government controls implemented since the mid‐1800s. Reviews of the palaeopathological literature mentioning calcified shell fragments indicated hydatism to be the most logical aetiology. The eight individuals in question were buried in close proximity to one another. This may indicate that this particular ailment (sullaveiki) had its own classification during the medieval period in Iceland and perhaps even a distinct treatment if not in life, at least in death. Copyright © 2010 John Wiley & Sons, Ltd.     

A re-assessment of Basketmaker II cave 7: massacre site or cemetery context

Our ongoing investigation of early maize farming in the American Southwest has entailed stable isotope analysis and accelerator radiocarbon dating of Basketmaker II remains from sites in the Four Corners region. Here we report radiocarbon dates on a large mortuary assemblage excavated by Richard Wetherill in 1893 from a burial cave in southeastern Utah. It has long been thought that all individuals interred in Cave 7 were massacred in a single violent attack given embedded projectiles and evidence for blunt force trauma. However, accelerator radiocarbon dates on purified bone collagen (n = 96) do not lend strong support to this argument, even among the subset of individuals with clear evidence for violent injuries. Moreover, nearly 80% of Cave 7 burials examined in the study show no evidence of perimortem trauma and no adult females or subadults under the age of 12 appear to have suffered violent deaths. Rather than an anomalous single-event massacre, the Cave 7 radiocarbon dataset suggests that raiding and intra-group, male/male violence was episodic among Basketmaker groups in southeastern Utah. Population densities were relatively high and individuals interred in Cave 7 and elsewhere in the region were heavily dependent on maize agriculture, a prehistoric economic strategy typically characterized by high amplitude fluctuations in productivity. Variability in the array of grave goods accompanying Cave 7 male burials and elsewhere suggests competitive social differentiation likely heightened during periods of resource shortfall leading to intra-group conflict, raiding and perhaps ritualized acts of violence.     

A Bioarchaeological and Biogeochemical Study of Warfare and Mobility in Andahuaylas,Peru (ca. ad 1160–1260)

Warfare impacts how people and populations can move about the landscape. Ethnographers have posited that internal warfare, conflict that takes place within a single society, is strongly associated with female abduction. In contrast, external warfare, combat between different societies, is often accompanied by the in‐migration of men for purposes of defence. To test this assertion, we evaluate human remains from one of the most violent eras in Andean prehistory, the Late Intermediate Period (ad 1000–1400). In the south‐central highlands of Andahuaylas, Peru, this era witnessed the coalescence of two formidable polities, the Chanka and the Quichua. Ethnohistoric accounts describe internal warfare among the Chanka and external warfare between the Quichua and their neighbours. In this study, bioarchaeological and biogeochemical methods are marshalled to elucidate ancient patterns of violence and mobility with greater nuance. We employ strontium isotope analysis of tooth enamel apatite to inform on residential origin, and we reconstruct patterns of violent conflict through analysis of cranial trauma. In all, 265 crania were excavated from 17 cave ossuaries at two Chanka sites and one Quichua site. Data were collected on age, sex and cranial modification—an indicator of social identity and cranial trauma. A representative subsample of molars from 34 individuals subjected to strontium isotope analysis demonstrates that among the Chanka, violence was significantly directed towards social groups within society, marked by modified crania. The presence of two nonlocal women with signs of increased morbidity and mistreatment points to possible mobility‐by‐abduction. In contrast, among the Quichua, men have significantly more trauma, and wounds are concentrated on the anterior. Trauma on women is lower, nonlethal, and concentrated on the posterior. This divergent pattern is commonly observed in external warfare (raids and community defence), where men face attackers and women escape them. The presence of two nonlocal men supports a mobility model of strategic in‐migration. In sum, osteological and isotopic data sets are shown to reveal divergent life‐course experiences not captured by the archaeological data or historic records alone. Copyright © 2014 John Wiley & Sons, Ltd.     

Trauma and amputations in 19th century miners from Kimberley,South Africa

Trauma is the result of violent accidental or therapeutic events that cause physical or psychological injury. The frequencies and types of trauma within a population can give important information regarding their lifestyle as well as the quantity and quality of medical care available to them. The purpose of this study was to assess the incidence of trauma in the Gladstone sample population with regards to the presence of interpersonal violence a hazardous working environment strenuous working requirements and the availability of medical care. The individuals studied here were diamond miners from Kimberley dating to the late 19th century. A total of 107 well‐preserved skeletons were excavated from unmarked graves after accidental discovery. This sample included 86 males 15 females and 6 individuals of unknown sex. The majority of individuals (71%) were between 19 and 45 years of age. The remains were most likely those of migrant mine workers of low socioeconomic status who had passed away at the local hospitals. All bones were visually assessed for macroscopic indications of traumatic bone alterations and compared to standard palaeopathological texts and photographs. A total of 27% (n = 28) of the individuals in the sample presented with well‐healed healing or perimortem fractures. Fractures to the skull encompassed 49% (n = 20) of all the fractures that were observed. A total of six (6%) amputations were noted. Spondylolysis was observed in 7% (n = 7) of the individuals within the sample and longstanding subluxation was noted in two individuals. The high incidences of cranial fractures within this population are suggestive of high levels of interpersonal violence while long bone fractures spondylolysis and evidence of longstanding subluxations are indicative of the strenuous work requirements and the high‐risk environment to which these individuals were exposed. When considering the presence of well‐reduced fractures and healed amputations it seems that adequate medical care was available to at least some members of this community. Copyright © 2009 John Wiley & Sons Ltd. This article was published online on 17 February 2009. An error was subsequently identified. This notice is included in the online and print versions to indicate that both have been corrected 3 November 2009.     

Health status of the Venda,a post‐antibiotic community in rural South Africa

This paper examines the health status of a rural African community during the emergence of Westernisation. A total of 157 skeletons, which included 120 adults (55 males and 51 females), 37 juveniles, and 14 individuals of unknown age, were analysed. Date of death ranged from 1910 to 1999, with the majority of individuals (52%) being buried after 1960. The bones were examined for infectious diseases, trauma and degenerative changes. More than half of the individuals in the sample had no pathological lesions on their skeletal remains. No cribra orbitalia was present. One case of leprosy and three cases of osteomyelitis were recorded. The most common findings were osteophytes on the vertebral bodies (syndesmophytes) (17%) and osteoarthritis (7%). The low occurrence of chronic disease is unexpected given that malaria was endemic and intestinal worms were common. Explanations for these results include adequate intake of iron from dietary sources, death from acute infectious diseases, administration of antibiotics, and poor preservation of adult skeletal remains. Copyright © 2007 John Wiley & Sons, Ltd.