Skeletal evidence for hyperparathyroidism in a 19th century child with rickets

The skeletal remains of a child aged 2.5–3.5 years, recovered during archaeological excavations at the churchyard of St Martin's Church, Birmingham, UK, were examined using gross observation, radiography and scanning electron microscopy. Lesions suggestive of the presence of rickets and of secondary hyperparathyroidism were found. This appears to be a first report of secondary hyperparathyroidism in response to rickets in a palaeopathological specimen. The potential of microscopic examination of bone for interpreting disease processes is emphasised. Copyright © 2006 John Wiley & Sons, Ltd.     

Rib fractures in the archaeological record: a useful source of sociocultural information?

Investigation of palaeopathological fractures has been shown to provide important information on past societies. However, despite the fact that rib fractures are amongst the most commonly recorded types of fractures in archaeological bone, little attention has been paid to them. Although there will be sites with badly preserved ribs, making their study difficult, this will not always be the case. Recent clinical investigations have highlighted the potential significance of rib fractures with regard to morbidity and mortality, and their importance in relation to health is now appreciated. This study investigates rib fractures in 352 adults from St. Martin's churchyard, Birmingham, England. The crude prevalence of rib fractures was found to be 15.6% and the true prevalence rate 2.3%. The majority of the fractures occurred in males, and those buried in vaults were less likely to have a fracture than individuals from earth‐cut graves. In 11 individuals the fractures were healing at the time of death, and in these cases death was probably related to one of the complications that are frequently linked to fractured ribs. Certain types of accidents may have been linked to these more serious fractures, as 70% occurred in the same anatomical area. Other rib fractures were associated with pathological conditions, such as osteomalacia and osteoporosis. Overall, the study of the rib fractures in this collection provided valuable information that aided interpretation of the lifeways of individuals investigated. It is argued that where preservation permits, studies of fractures in archaeological bone should include ribs. Copyright © 2005 John Wiley & Sons, Ltd.     

Did Children in Medieval and Post‐medieval Poland Suffer from Scurvy? Examination of the Skeletal Evidence

Late‐medieval and post‐medieval writings report that scurvy was a widespread condition in medieval and early historical Poland. Archaeological and historical data indicate that the diet of children was based on foods poor in vitamin C and contained small amounts of raw plant products. Also, historians emphasise that in medieval and post‐medieval Poland, there were seasonal fluctuations in food availability, frequently accompanied by poor harvests. Both resulted in long periods of poor nutrition, which affected children most severely. The aim of this study was to investigate skeletal manifestations of scurvy in subadult remains from medieval and post‐medieval Poland. Following standards described by Ortner and colleagues, anatomical sites pathognomonic of scurvy in subadults (<17 years) were assessed for abnormal porosity and hypertrophic bone among skeletons excavated from three sites: Ostrów Lednicki (dated to the 11th–14th centuries AD), Cedynia (10th–14th centuries AD) and Słaboszewo (14th–17th centuries AD). In total, 3.6% of all examined children were found to bear traces of vitamin C deficiency. The prevalence of scorbutic lesions was 4.5% for Cedynia, 2.6% for Ostrów Lednicki and 3.6% for Słaboszewo. The majority of affected children were less than 7 years of age. Scurvy was likely more widespread in the living populations than it appears from the calculation of skeletal markers, because some individuals might have recovered or died before obvious traces became apparent. Also, in some children, scurvy might not have reached an advanced stage, identifiable in the skeletal material. The prevalence of scurvy reflects not only dietary patterns but also food storage and preparation techniques adopted in the Polish territories during the Middle Ages, which contributed to low intakes of vitamin C. Copyright © 2015 John Wiley & Sons, Ltd.     

Dedicated Followers of Fashion? Bioarchaeological Perspectives on Socio‐Economic Status,Inequality, and Health in Urban Children from the Industrial Revolution (18th–19th C), England

The 18th and 19th centuries in England were characterised by a period of increasing industrialisation of its urban centres. It was also one of widening social and health inequalities between the rich and the poor. Childhood is well‐documented as being a stage in the life course during which the body is particularly sensitive to adverse socio‐economic environments. This study therefore aims to examine the relationship between health and wealth through a comprehensive skeletal analysis of a sample of 403 children (0–17 years), of varying socio‐economic status, from four cemetery sites in London (c.1712–1854). Measurements of long bone diaphyseal length, cortical thickness, vertebral neural canal size, and the prevalence of a range of pathological indicators of health stress were recorded from the Chelsea Old Church (high status), St Benet Sherehog (middle status), Bow Baptist (middle status), and Cross Bones (low status) skeletal collections. Children from the low status Cross Bones site demonstrated deficient growth values, as expected. However, those from the high status site of Chelsea Old Church also demonstrated poor growth values during infancy. Fashionable child‐care practices (e.g. the use of artificial infant feeds and keeping children indoors) may have contributed to poor infant health amongst high status groups. However, differing health risks in the lower status group revealed the existence of substantial health inequality in London at this time. © 2016 The Authors International Journal of Osteoarchaeology Published by John Wiley & Sons Ltd.     

Palaeo‐otology of cholesteatoma

A cholesteatoma is a collection of dead epithelial cells in the ear which becomes infected with low‐grade pathogenic microorganisms. The lesion tends to cause resorption of the surrounding bone, which potentially permits its recognition in skeletal remains. Cholesteatoma may occur in the middle or the outer ear. Using two examples of cholesteatoma in skeletal remains from British archaeological sites, the differential diagnosis of cholesteatoma from other aural diseases is demonstrated. Some of the differences in bony lesions caused by middle ear and external ear canal cholesteatoma which may enable the two to be distinguished in palaeopathological specimens are discussed. Attention is drawn towards the importance of making this distinction in ancient skeletal remains; middle ear and external ear canal cholesteatoma have a different array of causes and very different impacts upon health status. Copyright © 2005 John Wiley & Sons, Ltd.     

A benign bone-forming tumour (osteoma) on the skull of a fossil balaenopterid whale from the Pliocene of Chile

Hampe, O., Witzmann, F. & Asbach, P., 2014. A benign bone-forming tumour (osteoma) on the skull of a fossil balaenopterid whale from the Pliocene of Chile. Alcheringa 38, xxx–xxx. ISSN 0311–5518.

A pathology of the fossil baleen whale ‘Megaptera’ hubachi from the early Pliocene of Chile is described. It is a bony outgrowth on the left side of the supraoccipital, which is interpreted as a benign bone-forming tumour (osteoma). This diagnosis is based on X-ray imaging and CT scans of the abnormal bone, revealing a homogeneously dense internal structure with no evidence for lytic areas. The osteoma described here in ‘Megaptera’ hubachi is the first unequivocal evidence of a bone tumour in a cetacean, fossil or extant.

Oliver Hampe [oliver.hampe@mfn-berlin.de] and Florian Witzmann [florian.witzmann@mfn-berlin.de], Museum für Naturkunde, Leibniz-Institut für Evolutions- und Biodiversitätsforschung, Invalidenstraße 43, D-10115 Berlin, Germany; Patrick Asbach [patrick.asbach@charite.de], Institut für Radiologie, Charité—Universitätsmedizin Berlin, Charitéplatz 1, D-10117 Berlin, Germany. Received 28.8.2013, revised 7.11.2013, accepted 12.11.2013.     

Otosclerosis and stapedial footplate fixation in archaeological material

A total of 1164 temporal bones from various cemetery sites in England were examined using a fibre optic endoscope. Eight bones were found to have evidence of otosclerosis in which proliferative new bone fixes the footplate of the stapes into the oval window, causing deafness. A prevalence of 0.9 per cent in this study is comparable with the incidence found in modern white populations and with that found in a study of 2760 Lithuanian temporal bones of various periods.     

What was the Prevalence of Malignant Disease in the Past?

A method is described which can be used to calculate the number of tumours that might be expected to occur in a group of skeletons. The method of calculation is based on published data that relate to the frequency with which various primary tumours metastasize to bone and on the number of deaths from malignant disease at the turn of the century. The method has been applied to one archaeological site and the results indicate that the number of tumours found—although very small—is within the limits suggested by the model.     

Baculum fracture in carnivores: osteological,behavioural and cultural implications

A type of trauma, relatively rare in zooarchaeological assemblages, is discussed in this paper. Interspecific differences in morphology and behaviour influence aetiology, taphonomy and interpretation of baculum fractures in carnivores. An example of walrus is explored to illustrate general implications of these differences. Copyright © 2000 John Wiley & Sons, Ltd.