Mant Madeleine
Memorial University of Newfoundland, Department of Archaeology, Queen's College, 210 Prince Philip Drive, St. John's NL A1B 3R6, Canada; McMaster University, Department of Anthropology, Chester New Hall, 1280 Main Street West, Hamilton, ON L8S 4L8, Canada.
Int J Paleopathol. 2019 Mar;24:7-18. doi: 10.1016/j.ijpp.2018.08.003. Epub 2018 Sep 20.
Investigating injury recidivism and individuals with multiple injuries is an area of growing interest in bioarchaeology. Differentiating between whether an individual sustained multiple injuries, represented by antemortem healed fractures, in one incident or in multiple incidents over the life course, is a major challenge. This research analyzed the skeletal remains of 721 adults (402 males, 319 females) from five post-medieval cemeteries from London, UK, known to include working class individuals for evidence of skeletal trauma - fractures, myositis ossificans, subluxations/dislocations, blunt force trauma, and sharp force trauma. A total of 164 individuals had more than two fractures; males were significantly more likely to have multiple (2+) fractures than females. An investigation of fracture recidivism incorporating a relative timeline of fracture events was possible because 14 individuals (12 males, two females) were identified as injury recidivists, meaning they had a combination of antemortem healed, antemortem healing, and/or perimortem fractures. This paper examines the distribution and relative timing of these fractures, incorporating contemporary clinical as well as social and historical context, noting that the majority of the fractures were likely to be caused by accidental mechanisms.
研究损伤累犯和多处受伤个体是生物考古学中一个日益受关注的领域。区分个体的多处损伤（以生前愈合骨折为代表）是发生在一次事件中还是在生命历程中的多次事件中，是一项重大挑战。本研究分析了来自英国伦敦五个中世纪后墓地的721名成年人（402名男性，319名女性）的骨骼遗骸，已知这些墓地中有工人阶级个体，以寻找骨骼创伤的证据——骨折、骨化性肌炎、半脱位/脱位、钝器伤和锐器伤。共有164人有两处以上骨折；男性比女性更有可能出现多处（2处及以上）骨折。由于有14人（12名男性，2名女性）被确定为损伤累犯，即他们同时存在生前愈合、生前正在愈合和/或濒死期骨折，因此有可能对骨折累犯情况进行调查，并纳入骨折事件的相对时间线。本文结合当代临床以及社会和历史背景，研究了这些骨折的分布和相对时间，指出大多数骨折可能是由意外机制造成的。
