A 6000‐Year‐Old Hand Amputation from Bulgaria—The Oldest Case from South‐East Europe?

A skeleton from Tell Yunatsite in Bulgarian Thrace shows evidence of amputation of the right hand. The individual dates back to the end of the fifth millennium, connecting it to the Late Copper Age of that region. The Chalcolithic settlement on the tell ended immediately after a bellicose assault. Therefore, the question arose if the loss of the hand may be connected with this incidence. Anthropological studies in close collaboration with the archaeologists on site made clear that the abscission took place at an earlier time. This result led to a series of complex questions. These are described in this work. We will show that a congenital origin for the loss of the hand can be excluded, and that the individual survived this severe injury for a certain time span. Several possible explanations for an amputation are discussed. It turns out that a surgical intervention seems to be the most likely reason. It becomes clear that there must have been an excellent medical knowledge in the Copper Age concerning surgery and wound treatment. Furthermore, the survival of the handicapped individual documents a certain social cohesion. Copyright © 2011 John Wiley & Sons, Ltd.     

“A Twist in the Tale” of a Surgeon and his Patient: An Australian First in Seizure Localization

In 1894 at St. Vincent's Hospital Melbourne, George Adlington Syme removed a meningioma from a patient with symptomatic focal epilepsy. The operation stands as the first surgery based on seizure localization in Australia. It is also the country's first documented successful resection of an intracranial meningioma. It followed William Macewen's landmark cerebral localization case on the boy John McKinley by 18 years and Victor Horsley's first epilepsy case on Hughlings Jackson's patient James B. by a mere 8 years. Syme's patient, Constable John G., survived the operation by some 23 years, dying from a gunshot wound to the head in 1917. Newly discovered inquest papers reveal that the coroner's judgment that the death was accidental completely fails to address the more credible scenario of suicide. The story makes for a fascinating epilogue to an important landmark in Australia's neurosurgical history.     

Moche Politics,Religion, and Warfare

In this essay I briefly review the history of Moche studies, the essential features of this archaeological culture of the North Coast of Peru (ca. 1900–1100 B.P.), and its general economy. I then present current issues, discussions, and debates on Moche regional political organization, religion, warfare, and their interrelations. I suggest that the interpretation of Moche art has been and the interpretation of archaeology has lacked nuance. I question the proposal of warfare as ritual, that the temple mound complexes were centers of political power, that the elite buried in them were rulers, that the compounds and streets near them were cities, and whether proposals for a conquest Moche state are plausible. I suggest that these and other interpretations about the Moche are becoming accepted as facts without considering alternative interpretations of the data and that much information is lacking. Rather than having reached a stage when we can synthesize concepts about Moche culture we are only just beginning to understand it.     

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.     

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.     

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.     

Trace elements in palaeopathology: Quantitative analysis of a case of hypertrophic osteoarthropathy by instrumental neutron activation analysis

Instrumental neutron activation analysis (INAA) of the bones of a 6th century case (AD ) of hypertrophic osteoarthropathy (HOA) showed high levels of Zn, Mn and K in the periosteal new bone. The concentration of Zn in the periosteal new bone appeared to be biogenetic in origin and connected with active mineralization processes in the abnormal bone tissue. Manganese and potassium concentrations were, at least partly, related to diagenetic processes.