A case of bilateral humerus varus from the late antiquity Catacomb of Santa Mustiola (Chiusi, Italy)

IF 1.3 3区 地球科学 Q3 PALEONTOLOGY International Journal of Paleopathology Pub Date : 2022-12-01 DOI:10.1016/j.ijpp.2022.08.001
Alessandra Sperduti , Matteo Braconi , Claudio Di Biasi , Giulia Facchin , Giovanna Ferri , Stella Interlando , Ferdinando Spanò , Francesca Candilio
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Abstract

Objective

To report a case of bilateral humerus varus from a late antiquity archeological context in central Italy.

Materials

The individual is a 25–40-year-old female, dated to the 4th cent. CE, from the catacomb of Santa Mustiola in Chiusi, Italy.

Methods

The bones were examined macroscopically and through CT scan imaging.

Results

Both humeri show evident alterations in shape, including elongated, flattened and distally dislocated humeral heads, shortened anatomical necks, angulated upper diaphyseal shafts, and reduced overall lengths. The scapulae appear to have been mildly affected by this condition and show some bone loss and slight retroversion of the glenoid cavity.

Conclusions

Observations are consistent with a diagnosis of humerus varus deformity likely caused by a traumatic event early in the individual's life.

Significance

Varus deformity of the proximal humerus is seldom reported in bioarcheological literature. The case presented provides insight into the etiology and effects of this condition and may serve as comparison for future studies.

Limitations

Even though the absence of other skeletal deformities renders a systemic condition improbable, the traumatic etiology of the condition cannot be confirmed with certainty.

Suggestions for further research

Future publications of new cases may give a broader perspective of the etiology of this condition in the past.

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意大利古晚期圣穆斯蒂奥拉地下墓穴双侧肱骨内翻一例
目的报道意大利中部古代考古发现的一例双侧肱骨内翻。这具尸体是一名25 - 40岁的女性,年代为公元4世纪,出土于意大利Chiusi的Santa Mustiola地下墓穴。方法对骨进行宏观检查和CT扫描成像。结果两组肱骨均表现出明显的形状改变,包括肱骨头拉长、扁平和远端脱位,解剖颈缩短,骨干骨干上轴成角,总长度减少。肩胛骨似乎受到这种情况的轻微影响,表现出一些骨质流失和轻微的关节盂后移。结论观察结果与肱骨内翻畸形的诊断一致,该畸形可能是由个体生命早期的创伤事件引起的。生物考古文献很少报道肱骨近端外翻畸形。所提出的病例提供了对这种情况的病因和影响的见解,并可作为未来研究的比较。限制:虽然没有其他骨骼畸形使得系统性疾病不太可能发生,但这种疾病的创伤病因不能确定。对进一步研究的建议未来新病例的发表可能会给过去这种情况的病因学提供更广阔的视角。
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来源期刊
CiteScore
2.90
自引率
25.00%
发文量
43
期刊介绍: Paleopathology is the study and application of methods and techniques for investigating diseases and related conditions from skeletal and soft tissue remains. The International Journal of Paleopathology (IJPP) will publish original and significant articles on human and animal (including hominids) disease, based upon the study of physical remains, including osseous, dental, and preserved soft tissues at a range of methodological levels, from direct observation to molecular, chemical, histological and radiographic analysis. Discussion of ways in which these methods can be applied to the reconstruction of health, disease and life histories in the past is central to the discipline, so the journal would also encourage papers covering interpretive and theoretical issues, and those that place the study of disease at the centre of a bioarchaeological or biocultural approach. Papers dealing with historical evidence relating to disease in the past (rather than history of medicine) will also be published. The journal will also accept significant studies that applied previously developed techniques to new materials, setting the research in the context of current debates on past human and animal health.
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