Brachymetacarpia, a form of brachydactyly, is one of the so-called rare diseases because of its low prevalence. Although it is a well-known malformation today, which occasionally requires surgical correction, it is not, or hardly, reported in the palaeopathological literature. The case presented here includes an individual exhumed from the Mudejar cemetery in Uceda (Guadalajara, Spain) dated between the 13th and 14th centuries. It was in an acceptable state of preservation, except for the skull, missing except for the mandible. Its sex was determined as female and the age as a young adult. On examining the hands, the short length of both the 4th and 5th metacarpals and the shortening of the distal phalanx of one of the thumbs were noteworthy. No anomaly was observed in the bones of the feet, which were only partially recovered. Due to the characteristics of the shortening and bones affected, it was considered that the case probably corresponded to type E of brachydactyly in the Bell and Temtamy classifications and to subtype E2 in the Hertzog classification. No data were found in the bones or teeth, suggesting their inclusion in any of the multiple clinical syndromes with this abnormality.

中文翻译：

---

一例来自西班牙穆德哈尔公墓（公元 13 至 14 世纪）的骨架中的短掌骨

Brachymetacarpia 是一种短指症，由于其患病率低，因此是所谓的罕见疾病之一。虽然它是今天众所周知的畸形，偶尔需要手术矫正，但在古病理学文献中没有或几乎没有报道。这里介绍的案例包括从乌塞达（西班牙瓜达拉哈拉）的穆德哈尔公墓挖掘出的一个 13 世纪至 14 世纪之间的人。除了头骨外，它处于可以接受的保存状态，下颌骨除外。它的性别被确定为女性，年龄为青年。在检查手时，第 4 和第 5 掌骨的长度都很短，其中一个拇指的远节指骨缩短是值得注意的。足部骨骼未发现异常，仅部分恢复。由于缩短和受影响骨骼的特征，认为该病例可能对应于 Bell 和 Temtamy 分类中的短指 E 型和 Hertzog 分类中的 E2 亚型。在骨骼或牙齿中没有发现数据，表明它们包含在具有这种异常的多种临床综合征中的任何一种中。