A medieval example of a sagittal cleft or ‘butterfly’ vertebra

A mature adult medieval male with a rare congenital anomaly, a sagittal‐cleft or butterfly vertebra, is presented. Clinical cases are frequently associated with axial as well as soft‐tissue defects. The present case, based only on skeletal evidence, appears to be an isolated finding. The aetiology of the clefting is outlined and palaeopathological evidence for the condition is included. Copyright © 2003 John Wiley & Sons, Ltd.     

Sagittal Clefting of the Fifth Lumbar Vertebra of a Young Adult Female from Apollonia Pontica,Bulgaria

A rare congenital anomaly in the form of sagittal clefting of the fifth lumbar vertebra was observed in the skeleton of a young adult female excavated from the Greek colonial site of Apollonia Pontica (5th to 3rd centuries BC) on the Bulgarian Black Sea coast. No compensatory changes had occurred to the adjacent vertebrae, and no other skeletal anomalies or pathological conditions were observed in the skeleton. This anomaly, the first of its kind documented in ancient Greek remains, was likely asymptomatic and of no clinical significance. Copyright © 2012 John Wiley & Sons, Ltd.     

A case of Os odontoideum in the palaeopathological record

Os odontoideum is an uncommon abnormality of the second cervical vertebra, the aetiology of which is contentious. Whether congenital or acquired, the condition often results in atlantoaxial instability and subsequent compression of cervical cord or vertebrobasilar vessels. The bioarchaeological study of a medieval sample from the Christian necropolis of Cacela Velha (Algarve, southern Portugal) provided the opportunity to describe one of the first cases of this rare anomaly ever reported in the palaeopathological record. Copyright © 2007 John Wiley & Sons, Ltd.     

An Exceptional Case of Healed Vertebral Wound with Trapped Bronze Arrowhead: Analysis of a 7th–6th c. bc Individual from Central Kazakhstan

Projectile injury caused by an arrow shot is a common skeletal marker of interpersonal violence in archaeological populations. The injuries of the spine were usually fatal. Only few reports on healing of the vertebra pierced by flint arrowpoint can be found in bioarchaeological literature. This paper presents an exceptional case of a healed trapped bronze arrowhead wound in the spine of a 7th–6th c. bc elite nomad from Central Kazakhstan. Computed radiography and tomography as well non‐destructive X‐ray fluorescence spectrometry provide detailed information about the context and mechanism of the injury. Copyright © 2015 John Wiley & Sons, Ltd.     

Anthropological analysis of the phenomenon of atlas occipitalisation exemplified by a skull from twardogóra (17th c.)—southern Poland

Occipitalisation of the atlas is one of the most frequent osseous anomalies of the atlas. It is characterised by the adhesion of the first cervical vertebra with the basilar part of the occipital bone. The most probable cause of the occipitalisation is a congenital disorder. The atlanto‐occipital fusion may lead to narrowing of the space for medulla oblongata, spinal cord and vertebral artery. This in turn may lead to many physiological symptoms. The skull from Twardogóra, Southern Poland, showed partial atlanto‐occipital fusion and presented an asymmetry in structure and shape of apertures for the vessels and nerves around the foramen magnum. Copyright © 2011 John Wiley & Sons, Ltd.     

Congenital anomalies of the vertebral column: a case study on ancient and modern Egypt

The aim of this paper is to identify the frequency of congenital anomalies of the vertebral column in ancient Egyptians. The material for this study consisted of 272 skeletons excavated from Giza and belonging to the Old Kingdom (the time of the early pyramid builders). The vertebral columns of these skeletons were examined for the different types of congenital anomalies that affect the vertebrae. Nine cases (3.33%) were affected with spina bifida occulta, while six cases (2.22%) had transitional vertebrae at the lumbosacral joint. These frequencies are compared with other ancient populations. Copyright © 2006 John Wiley & Sons, Ltd.     

Developmental Defects in the Spine: Initial Findings in Archaeological Cases from Córdoba Highlands (Argentina)

Congenital disorders are pathologies rarely found in archaeological cases. In recent years, however, there has been an increase in the number of reported cases, and a growing interest in understanding their development and implication as genetic markers within certain collections. In the central region of Argentina, researchers have begun to focus on issues related to the health of prehispanic populations from a bioarchaeological perspective. Between 1999 and 2012 our research group recovered, by rescue archaeological activities, a total number of 62 individuals from different archaeological sites in the province of Córdoba, from which only three individuals with pathologies classified as congenital were recorded (4.83%). Radiocarbon and contextual information sets these individuals in the late Holocene (2156 ± 86 and 920 ± 20 ¹⁴C years BP). Hence, this work aims at presenting two pathological conditions deriving from congenital developmental abnormalities that arise during the first three months of pregnancy: (a) Klippel–Feil syndrome (type II) which was suffered by the individuals from the sites of Guasmara and El Vado, and (b) central sagittal fissure of the vertebral body or ‘butterfly vertebra’ as in the case of one individual from La Calera. We also analyse other lesions in these skeletons that may be associated with the conditions mentioned above, and we provide a thorough interpretation from an osteobiographical perspective. Copyright © 2015 John Wiley & Sons, Ltd.     

Avulsion fractures of the transverse processes of the first thoracic vertebra: an archaeological case study from Raunds

Avulsion fractures of the transverse processes of vertebrae have not been previously identified in the archaeological record. This paper provides a case study of a 21–25 year old male skeleton from the 10^th century cemetery at Raunds Furnells (Northamptonshire, UK) with bilateral avulsion fractures of the transverse processes of the first thoracic vertebra. Possible aetiologies of this condition are discussed and conclusions drawn about the impact of this condition upon the individual. Copyright © 2008 John Wiley & Sons, Ltd.     

Congenital scoliosis: possible causes and consequences in a skeleton from Nubia

Reports of congenital scoliosis (CS) are rare in the literature of paleopathology. This study details severe CS in the complete, well preserved skeleton of an adult male, dated to AD 550–800, from the Sudanese site of Kulubnarti. This skeleton, designated as S‐16, is the most complete archaeologically derived example of CS to be documented. Copyright © 2009 John Wiley & Sons, Ltd.     

Hypodontia of permanent teeth among Middle Palaeolithic hominids: an early case dated to ca. 92 000±5000 years BP at the Qafzeh site

The analysis of the maxillae and mandible belonging to a Middle Palaeolithic child has provided evidence of the early appearance of a developmental dental anomaly among Homo sapiens. The material came from the Near Eastern site of Qafzeh. In the mandible there was agenesis of the left second premolar and congenital absence of the right could not be totally excluded. Additional analyses including two presumed cases of dental development anomalies within contemporaneous prehistoric populations showed that tooth agenesis also can affect the anterior region of the mandible, and could be clearly separated from ante-mortem tooth loss caused by trauma. © 1998 John Wiley & Sons, Ltd.     

Spondylolysis in the lower thoracic–upper lumbar spine in a British medieval population

Spondylolysis is generally a condition of the lower lumbar spine, but occasionally it is observed at cranial to L4. It is generally agreed that spondylolysis in the lower lumbar spine represents fatigue failure of the neural arch. However, whether a biomechanical explanation is adequate to explain lesions cranial to L4 is disputed. Morphological aspects of spondylolysis at T12–L3 (five cases) are compared with those of lesions at L4–L6 (24 cases) in a mediaeval English skeletal series with the aim of shedding light upon any differences in aetiology of lesions at the two sites. It was found that spondylolysis at T12–L3 was more often unilateral than in L4–L6. In T12–L3, clefts more often took an angulated, dog‐leg course across the pars interarticularis, whereas most in L4–L6 were fairly straight and had an oblique orientation. In T12–L3, clefts often had facetted opposing surfaces suggestive of a diarthrodial joint, but this was only seen once in L4–L6. It is suggested on morphological grounds that facetted defects are more likely congenital than acquired. The need for consideration of factors in addition to activity regimes when interpreting spondylolysis in earlier populations is emphasised. Copyright © 2007 John Wiley & Sons, Ltd.     

A case study of os cuneiforme mediale bipartum from Sigtuna,Sweden

An adult male from an early Medieval mass grave in Sigtuna displayed bilateral os cuneiforme mediale bipartum. This is an unusual congenital anomaly and this study is the first published example found in an archaeological skeletal assemblage in Sweden. Another adult male in the same grave shows horizontal grooves of both medial cuneiform bones. This paper discusses a possible hereditary tendency of the anomalies. Copyright © 2004 John Wiley & Sons, Ltd.     

Spinal pathological findings in ancient Egyptians of the Greco‐Roman period living in Bahriyah Oasis

The spine can provide a large amount of information about an individual's physical condition and possible lifestyle through palaeopathological investigations. The aim of this research was to study spinal diseases among Greco‐Roman ancient Egyptians from Bahriyah Oasis, and to compare them with those from Giza of the Old Kingdom. The material used in the study included 809 single vertebrae and 77 adult sacra of ancient Egyptians from the Greco‐Roman period (332–30 BC) that were excavated from Bahriyah Oasis. The spinal elements were examined for pathological conditions, degenerative diseases, trauma, congenital abnormalities, infectious diseases and neoplasms. The most common lesions of the spine were those due to degenerative processes. The articular facets were more affected than the vertebral bodies. Compression fractures of the bodies, mostly due to osteoporosis, were found in 1.44% and 5.07% of thoracic and lumbar vertebrae respectively. The percentage of spina bifida occulta among ancient Egyptians from Bahriyah Oasis was 62.33%, while among those from Giza was only 3.33%. Few cases of lumbar spondylolysis and one case of DISH were recorded. No cases of infectious or neoplastic diseases were found. Copyright © 2008 John Wiley & Sons, Ltd.     

Predicting Grey Triggerfish Body Size from Bones

The present study presents a method for predicting triggerfish body size (standard length and body mass) from bones recovered from archaeological sites. Regression equations were calculated from 42 fresh triggerfish. The following seven measurements were used as best predictors for body size based on the regression coefficients, reliability of the measurements and survivorship of the bones in archaeological material: width of ethmoid, width of vomer, width of first dorsal spine, width of dorsal postcleithrum, width of atlas, width of sixth vertebra, and greatest height of basal pterygiophore. These equations enabled us to assess the contribution of fish to the economy and aided us in identifying various fishing methods. © 1997 by John Wiley & Sons, Ltd. Int. J. Osteoarchaeol., 7 : 150–156 (1997) No. of Figures: 8. No. of Tables: 4. No. of References: 48.     

Like I need a hole in the head: supernumerary external auditory meatus in a Carthaginian cranium

Cranial anomalies vary in degree of expression. Although some are nominal i.e. slight in expression, other anomalies are quite striking in appearance. Such is the case in a cranium recovered from the archaeological site of Carthage in Tunisia. Based on observations during ongoing research by the second author, this specimen was seen to exhibit a twinned right external auditory meatus. Possible explanations for the presence of this anomaly are explored. Trauma and perhaps disease can likely be excluded; congenital or epigenetic variation is more of a probable cause. Copyright © 2009 John Wiley & Sons, Ltd.     

A case of short‐root anomaly in a female from medieval Istria

Dental examination of a young female skeleton from medieval Istria revealed very short‐roots of both maxillary central incisors. This developmental pathological condition is known in the literature as short‐root anomaly, occurring mostly in maxillary incisors. In affected teeth, the crown:root ratio is 1:1.6. Although the prevalence of this condition has been reported in modern populations, this appears to be the first documented case of the anomaly from the medieval period. Unfortunately, fragmentary preservation of the skeletal material prevents us from making a full diagnosis of possible aetiology. Copyright © 2006 John Wiley & Sons, Ltd.     

Lucayan–Taíno burials from Preacher's cave,Eleuthera, Bahamas

In March 2007, three prehistoric skeletons were excavated and analysed from Preacher's Cave on the northern aspect of the island of Eleuthera in the Bahama archipelago. The human skeletal remains represent two males and one female dating to AD 800–1300. The first is a female in the 30s with mild osteoarthritis of the joints and spine and several healed fractures who may have been an important community elder. The second is a male in the 20s with Schmorl's nodes who may have been a shaman or even a victim of interpersonal violence. The third is a male in the mid to late 20s also with marginal osteoarthritis of the joints and spine who may have been a ceremonial leader and village headman. The high incidence of carious lesions implies a cariogenic diet possibly rich in starchy foodstuffs or even fructose. The presence of grave goods and plaited mats suggest that at least two individuals may have been of high status. This study emphasises the significance of caves to Lucayan–Taíno mythology, cosmology and mortuary practice. Copyright © 2010 John Wiley & Sons, Ltd.     

A case of beheading dating from the celtic period (la Tène B,Sarliève‐Grande Halle,France)

Excavation at the site of Sarliève‐Grande Halle, La Grande Halle revealed a large celtic necropolis dating from the 1st century BC. Burial number SP 2170 presented evidence of beheading. The position of the body showed a proper anatomical situation of the head in spite of a dislocation of C1–C2 and abnormal rotation of the head on the right side. Moreover, the arms were in an unusual position, with internal rotation of the humeri, the forearms crossed and the palm up position of left hand. The second cervical vertebra showed complete section of the odontoïd apophysis, associated with cutmarks on the vertebral body. The occipital bone had a large cut on the left side of the squama. These lesions correspond to those already described for decapitation in antiquity. The reconstruction of the chronology of the wounds as a form of execution is discussed in the historical context of the Celtic populations in Gaul. Copyright © 2004 John Wiley & Sons, Ltd.     

A possible case of metastatic carcinoma in a middle Sican burial from Batán Grande,Perú

The skeleton of a young to middle-aged adult excavated at the base of the Pre-Incaic pyramid of Huaca Las Ventanas, northern coast of Peru, shows an osteoplastic formation on the fifth lumbar vertebra compatible with a diagnosis of metastatic carcinoma, possibly from the prostate gland.     

Prehistoric radio‐ulnar synostosis: implications for function

Proximal radio‐ulnar synostosis (RUS) may occur congenitally, either as an isolated condition or as part of a syndrome, or it may occur as a secondary complication of forearm trauma. We provide a key for the differential diagnosis of congenital versus traumatic RUS, and for differentiation between types of congenital RUS. Congenital cases (CRUS) include absence of fracture, radial head abnormalities, radial shaft bowing, and absence of a sigmoid notch, whereas post‐traumatic RUS results from either radial neck fracture or evulsion of the biceps brachii, followed by ossification of the resulting haematoma or of the interosseous (IO) membrane. Congenital cases include those which result from incompetent differentiation of the single mesenchymal mass that gives rise to the radius and ulna (Type I) and those that result from radial head dislocation in utero, resulting usually from humeral or ulnar defects (Type II). Type II CRUS can be differentiated by the presence of radial overgrowth, among other factors. Following these guidelines, we describe and compare the morphology of three congenital cases from North America. Two present bony fusions and one a functional fusion with radial overgrowth. In each case, CRUS significantly limits both supination and pronation. Despite differences among the cases, several morphological accommodations are shared as a result of fixation in the neutral (semi‐pronated) position. These changes include the ventral migration of the IO crests of the ulnae and enlargement of the dorsal tubercles of the radius. Understanding the pattern of accommodations made in the face of compromised function ultimately increases our understanding of the patterns of growth in normal functional regimes. Copyright © 2000 John Wiley & Sons, Ltd.