Thoracic trauma: Clinical and paleopathological perspectives

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.2022.09.003

Brianne Morgan , Karanvir Prakash , John C. Mayberry , Megan B. Brickley

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引用次数: 1

Abstract

Objectives

Although trauma is one of the most significant areas of study in paleopathology, most studies focus on fractures of single anatomical elements. Paleopathological research on regional trauma, such as of the thorax, is rare. This paper explores the causes, complications, and consequences of adult thoracic trauma using clinical data in order to inform paleopathological research.

Materials and methods

Trends in paleopathological thoracic trauma literature were assessed by evaluating publications from Bioarchaeology International, International Journal of Osteoarchaeology, International Journal of Paleopathology, and American Journal of Biological Anthropology. Clinical publications on thoracic trauma throughout time were also assessed through a PubMed search, and modern prevalence data was found through trauma databases such as the National Trauma Databank.

Results

Consideration of thoracic trauma involving concomitant injuries is a recent trend in clinical literature and patient care, but paleopathological research on thoracic trauma has been limited. Since thoracic fractures tend to occur in conjunction with other injuries, assessing them together is critical to the interpretation of trauma in the past.

Conclusions

Clinical research into thoracic fractures and concomitant injuries provides valuable data for paleopathological research. Evaluating the likelihood and consequences of concomitant injury in skeletal remains provides a more robust understanding of trauma in the past and its impact on past lifeways.

Significance

This paper provides a review of current clinical and paleopathological literature on thoracic trauma and demonstrates the importance of moving beyond the analysis of fractures or trauma of single anatomical elements.

Limitations

Thoracic bones are often taphonomically altered and differentially preserved leading to difficulty in identifying and interpreting fractures.

Suggestions for Further Research

Practical application of the data presented here to archaeological samples will help to advance paleopathological understandings of thoracic trauma.

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胸部创伤:临床和古病理学观点

虽然创伤是古病理学中最重要的研究领域之一，但大多数研究都集中在单一解剖元件的骨折上。区域性创伤的古病理学研究，如胸部，是罕见的。本文利用临床资料探讨成人胸外伤的原因、并发症和后果，以便为古病理学研究提供信息。材料与方法通过评价《国际生物考古学》、《国际骨考古学杂志》、《国际古病理学杂志》和《美国生物人类学杂志》的出版物，对古病理胸椎创伤文献的发展趋势进行评估。我们还通过PubMed检索对各时期关于胸部创伤的临床出版物进行了评估，并通过国家创伤数据库等创伤数据库找到了现代患病率数据。结果考虑胸外伤并发损伤是临床文献和患者护理的最新趋势，但关于胸外伤的古病理学研究有限。由于胸椎骨折往往与其他损伤同时发生，在过去，将它们一起评估对于解释创伤是至关重要的。结论胸椎骨折及伴发损伤的临床研究为古生物病理学研究提供了有价值的资料。评估骨骼遗骸中伴随损伤的可能性和后果，可以更有力地了解过去的创伤及其对过去生活方式的影响。本文回顾了当前关于胸部创伤的临床和古病理学文献，并论证了超越单一解剖因素的骨折或创伤分析的重要性。局限性胸椎骨常在地理上发生改变，且保存有差异，导致骨折的识别和解释困难。对进一步研究的建议本文提出的数据在考古样本中的实际应用将有助于推进对胸外伤的古病理学认识。

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来源期刊

International Journal of Paleopathology PALEONTOLOGY-PATHOLOGY

CiteScore

2.90

自引率

25.00%

发文量

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.