Do environmental disturbances of an individual's growth and development influence the later bone involution processes? A study of two mediaeval populations

Age‐dependent cortical bone loss was studied in two mediaeval Polish populations differing with regard to socio‐economic status, as well as the intensity of the occurrence of skeletal indicators of living conditions in the early stages of ontogenesis (compression of the skull base and the narrowing of the lumbar vertebral canal). Cortical bone loss was analysed on the basis of the radiographs of the second metacarpal. Cedynia population (better living conditions) is characterized by higher arithmetic means for the height of the skull base in comparison with Słaboszewo group (low socio‐economic status). In the case of the vertebral canal index, significant interpopulation differences apply only to men. Similar patterns of difference between groups under study regarding bone loss was also found. It turned out that males from Cedynia had more bone mass in adultus and maturus age categories; in females, these differences concern only adultus category. The study involved an analysis of a relationship between the characteristics measuring reactions to environmental stress in early stages of growth and the intensity of bone loss in adult life. We believe that the results presented justify a conclusion that both phenomena may be interrelated to a considerable degree. Copyright © 2001 John Wiley & Sons, Ltd.     

Age‐Related Cortical Bone Maintenance and Loss in an Imperial Roman Population

This article explores age‐ and sex‐related patterns of cortical bone loss, assessed by radiogrammetry of the second metacarpal, from a skeletal sample excavated from the Imperial Roman port city of Velia (1st and 2nd century ad ), to contribute to our understanding of health and disease during the Imperial period. Patterns of age‐ and sex‐related bone loss and health at Velia are also compared with other historical samples and to modern clinical data. It was hypothesised that patterns of age‐ and sex‐related bone loss in this well‐represented Roman sample (n = 71) would mirror those reported in modern populations. Differences in the quantity of cortical bone between three age groups (18–29, 30–49 and 50+ years) are significant in both men and women; however, the pattern of bone loss differs between the sexes. Women show a gradual decline in bone quantity beginning in middle age, whereas men only lose bone in old age. However, there are no significant sex differences at any age group in the metacarpal cortical index. These findings suggest the hypothesis should be refuted because significant sex differences, particularly in old age, are an expected hallmark of bone loss in Western populations today. The possible biocultural and gender‐related factors that may have contributed to the observed patterns of bone maintenance and loss at Velia are discussed. Copyright © 2011 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.     

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.     

Pre‐Columbian Tuberculosis in Northwest Argentina: Skeletal Evidence from Rincón Chico 21 Cemetery

Systematic excavation of collective burial sites makes possible the recovery of skeletal series which may show bony evidence of infectious pathological conditions. This paper presents the first evidence of the existence of tuberculosis in prehistoric populations of NW Argentina with a subsistence economy based on agriculture and pastoralism. The study was carried out on individuals from Rincón Chico 21 cemetery, a burial site located in the Santa María Valley, Catamarca, used between the Late Ceramic Period and the onset of the Inca empire expansion (AD 1000–1400). Six individuals out of the 70 so far excavated showed destructive lesions in the vertebral bodies and periosteal reactions in other bones. The morphology and distribution of bone lesions led us to rule out several diseases from a broad spectrum of possible diseases that could have affected the skeletal system. Thus, the lesions were interpreted as caused by mycobacterial infections (Mycobacterium tuberculosis Complex). Considering previous studies on the dynamics of biocultural interactions which take into account information related from contextual associations and chronology, we can conclude that a tuberculosis‐like disease was present in prehistoric populations from NW Argentina. Copyright © 2011 John Wiley & Sons, Ltd.     

Cortical bone dynamics and age‐related osteopenia in a Longobard archaeological sample from three graveyards of the Veneto region (northeast Italy)

Since the contribution of Brothwell and co‐workers in early 1968, few studies have considered the cortical bone involution in European skeletal series of archaeological interest. The present study concerns the involutive process mechanisms and intra‐ and inter‐sexual variability in femurs of 66 adults belonging to three graveyards of the Longobard era excavated in the Vicenza province (northeast Italy). Cortical thickness and cortical and medullary areas were measured and a correlation matrix was generated for each sex and age class. Intra‐ and inter‐sexual variability were evaluated by two‐tailed t‐tests and a sexual dimorphism index. The results indicate a considerable difference between the sexes, with females showing an earlier and more marked cortical bone loss, as expected. Moreover, comparing the data with the scarce literature available, some discrepancies in cortical bone involution were found in populations with different patterns of adaptation, suggesting the need for further studies in this direction aimed at understanding bone environment dynamics. Copyright © 2000 John Wiley & Sons, Ltd.     

CT and micro‐CT analysis of a case of Paget's disease (osteitis deformans) in the Grant skeletal collection

This paper presents a case study in which Paget's disease of bone is differentially diagnosed in an individual from the Grant skeletal collection using non‐destructive computed tomography (CT) and micro‐computed tomography (micro‐CT) analyses of the pubis, in addition to plain film radiography and macroscopic examination. In archaeological and modern osteological samples diagnosis frequently relies on macroscopic examination, plain film radiography and histological examination of bone samples. CT and micro‐CT modalities provide researchers with a non‐destructive view of the internal structure of bone unhampered by the superimposition that is characteristic of plain film radiographs. Given the importance of the increased cortical and trabecular thickness in the differential diagnosis of Paget's disease, these techniques are ideal means by which to non‐destructively examine culturally‐sensitive and scientifically‐valuable human remains for signs of Paget's disease of bone. Copyright © 2009 John Wiley & Sons, Ltd.     

An investigation of cortical bone loss and fracture patterns in the neolithic community of Çatalhöyük,Turkey using metacarpal radiogrammetry

Bioarchaeologists have conducted numerous studies on human skeletal remains using metacarpal cortical bone radiogrammetry. This method allows cortical thickness of the second metacarpal to be quantified. As a sensitive index of bone health metacarpal cortical thickness is evaluated in the context of functional adaptations, growth, ageing and bone loss in osteoporosis, as well as used as a reliable indicator of fracture risk. The focus of this study is an examination of the widely used calculation that expresses second metacarpal cortical bone values, followed by an examination of age and sex-related patterns of cortical bone loss and skeletal fragility fracture in a Neolithic archaeological skeletal sample from Çatalhöyük, Turkey. Using metacarpal radiogrammetry, 49 adult metacarpals (f = 27 m = 22) were examined. Data were collected for size variables, length (L) and total bone width (TW) as well as quantity variables, medullary width (MW) and cortical thickness (CT). These parameters were then used to calculate the widely used cortical index (CI) and two new indices expressing medullary width and cortical bone thickness in relation to length (medullary width index, MWI and cortical thickness index, CTI). The ratios were then used to explore age- and sex-related cortical bone loss and fragility fracture patterns amongst the inhabitants of Çatalhöyük. Çatalhöyük males and females demonstrate an inverse relationship where CTI decreases as age and MWI increase. Analyses indicate statistically significant age-related change in MWI amongst the oldest females. Despite age-related loss of bone, no typical fragility fractures are observed. We discuss the role of ageing and lifestyle factors at Çatalhöyük that may have been beneficial to skeletal health and a reduction in the risk of fragility fracture.     

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.     

Age-dependent bone loss in the femur in a medieval population

Age-dependent bone loss in femurs in a medieval skeletal assemblage from Wharram Percy, England was studied. Dual energy X-ray absorptiometry (DXA) was used to measure bone mineral density (BMD) in the proximal femur; radiogrammetry was used to measure cortical index (FEMCI) at the femur mid-shaft. Age-related loss of BMD was found in the proximal femur in both sexes. Females but not males showed loss of FEMCI. Patterning in bone loss with respect to age, sex and site in the skeleton resembled that seen in recent subjects. In this respect the results are similar to those of a previous study of metacarpal cortical bone in the same archaeological assemblage. Given the large difference in lifestyles, and that lifestyle factors are widely held to influence the severity of bone loss in osteoporosis, the similarities between the medieval and modern populations in the patterns of bone loss are surprising. These findings support those from an earlier study of these skeletons in calling into question the role of lifestyle factors in influencing the severity of bone loss in osteoporosis. © 1998 John Wiley & Sons, Ltd.     

Volume density of South American camelid skeletal parts

This paper provides a set of volume density values for skeletal parts of lama (Mammalia, Artiodactyla, Camelidae). The method by which these values were obtained is described and compared with published data of densitometries made on cervids, showing a high positive correlation between the bone densities of the two artiodactyls. The camelid bone density data are used to discuss the interpretation of skeletal patterning in an Andean archaeofaunal assemblage.     

Bone density determination of moose skeletal remains from Isle Royale National Park using digital image enhancement and quantitative computed tomography (QCT)

As part of an investigation of prey vulnerability in Isle Royale National Park, MI, digital image processing techniques were used to enhance original quantitative computed tomography (QCT) film products to detail the processes of bone resorption and reformation in skeletal remains of moose (Alces alces). Integration of these two allied imaging technologies allowed analyses of pixels representing fractions of millimetres of bone. Using regression analysis, linear conversions from the pixel digital numbers (DN) to QCT Hounsfield units (HU) to actual bone mineral density (BMD) values were calculated (r²=0.99), and a scale of pixels per millimetre of bone was determined. The colour-enhanced image revealed quantifiable patterns of density, porosity and asymmetry. In addition, the procedure provided a quick but consistent methodology for evaluating numerous scans. Combining the limited use of a high-demand and expensive medical QCT scanner with a lower cost, readily available digital image processing and analysis system provides a technique for researchers to investigate the bone integrity of individual animals and populations. This method of evaluating bone density has implications for use in determining differential skeletal part-preservation in archaeofaunal studies. © 1997 John Wiley & Sons, Ltd.     

Reliability of the Assessment of Periodontal Disease in Historical Populations

Periodontal disease is the destruction of all portions of periodontium. However, only periodontitis, based on whether attachment loss has occurred, can be detected in archaeological material. Therefore, several methods have been used to assess the frequency of periodontitis in past populations. The main scope of this study is to determine whether diagnoses of periodontitis through various methods are consistent with diagnoses obtained using the radiographic method. The samples (35 individuals, 576 teeth) were selected from Radom Cemetery's collection (in use between 1790 and 1811). For each individual, a periodontal status assessment was made using the following parameters: (i) measuring the distance between the cement–enamel junction (CEJ) and the crest of the alveolar bone (AC); (ii) the degree of root exposure; (iii) presence of the inter‐dental septum; (iv) dental calculus; (v) scoring system on the texture of the alveolar bone (Kerr's method) and (vi) radiography. In the studies, a correlation was found between the radiographic images and Kerr's method (r = 0.92) and root furcation (r = 0.96). Increasing degree of change on the alveolar bone is connected with increases in the CEJ–AC distance. A relationship between the frequency of the prevalence of dental calculus and changes on the alveolar bone was found. It means that the radiographic method, which is not always possible to use in archaeological collections, can be replaced by the presented macroscopic methods. Copyright © 2016 John Wiley & Sons, Ltd.     

A Large‐Scale Palaeopathological Study of Hip Fractures from Post‐Medieval Urban England

Hip fractures have high incidence rates in many current groups and are associated with high morbidity, mortality, and considerable expenditure. Although hip fractures associated with significant traumatic events can occur at any age, many hip fractures occur in older adults. To date, few hip fractures have been reported from archaeological skeletal material, and a number of hypotheses have been suggested for this. This research presents a comprehensive assessment of hip fractures in archaeological bone; 1597 adult (18+ years) skeletons from eight urban post‐medieval sites from England dating from the 18^th and 19^th centuries were recorded, and contemporary medical texts reviewed. This adult sample included 834 males and 652 females as well as 11 persons of undetermined sex. Ways of classifying and describing fractures in the clinical literature were reviewed and a methodology applicable to paleopathology determined. Of this sample, 15 (0.94%) had fractures in the femoral neck or intertrochanteric area: nine males, four females, and two individuals of undetermined sex. The numbers of fractures in males were interesting and most likely represent examples of accidental trauma as well as osteoporosis‐related fractures, the latter receiving growing awareness in recent clinical literature. Overall there was an age‐related trend with more individuals aged 50+ years with fractures than in other age categories. Underlying osteoporosis was potentially a complicating factor in five individuals and was likely associated with a vitamin D deficiency osteomalacia and a metastatic neoplastic condition in a further two cases. Fractures occurring close to the time of death and healed fractures were observed, indicating that the risk of mortality following this trauma was not consistent across this 18^th and 19^th century sample. Skeletal and historical evidence presented in this study indicate that the impact of hip fracture injuries varied, with survival likely linked to the fracture type. Copyright © 2016 John Wiley & Sons, Ltd.     

Mortality Profiles of Hunter‐Gatherer Societies: A Case Study from the Eastern Pampa–Patagonia Transition (Argentina) During the Final Late Holocene

The objectives of this work are to present a set of methodological procedures to analyse commingled bone assemblages (e.g. secondary burials), in order to build the mortality profile of the Paso Alsina 1 site and discuss the obtained age at death distribution in a context of hunter‐gatherer populations that inhabited the eastern Pampa–Patagonia transition (Argentina) during the Final Late Holocene. The Paso Alsina 1 site is a formal disposal area of inhumations composed by multiple secondary burials dated at ca. 500 ¹⁴C years BP. The site is comprised of a minimum number of 77 individuals, represented by both sexes and all age categories. The mortality profile is characterized by a bimodal pattern with a peak of greater representation of individuals younger than 3 years and another comprising the range between 20 and 34.9 years old. These results are discussed in relation to the paleopathological information available for the site, indicating that individuals suffered mainly disruptions in growth and development by systemic stress. The mortality profile obtained suggests that this skeletal series would not have formed as a result of a catastrophic event. On the contrary, it is an atricional mortality profile, consisting of individuals who died at different times and places and for varied reasons. Later, skeletal remains were grouped into secondary bundles and simultaneously buried at the site. Body manipulation and secondary burials are common in the context of a social reorganization that occurred in the area and in neighbouring regions during the Final Late Holocene. Copyright © 2013 John Wiley & Sons, Ltd.     

Bone weight: new reference values based on a modern Portuguese identified skeletal collection

Skeletal weight and/or weight of the different bones of the human skeleton are currently used in a wide range of applications such as archaeological cremations and forensics. Still, few reference values are available that compare the mean weights for the different skeletal parts. In this paper we present new reference values for total skeletal weight, including the weight of the different skeletal bones based on a modern Portuguese Identified Skeletal Collection (CEI) curated in the Museum of Anthropology of the University of Coimbra (Portugal). The mean weight of the entire skeleton for the CEI pooled sample is 3323.8 ± 779.6 g. Sex and age differences were investigated. As expected, males display heavier bones, at a statistically significant level. The mean weight of the male skeletons is 3850 g, and 2797.6 g for the female sample. Age differences were found, especially for the female samples in the 29–39 versus 50–59 and/or >60 age groups, probably as a consequence of age‐related bone loss in post‐menopausal women. For the male sample, no clear age‐related trend was observed but for the unexpected result that the second highest bone weight recorded is in the oldest age group (>60 years). This could result from high mechanical loadings and thus greater bone robusticy and amount of cortical bone. The percentage of weight of the different parts of the skeleton was also calculated. These new values can be quite useful in the study of very fragmentary and/or commingled human remains, recovered from historic or forensic contexts, since the complete identification, by side, of the remains is not necessary. Copyright © 2008 John Wiley & Sons, Ltd.     

Age-dependent cortical bone loss in a medieval population

Age-dependent cortical bone loss was studied in a skeletal assemblage from a British medieval site using metacarpal radiogrammetry. Significant loss of bone was found in the females but not in the males. The magnitude of bone loss in the older females relative to their younger counterparts was found to be similar to that reported for modern European subjects. Low cortical bone was associated with healed fractures of the highly trabecular bone of the axial skeleton, and this observation is suggestive that weakening of the skeleton due to loss of bone substance precipitated such fractures, as it does in modern Western women. The broad similarities between the medieval and modern data may call into question the importance of lifestyle factors in influencing the severity of osteoporosis, at least as far as loss of cortical bone is concerned.     

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.     

New analytical methods for comparing bone fracture angles: A controlled study of hammerstone and hyena (Crocuta crocuta) long bone breakage

Accurate interpretation of the cause and timing of bone breakage is essential for understanding the archaeological record. However, many variables potentially influencing break morphology have yet to be systematically explored. Focusing primarily on hammerstone breakage, we introduce new analytical methods for comparing fracture angles using the absolute values of the angle from 90°. We systematically control for intrinsic variables such as taxon, skeletal element, limb portion and skeletal age. We also compare experimental assemblages of femora broken by hammerstone and spotted hyena (Crocuta crocuta). We show that fracture angles are influenced by breakage plane, skeletal element and limb portion. While the latter two have been suggested before, this is the first time the differences have been quantified. We suggest that researchers stratify their assemblages by these variables if they are using fracture angles in analyses. At the assemblage level, hyenas created more oblique fracture angles on oblique breaks than did hammerstones.     

The Occurrence and Possible Aetiology of Spondylolysis in a Pre‐contact California Population

The occurrence of spondylolysis (neural arch separation at the pars interarticularis) is reported in a pre‐contact (720–550 Cal BP) Central California population, CA‐CCo‐647 (n = 46). Spondylolysis was examined within this population to assess differences in sex, age, and possible relationships with biological affinity. Furthermore, prevalence rates of spondylolysis were compared across various populations to discern the aetiology of the defect. Within CA‐CCo‐647, spondylolysis was found in 17.4% (8/46) of the population. All occurrences are complete, bilateral separations of the neural arch in the lower lumbar (L4 and L5). The defect is not seen in individuals below the age of 18, and there is no correlation between adult age and spondylolysis. Male individuals display the defect at a higher rate (30.8% ‐ 4/13) than female individuals (12.1% ‐ 4/33); however, this is not a statistically significant finding. There does seem to be a correlation between an individual's sex and the onset of the defect; male individuals display spondylolysis at a younger age than female individuals. This finding could represent differences in activity patterns among young male and female individuals. In a biological distance analysis using craniometric data, male and female individuals with spondylolysis clustered closely, suggesting a genetic component for the defect. Finally, significant differences were found in spondylolysis prevalence between various populations representing distinct geographic and temporal settings. Significant differences were found among Native pre‐contact samples and even between two comparable pre‐contact California skeletal samples. These populations all engaged in distinct activities and were likely composed of genetically distinct groups of individuals, which may account for the differences in spondylolysis prevalence. All of these findings, both within CA‐CCo‐647 and between the various samples, suggest that the aetiology of spondylolysis is likely an interaction of genes and activity. Copyright © 2012 John Wiley & Sons, Ltd.