Two cases of pelvic trauma with survival in the necropolis of Qubbet el-Hawa (Egypt)

IF 1.3 3区 地球科学 Q3 PALEONTOLOGY International Journal of Paleopathology Pub Date : 2023-03-01 DOI:10.1016/j.ijpp.2022.12.002
Rosario Guimarey Duarte , Ángel Rubio Salvador , Inmaculada Alemán Aguilera , Miguel C. Botella López
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Abstract

Objective

To evaluate the presence of a trauma that results in pelvic ring disruption and its clinical implications in two individuals from ancient Egypt.

Materials

Two complete skeletons of adult women, dated to the Middle Kingdom (c. 1980–1760 BCE), from two tombs in the necropolis of Qubbet el-Hawa (Aswan, Egypt).

Methods

The anatomical elements were examined macroscopically in Egypt.

Results

Unilateral sacroiliac luxation with disruption of the pubic symphysis was detected in both individuals. The presence of an overlapped symphysis was evident in female QH34aa. A healed fracture of the iliopubic ramus are present in female QH122. Antemortem bone alterations in the pelvis demonstrate that they survived the trauma.

Conclusions

Pelvic trauma due to a lateral compression was detected in the os coxae. Both women survived but probably had severe sequelae that impaired their quality of life. At least one of them might have received some type of medical treatment.

Significance

Both cases shed light on pelvic fractures, their mechanisms of production, and their effects on bone and its functionality, as well as revealing possible associated lesions of soft tissues and vital organs.

Limitations

The pelvis, or at least the pubic symphysis, must be well preserved to allow the correct diagnosis of this type of lesion.

Suggestions for further research

Studies are warranted on the detection of this type of fracture, focusing on the subtle bone changes that indicate its presence. There is also a need to develop methodologies that combine the study of bone and soft tissue alterations.

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埃及Qubbet el-Hawa墓地盆腔创伤存活2例
目的评估两名古埃及个体中导致骨盆环破裂的创伤的存在及其临床意义。材料两具完整的成年女性骨骼,可追溯到中王国(约公元前1980–1760年),在埃及阿斯旺Qubbet el Hawa墓地的两座坟墓中。方法在埃及对解剖元素进行宏观检查。结果两人都检测到单侧骶髂关节脱位伴耻骨联合断裂。女性QH34a中存在明显的重叠联合。女性QH122的髂耻骨支骨折愈合。骨盆的尸检骨骼改变表明他们在创伤中幸存下来。结论髋关节外侧受压致骨盆损伤。两名女性都活了下来,但可能有严重的后遗症,影响了她们的生活质量。他们中至少有一人可能接受了某种类型的治疗。值得注意的是,这两个病例都阐明了骨盆骨折、其产生机制、对骨骼及其功能的影响,并揭示了软组织和重要器官可能的相关病变。限制骨盆,或者至少是耻骨联合,必须得到良好的保护,才能正确诊断这种类型的病变。对进一步研究的建议有必要对这种类型的骨折的检测进行研究,重点关注表明其存在的细微骨骼变化。还需要开发结合骨和软组织改变研究的方法。
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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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