The New ‘Coimbra Method’: A Biologically Appropriate Method for Recording Specific Features of Fibrocartilaginous Entheseal Changes

This paper presents a revised version of the Coimbra method for recording fibrocartilaginous entheses. The method itself is the only biologically appropriate recording method for fibrocartilaginous entheses that scores features separately, thereby ensuring that the aetiology of individual features can be studied. The method divides the enthesis into two zones, scoring the relevant features in each zone. These features represent either bone formation or bone destruction and include erosive lesions, fine and macro‐porosity, and cavitations. The revised method includes a new feature, textural change, which is scored as absent or present when it involves 50% or more of the surface. All other features are now scored as zero (absent), one or two with the higher score representing greater expression of the feature. This change in scoring has led to the reduction of inter‐observer error with approximately 80% agreement for overall feature scores for both the common extensor origin and subscapularis insertion. The simplification of the scores and the reduction in inter‐observer error mean that the method is now recommended for widespread use. Copyright © 2015 John Wiley & Sons, Ltd.     

A Test of the Effectiveness of the Coimbra Method in Capturing Activity‐induced Entheseal Changes

The current paper tests the effectiveness of entheseal changes in expressing activity patterns when the former have been recorded using the new Coimbra method. Changes on the subscapularis and biceps brachii were recorded using the Coimbra method on 78 men from the documented Athens Collection. Generalised linear models were adopted with entheseal changes as dependent variable and cross‐sectional geometric properties, age and body mass as predictors. The results suggest that age is the factor most frequently affecting entheseal changes; however, its impact is not as systematic as found in previous studies. Body mass is rarely statistically significant, again contradicting earlier studies. Finally, activity proxied by cross‐sectional geometric properties is occasionally significant, but no clear pattern emerges that can associate specific entheseal morphological changes with specific directions of mechanical loading. Copyright © 2016 John Wiley & Sons, Ltd.     

Assessment of Musculoskeletal Stress Marker Development in the Hand

The analysis of musculoskeletal stress marker (MSM) development is a commonly employed tool in osteological surveys and is used to infer patterns of occupational activity and societal organisation in archaeological populations. Although the majority of research into upper limb MSMs has focused on the bones of the arm, the bones of the hand have been conspicuous by their absence. This is likely to be due to methodological issues surrounding the study of hand bones and a presumed lack of variation in MSM development in this area. To date, there have been no systematic studies investigating the presence and variation in MSM morphology for the muscles of the human hand. To address this issue, a presence/absence scoring system was developed for twelve sites of muscle origin and insertion in the metacarpals and phalanges, which was used to determine bilateral asymmetry in the hands of 31 individuals from the Naval Hospital Cemetery site in Greenwich, London. Analysis found observable variation in MSM development between and within the hands, which could be used to determine patterns of asymmetry within the sample. Comparisons with MSM scores from the humeri of these individuals indicate a differentiation in MSM development and asymmetry between these anatomical regions. Levels of asymmetry in the hands and humeri were generally low, with only the dorsal interossei displaying statistically significant asymmetry. Subsequent upper limb MSM research will benefit from the inclusion of data from the hands. These results do not support the continued use of the humerus as a proxy for MSM expression across the upper limb as a whole and suggest that important information regarding behavioural asymmetry in the hands is being lost because of the continual exclusion of this anatomical unit from MSM research. Copyright © 2011 John Wiley & Sons, Ltd.     

A Comparison of Two Methods for Recording Entheseal Change on a Post‐Medieval Urban Skeletal Collection from Aalst (Belgium)

This research compares two current methods for recording bony changes at muscle attachment sites, called entheseal changes (EC); the Mariotti method and the Coimbra method, to evaluate the concordance and comparability of results in a post‐medieval skeletal collection from Aalst, Belgium (n = 116). For both methods, the EC scores produce broadly similar patterns, are symmetrical and differ between age groups. Statistical differences between the upper and lower limb and the lower limb of males and females only occur in the Mariotti method. With careful consideration of the influence of different EC score ranges, the results from the two methods can generally be compared.