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.