Mant Madeleine, de la Cova Carlina, Ives Rachel, Brickley Megan B
Memorial University, Department of Archaeology, St. John's, Newfoundland and Labrador, A1B 3R6, Canada; McMaster University, Department of Anthropology, Hamilton, Ontario, L8S 4L9, Canada.
University of South Carolina, Department of Anthropology, Columbia, South Carolina, 29208, USA.
Int J Paleopathol. 2019 Dec;27:56-65. doi: 10.1016/j.ijpp.2019.09.002. Epub 2019 Oct 4.
Unhealed hip fractures are underrepresented in the archaeological record, suggesting that better identification criteria are required. This paper evaluates whether a sample of documented perimortem hip fractures displayed classic perimortem features and which features may facilitate better identification of such fractures in the archaeological record.
Ten individuals from the Robert J. Terry Anatomical Skeletal Collection with documented hip fractures and intervals of survival.
We observed the skeletal remains macroscopically and with a Keyence VHX-2000 digital microscope at a range of 5x to 100x magnification.
90% of the individuals and 64% of the fragments had identifiable perimortem features; hinging was the most consistent feature. Eburnation was found in two individuals who died 13 days after sustaining a hip fracture.
This study underscores the importance of examining fracture margins for evidence of hinging. Eburnation may be added to the list of potential perimortem fracture identification criteria.
Identifying perimortem trauma unequivocally remains challenging. Using collections with documented perimortem fractures aids in determining which criteria are most likely to appear in archaeological human bone.
The fracture location patterning (70% intertrochanteric) may be the result of sample selection.
Further intensive comparative investigation with the Hamann-Todd Collection would elucidate patterns further.
未愈合的髋部骨折在考古记录中未得到充分体现，这表明需要更好的识别标准。本文评估了一组有记录的濒死期髋部骨折样本是否呈现出典型的濒死期特征，以及哪些特征可能有助于在考古记录中更好地识别此类骨折。
来自罗伯特·J·特里解剖骨骼收藏馆的10名个体，有髋部骨折及存活间隔的记录。
我们通过肉眼及使用基恩士VHX - 2000数码显微镜在5倍至100倍的放大范围内对骨骼遗骸进行观察。
90%的个体和64%的骨折碎片具有可识别的濒死期特征；铰链样改变是最一致的特征。在两名髋部骨折后13天死亡的个体中发现了骨质象牙化。
本研究强调了检查骨折边缘以寻找铰链样改变证据的重要性。骨质象牙化可能会被添加到潜在的濒死期骨折识别标准列表中。
明确识别濒死期创伤仍然具有挑战性。使用有濒死期骨折记录的藏品有助于确定哪些标准最有可能出现在考古出土的人类骨骼中。
骨折位置模式（70%为转子间骨折）可能是样本选择的结果。
与哈曼 - 托德收藏馆进行进一步深入的比较研究将进一步阐明相关模式。
