对基底膜下旁的孔隙率和新骨形成的宏观评估:正常生长还是坏血病指标?

IF 1.3 3区 地球科学 Q3 PALEONTOLOGY International Journal of Paleopathology Pub Date : 2024-05-22 DOI:10.1016/j.ijpp.2024.05.001
Jack Eggington , Rebecca Pitt , Claire Hodson
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引用次数: 0

摘要

目的本研究旨在确定基底面下表面多孔和骨膜下新骨形成的病因。方法将基底动脉旁分为六个部分,记录坏血病和非坏血病患者基底动脉旁下表面的孔隙率(微孔和大孔)和骨膜下新骨形成情况。结果在所分析的六个切面中,有四个切面的微孔率在统计学上没有显著差异。非秃顶者和秃顶者的年龄与微孔之间存在明显的负相关。结论在对非成人骨骼遗骸(小于 3.5 年)进行坏血病宏观评估时,不应将基底动脉下旁的微孔视为一系列病变。意义本研究强调了在过去的人群中过度诊断坏血病的风险。局限性很难区分一岁以下个体骨骼中的生理性(正常)和病理性(异常)骨骼变化。
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A macroscopic assessment of porosity and new bone formation on the inferior pars basilaris: Normal growth or an indicator of scurvy?

Objectives

This research aims to determine the aetiology of porosity and subperiosteal new bone formation on the inferior surface of the pars basilaris.

Materials

A total of 199 non-adult individuals aged 36 weeks gestation to 3.5 years, from a total of 12 archaeological sites throughout the UK, including Iron Age (n=43), Roman (n=12), and post-medieval (n=145) sites, with a preserved pars basilaris.

Methods

The pars basilaris was divided into six segments, with porosity (micro and macro) and subperiosteal new bone formation recorded on the inferior surface in scorbutic and non-scorbutic individuals. Scurvy was diagnosed using criteria from the palaeopathological literature that was developed using a biological approach.

Results

There was no statistically significant difference in microporosity between scorbutic and non-scorbutic individuals in four out of the six segments analysed. There was a significant negative correlation between age and microporosity in non-scorbutic and scorbutic individuals. A significant difference in subperiosteal new bone formation was observed between scorbutic and non-scorbutic individuals.

Conclusions

Microporosity on the inferior pars basilaris should not be considered among the suite of lesions included in the macroscopic assessment of scurvy in non-adult skeletal remains (less than 3.5 years).

Significance

This study highlights the risk of over diagnosing scurvy in past populations.

Limitations

It is difficult to distinguish between physiological (normal) and pathological (abnormal) bone changes in the skeleton of individuals less than one year of age.

Suggestions for further research

Future research should focus on the analysis of individuals over 3.5 years of age.

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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
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