Joint fusions in palaeopathology: diagnosis and epidemiology

Paja, László

doi:10.14232/phd.1691

Cited by 2 publications

(2 citation statements)

References 67 publications

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“…no evidence of woven bone) prior to death (see radiograph in Oxenham et al, 2015: 346). We can describe this abnormality as ankylosis; joint stiffness due to abnormal adhesion and rigidity of the connected bones (Paja, 2013). Aetiologies of ankylosed joints are multifactorial, including injury/trauma, disease/ infection, erosive arthopathies, and congenital abnormalities (Rogers and Waldron, 1995;Resnick and Kransdorf, 2004;Kacki et al, 2013).…”

Section: Left and Right Femur Differences And Differential Diagnosismentioning

confidence: 99%

Asymmetric midshaft femur remodeling in an adult male with left sided hip joint ankylosis, Metal Period Nagsabaran, Philippines

Miszkiewicz

Rider

Kealy

et al. 2020

International Journal of Paleopathology

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Objective: This study investigated microstructural changes of the right and left midshaft femur in an archaeological individual afflicted with left-sided hip joint ankylosis to assess whether increased cortical porosity was present as a result of leg disuse. Materials:The individual is a middle-aged adult male excavated from the Metal Period (~2000 BP) Nagsabaran, Luzon Island, Philippines.Methods: Following standard examination of femur gross anatomy and differential diagnosis of the hip joint fusion, ~1cm thick posterior midshaft femur sampled were removed for microstructural examination. Using static histomorphometry, bone multi-cellular unit activity from Haversian canal (vascular pore) density, area, and circularity was reconstructed. Spatial positioning of Haversian canals was mapped using Geographic Information Systems (GIS) software. Phosphate, carbonate, and carbonate:phosphate ratios were obtained using synchrotron-sourced Fourier transform infrared (sFTIRM) microspectroscopy. ResultsThe left femur had greater cortical pore density, with smaller and rounder vascular canals, in addition to lower matrix levels of phosphate and carbonate, when compared to the right femur.Conclusions Our data indicate compromised bone tissue in the left femur, and conform to expected bone functional adaptation paradigms of remodeling responses to pathological and biomechanical changes.Significance The preservation of this individual's hip abnormality created a unique opportunity to evaluate intra-skeletal bone health asymmetry, which may help other researchers evaluate the presence of limb disuse in archaeological samples.Limitations A lack of lower limb data limits our interpretations to femur remodeling only.Suggestions for Further Research Future research efforts should aim to examine the presence of remodeling changes in all bones of the lower limb.

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Section: Left and Right Femur Differences And Differential Diagnosismentioning

confidence: 99%

Asymmetric midshaft femur remodeling in an adult male with left sided hip joint ankylosis, Metal Period Nagsabaran, Philippines

Miszkiewicz

Rider

Kealy

et al. 2020

International Journal of Paleopathology

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show abstract

“…A vizsgálatra alkalmas leletanyagban a csontépítő és csontlebontó folyamatokat is befolyásoló metabolikus megbetegedések közül osteoporosist női és nem meghatározható nemű vázak esetében írtak le. Az izomkapcsolódási pontok és a szalagok elcsontosodásával járó DISH korai vagy előrehaladott morfológiai tüneteit (Paja, 2012) mutató esetet nem regisztráltak .…”

Section: Az Aktivitási Vizsgálatokat Befolyásoló Patológiás Jellegek unclassified

10. századi fegyveresek aktivitás okozta szkeletális elváltozásainak összehasonlító vizsgálata

Tihanyi

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Joint fusions in palaeopathology: diagnosis and epidemiology

Cited by 2 publications

References 67 publications

Asymmetric midshaft femur remodeling in an adult male with left sided hip joint ankylosis, Metal Period Nagsabaran, Philippines

Asymmetric midshaft femur remodeling in an adult male with left sided hip joint ankylosis, Metal Period Nagsabaran, Philippines

10. századi fegyveresek aktivitás okozta szkeletális elváltozásainak összehasonlító vizsgálata

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