Rib fractures in the archaeological record: a useful source of sociocultural information?

Investigation of palaeopathological fractures has been shown to provide important information on past societies. However, despite the fact that rib fractures are amongst the most commonly recorded types of fractures in archaeological bone, little attention has been paid to them. Although there will be sites with badly preserved ribs, making their study difficult, this will not always be the case. Recent clinical investigations have highlighted the potential significance of rib fractures with regard to morbidity and mortality, and their importance in relation to health is now appreciated. This study investigates rib fractures in 352 adults from St. Martin's churchyard, Birmingham, England. The crude prevalence of rib fractures was found to be 15.6% and the true prevalence rate 2.3%. The majority of the fractures occurred in males, and those buried in vaults were less likely to have a fracture than individuals from earth‐cut graves. In 11 individuals the fractures were healing at the time of death, and in these cases death was probably related to one of the complications that are frequently linked to fractured ribs. Certain types of accidents may have been linked to these more serious fractures, as 70% occurred in the same anatomical area. Other rib fractures were associated with pathological conditions, such as osteomalacia and osteoporosis. Overall, the study of the rib fractures in this collection provided valuable information that aided interpretation of the lifeways of individuals investigated. It is argued that where preservation permits, studies of fractures in archaeological bone should include ribs. Copyright © 2005 John Wiley & Sons, Ltd.     

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.     

A Case of Marked Bilateral Asymmetry in the Upper Limbs of an Upper Palaeolithic Male from Barma Grande (Liguria), Italy

Barma Grande 2, a male skeleton of upper palaeolithic age from Balzi Rossi (Liguria, Italy), shows a marked degree of upper limb bilateral asymmetry. Similar cases of asymmetry in palaeolithic hominid fossils have variously been attributed to high levels of behavioural asymmetry (related to handedness) or a pathologically induced alteration of upper limb skeletal remodelling processes. As in many of these cases, the skeleton from Barma Grande lacks any indications of trauma or pathology in the smaller left limb. Consideration of the morphology of the preserved upper limb elements and a comparative analysis of asymmetry in normal and pathological male palaeolithic fossils and normal recent human samples suggests that the asymmetry in Barma Grande 2 was a secondary effect of trauma or pathology in the left side. The degree and pattern of asymmetry in numerous humeral and ulnar measurements indicates an adult onset of altered loading patterns. Several possible aetiological factors are considered, with the most probable being an entrapment neuropathy, direct trauma to one or more muscles about the shoulder, or possibly glenohumeral joint instability. © 1997 by John Wiley & Sons, Ltd.