The parry problem

Injuries classified as parry fractures, normally the result of a direct blow when the forearm is raised to shield the face, are significant in bioarcheological interpretations because the parry fracture is perceived as an indicator of interpersonal (or extramural) violence. It is therefore necessary that these injuries be correctly identified in order to properly interpret the trauma pattern and its social implications for abuse, gender and power relations among ancient people. Common acute forearm fractures are reviewed here and quantitative guidelines that define the parry fracture configuration are presented. The parry criteria include: (1) an absence of radial involvement, (2) a transverse fracture line, (3) a location below the midshaft (<0.5 adjusted distance to the lesion's center), and (4) either minor unalignment (<10°) in any plane or horizontal apposition from the diaphysis (<50%). A sample of 278 adults from northern Sudan dated to the Nubian Bronze Age (ca. 2500–1500 BC) contained 38 individuals with forearm fractures. Of these fractures, 21 out of the 28 ulna injuries were identified as parry fractures using the parry criteria. Fewer females suffered from parry fractures than when ulna injuries were identified by location on the ulna alone. The use of the parry criteria may not always affect the results significantly, but here interpersonal violence directed against women and amongst ancient Nubians was found to be less prevalent than implied in earlier studies. The absence of perimortem parry fractures suggests that the Kermans interred within mass burials were not physically forced to their graves. Chronic ulna stress fractures associated with sports and habitual activities must also be considered as a differential diagnosis of this injury.