Radiographic clues to fractures of distal humerus in archaeological remains

Today, distal humeral fractures occur most frequently in children and adolescents, and are usually the result of a fall onto extended arms, or less often on flexed elbows. Trauma to the distal humerus at the physis and epiphyses often produces non‐displaced or mildly displaced fractures that are difficult to recognize radiographically. To help identify these types of injuries, clinicians have developed two measurement techniques that are applied to the X‐rays of the injured bones. In a preliminary attempt to assess the usefulness of these measurement techniques for recognizing trauma in archaeological skeletal remains, 25 humeri from two Ontario ossuary samples were submitted to radiography. Clinical data on distal humeral fractures, their incidence, and mechanisms of injury were also used to interpret the lifestyles and cultural activities of the aboriginal individuals under study. While only one healed fracture was suspected after gross observation, a total of four fractures were ultimately identified using the two measurements, the humerotangential‐angle (HTA) and the anterior hunieral line (AHL). Our results provide indirect, but telling, evidence of accidental childhood injuries to distal humerus in an archaeological population. Copyright © 2001 John Wiley & Sons, Ltd.     

Trauma in the city of Kerma: ancient versus modern injury patterns

Injuries, whether accidental or intentional, have incapacitated humans and their primordial ancestors throughout time, although the injury mechanisms have become increasingly more technologically sophisticated. Interpretation of injury aetiology among past peoples is challenging, and often impossible, however, clinical research from developing countries provides a useful analogy with which to evaluate trauma or health patterns of an ancient society. This paper presents a systematic analysis of cranial and postcranial skeletal trauma among 223 adults who were excavated by George Reisner in 1923 from the city of Kerma (1750–1550 BC), Egypt's ancient nemesis in the struggle for control of the Nile River trade route. A total of 156 injuries (fractures, dislocations and muscle pulls among the skull, long bones, extremities and torso) were observed among 88 individuals, 48 of whom had one injury only. The skull was the most frequently traumatized element (11.2%) followed by the ulna (8.3%); 2.4% (48/2029) long bones were fractured. The modal distribution of the Kerma fractures was compared to the fracture distributions of two samples from India and Nigeria where falls were the most common cause of injury. Some characteristics of the three injury patterns were shared: males suffered the greatest frequency of injury, the economically active people (25 to 50 years of age) presented the most injuries among adults, and a small proportion of the victims had more than one major injury. However, the Kerma distribution of the fractured bones varied dramatically from the clinical injury distributions: the ulna and skull were among the least frequently injured bones in the modern samples, while the radius, humerus and lower leg were the most commonly traumatized elements among the modern people, but rare among the ancients. The configuration of the ulna and skull injuries at Kerma was characteristic of those associated with blunt force trauma in other clinical assessments and the absence of these specific lesions from the modern samples where accident was the primary injury mechanism presents a persuasive argument for interpersonal violence among the ancient Kerma people. Copyright © 2004 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.     

NEW EVIDENCE FOR IRON AGE SECONDARY BURIAL PRACTICE AND BONE MODIFICATION FROM GUSSAGE ALL SAINTS AND MAIDEN CASTLE (DORSET, ENGLAND)

Summary.   The Middle and Late Iron Age samples of disarticulated human remains from the settlement site of Gussage All Saints and the hillfort of Maiden Castle (Dorset, England) were investigated for evidence of funerary rites. The samples were examined using osteological, forensic and archaeological methodologies for evidence of excarnation and secondary burial. The study found evidence for dry-fractures, animal gnawing and peri-mortem trauma, indicating that many individuals had received blunt-force cranial fractures and/or weapon injuries at the time of death. The taphonomic indicators showed that bodies were excarnated, received secondary burial treatment and then selected skull and long bones were incorporated into structured deposits. Osteological analysis also showed that the majority of individuals were adult males, which corresponded to patterns of trauma in the inhumated sample from Dorset. Two bones also provided unique evidence within Dorset for the cultural modification of human remains.     

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.     

Adult fracture patterns in prehistoric Thailand: a biocultural interpretation

The prevalence and distribution patterns of trauma in samples of human skeletal remains can reflect the risks to which the community was exposed in daily activities or as a result of interpersonal violence. This paper describes the patterns of non‐vertebral fractures in skeletal samples from four prehistoric Thai sites in terms of long bone fracture rates and individual prevalence rates. The sites range in date from c. 2000 BC (Neolithic) to 400 BC (late Bronze Age), and in environment from coastal estuarine to seasonally dry upland plains. These differences in the natural and cultural environment provided a basis for comparison among the samples representing nearly 300 adult individuals. The types of fractures ranged from simple to severe, but most had healed successfully with few limiting complications. The small bones of the hands and feet as well as clavicle and forearm bones were most frequently fractured among all samples. Overall there was an increase in the major long bone fracture rates from the Neolithic (0.3%) to the Bronze Age (3.0%) that may reflect a change in subsistence activities such as land clearance for the intensification of rice agriculture. The prevalence of ulnar fractures is particularly high in the Bronze Age, and the analysis of their possible cause, combined with evidence for craniofacial fractures, is suggestive of the presence of interpersonal violence in a small number of individuals. Copyright © 2006 John Wiley & Sons, Ltd.     

Death in the line of duty: late medieval burials at the site of Lepenski Vir,Serbia

Four late medieval burials were excavated at the site of Lepenski Vir in the Iron Gates Gorge, Serbia. One of the individuals, Lepenski Vir 62, exhibits evidence of a sharp‐force trauma on the left parietal, consistent with a combat wound. None of the other contemporaneous individuals show any evidence of trauma or other pathology on the few preserved bones. We argue that the skeletons belong to soldiers involved in the border warfare on the Danube which was quite common at the end of the 14^th and the first half of the 15^th century between Serbian, Hungarian and Turkish forces. Copyright © 2007 John Wiley & Sons, Ltd.     

Early hominid hunting,butchering, and carcass-processing behaviors: Approaches to the fossil record

A major aim of paleoanthropology is to learn what ancient behaviors were related to the acquisition, processing, and consumption of meat and when these behaviors arose. For this reason, studies focusing on purported early hominid hunting and butchery sites are important if rigorous criteria for recognizing such sites are used. Different criteria currently used as evidence of hominid involvement with ancient bones are reviewed and it is concluded that the presence of cutmarks, verified by scanning electron microscope (SEM) inspection, is the most reliable. Successful application of this criterion depends upon a thorough knowledge of the normal variations in microscopic morphology of different types of marks that are found on bones. Therefore, variations in microscopic and gross morphology within and among a large sample of known stone tool cutmarks, carnivore tooth scratches, and rodent gnawing marks are documented. The effects of sedimentary abrasion, as caused by fluvial transport of bones, are also presented. Guidelines are presented for using microscopic criteria to identify unknown marks on fossils and possible applications of this approach are discussed. Further, it is suggested that evidence of hominid carcass-processing activities can be placed into one of three ranked categories of certainty according to the type of data used. Explicitly stating the category and type of evidence used to deduce hominid activities, and by extension to define site types (i.e., butchery, kill, base camp), may improve the clarity of hypotheses about and interpretations of early hominid behaviors.     

Use of Computed Tomography and Three‐Dimensional Virtual Reconstruction for the Examination of a 16th Century Mummified Dog from a North German Peat Bog

The corpse of a well‐preserved dog was recovered from a peat bog in the region of Burlage, Germany, in 1953. The dog, which dates to the 16th century, retained extensive soft tissue and fur on the postcranial body, although the head is skeletonised. Computed tomography was used to determine the extent of the preservation of the soft tissue, to determine sex and age and to attempt to identify trauma, pathology and potential cause of death. The analysis of the CT data indicated that the dog was an immature or adolescent male. Substantial soft tissue was preserved, including some internal organs. The entire skeleton was present, with the exception of the mandible and parts of the paws; all of the bones were flattened and some were distorted because of demineralisation in the peat. Partial disarticulation of the vertebral column was postmortem, although there was no further evidence of trauma or pathology on the skeleton or soft tissue. The cause of death could not be conclusively determined. To the knowledge of the authors, this dog represents the only known example of a complete historical nonhuman bog body with preserved soft tissue. Copyright © 2011 John Wiley & Sons, Ltd.     

Differential diagnosis of cartilaginous dysplasia and probable Osgood–Schlatter's disease in a Mississippian individual from East Tennessee

This paper details the differential diagnosis of an adult female skeleton displaying features consistent with a cartilaginous dysplasia and Osgood–Schlatter's disease. This burial was excavated in 1940 from a Mississippian platform mound at the DeArmond site (40RE12) in Roane County, Tennessee as part of the Works Progress Administration (WPA) and Tennessee Valley Authority (TVA) archaeological investigations. The right humerus and left femur of this individual display traits consistent with achondroplasia, such as shortened length and normal width. However, the rest of the long bones display typical morphology. The affected humerus and femur are 82 mm and 58 mm shorter than their counterparts, respectively. This makes for obvious asymmetry. A review of the various cartilaginous dysplasias was undertaken to identify those conditions concordant with the differential manifestation of the long bone asymmetry. Morphological and radiographic analyses were used to rule out possible diagnoses. The most likely candidate is enchondromatosis out of the presented conditions, as it most commonly affects the long bones, does not affect every bone in the skeleton, and is asymmetrical in its manifestation. In addition to the cartilaginous dysplasia, both anterior proximal tibial metaphyses of this individual display defects that are roughly triangular with pitted, irregular floors. Osgood–Schlatter's disease is caused by repeated trauma to the tibial tuberosity during childhood. This individual would have walked with an obvious limp, and perhaps the added biomechanical stress on both quadriceps muscles as a result caused the injuries and resultant defects to its attachment points. Evidence of these conditions in an adult indicates that the Mississippian people in this community offered some sort of social support to differently‐abled individuals. Copyright © 2009 John Wiley & Sons, Ltd.     

Consequences of conquest? The analysis and interpretation of subadult trauma at Puruchuco-Huaquerones, Peru

This paper examines bioarchaeological evidence of violence and traumatic injury on subadult skeletal remains from two Late Horizon (A.D. 1470-1540) cemeteries within the archaeological zone of Puruchuco-Huaquerones, Peru. Here we present the frequency and types of traumatic lesions on the 242 subadults analyzed. We observed significant increases in the frequency of subadult trauma, particularly among the burials associated with Spanish Conquest. Specifically, we noted a statistically significant increase in the frequency of cranial trauma in a subsample of individuals from one of two cemeteries at the site, 57AS03. These perimortem cranial injuries suggest an intensification of violence and lethality that may have affected the children from this community. We then discuss the biocultural implications of this analysis within the context of Spanish invasion and conquest.     

TESTING ANALOGICAL TAPHONOMIC SIGNATURES IN BONE BREAKING: A COMPARISON BETWEEN HAMMERSTONE‐BROKEN EQUID AND BOVID BONES

Current analogical data used to infer prehistoric human bone breakage rely on a plethora of experimental hammerstone‐broken bovid bone sets. Several criteria have been argued to be diagnostic of bone breakage by humans, among which the most important are: a specific range of broken specimens bearing percussion marks, a specific distribution of different percussion mark types, metric properties of notches, differential notch type distribution, and the angle of oblique breakage planes. The present work shows that those properties derived from the breakage of bovid bones cannot be universally applied to all types of animals. As an example, here it is experimentally demonstrated that hammerstone‐broken equid bones (with different thickness and structural properties compared to bovid bones) show different values in all these variables and some of them overlap with criteria documented in bones broken by static loading. This suggests that the agents of equid bone breakage are more difficult to identify, and that the number of variables that can be successfully used to that end is smaller than in bovid bones.     

Patterns of trauma in a unique medieval parish cemetery

The church and cemetery of St Margaret Fyebridgegate, Norwich were in use from AD 1245 to 1468. The cemetery was used to bury both the parishioners and hanged felons. On excavation, 52 group burials of various sizes were encountered, some containing prone individuals. Four hundred and thirteen inhumations have been examined, of which one-third had evidence of episodes of trauma. Comparison is made of the types of trauma present with evidence from the sites of the Blackfriars, Ipswich and the Mary Rose. Evidence is presented for some possible activity-related trauma at two of the sites.     

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.     

Healed limb amputations in human osteoarchaeology and their causes: A case study from Ipswich,UK

An adult male skeleton of Medieval date from Ipswich, UK, shows amputation of the right hand. The morphology of the bones suggests a quiescent stump, in which healing had been completed some time before death. Osteometric, morphological and radiographic data show that the mutilated limb continued to function but was used to a lesser degree than the intact side. A review of some of the literature on the osteoarchaeological evidence for healed limb amputations showed that interpretations generally fall into three broad categories: surgical intervention, judicial punishments and blade injuries. In the Ipswich case the skeletal evidence offered few clues as to the reasons for the mutilation, but historical evidence suggested a possible personal identification for the burial and that the cause of the amputation was a blade injury sustained as a result of a violent assault.     

“The Roman Giant”: Overgrowth Syndrome in Skeletal Remains from the Imperial Age

A very tall skeleton was found during archaeological excavations in the territory of Fidenae, an administrative centre of the Roman territorial organization, situated along the Via Salaria about 7 km north of Rome (Italy). The individual was a young male, dated back to the Imperial Age (3^rd century AD), presenting a very tall but normally proportioned stature, estimated around 202 cm. The long bones showed incomplete epiphyseal union; therefore, the stature would probably have been taller, if he had lived longer. In this work, the metric data are compared with those from the Roman Imperial Age population, and differential diagnosis is discussed. The skeletal evidence is characteristic of a form of gigantism, a rare growth disease that may be linked to different syndromes. The most common etiology is associated with a dysfunction of the pituitary gland, which causes overproduction of the growth hormone (hGH) during childhood. This endocrine disorder stimulates cartilaginous activity at the growth plate, delaying epiphyseal fusion and resulting in increased bone length. Copyright © 2013 John Wiley & Sons, Ltd.     

Identifying the Involvement of Multiple Carnivore Taxa with Archaeological Bone Assemblages

Information on the number of carnivore taxa that were involved with archaeological bone assemblages is pertinent to questions of site formation, hominid and carnivore competition for carcasses and the sequence of hominid and carnivore activity at sites. A majority of early archaeological bone assemblages bear evidence that both hominids and carnivores removed flesh and/or marrow from the bones. Whether flesh specialists (felids) or bone-crunchers (hyaenas), or both, fed upon the carcasses is crucial for deciphering the timing of hominid involvement with the assemblages. Here we present an initial attempt to differentiate the tooth mark signature inflicted on bones by a single carnivore species versus multiple carnivore taxa. Quantitative data on carnivore tooth pits, those resembling a tooth crown or a cusp, are presented for two characteristics: the area of the marks in millimetres, and the shape as determined by the ratio of the major axis to the minor axis of the mark. Tooth pits from bones modified by extant East African carnivores and latex impressions of tooth pits from extinct carnivore species are compared to those in the FLK Zinjanthropus bone assemblage. Data on tooth mark shape indicate greater variability in theZinj sample than is exhibited by any individual extant or extinct carnivore species in the comparative sample. Data on tooth mark area demonstrate that bone density is related to the size of marks. Taken together, these data support the inference that felids defleshed bones in the Zinj assemblage and that hyaenas had final access to any grease or tissues that remained.     

Skeletal remains of dogs unearthed from the Van‐Yoncatepe necropolises

A total of 15 dog skulls and a number of bones have been discovered in two burial chambers dating from 1,000 BC in the necropolises of the Van‐Yoncatepe Castle in eastern Turkey. The finds were a dog skeleton in burial chamber M5 and 14 dog skulls and plenty of bones in burial chamber M6. It was determined on examination that the skeleton found in burial chamber M5 was an 11–12‐year female dog, and that the skulls unearthed from burial chamber M6 belonged to dogs with an age range of seven to eight months to 12–13 years. In the latter chamber, however, except for one skull whose sex could not be determined, one was ascertained to belong to a female dog and the rest to males. Calculations of 20 different indices and ratios were made on the skulls. This showed that these skulls were of the dolichocephalic type. It was observed that there were signs of a widespread periodontal disease and alveolar recession. Enamel hypoplasia and abscess chambers detected on the teeth, and deformations observed in the hard palate were evidence enough to suggest that these were undernourished dogs. There were also some facial fractures, which were noticed to have occurred before death. On the other hand, examination carried out on the bones revealed that the dogs were of medium size, and that they were likely to have had a withers height of 50–55 cm. The data obtained from both the burial chambers brought to light the fact that these dogs were more of the hunting or working types. Copyright © 2002 John Wiley & Sons, Ltd.     

Trauma in the Crusader period city of Caesarea: a major port in the medieval eastern Mediterranean

Caesarea is the first fortified city to undergo palaeopathological analysis of its Crusader period inhabitants. This study of the 12th and 13th century population aims to determine the major types of trauma present, whether from weapon injuries or accidents. Since the Crusades were known for the significant number of battles and raids that took place, weapon injuries were expected to be common. Thirteen cases of trauma are described and a highly unexpected pattern has come to light. These cases do not include one single example of weapon‐related trauma. Every fracture is of a type expected from accidents or interpersonal violence without weapons. Possible explanations include the location of the city deep within Frankish territory and the robust city walls giving effective protection to the inhabitants, and also that the population were involved in activities that left them prone to accidents but not weapon injuries. The other important finding from this study was that the cases of lower limb long bone spiral fractures had healed in a near‐anatomical alignment. This is not what we would expect, as a proportion of these injuries would normally have been unstable and tend to heal poorly aligned. The good position could have resulted from surgeons' use of splints to immobilise the bones while they healed. This suggestion is supported by laws of the kingdom of Jerusalem, which stated that surgeons were to be punished if they allowed such fractures to heal at an angle. Copyright © 2006 John Wiley & Sons, Ltd.