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Diagnosing tarsal coalition in medieval Exeter
International Journal of Paleopathology ( IF 1.2 ) Pub Date : 2020-01-05 , DOI: 10.1016/j.ijpp.2019.11.005
Malorie E Albee 1
Affiliation  

Objective

The objective of this study is to estimate the frequency and types of tarsal coalition represented in medieval remains from Exeter, England.

Materials

183 individuals from the Cathedral Green site in Exeter, England.

Methods

Gross macroscopic analysis combined with radiographic examination and comparison with clinical and archaeological literature.

Results

Eight coalitions of various forms were ultimately identified; these include five calcaneonavicular, one talocalcaneal, one calcaneocuboid, and one lateral cuneiform-third metatarsal coalition.

Conclusions

These frequencies are quite high for clinical imaging estimations, but consistent with other reported archaeological frequencies.

Significance

This study contributes to known frequencies of tarsal coalition in the past. It also provides descriptive diagnostic criteria for identifying tarsal coalition in archaeological populations.

Limitations

Poor preservation of some of the individuals in this sample means that the true frequencies of tarsal coalition may be underrepresented.

Suggestions for further research

This study should be expanded to include more archaeological sites, especially medieval British sites, to determine overall prevalence rates. Additionally, the diagnostic criteria should be compared with other examples of known tarsal coalition to further our understanding of this rare pathology.



中文翻译:

在中世纪埃克塞特地区诊断s骨联合

目的

这项研究的目的是估计英格兰埃克塞特的中世纪遗骸中所代表的tar联盟的频率和类型。

用料

来自英格兰埃克塞特大教堂绿色遗址的183个人。

方法

大体的宏观分析与射线照相检查相结合,并与临床和考古文献进行比较。

结果

最终确定了八个不同形式的联盟。这些包括五个钙弹性眼球,一个三角耳,一个跟骨骨和一个楔形第三外侧-骨联合。

结论

这些频率对于临床影像估计而言相当高,但与其他已报道的考古频率一致。

意义

这项研究有助于过去了解联合的频率。它还提供了描述性诊断标准,可用于识别考古种群中的族联盟。

局限性

该样本中某些个体的保存不佳意味着骨联合的真实频率可能不足。

进一步研究的建议

该研究应扩大到包括更多的考古遗址,尤其是中世纪的英国遗址,以确定总体患病率。此外,应将诊断标准与其他已知的联合组织的例子进行比较,以进一步了解这种罕见病理。

更新日期:2020-01-05
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