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1.
    
Because palaeopathology has to call on a limited range of evidence, compared with modern clinical diagnosis, it is important that a differential diagnosis should be broad‐based. A prehistoric case from Indiana is discussed in relation to this statement. Copyright © 2009 John Wiley & Sons, Ltd.  相似文献   

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The partial remains of a child's cranium were examined as part of a three‐year research project investigating the health and population movements of prehistoric communities in western Central Asia. Differential diagnoses are provided for an unusual aperture observed at the bregma. Possible aetiologies for the aperture include congenital and developmental defects, pathological alterations, surgical intervention, trauma and post‐mortem changes. The lesion presented in this article is interesting in terms of the contribution it makes to our understanding of the types of possible diseases that existed in the past, in this relatively understudied part of the world. Copyright © 2005 John Wiley & Sons, Ltd.  相似文献   

3.
The third intercondylar tubercle of Parsons (TITP) is a bony protuberance which is sometimes present on the tibial plateau. It corresponds to the insertion of the anterior fibres of the anterior cruciate ligament (ACL). Reasons why TITP is present in some knees and not others are at present unclear. TITP is studied in knee joints from 68 adult individuals from a medieval cemetery. Associations are investigated with age, sex, knee osteoarthritis, clinical and subclinical DISH, and skeletal signs of trauma, with the aim of evaluating existing ideas on the causation of TITP. Only trauma showed an association with the presence of TITP. The results offer support for the aetiology of trauma to the ACL in the formation of TITP. Copyright © 2008 John Wiley & Sons, Ltd.  相似文献   

4.
    
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.  相似文献   

5.
Of 54 vertebrae with spondylolysis, five were found with a unilateral lesion. The unilateral lesion was sometimes associated with hypoplasia of the ipsilateral lamina or by differences in the size and position of the facet joints and by posterior wedging on the affected side. Radiologically there may be sclerosis in the pedicle on the normal side. In one case a healed fracture was noted on the apparently normal side indicating that the lesion originally had been bilateral.  相似文献   

6.
    
Osteobiographies were reconstructed from the skeletal remains of four adults from Fort Edmonton, a 19th century trading post of the Canadian fur trade. Three males were Caucasoid and probably ethnic Scots, given the usual origin of fur traders in this region. The lone adult female in the sample was Mongoloid, either Indian or Métis, and likely the ‘country wife’ of a fur trader, since she was buried in the European tradition in the fort cemetery. The cause of death is not discernible from any of the skeletal remains and none of these individuals exhibit any evidence of chronic infectious disease, malnutrition or neoplasia. Trauma, arthritis and other indicators of physical stress do appear, however, and present an opportunity to expand our understanding of the effects of fur trade life on the skeleton. Viewed in the context of historical accounts of life at the fort in the early 19th century, stress markers on the skeletons of three males have led to the conclusion that they were voyageurs who engaged in trading trips by canoe or boat. Lesions of the capsule attachment area at the proximal tibio‐fibular articulation appear unilaterally in two males and may be associated with ‘mushing’ or driving a dog sled in winter. The musculoskeletal lesions on the one preserved female skeleton are consistent with the arduous domestic activities documented at the fort, which include milking cows, churning butter, stirring lye soap, and harvesting grain and root vegetables by hand. Since specific occupations or behaviours cannot be precisely determined from muscular attachment and other stress markers, these interpretations are made cautiously and only in the culture‐historical context of the skeletal sample. Copyright © 1999 John Wiley & Sons, Ltd.  相似文献   

7.
    
Coccidioidomycosis is a fungal disease endemic to southwestern North America and parts of Central and South America. Coccidioidomycosis frequently disseminates to the human skeleton and produces mostly lytic skeletal lesions. However, this disease is infrequently described within archaeological populations. As a result, it is important to report potential cases in order to improve current understanding of the appearance and distribution of lesions resulting from coccidioidomycosis in archaeological specimens. This study describes skeletal lesions in an adult male recovered from the Los Muertos site, Tempe, Arizona (AD 500–1450). These lesions are present on the inferior border of the left scapular spine, the medial portion of the left first metacarpal head, and the medial portion of the right first metatarsal. The lesions are predominantly lytic with sclerotic and, in some cases, healed cortical bone distributed around their margins. Evidence of skeletal healing is recorded within the destructive focus of one lesion. Geographical information on pathogen endemism, overall lesion distribution, and agricultural‐era Hohokom behaviour suggest that coccidioidomycosis is the most likely diagnostic option for these lesions. Mounting evidence for possible infections in the palaeopathological literature, combined with high frequencies of nutritional stress levels in endemic regions, suggests that coccidioidomycosis contributed at least moderately to morbidity in the American Southwest. Copyright © 2006 John Wiley & Sons, Ltd.  相似文献   

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This study is an investigation of supra‐acetabular cysts in non‐arthrotic hips in a large Medieval British skeletal series. Lesions were found to occur in 10% of adult innominates, and were more common in males. Evidence is presented for an aetiology of trauma. Copyright © 2005 John Wiley & Sons, Ltd.  相似文献   

11.
    
Despite an observable increase in the number of studies using ancient DNA analysis to diagnose disease in human remains, there remain issues to be addressed about the quality of the resulting publications. This paper describes the qualitative analysis of published papers that describe the detection of pathogenic DNA in human skeletal and mummified remains from archaeological sites. Its ultimate goal is to provide an overview of the main problematic issues in relationship to standards developed in molecular biology and to make recommendations for future work. Sixty‐five papers published between 1993 and 2006 were surveyed and the quality of each was assessed using 15 criteria. Interesting results emerged. Of particular note was the high number of papers that did not acknowledge the use of even basic contamination control (90%) or procedures to validate results independently (85%). This study illustrates that attention to contamination control and authentication of results is needed in future research, if confidence in aDNA analysis in palaeopathology is to be increased. Additionally, methods of analysis must be described in published papers to ensure transparency in processes utilised to generate the data. Copyright © 2008 John Wiley & Sons, Ltd.  相似文献   

12.
Tiwanaku influence significantly affected the lifestyle of the prehistoric peoples of the Atacama Desert as it represented an important period of social and economic change. Such intense changes as social stratification and new religious and ideological influences have always been characterized as peaceful ones. Palaeopathological studies based on the violence‐induced traumatic lesions of 64 well‐preserved human skeletons from an excavated funerary site named Solcor‐3 have facilitated a comparison between Pre‐Tiwanaku and Tiwanaku periods. Results show an increase in violence between males represented by low‐intensity skull traumas, arrow wounds and a high mortality rate between 20 and 30 years of age during the Tiwanaku period. The interpretation of this data is contrary to the model of peaceful acceptance of the changes that followed the Tiwanaku influence into the Atacama. At least for Solcor‐3, economic and political factors should be re‐considered in order to explain the emergence of social tension during the Tiwanaku period. In the future, more detailed studies will probably help to clarify if conflicts had also extended to other sites in San Pedro de Atacama under Tiwanaku influence. Copyright © 2004 John Wiley & Sons, Ltd.  相似文献   

13.
    
A case of disability in the Metal Period of the Philippines, likely requiring healthcare from others, is presented to explore aspects of group dynamics in this period of antiquity. B243, a middle‐aged man excavated from the Napa site in the central Philippines, suffered severe trauma to the right leg resulting in considerable restrictions to mobility and self‐maintenance of survival‐related behaviours such as food provision and hygiene. It is likely that B243 required assistance from others to survive for some period of time prior to eventual death. The bioarchaeology of care method was applied to assess the types of healthcare that B243 likely required and to consider potential social and biological impacts to both B243 and his community. Provision of healthcare practice in this case suggests that B243's community had access to health‐related resources, knowledge on the treatment of his injuries and underlying values in the group for sustaining human life in the case of injury and disability. Copyright © 2017 John Wiley & Sons, Ltd.  相似文献   

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Fort William Henry, in upstate New York, was the site of a legendary siege and massacre in 1757 during the French and Indian War. As part of the terms of surrender, the British garrison was to retreat with all their arms and possessions, thus denying the Indian allies of the French their spoils of war. Contemporaneous and fictionalized accounts of the resulting massacre have often been regarded as exaggerations of actual events. Five men buried in a mass grave within the fort, known as the crypt, however, were clearly victims of the massacre. These men were among the sick and wounded who were unable to make the 15 mile (24 km) journey to Fort Edward and were left in the care of the French. Four of the five men sustained pre-mortem leg trauma that would have resulted in their hospitalization and prevented them from walking. The other massive perimortem trauma on these remains vividly depicts the results of the massacre. Three of the five men were shot in the knee; two of these three were shot elsewhere as well. One man was decapitated. Both the front and back of all the bodies bear cut marks, probably from the use of both axes and long-bladed knives as weapons. The numerous gashes in the thoracic and pelvic regions indicate the men were mutilated. Our analysis of the remains from this mass grave confirms and enhances the historical accounts of the massacre at Fort William Henry. The skeletons of these five men provide gruesome testimony of the assault to which they were subjected.  相似文献   

16.
    
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.  相似文献   

17.
    
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.  相似文献   

18.
    
The Selk'nam were an indigenous population of Tierra del Fuego that are now extinct. Contemporary accounts, including those of Robert Fitzroy and Charles Darwin, attest to their prodigious size and strength. These accounts and others record that the Selk'nam were enthusiastic wrestlers and fought till one or other of the opponents could no longer continue. Presented here is a case of traumatic injury to the ulnae and radii of a Selk'nam male that is concomitant with injuries sustained during such activity and as such would provide intriguing evidence of this practice in the skeletal record of an extinct human population. Copyright © 2010 John Wiley & Sons, Ltd.  相似文献   

19.
    
Diseases that culminate into vertebral collapse are of intricate diagnosis both in palaeopathology and modern clinical practice. When analysing human skeletal remains from the archaeological record this difficulty is amplified due to the absence of complementary medical diagnostic information. This is especially evident when the distinction between tuberculous and pyogenic spondylitis is intended. Taking into consideration this challenging task and based on the macroscopic and radiological study of the skeleton number 8, a specimen exhumed from the East necropolis (13th/14th to 19th centuries) of the São Miguel church, at the Portuguese city of Castelo Branco, the aims of the work here presented are to discuss the range of possible aetiological factors, especially infectious ones, ascribable to the striking pathological changes noticed on this 12‐year‐old individual. These included alterations on the axial skeleton, namely extensive vertebral destruction, presenting as a gibbus deformity, and correlated thoracic deformities. Consubstantiated on palaeopathological and clinical research, tuberculous spondylitis seems to be the most probable cause for the reported lesions. However, the scrutiny between this condition and other pyogenic spinal infections is of extreme complexity when analysing ancient human remains and deserves in‐depth future investigations. Within the framework of the Portuguese archaeological record, the specimen here presented is of major relevance since the pattern and severity of the spinal osseous changes observed were not previously reported. Further, if tuberculous spondylitis is assumed as the most probable diagnosis, the case here presented represents one of the earliest skeletal evidence of this condition in Portugal. Copyright © 2009 John Wiley & Sons, Ltd.  相似文献   

20.
Recently, palaeopathologists have begun to diagnose brucellosis in skeletal remains from minor lytic lesions located on the anterior margins of one or some few vertebral bodies, taking these lesions to represent brucellar epiphysitis. However, review of the literature indicates that these lesions have been sporadically noted for some time by palaeopathologists and various different interpretations have been placed upon them. In view of this, a study of these vertebral marginal lesions (VML) was undertaken in a large series of archaeological skeletons from England, with the aim of characterising their morphology and frequency and shedding light upon their causes. In the study material, VML were found only in the lumbar spine, where they occurred with a prevalence of approximately 4%. It was argued that VML are consistent with two principal alternative diagnoses: brucellosis and traumatic anterior disc herniation. Differentiating these possibilities for the VML in the study material was difficult, but the balance of the evidence seemed to favour traumatic anterior disc herniation as the more likely cause. It is concluded that VML should not be used to identify the presence of brucellosis in skeletal remains unless there is further evidence, in the form of additional skeletal lesions or biomolecular evidence for residual brucella bacterial DNA, to support such a diagnosis. Copyright © 2007 John Wiley & Sons, Ltd.  相似文献   

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