An investigation of historical and archaeological evidence for age‐related bone loss and osteoporosis

A growing awareness of the problems caused by osteoporosis‐related fractures has led to increased investigation of the condition in past populations. The present study seeks to examine the ways in which osteoporosis‐related fractures may be explored through different approaches; modern clinical information, historical records of fractures and analysis of archaeological bone may provide fuller information on the condition. The three types of fractures upon which this study focuses are fractures of the femoral neck, Colles' fractures and vertebral compression fractures. The results of the investigation clearly demonstrate the way in which the various sources produce a slightly different picture of the condition. The archaeological significance of the different types of fractures was found to be the reverse of that which would be suspected in the light of information derived from historical sources and the clinical literature. To date vertebral crush fractures have been the most commonly found osteoporosis‐related fracture in archaeological material, but their significance to people in the past is likely to have been minimal. In contrast hip fractures have rarely been reported from archaeological bone material, but historical information makes it clear they were well known, and knowledge derived from clinical sources emphasizes the serious consequences of such a fracture for the affected individuals. The results indicate the value of undertaking a multi‐disciplinary approach where possible. Copyright © 2002 John Wiley & Sons, Ltd.     

Multiple Injury and Health in Past Societies: An Analysis of Concepts and Approaches,and Insights from a Multi‐Period Study

Earlier clinical and bioarchaeological studies found that injury recidivists were most likely to be young adult males. Since then, the clinical meaning of the injury recidivist has expanded to include all individuals with multiple injuries, and other aspects of health have been considered. Our study sought to apply these advances to paleopathology and place multiple injuries in a wider context by investigating: the age and sex distribution of those with single and multiple fractures, and if people with multiple injuries had poorer general health. The sample of 213 males and 190 females (≥18 years old) from six populations in England, Siberia, and Sudan ranged in date from the 3rd century BC to the mid‐19th century AD. Health variables included cribra orbitalia, porotic hyperostosis, periostitis, Schmorl's nodes, enamel hypoplasias, dental caries, and periodontitis. Ante‐mortem injuries were: fractures (0/1/≥2), myositis ossificans, dental trauma, and sharp‐force injuries. The data were analysed using chi‐square and hierarchical loglinear analyses (P = 0.05). No significant three‐way association between age, sex, and injury was found. There was no difference between the sexes when individuals with single versus multiple injuries were compared. There were significant differences in the age‐distribution of people with 0 and 1/≥2 fractures. Males and those 26–35 years old were most likely to have fractures and multiple injuries. Porotic hyperostosis was significantly associated with fractures. There was no significant relationship between general poor health and multiple injuries. Copyright © 2016 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.     

Craniofacial trauma in the Prehispanic Canary Islands

The current project is a study of craniofacial trauma in a large sample (n = 896) of Prehispanic Canary Islanders (PCIs). The possible causes and social implications of the trauma found are considered, with reference to archaeological and historical data. Variables include the island, period and ecology, the sex and age of the individuals, the distribution of lesions across the skull (by side and by individual bone) and ante‐mortem tooth loss. The results show a fairly high trauma rate (16%), a low prevalence of peri‐mortem trauma (3.8% of all lesions), higher prevalence of trauma in males than in females (25% vs. 13% of all individuals), more cranial than facial lesions (8.9% vs. 3.5% of all elements) and more lesions on the left side of the skull (6.7% vs. 4.5% of all elements) which suggests that the lesions were sustained through intentional rather than accidental agency. There was no correspondence between trauma prevalence and ecology. The archaeological and historical data support the assertion that the lesions may be the result of skirmishing between groups, using weapons such as slingshots, stones and staves. The presence of edged‐weapon lesions on some individuals suggests that these may have been the victims of contact‐period European groups. Copyright © 2007 John Wiley & Sons, Ltd.     

Human remains from a post‐Hellenistic grave‐chamber in Dibba al‐Hisn (Sharjah,UAE)

Human skeletal remains of sixteen individuals found at Dibba al‐Hisn in the Emirate of Sharjah (UAE) are analysed with regard to standard anthropological criteria. They represent the poorly known pre‐Islamic period of the first centuries AD. Remains of at least fifteen individuals were recovered from a semi‐subterranean grave‐chamber together with rich archaeological grave‐goods. An additional, almost complete skeleton was found in the open area near the chamber. While the size and nature of the sample prevent demographic analyses, skeletal features studied with the help of macro‐ and microscopic as well as radiographic methods provide details on individual life histories and living conditions, as well as mortuary habits and taphonomic processes. Of special interest is a case of intentional tooth mutilation as well as two cases of skull trauma apparently caused by violent inter‐personal conflict. The results of the analysis of the faunal remains from the grave‐chamber and its surroundings are presented in an appendix .     

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.     

Schmorl's nodes in a post‐medieval skeletal sample from Klostermarienberg,Austria

The prevalence and distribution pattern of Schmorl's nodes (SNs) were studied in a post‐medieval skeletal sample (n = 473) from the 16^th–18^th century cemetery of Klostermarienberg, Austria. The reasons for the prevalence and distribution pattern of SNs in this sample are discussed with regard to their aetiology. SNs were correlated with age and sex as well as with degenerative spinal joint disease such as vertebral osteophytosis (VO) and apophyseal osteoarthritis (OA). SNs were most commonly found in the lower thoracic region, in agreement with other studies. Males were more affected than females by SNs, especially in the lower thoracic region. SNs show a completely different distribution pattern to VO and OA. Additionally, there was no relationship found between SNs and ageing. Observed differences in the prevalence of SNs in the vertebral column and between the sexes suggest that mechanical factors may be responsible. Copyright © 2008 John Wiley & Sons, Ltd.     

Linear Enamel Hypoplasia and Age‐at‐Death at Medieval (11th–16th Centuries) St. Gregory's Priory and Cemetery,Canterbury, UK

Linear enamel hypoplasia (LEH) is a macroscopically detectable band‐like dental defect, which represents localized decrease in enamel thickness caused by some form of disruption to a child's health. Such dental deformations are utilized in osteoarchaeological research as permanent markers of childhood physiological stress and have been extensively studied in numerous ancient human populations. However, currently there is no such data for medieval populations from Canterbury, UK. Here, LEH is examined in the context of age‐at‐death in human burials from the medieval St. Gregory's Priory and adjacent cemetery (11^th–16^th centuries), Canterbury, UK. The cemetery and Priory burials represented lower (n = 30) and higher status (n = 19) social groups, respectively. Linear enamel hypoplastic defects were counted on mandibular and maxillary anterior permanent teeth (n = 374). The age and sex of each skeleton were estimated using standard methods. Differences in LEH counts, age‐at‐death, and LEH formation ages were sought between the two social groups. Results indicate significantly greater frequencies of LEH in the Cemetery (mean = 17.6) compared to the Priory (mean = 7.9; t = −3.03, df = 46, p = 0.002). Adult age‐at‐death was also significantly lower in the Cemetery (mean = 39.8 years) compared to the Priory burials (mean = 44.1 years; t = 2.275, df = 47, p = 0.013). Hypoplasia formation ages differed significantly between the Priory (mean = 2.49 years) and Cemetery (mean = 3.22 years; t = 2.076; df = 47; p = 0.034) individuals. Results indicate that childhood stress may reflect adult mortality in this sample, and that the wellbeing of individuals from diverse social backgrounds can be successfully assessed using LEH analyses. Results are discussed in terms of the multifactorial etiology of LEH, as well as weaning‐related LEH formation. Copyright © 2012 John Wiley & Sons, Ltd.     

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.     

Scapular stress fracture: a palaeopathological case consistent with crutch use

This report describes a defect on the right scapula of a 50 to 60 year old male slave who had been buried extra‐muros in the Le Colombier cemetery of Vaison‐la‐Romaine (5^th to 6^th century AD) in Vaucluse, France. This injury can only be described as a stress fracture, most likely associated with heavy and persistent use of the humerus in abduction. Other bony defects on the skeleton included early signs of ossification of the glenohumeral joint, slight vertebral discopathy, and osteoarthrosis on the right hip. A relationship between scapular stress fractures and walking devices has been described in the current medical literature, and taking this in consideration, possible aetiologies for this scapular defect include either consistent use of a crutch or routine physical labour. Little information is available on either stress fractures or assisted walking devices in antiquity; therefore this information is a valuable contribution to palaeopathology. Copyright © 2008 John Wiley & Sons, Ltd.     

Rickets and child abuse: the case of a two year old girl from the 4th century in Lisieux (Normandy)

The burial of a child of two years of age from the 4^th century site of Lisieux‐Michelet (Calvados, France) was examined for bone hyperplasia and a variety of mechanical deformations recognized in association with skeletal trauma. Results of DNA analysis of bone using the PCR method identified this child as female. Microscopic features of the teeth (interglobular dentine) and a sample taken from the tibia conclusively determined that this child suffered from vitamin D‐resistant rickets and possibly X‐linked hypophosphataemic rickets as its most common form of occurrence. In addition, evidence for child abuse is suspected based on the presence of cranial and tooth fractures and the appearance of successive plaque‐like endocranial (meningeal) appositions. This is the first palaeopathological report of child abuse in antiquity. Copyright © 2002 John Wiley & Sons, Ltd.     

Dental Pathology,Trauma and Attrition in a Zambian Iron Age Sample: A Macroscopic and Radiographic Investigation

Using morphological and radiographic methods, we analysed the dentitions of 24 individuals from Ingombe Ilede and Isamu Pati Zambian Iron Age archaeological sites. In this study, we determined the frequency and distribution of attrition, pathological conditions and dental trauma. This research also presents the first view of dental health for an Iron Age population in southern Africa. In total, 482 teeth were available for this study with 287 teeth missing, where 50 of these were lost antemortem and one individual had an erupted supernumerary first mandibular incisor. With the use of radiography and morphology, 21.5% (104/482) of the analysed teeth had at least one pathological condition or evidence of dental trauma. Some interesting dental aspects found and discussed in this paper are linear enamel hypoplastic lesions, radicular resorption, periapical lesions, fractures, dental modification and carious lesions. Many of these features were diagnosed with radiography, and this was especially important for those found below the cemento‐enamel junction (p = 0.0202) that are less obvious with macroscopic investigation alone. Additionally, the quantity and direction of dental attrition was studied. There were observed sex differences with the direction of wear, likely representing a sex‐specific cultural practice of using teeth as tools. Overall, the results show that this sample suffered relatively little from dental problems, and many of those observed features were associated with the traumatic procedure of dental modification, whereas others were age and diet‐related. Additionally, with the use of radiography, rare dental fractures and other features were diagnosed; these results demonstrate the requirement for its application in dental studies on archaeological assemblages. Copyright © 2012 John Wiley & Sons, Ltd.     

Dental Modifications in a Skeletal Sample of Enslaved Africans Found at Lagos (Portugal)

An archaeological intervention in Valle da Gafaria (Lagos, Portugal) allowed the excavation of a deposit of waste dating from the 15^th to 17^th centuries. Among discarded objects, an important amount of human skeletal remains was exhumed (N = 158 individuals). The archaeological and historical context, as well as the morphometric analysis of the skulls, led us to attribute them an African origin. While historical sources document the trade of slaves by the Portuguese since the 15^th century, so far no slave cemetery was excavated in Portugal. The study of their lives and deaths has been accomplished by historical documents. Therefore, this sample provides a unique opportunity to learn more about captive individuals who were brought to Portugal in the modern period. The present work focuses in the intentional dental modifications presented by several of these individuals. A total of 113 subjects have teeth that can be evaluated for the presence of intentional modifications. Of these, 55.8% individuals present dental modifications on their anterior dentition, 42.9% exhibiting modifications on both upper and lower teeth. The incisors were the most frequently modified teeth, followed by the canines. Both men and women as adults and sub‐adults have dental intentional modifications. In most individuals, dental modifications involved the removal of the mesial and distal angles, which is comparable with sub‐Saharan African practices. However, we cannot infer a more specific origin for these slaves only based on dental modification's type and pattern because several ethnic groups modify teeth in the same way. Copyright © 2015 John Wiley & Sons, Ltd.     

BUILDING AN IDENTITY: ARISTOCRATIC LANDSCAPE AND CONSPICUOUS CONSUMPTION AT THE 16TH‐CENTURY BISHOP'S PALACE IN ODENSE

In the 16^th century, establishing and maintaining one's status and position in society was an important social factor and motivator. This article examines to what extent such efforts can be deduced from archaeological material. The subject is the 16^th‐century bishop's palace in Odense, Denmark. This case study has been encouraged by the unprecedented large‐scale archaeological excavations that have taken place in the Odense city centre in recent years. The new archaeological data allows for a contextual analysis in which the finds and structures are considered as evidence for negotiated identity expressed through materiality. The main conclusion is that a unique socioeconomic identity is expressed in the building structure, while evidence from the portable objects is more ambiguous.     

A WOMAN'S PLACE: SPACE,MEETING PLACES AND GENDER IN 16TH‐CENTURY NYA LÖDÖSE,SWEDEN

In this article, archaeological and archival data are used to discuss gender in 16^th‐century Nya Lödöse in western Sweeden with a focus on women. Four areas for social space are identified and analysed. The result shows that women seem to have had a somewhat higher degree of agency in Nya Lödöse compared with the surrounding countryside and smaller towns.     

1H‐NMR AND 31P‐NMR CHARACTERIZATION OF THE LIPID FRACTION IN ARCHAEOLOGICAL OINTMENTS

Lipids are a broad group of naturally occurring molecules, which includes fats, oils, waxes, sterols, terpenes, fat‐soluble vitamins, monoglycerides, diglycerides, phospholipids and others. Lipids have been widely used in human history and they are often present in archaeological finds. In particular, in the field of medicine and cosmetics, lipids have been employed as base in the preparation of unguents, salves and balms. The characterization of these products and their degradation products induced by ageing is important for an understanding of the ancient pharmaceutical techniques and to assess the state of conservation. ¹H‐NMR and, for the first time, ³¹P‐NMR spectroscopy have been applied to the characterization of such compounds. By derivatization of the samples with 2‐chloro‐4,4,5,5‐tetramethyl‐1,3,2‐dioxaphospholane, it is possible to recognize, quantify and evaluate the degradation degree of lipids in archaeological unguent samples. With this new approach, lipids have been recognized in 17th‐century archaeological ointments from the Aboca Museum. Moreover, severe hydrolysis and oxidation markers have been detected.     

Age‐at‐death assessment using the os pubis and the auricular surface of the ilium: a test on an identified Asian sample

This paper reviews the results of blind tests of two morphological methods of age‐at‐death estimation. These tests were performed on a known age‐at‐death and sex sample taken from a collection of a Thai population. The first technique is based on the age related changes of the pubic symphysis according to the Suchey‐Brooks system, and the other concerns the metamorphosis of the auricular surface of the ilium elaborated by Lovejoy and colleagues. This is the first time that these methods have been tested on skeletal material from Asia. The results indicate that, for both methods, bias and inaccuracy increase with age and true age tends to be underestimated. As a consequence, age‐at‐death assessment based on these two techniques should be avoided on Asian archaeological series or forensic cases. Copyright © 2004 John Wiley & Sons, Ltd.     

New Statistical Approaches to Intra‐individual Isotopic Analysis and Modelling of Birth Seasonality in Studies of Herd Animals

This paper introduces improved methods for statistically assessing birth seasonality and intra‐annual variation in δ¹⁸O from faunal tooth enamel. The first method estimates input parameters for use with a previously developed parametric approach by C. Tornero et al. The second method uses a non‐parametric clustering procedure to group individuals with similar time‐series data and estimate birth seasonality. This method was successful in analysing data from a modern sample with known season of birth, as well as two heterogeneous archaeological data sets. Modelling indicates that the non‐parametric approach estimates birth seasonality more successfully than the parametric method when less of the tooth row is preserved. The new approach offers a high level of statistical rigour and flexibility in dealing with the time‐series data produced through intra‐individual sampling in isotopic analysis.     

The Protohistoric ‘Quicklime Burials’ from the Balearic Islands: Cremation or Inhumation

Traditionally, the Balearic so‐called ‘quicklime burials’ of the Iron Age have been considered to be inhumations in quicklime. The general appearance of the bones, however, resembles more closely that of cremated bones. Laboratory tests reveal that the observed features of the bones from these burials, including cracks, thumbnail fractures and warping, cannot be explained by an inhumation in quicklime. The δ ¹³C value, Fourier transform infrared spectra, SF values and the low carbon content of the apatite moreover indicate a thermal manipulation of the bones. The ¹⁴C content is depleted with regard to the accepted archaeological age of the sample, which can best be explained by carbon exchange between bio‐apatite and fossil CO₂ released during the heating of limestone. This implies that the Balearic ‘quicklime burials’ must be interpreted as an elaborate cremation practice in presence of limestone. Copyright © 2013 John Wiley & Sons, Ltd.