Congenital absence of the ulna with humeroradial synostosis in a prehistoric skeleton from Moundville, Alabama

Mann, Robert W.; Thomas, Michael; Adams, Bradley J.

doi:10.1002/(sici)1099-1212(199807/08)8:4<295::aid-oa424>3.0.co;2-n

Cited by 9 publications

(2 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…To the best of our knowledge, the case presented here is the first documented example of CHRUS and CHUS from an archaeological context. Like previous scholars, we stress the importance of using gross and radiographic evidence to analyse all skeletal elements with congenital abnormalities (Antón & Polidoro, ; Mann, Thomas, & Adams, ; Titelbaum & Verano, ). This will increase our understanding of (a) the secondary effects of congenital abnormalities to the rest of the skeleton and (b) the geographic distribution of these conditions in the archaeological record.…”

Section: Discussionmentioning

confidence: 72%

A rare case of congenital humeroradioulnar synostosis from medieval Pawłów Trzebnicki, Poland

Swenson

Spinek

2020

Intl J of Osteoarchaeology

View full text Add to dashboard Cite

Congenital synostoses are defined as rare abnormal formations of primary anatomical structures. There are three major classifications: (a) skeletal anomalies, (b) soft tissue anomalies, and (c) anomalies involving both skeletal and soft tissues. Radioulnar synostosis is the most common form of upper limb abnormality. Synostoses between the humerus and either the ulna, radius, or both have been documented but are far less common. Of these cases, the most common type is humeroradial synostosis followed by humeroradioulnar and humeroulnar synostosis. This study presents a case of a late medieval (15th–16th c. A.D) adult male skeleton housed at the Hirszfeld Institute of Immunology and Experimental Therapy of the Polish Academy of Sciences with bilateral upper limb synostosis. Macroscopic and radiographic analyses suggest a diagnosis of congenital humeroradioulnar and humeroulnar synostosis. The right radius and ulna are hypoplastic. The left radial neck was reduced. The left radial head and the radial notch of the left ulna were absent. The radiographs demonstrate that the skeletal structures of the elbow are absent, suggesting fusion of the radius and ulna. A review of the clinical and bioarchaeological literature was conducted to assess differential diagnoses for the conjoined humerus, radius, and ulna. To the best of the authors' knowledge, this is the first case of congenital humeroradioulnar synostosis in the paleopathological literature.

show abstract

Section: Discussionmentioning

confidence: 72%

A rare case of congenital humeroradioulnar synostosis from medieval Pawłów Trzebnicki, Poland

Swenson

Spinek

2020

Intl J of Osteoarchaeology

View full text Add to dashboard Cite

show abstract

“…Two of these people, one male and one female with achondroplastic dwarfism, were found buried face down (Snow, 1943). A third impaired individual from Moundville, reported by Mann et al (1998), was an adult female with a limb deficiency, a congenital absence of the right ulna with humeroradial synostosis. The burial location of this individual is not reported, but neither she nor the individuals with achondroplasy were interred with funerary objects.…”

Section: Resultsmentioning

confidence: 96%

Differential diagnosis of cartilaginous dysplasia and probable Osgood-Schlatter's disease in a Mississippian individual from East Tennessee

DiGangi

Bethard

Sullivan

2009

Int. J. Osteoarchaeol.

View full text Add to dashboard Cite

This paper details the differential diagnosis of an adult female skeleton displaying features consistent with a cartilaginous dysplasia and Osgood-Schlatter's disease. This burial was excavated in 1940 from a Mississippian platform mound at the DeArmond site (40RE12) in Roane County, Tennessee as part of the Works Progress Administration (WPA) and Tennessee Valley Authority (TVA) archaeological investigations. The right humerus and left femur of this individual display traits consistent with achondroplasia, such as shortened length and normal width. However, the rest of the long bones display typical morphology. The affected humerus and femur are 82 mm and 58 mm shorter than their counterparts, respectively. This makes for obvious asymmetry. A review of the various cartilaginous dysplasias was undertaken to identify those conditions concordant with the differential manifestation of the long bone asymmetry. Morphological and radiographic analyses were used to rule out possible diagnoses. The most likely candidate is enchondromatosis out of the presented conditions, as it most commonly affects the long bones, does not affect every bone in the skeleton, and is asymmetrical in its manifestation. In addition to the cartilaginous dysplasia, both anterior proximal tibial metaphyses of this individual display defects that are roughly triangular with pitted, irregular floors. Osgood-Schlatter's disease is caused by repeated trauma to the tibial tuberosity during childhood. This individual would have walked with an obvious limp, and perhaps the added biomechanical stress on both quadriceps muscles as a result caused the injuries and resultant defects to its attachment points. Evidence of these conditions in an adult indicates that the Mississippian people in this community offered some sort of social support to differently-abled individuals.

show abstract

Pronounced bilateral asymmetry of the complete upper extremity: a case from the early Neolithic Baikal, Siberia

Lieverse

Metcalf

Bazaliiskii

et al. 2007

Intl J of Osteoarchaeology

View full text Add to dashboard Cite

An adult male skeleton from the early Neolithic cemetery of Shamanka II on the south coast of Lake Baikal (Siberia, Russia) presents one of most striking examples of upper limb bilateral asymmetry documented without obvious indicators of skeletal pathology or trauma to the afflicted arm. The condition is noteworthy not only for its severity, with asymmetry values as high as 89.5%, but also for its involvement of the whole upper extremity, from clavicle to manual phalanges. The lack of any demonstrable hypertrophy on the unaffected left arm, and the clear evidence of extensive hypotrophy/atrophy on the right, leave little doubt that this asymmetry has a pathological or traumatic basis rather than a functional (activity-induced) one. It most likely reflects paralysis or paresis of the entire right arm resulting from complete brachial palsy incurred prior to the attainment of skeletal maturity in that limb.

show abstract

Congenital absence of the ulna with humeroradial synostosis in a prehistoric skeleton from Moundville, Alabama

Cited by 9 publications

References 6 publications

A rare case of congenital humeroradioulnar synostosis from medieval Pawłów Trzebnicki, Poland

A rare case of congenital humeroradioulnar synostosis from medieval Pawłów Trzebnicki, Poland

Differential diagnosis of cartilaginous dysplasia and probable Osgood-Schlatter's disease in a Mississippian individual from East Tennessee

Pronounced bilateral asymmetry of the complete upper extremity: a case from the early Neolithic Baikal, Siberia

Contact Info

Product

Resources

About