南非男性双侧髋关节发育不良:17 - 18世纪的个案研究

IF 1.3 3区 地球科学 Q3 PALEONTOLOGY International Journal of Paleopathology Pub Date : 2023-09-01 DOI:10.1016/j.ijpp.2023.07.002
Chelsey Voegt , Geney Gunston , Marc Nortje , Judith C. Sealy , Letian He , Petrus le Roux , Catherine Namayega , Victoria E. Gibbon
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引用次数: 0

摘要

目的识别,批判性分析和描述历史时期开普敦个体的严重双侧骨骼病理涉及髋骨。根据研究批准(HREC# 035/2021),对开普敦大学人类骨骼库中的一名个体进行了分析。方法建立骨谱,进行放射性碳定年和同位素分析。随后进行病理描述和情境残疾分析,以及鉴别诊断。骨盆和股骨在宏观和x线上可见。结果该个体为生活在公元17 - 18世纪的非欧洲中年男性。形态学改变显示髋关节发育不全,股骨头塌陷,髋臼新生。诊断为髋关节发育不良(DDH)。然后进行情境化残疾分析,包括考虑该病症的临床和功能影响。没有虐待、生理压力或持续感染的迹象。他的骨头很发达,说明他活动自如。结论:该患者早期出现DDH,并一直活到成年,其强壮健康的骨骼表明其具有弹性、一定的活动能力,并能通过较低的体力要求任务对社会做出贡献。对残障和文化上重要的健康调解提供更客观的解释和提高对过去人的理解的古病理分析的价值。它扩大了我们对全球和非洲DDH存在的理解,并提供了对双侧表达个体疾病影响的见解。对未来研究的建议需要进一步的语境研究。局限性:现场恢复阻碍了对病情的深入护理分析和解释。
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Bilateral hip dysplasia in a South African male: A case study from the 17–18th century

Objective

To identify, critically analyse and describe severe bilateral skeletal pathology involving the ossa coxae of an individual from historic era Cape Town.

Materials

A single individual from the University of Cape Town’s Human Skeletal Repository was analysed under research approval (HREC# 035/2021).

Methods

An osteobiography was constructed, radiocarbon dating and isotopic analyses were conducted. Pathological description and contextualised disability analyses followed, along with differential diagnosis. The pelvis and femora were visualised macroscopically and radiographically.

Results

This individual was a non-European middle-aged adult male who lived in the 17–18th centuries CE. Morphological changes showed hypoplastic hips with collapsed femoral heads and neoacetabulae. A diagnosis of developmental dysplasia of the hips (DDH) was made. Then a contextualised disability analysis including consideration of the clinical and functional impacts of the condition were applied. No signs of maltreatment, physiological stress or persistent infections were present. His bones were well developed, illustrating mobility and use.

Conclusions

He developed DDH early in life and lived through adulthood, and his strong, healthy bones suggest resilience, some mobility and contribution to society through less physically demanding tasks.

Significance

Value for palaepathological analyses to inform and understand disability and culturally significant health mediation to offer a more objective interpretation and improve understanding of past people. It expands our understanding of the presence of DDH globally and in Africa and provides insight into disease impact for individuals with bilateral expression.

Suggestions for future research

Further contextual research is required.

Limitations

Poor scene recovery hindered in-depth care analysis and interpretation of the condition.

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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.
期刊最新文献
Expanding the diagnostic scope of paleopathology: Identification of Q fever (Coxiella burnetii) using a One Paleopathology approach Rickets, resorption and revolution: An investigation into the relationship between vitamin D deficiency in childhood and osteoporosis in adulthood in an 18th-19th century population Characteristics of dental malocclusion in a 18th/19th century population from Radom (Poland) A severe case of bilateral humerus varus deformity from the Middle Bronze age necropolis of Olmo di Nogara, Northeast Italy. The contribution of biomechanical analysis to paleopathological study ABSTRACTS
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