Slipped proximal femoral epiphysis in a priest from the medieval period

Abstract

During the course of a routine analysis of a cemetery burial population associated with the medieval hospital of St Giles, Brough, North Yorkshire, the partially excavated burial (No. 1423) of a priest, as identified through the associated chalice and paten dating to the medieval period, was observed to exhibit osseous changes commensurate with those of an untreated slipped proximal femoral epiphysis. Secondary osseous changes were noted that may indicate habitual positional behaviour subsequent to the injury.

Differential Diagnosis of Limb Length Discrepancy in a 19th Century Burial from Southwest Mississippi

“…Knüsel et al . () found that skeletal changes related to crutch use were most notable in the radius. In particular, the authors point out that expanded distal articular facets and increased development of the dorsal tubercles and extensor grooves were present on the crutch side.…”

A foot deformity from a Romano‐British cemetery at Gloucester, England, and the current evidence for talipes in palaeopathology

“…It is suggested that the man kept the affected limb extended and externally rotated while placing weight on the unaffected side. What is not apparent are the bone changes indicative of the possible use of a crutch to aid mobility such as an increase in robusticity of the upper limb bones of the affected side (Knü sel et al, 1992). In this case, observation of the humeri (Figure 4 and Table 1) indicates that the left is shorter and more slender than the right.…”

Evidence for Remedial Medical Treatment of a Severe Knee Injury from the Fishergate Gilbertine Monastery in the City of York

“…Kelley (1982) has argued that osteochondrosis results from physical stresses experienced in the second or third decade of life, although the other degenerative changes may be agerelated and activity-or posture-related phenomena. These vertebrae also demonstrate scoliosis to the left side, which is an alteration previously noted in skeletonized individuals with right lower limb pathologies affecting gait (Knüsel, Chundun & Cardwell, 1992;Knüsel & Göggel, 1993). The lumbar vertebrae are similarly affected by degenerative changes, notably anterior osteophytic lipping of L3 and L4 and lytic pitting of the superior surface of the body of L5, which is accompanied by scoliosis to the right side (Knüsel, Chundun & Cardwell, 1992;Knüsel & Göggel, 1993).…”