Maxillary Sinus Infection in a 19th‐Century Almshouse Skeletal Sample

In 1984, the Monroe County Parks Department in the Highland Park section of Rochester, New York, accidentally unearthed part of an unmarked cemetery while landscaping. The cemetery was in use from approximately 1826 to 1863 and was associated with the Monroe County Almshouse. Anthropological examination of dental and skeletal pathology revealed a high incidence of dental infection, known to occasionally be a causal agent of maxillary sinus infection. Therefore, maxillary sinus infections in this sample were studied to ascertain their relationship with dental infections, sex, and age at death. The maxillary sinuses of 99 skeletons were examined for evidence of infection. The presence, location, type and extent of dental infections in the posterior teeth were also recorded. Half the sample exhibited bone remodelling in the maxillary sinus (54 individuals). Dental infections were observed in 82 individuals. Forty‐eight demonstrated signs of dental infection and maxillary sinusitis. Statistical analysis revealed that dental infection and maxillary sinus infection were not statistically related. Rather, a rhinogenic method of infection seems likely, which would appear related to the squalid air quality the 19th‐century poor were exposed to in the almshouse and city tenements. Copyright © 2016 John Wiley & Sons, Ltd.     

The Prevalence and Health Implications of Concha Bullosa in a Population from Mediaeval England

Concha bullosa is hypertrophy of the middle nasal concha attributable to its pneumatisation. It is considered to be the most common anatomical variant of the ostiomeatal complex, but it has been little studied in skeletal populations. It is uncertain whether the prevalence of concha bullosa varies in different world populations. Some have suggested that it predisposes to sinusitis, but this is controversial. The aim of the current work is to assess the prevalence of concha bullosa in a pre‐modern population and to investigate whether it is associated with maxillary sinusitis. Results showed that concha bullosa was present in 17 out of 45 individuals, a prevalence of 38%. There was no evidence of an association with sinusitis. This adds to a growing body of evidence that calls into question concha bullosa as a significant risk factor for sinus disease. Copyright © 2012 John Wiley & Sons, Ltd.     

Cribra orbitalia,sinusitis and linear enamel hypoplasia in Swedish Roman Iron Age adults and subadults

Maxillary and frontal sinusitis, cribra orbitalia and linear enamel hypoplasia were recorded as indicators of nutritional and environmentally related stress in an Early Iron Age (0–260 AD ) population from Sweden. The material comprised the skeletal remains of 99 adults and 45 subadults (aged 20 years and under). Maxillary sinusitis and cribra orbitalia were recorded in the majority of subadults and adults. In contrast, linear enamel hypoplasia was uncommon and occurred mainly in the subadults. In seven cases (12.7%) there was a clear co‐occurrence of periapical lesions and maxillary sinusitis. A significant co‐occurrence of maxillary sinusitis and frontal sinusitis was found in the adults. The least common combination in sex‐determined adults was cribra orbitalia and enamel hypoplasia, only 7.7% exhibiting both lesions. The significantly higher incidence of this combination among subadults suggests an association with life‐threatening conditions. Overall, the results showed that the Early Iron Age community studied suffered foremost from upper respiratory diseases. Copyright © 2010 John Wiley & Sons, Ltd.     

Avulsion injuries of vertebral endplates

Bone changes resulting from avulsions involving vertebral endplates have had little, if any, systematic attention in palaeopathological literature. To gain insight into their occurrence and into their variety, two archaeological skeletal collections covering the period AD 1455–1824 were examined. Additional skeletal material was used to illustrate typical examples. A quarter of the 44 adults who had adequate numbers of vertebrae at all spinal levels showed minor to major vertebral endplate changes as a result of avulsion injuries. The male/female ratio was 7:4. The ratio of individuals with injuries contracted during their youth and during their adulthood was 3:8 (n=11). Approximately half of the affected individuals showed such changes in multiple vertebrae. In about one third of the cases, concomitant vertebral fractures, which did not involve the endplates, were recorded. Since the existing classifications of endplate changes from avulsion injuries were developed on the basis of clinical diagnoses made by means of X‐ray or by autopsy, an adapted and extended outline for palaeopathological use is proposed. A series of differential diagnoses is discussed. Although, in general, the poor preservation of archaeological spines hampers epidemiology, the diagnosis of spinal avulsion injuries offers interesting information at the individual level. Copyright © 2000 John Wiley & Sons, Ltd.     

Signs of sinusitis in times of urbanization in Viking Age-Early Medieval Sweden

The influence and possible negative impact on sinus health of living conditions in rural and urban environments in Viking Age (AD 800–1050) and Early Medieval Sweden (AD 1050–1200) is investigated. Skeletal samples from 32 rural settlements in the Mälaren Valley (AD 750–1200) and burials in the nearby proto-urban port of trade Birka (AD 750–960) are examined. Based on the diagnostic criteria for maxillary sinusitis used in earlier studies, the results show that there is no significant difference in the prevalence of signs of sinusitis between the two materials (i.e. the Mälaren Valley versus Birka). Consequently, this provides no evidence that living in a proto-urban environment had a negative impact on sinus health. However, when compared with previously studied samples from the early medieval town Sigtuna, dated to AD 970–1100, the populations of the Mälaren Valley and Birka show significantly lower frequencies of bone changes interpreted as chronic maxillary sinusitis (95%, 70% and 82% respectively). This implies that the urban environment of Sigtuna could have led to impaired sinus health. There is also a significant difference between males and females in the Birka material, in which more females (100%) than males (68%) were affected. A gender based differentiation in work tasks is suggested by this, or exposure to environmental risk factors that affect sinus health. No difference between males and females could be detected in the samples from the Mälaren Valley and Sigtuna.     

Age Estimation by Tympanic Bone Development in Foetal and Infant Skeletons

This article analyses age‐related changes in the development of the temporal bone in a sample of foetal and infant skeletons to contribute to the estimation of age by means of this skeletal element in bioarchaeological and forensic contexts. The sample was selected from a contemporary documented skeletal collection and is constituted by the temporal bones of individuals of both sexes (n = 37) with ages from 23 weeks of gestation up to 11 postnatal months. Different states of fusion of the tympanic ring and development of the tympanic plate were scored separately, and intra‐observer consistency was evaluated. Both documented chronological age and skeletal estimated age were examined in relation to successive stages of fusion and development in the pre‐ and postnatal periods. It was found that the state of fusion of the tympanic ring is especially useful in the discrimination of foetal and postnatal individuals, whereas the development of the tympanic plate is helpful in the differentiation of individuals from and below 3 postnatal months. Even though a certain degree of overlap between successive stages was observed, the fusion of the tympanic ring and the development of the tympanic plate constitute good indicators of age in foetal and infant skeletons. Copyright © 2015 John Wiley & Sons, Ltd.     

Adipocere Inside Nineteenth Century Femora: The Effect of Grave Conditions.

Adipocere has, infrequently, been reported from archaeological contexts normally on the external surface of bodies. In contrast to those cases, this study focuses on a white, powdery and greasy substance found inside two right human femora during sampling. These samples were obtained from two identified individuals buried in the late 19th century, who were exhumed from a rock‐cut and a brick‐lined grave in a steeply sloping graveyard with wet soil conditions. Both individuals were buried in coffins. Fourier transform infrared spectroscopy was used to test the composition of the substances, and both were found to conform to the spectrum of adipocere. This is likely to be a breakdown product of the fats in bone marrow in an anaerobic, moist environment mediated by bacteria. None of the other individuals (n = 6) buried in similar graves displayed evidence of adipocere; this includes those whose femora were in a similar state of preservation (n = 4). Contemporaneous data on precipitation for the month of burials do not highlight any obvious trends, but one of the individuals was found in a water‐logged grave. The similar preservation of other femora buried in brick‐lined graves highlights the interplay of multiple factors in the formation and degradation of adipocere. More importantly, it demonstrates differential preservation, which may impact on DNA and other biomolecular research. Furthermore, this adds to the limited data currently available on adipocere found in archaeological contexts. Copyright © 2013 John Wiley & Sons, Ltd.     

Palaeoepidemiological Patterns of Trauma in a Medieval Nubian Skeletal Population

Evidence of trauma was investigated in a well-preserved skeletal sample from the Medieval Sudanese Nubian site of Kulubnarti. The skeletal materials derive from two temporally over-lapping Christian cemeteries, dating from the sixth to circa the sixteenth century. The available sample consisted of the skeletons of 146 adults which were investigated for fractures of the long bones, crania and the hands and feet, as well as for dislocations and muscle pulls. Results showed a high incidence of long bone fractures, seen especially in the forearm, and involving 33.5 per cent of individuals. Many of these lesions indicated quite severe injury, and an unusually high number of affected individuals (27 per cent) showed multiple long bone involvement. Conversely, only one possible cranial fracture was apparent. Fractures were also found in 13 hand and seven foot elements. In addition, one hip dislocation and evidence of pulled tendons in 11 individuals were also observed. Compared to other similarly controlled samples, the Kulubnarti population stands out for its high prevalence of healed fractures, the high proportion of multiple involvement and the severity of numerous lesions. The forbiddingly harsh and uneven terrain of this region of Nubia was most likely a major influence on the unusually high prevalence and pattern of traumatic lesions in this group. © 1997 by John Wiley & Sons, Ltd. Int. J. Osteoarchaeol., 7 : 103–114 (1997) No. of Figures: 5. No. of Tables: 5. No. of References: 25.     

New regression equations for stature estimation for medieval Scandinavians

Estimating stature from skeletal remains in an archaeological context requires appropriate methods that take into account possible temporal and spatial changes in body proportions. New regression equations—both least squares (LSQ) and reduced major axis (RMA) equations—were thus developed for estimating living stature from the long bone lengths of medieval inhabitants (N = 60) of Westerhus, Sweden. The living stature of these skeletal specimens was determined by using the anatomical method. Findings in this study reveal that LSQ regression equations systematically overestimate statures of short individuals and underestimate those of tall individuals, whereas the RMA equations—both combined sexes and sex‐specific equation—provide more accurate stature estimations for individuals of very different statures. The combined sexes RMA‐equations should be used for cases in which the sex is unknown because they provide more accurate stature estimations than sex‐specific equation with a wrong sex determination. These new equations are more appropriate than generally used regression equations for estimating statures of the medieval period Scandinavians. Copyright © 2009 John Wiley & Sons, Ltd.     

Analysis of ante mortem trauma in three modern skeletal populations

When archaeological skeletons are assessed, the prevalence (and patterns of bone involvement) of trauma is important. The number and pattern of fractures can be used to gain insight into the occurrence of interpersonal violence, workload and living conditions. However, the question remains as to how these results should be interpreted—such as what constitutes high or low levels of trauma? The aim of this study was to investigate the occurrence of trauma in a population of modern Greeks living in Crete, as well as South African (SA) whites and blacks in the Pretoria Bone and Raymond Dart collections. The sample comprised mostly of older individuals (n = 90–100 within a sex‐population group). Each skeleton was studied for healed trauma. For the vertebrae, only spondylolysis was assessed. In the Greek sample, it was found that 42% of the males and 46% of females had at least one fracture, with corresponding figures of 63 and 44% for SA whites and 83 and 69% for SA blacks. Radius, rib and femur fractures were most common in Greeks, with skull, radius and ribs most common in SA whites and skull, ulna and ribs in SA blacks. These prevalences of trauma are high, but the composition of the samples (mostly of lower socio‐economic origin) should be kept in mind. It may also be questioned whether these individuals reflect the society as a whole. It seems that the fractures in Greeks are mostly related to old age due to falls and accidents (radius and hip fractures), while the SA black sample reflects high prevalences of interpersonal violence (such as cranial vault and ulna fractures). The SA white sample follows a comparatively moderate pattern of trauma. These comparative figures may be useful when assessing trauma in other skeletal populations. Copyright © 2009 John Wiley & Sons, Ltd.     

Health status of the Venda,a post‐antibiotic community in rural South Africa

This paper examines the health status of a rural African community during the emergence of Westernisation. A total of 157 skeletons, which included 120 adults (55 males and 51 females), 37 juveniles, and 14 individuals of unknown age, were analysed. Date of death ranged from 1910 to 1999, with the majority of individuals (52%) being buried after 1960. The bones were examined for infectious diseases, trauma and degenerative changes. More than half of the individuals in the sample had no pathological lesions on their skeletal remains. No cribra orbitalia was present. One case of leprosy and three cases of osteomyelitis were recorded. The most common findings were osteophytes on the vertebral bodies (syndesmophytes) (17%) and osteoarthritis (7%). The low occurrence of chronic disease is unexpected given that malaria was endemic and intestinal worms were common. Explanations for these results include adequate intake of iron from dietary sources, death from acute infectious diseases, administration of antibiotics, and poor preservation of adult skeletal remains. Copyright © 2007 John Wiley & Sons, Ltd.     

A case of concha bullosa mucopyocele in a medieval human skull

The term ‘concha bullosa’ refers to the pneumatisation of the intranasal turbinates. The pneumatisation can occur at any level (superior, middle, inferior), but the term is typically used to describe the aeration of the middle turbinate. This case report concerns a medieval skull from Tomb Chamber Number One in St. Nicholas's Church in Głogów, Poland. The burial dates from the 13th or 14th century. Direct measurements of the skull according to Martin's technique and computed tomography (CT) were made. The skull is from a male whose age was estimated as 40–55 years. In the nasal cavity, a large bony formation with the appearances of a tumor, a lesion of the maxillary sinus wall, and a significant curvature of the nasal septum were found. The CT scan demonstrated changes that could be described as a type IV concha bullosa, according to Krzeski's classification. This anatomical variation was first described by Zuckerkandl in 1893. The symptoms that were often associated with concha bullosa include nasal obstruction or congestion, facial pain, and headache. Concha bullosa can result in recurrent sinusitis, mucocele, or mucopyocele. In the case of the Głogów skull, an extensive lesion and inflammatory changes in the maxillary sinus and destruction of the orbital floor suggests the presence of a mucopyocele that arose from a concha bullosa. Copyright © 2009 John Wiley & Sons, Ltd.     

Osteoporosis among ancient Egyptians

Osteoporosis is a condition of reduced total bone mass per unit volume for the normal ratio of bone mineral to bone matrix. The present work deals with the investigation and evaluation of osteoporosis in ancient Egyptians of two social classes from the Old Kingdom in Giza. The aims of this study are to provide information about the lifestyle and health status of ancient Egyptians, and to detect the causes of osteoporosis. The material consisted of 74 skeletons (43 males and 31 females) from two different social classes (high officials and workers). Skeletons were excavated from the Giza Necropolis and belonged to the Old Kingdom (2687–2191 BC). Dual energy X‐ray absorptiometry (DEXA) was used to measure bone mineral density (BMD) at different skeletal sites (radius, fourth lumbar vertebra and head of femur). Moreover, scanning electron microscopy (SEM) was used to show the microarchitectural structure of the bone. Results showed a significant decrease of BMD values in old age groups compared with younger ones in both sexes. In addition, SEM of trabecular bone in osteoporotic cases demonstrated that the horizontal trabeculae were more affected than the vertical trabeculae. Comparison between high officials and workers revealed that osteoporosis was more frequent in male workers than in male high officials, and in female high officials than in female workers. An elevated prevalence of osteoporosis among male workers may be related to the effects of nutritional stress and excessive workload, while a sedentary lifestyle may have played a role in the occurrence of osteoporosis among female high officials. Moreover, osteoporosis occurs earlier and more frequently in females than males, which may be related to the hormonal changes that accompany the menopause in females. This study emphasises the importance of gender and lifestyle factors in influencing the severity of osteoporosis. Age‐related bone loss at most skeletal sites is noted in both sexes of ancient Egyptians. Copyright © 2008 John Wiley & Sons, Ltd.     

The Meul Index: A non‐destructive method for estimating the cortical index in skeletal samples

The study of osteoporosis in past populations provides insight into the history and evolution of this condition. The Cortical Index is a relative measure of cortical bone often used for identifying individuals with age‐related bone loss associated with osteoporosis. Current methods of measuring the Cortical Index involve radiography or cutting actual sections of long bones at the mid‐shaft. We propose a new index, the Meul Index as means for estimating the Cortical Index without the use of radiography. Based on a preliminary study of 13 individuals consisting of 9 males, 3 females and one unknown sex, ranging in age from young to older adult, the Meul Index is highly correlated with the Cortical Index (r = 0.903). The proposed Meul Index provides a non‐destructive and inexpensive means for studying age‐related bone loss in prehistoric and historic populations represented by skeletal samples. Our research builds on the recent publication of Silva, A.M., Crubezy, E. and Cunha, E. 2008. Bone weight: new reference values based on a modern Portuguese identified skeletal collection. Int. J. Osteoarchaeol. DOI: 10.1002/oa.998. Copyright © 2009 John Wiley & Sons, Ltd.     

Activity Reconstruction of Post‐Medieval Dutch Rural Villagers from Upper Limb Osteoarthritis and Entheseal Changes

The first objective of this study is to reconstruct levels and types of physical activity and associated sexual and social differences using human skeletal remains from the predominately 19th century Dutch cemetery of Middenbeemster. For most individuals, life in the Beemster centred around dairy farming and was heavily based on manual labor, with a purported higher class of wealthier individuals performing less manual labor. Two skeletal markers of activity are examined in the upper limb of late young adult and middle‐aged adults of both sexes (26–49 years, n = 69): osteoarthritis (OA) and entheseal changes (EC). Results support the hypothesis that the majority of the population engaged in high levels of physical activity; however, a group with a clearly lower or different pattern of activity, possibly representing a higher, less active class, was not discernible. This may be due to a low number of less active individuals in the analysed sample and/or the heterogeneity of occupations and activities. A gendered division of labour was evident in the EC data with males having more pronounced muscle attachments in almost all sites, especially the biceps brachii, used primarily in lifting. Females had more pronounced triceps brachii, which may be due to activities that required pushing or pulling with the elbow in a flexed position. The prevalence and severity of OA did not differ between the sexes. While this could be interpreted to indicate men and women engaged in a similar level of strenuous activity, hormonal and anatomical differences limit the strength of the comparison. The second objective of this study is to evaluate the concordance of OA and EC as activity markers. The correlation between OA and EC is very low, illustrating their variable and complex etiologies. Etiological factors need further research for OA and EC to become more reliable activity markers. Copyright © 2014 John Wiley & Sons, Ltd.     

Carcass damage and digested bone from mountain lions (Felis concolor): implications for carcass persistence on landscapes as a function of prey age

This actualistic study examines the taphonomic signatures of modern free-ranging mountain lions (Felis concolor) on prey skeletal remains left at kill sites and digested bone fragments in the lions’ scats. Conducted in western Texas and southeastern New Mexico (U.S.A.), the study and its outcomes are relevant to models of carcass persistence and scavenging opportunities on ancient landscapes. Mountain lions in the study area ingested disproportionate quantities of bone from very young prey. This tendency holds true irrespective of prey body size. The results meanwhile confirm a relatively mild pattern of damage to adult deer carcasses. Digestive erosion of the surfaces of bones that passed through the gut was relatively severe, but many of these bone and tooth specimens retained identifiable features. It is clear that the mountain lions quickly remove the carcasses of very young prey from the pool of potentially scavenge-able resources. The non-linear relation between bone destruction from feeding by the cats and the skeletal maturity of prey also has consequences for prey mortality patterns, specifically a bias against the representation of very young individuals. This effect is not sufficient, however, to produce a global bias to prime-adult prey because older juveniles are much less affected.     

An investigation of the frequency of squatting facets in Later Stone Age foragers from South Africa

Distinctive morphological changes attributed to a habitual squatting posture were observed on the distal femur, distal tibia and on the talar neck of Later Stone Age (LSA) foragers. The frequency of squatting in LSA foragers (n = 56) was determined by the presence of anatomical features of joint hyperflexion. Three South African comparative skeletal groups from different time periods were also analysed: skeletal remains of early farming populations (n = 17), 18th century ‘Free Blacks’ and/or slaves from Cobern Street, Cape Town (n = 21), and a modern cadaver sample (n = 29). The results show that 28 out of 56 LSA foragers (50%) were habitual squatters; 13 out of 17 farmers (76.5%) and one of 21 individuals from the Cobern Street collection (4.8%) demonstrated squatting facets. No anatomical squatters were found in the modern cadaver sample. There was no significant sex difference between squatters and non‐squatters. Hence at least half of the LSA foragers and farmers were habitual squatters, according to the signs of joint hyperflexion. Squatting is a comfortable position for those used to it because the body weight is supported with minimal muscular activity. Two probable reasons are suggested for the difference in postures adopted by the different groups: (1) availability or lack of availability of furniture and (2) cultural and individual differences in resting posture. Copyright © 2005 John Wiley & Sons, Ltd.     

The periodontal disease status of the historical population of Assos

The science of anthropology obtains data on health, disease and death from ancient populations. Research on the skeletal remains of human teeth and surrounding tissues provides useful information on the evolutionary perspective of dental and periodontal diseases. The aim of this study was to determine the prevalence and severity of periodontal diseases in the skeletal remains of 33 Assos inhabitants of the 4th century BC. Three age groups were constituted for the studied population. Periodontal disease status was determined based on the textural and architectural variations of the interdental septum and the extent of bone loss. It was found that the prevalence of periodontal diseases increased with age. The severity of periodontal bone loss also increased with age and the mean alveolar bone loss between age groups was statistically significant (P = 0.004). This analysis of the dental health of ancient populations provides insights into the aetiology, patterns and distribution of periodontitis, which has a very complex disease pathogenesis. Copyright © 2005 John Wiley & Sons, Ltd.     

Adult scurvy in skeletal remains of late 19th century mineworkers in Kimberley,South Africa

Throughout history, scurvy has been a well‐known disease which develops due to restricted resources of fresh fruit and vegetables. The condition results from an extended limited intake of vitamin C. Although skeletal lesions associated with infantile scurvy have been well described by many authors, very little literature is available on adult scurvy and the resulting skeletal lesions. The purpose of this study was to investigate the skeletal remains of a 19th century mining population from Kimberley, South Africa, for any skeletal lesions that may be indicative of adult scurvy. Scurvy was well documented as being extremely prevalent in this population. The skeletal remains of 107 individuals, presumed to have died around 1898, were studied. The majority of these individuals were males between 19 and 45 years of age. It is likely that most individuals were migrant workers at the diamond mines. All bones were visually assessed for macroscopic indications of pathological bone alterations associated with healed scurvy. Bone samples were also taken from ambiguous lesions in order to perform histological investigations. Lesions indicative of possible healed adult scurvy were observed in 16 individuals. These lesions included bilateral ossified haematomas, osteoperiostitic bone changes and periodontal disease. Histological investigation confirmed the presence of ossified haematomas on the anterior tibiae of some individuals. Hospital records and historical documents describing the incidence of scurvy in the local hospitals and the daily diet of the black mine workers supported these findings. Copyright © 2009 John Wiley & Sons, Ltd.     

Diffuse idiopathic skeletal hyperostosis in Late Jomon Hokkaido,Japan

The purpose of this study is to describe and analyse the evidence for diffuse idiopathic skeletal hyperostosis (DISH) in samples of human skeletal material recovered from Late Jomon (ca. 1500–300 BCE) and Okhotsk (CE 500–900) cultural period sites, northwestern Hokkaido, Japan. Two individuals from the Jomon period assemblage (n = 14) exhibited lesions consistent with DISH, while the larger Okhotsk sample (n = 39) was free of this condition. The aetiology of this condition is reviewed with reference to the clinical and bioarchaeological literature, in addition to behavioural and environmental considerations specific to this region and these time periods. Copyright © 2006 John Wiley & Sons, Ltd.