Two medieval ‘trepanations’ – therapy or swindle?

During the 1991–1992 excavation of the ruins of the medieval cathedral in Hamar, Norway, the broken skull of an elderly man was found, showing evidence of an incomplete trepanation. The ‘surgeon’ had obviously tried to penetrate the skull surface around bregma in an irregular circle of 23 × 21 mm. Upon investigation, the skull revealed a reactive‐pathological area of the internal surface of the occipital bone, which probably represents a respite after a meningeal disorder (a tumour or an infectious process), causing us to suggest that the trepanation was meant to cure the patient's increasing headache. However, as a second skull with similar marks was found in the same churchyard, another explanation seems possible. Because the brain tumour in the first case may have altered the patient's mental state, we may surmise that these incomplete operations were an attempt to remove from these patients' heads the ‘Stone of Madness’, which was then commonly considered to be the reason for psychiatric diagnoses as well as persistent headache, and often depicted in European art, most notably in the 16^th and 17^th centuries. The second skull, revealing an even more incomplete attempt, did not show any skeletal pathology at all. Copyright © 2007 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.     

A recently excavated odontome from medieval Canterbury,Kent

During archaeological excavation of St George's church, Canterbury, 269 skeletons ranging from early medieval to late nineteenth century were recovered. A medieval female aged ca. 23–28 years displayed an unusual dental anomaly, an odontome. Odontomes are infrequent in clinical dentistry. A search of the literature suggests that very few archaeological examples have been published and our specimen is the first excavated case reported from Britain. Archaeological material, if subject to radiographic examination, provides a unique source of information for the prevalence of odontomes from prehistoric to modern times.     

The rhinomaxillary syndrome in leprosy: A clinical,radiological and palaeopathological study

The rhinomaxillary syndrome consists of a group of maxillary bone changes, which may be present in part or in total, in lepromatous and near-lepromatous leprosy. The changes are a composite mixture of erosive, absorptive and proliferative bone reactions. The anatomical zones involved are the alveolar process of the maxilla, the anterior nasal spine, the palatine process of the maxilla, intranasal osseous structures, and the margins of the nasal aperture.     

Women on the Third Crusade

Historians remain undecided over whether or not women actually took up arms during crusading expeditions. Opinions vary widely, from denying that women could ever be true crucesignati to concluding that they took an active role in the fighting, This study focuses on the Third Crusade, for which the chronicle evidence is particularly full. Some of the narrative accounts of the crusade never mention women or even deny that they took part, while others describe their assisting crusaders in constructing siege works or performing menial tasks. The Muslim sources for the Third Crusade, however, depict Christian women taking part in the fighting, armed as knights. The study discusses the reasons behind these divergent depictions of women in the Third Crusade. It examines the evidence for women taking an active part in military activity in Europe, and concludes that women could certainly have taken an active military role in the Third Crusade. Yet, as the European sources are silent on the subject, it is unlikely that women did play a significant military role, although it is possible that some fought in particularly desperate battles.     

Women on the Third Crusade

Historians remain undecided over whether or not women actually took up arms during crusading expeditions. Opinions vary widely, from denying that women could ever be true crucesignati to concluding that they took an active role in the fighting, This study focuses on the Third Crusade, for which the chronicle evidence is particularly full. Some of the narrative accounts of the crusade never mention women or even deny that they took part, while others describe their assisting crusaders in constructing siege works or performing menial tasks. The Muslim sources for the Third Crusade, however, depict Christian women taking part in the fighting, armed as knights. The study discusses the reasons behind these divergent depictions of women in the Third Crusade. It examines the evidence for women taking an active part in military activity in Europe, and concludes that women could certainly have taken an active military role in the Third Crusade. Yet, as the European sources are silent on the subject, it is unlikely that women did play a significant military role, although it is possible that some fought in particularly desperate battles.     

The distribution of osteoarthritis of the hands in a skeletal population

The distribution of osteoarthritis of the hands was studied in 101 skeletons from archaeological sites in England. The results are similar to those found in epidemiological studies of modern populations. Osteoarthritis of the hands was more common in females than in males, and in females tended to involve a greater number of joints. The distal and proximal interphalangeal joints were commonly affected, the former more frequently than the latter, but otherwise the disease was largely confined to the first ray of the hand, centred on the trapezium. It is concluded that the pattern of osteoarthritis in the hand has probably not changed greatly over several hundred years.     

Natural encounters: climate,weather and the Italian Renaissance

This paper examines a key issue in the history of the climate in the pre-instrumental period, that is, how to use narrative sources which make frequent references to weather events, but which need contextualised interpretation. The paper follows an argument that climatological techniques for deriving temperature indices from chronicles, though they have become increasingly elaborate and refined, nevertheless leave out much that is of interest to the social historian. This paper explores the area of the what-is-left-behind when chronicle narratives are reduced to numerical indices. Investigating a broad range of Latin and Italian chronicles from fourteenth and fifteenth-century Italy, the paper draws three main conclusions: that sensitivity to weather events not only varied greatly among writers (as one might expect) but so too did their use of severe weather to serve the purposes of narrative (through sequencing, metaphor and analogy); that sensitivity to meteorological anomaly changed during the period, especially in the fifteenth century with the spread of prognosticating verses; and that the broadening of chroniclers' interests in weather, both ordinary and extraordinary, and in its effects on everyday, material life may allow a connection to and re-evaluation of the Burckhartian idea of the Renaissance ‘discovery of the world’.     

A possible case of hyperparathyroidism in a burial of 15–17th century AD date from Wharram Percy,England

The subject of this paper is the partial skeleton of an adult female, dating to ad 1420–1640, excavated from the church at the deserted village of Wharram Percy, North Yorkshire, UK. Lesions are described which are probably indicative of hyperparathyroidism. Copyright © 2001 John Wiley & Sons, Ltd.