A humerus varus deformity in a eneolithic grave from Gumelnița (Călărași County, Romania)

Mihaela Culea, Adina Boroneanț
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Abstract

A case of right unilateral humerus varus deformity (HVD) was observed on the skeleton of an adult male individual uncovered on the eastern terrace of the Măgura Gumelnița, Călărași County, Romania. Skeleton M2/1962 was found crouched on the left side, the upper part of the body facing down. It was attributed to the Gumelnița culture (4600/4500 – 3800/3700 BC). Age at death was estimated to 30-32 years. The skeleton was subsequently restored in the Laboratory of Paleoanthropology, Institute of Anthropology Fr. I. Rainer, Bucharest in the 1960s, but no anthropological information was ever published and is still in the possession of the Institute. The affected humerus shows a bulky proximal epiphysis and an angulated diaphysis. No signs of fracture are present. The rest of the skeleton has a normal appearance. The proposed differential diagnoses for humerus varus are thalassemia, mucopolysaccharidosis, infection and birth trauma. Individuals with HVD have a functional limitation of the affected limb as shown by clinical data. The rate of morbidity caused by this deformity is low. This is the only reported case from the Romanian Eneolithic and brings a substantial contribution to the study of HVD in skeletons from archaeological contexts.
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出土于Gumelnița (Călărași县,罗马尼亚)的新石器时代墓葬中的肱骨内翻畸形
一例右侧单侧肱骨内翻畸形(HVD)在罗马尼亚Călărași县m古拉(Gumelnița)东部露台发现的一具成年男性骨骼上被发现。发现的M2/1962骨架蜷伏在左侧,身体上半部分朝下。它被归因于Gumelnița文化(公元前4600/4500 -公元前3800/3700)。死亡年龄估计为30-32岁。随后,这具骨架于20世纪60年代在布加勒斯特I. Rainer人类学研究所古人类实验室得到修复,但从未发表过任何人类学信息,至今仍为该研究所所有。受累肱骨近端骨骺肿大,骨干呈角状。没有骨折的迹象。骨骼的其余部分外观正常。肱骨内翻的鉴别诊断建议是地中海贫血、粘多糖病、感染和出生创伤。临床资料显示,HVD患者受影响肢体的功能受限。这种畸形引起的发病率很低。这是罗马尼亚新石器时代唯一报道的病例,为考古背景下骨骼HVD的研究做出了重大贡献。
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