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1981OrtnerDJ_PutscharWGJ

 

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[i] Annotation

Fragment from the book: Ortner DJ, Putschar WGJ. Identification of Pathological Conditions in Human Skeletal Remains (1981). The authors describe signs of ligamentum capitis femoris (LCF) pathology in the remains of a Bronze Age individual, possibly resulting from recurrent hip subluxation. The text in Russian is available at the following link: 1981OrtnerDJ_PutscharWGJ.


Quote pp. 360-361 

An adult male skeleton from tomb A100E at the Early Bronze Age [c. 3500–2000 BCE] cemetery of Bab edh-Dhra in Jordan has an abnormally shallow acetabulum of the right hip. This is the same skeleton that had a separate neural arch. The acetabulum is also much larger in diameter than the corresponding acetabulum of the left innominate (Figure 577). There is a moderate amount of arthritic lipping on the margin of the abnormal acetabulum, but there is no secondary joint. The clearest evidence of dislocation is seen on the head of the right femur (Figure 578). The head itself is enlarged with two obvious defects on the inferior surface. The most anterior of these defects is a shallow curved depression about 1 centimeter wide by 2 centimeters long. The margins are sharply defined and the base of the lesion is porous but well remodeled. The posterior defect is a narrow deep groove beginning with the pit for the ligamentum teres and continuing posteriorly through the boundary of the joint surface.

The curvature of the anterior defect corresponds to the curvature of the anterior margin of the acetabulum. There is little doubt that chronic and abnormal abrasion of the femoral head during repeated episodes of partial, anterosuperior subluxation produced this defect. The posterior defect is due to abnormal pressure on the joint surface by the ligamentum teres perhaps during dislocation. Another possibility is that part of an abnormally elongated ligamentum teres might have lain across the joint surface when the head was in the normal anatomical position. In view of the lack of a secondary joint and any evidence of fracture, congenital dislocation would appear to be the most appropriate diagnosis. 



FIGURES 577, 578. - Chronic subluxation of the right hip, perhaps of congenital origin, in a skeleton from the Early Bronze Age site of Bab edh-Dhra, Jordan: 577, Comparative views of the right (left portion of photograph) and left acetabula showing the shallow and enlarged diameter of the right. 578, Bony components of the right hip; note the grooves from pressure erosion on the femoral head. (NMNH uncataloged, from tomb A100E.) 


Ortner DJ, Putschar WGJ. Identification of Pathological Conditions in Human Skeletal Remains. Washington: Smithsonian Institution Press, 1981. repository.si.edu


The work is cited in the following publications: 


Ortner Donald J. (1938-2012) was a biological anthropologist in the Department of Anthropology at the Smithsonian National Museum of Natural History. sova.si.edu 

Putschar Walter G.J. (1904–1987) was a pathologist, on the staff of the Department of Pathology of Massachusetts General Hospital. massgeneral.org


ligamentum capitis femoris, ligamentum teres, ligament of head of femur, pathology, dislocation, arthrosis, osteoarthritis, paleontology


NB! Fair practice / use: copied for the purposes of criticism, review, comment, research and private study in accordance with Copyright Laws of the US: 17 U.S.C. §107; Copyright Law of the EU: Dir. 2001/29/EC, art.5/3a,d; Copyright Law of the RU: ГК РФ ст.1274/1.1-2,7

                                                                   

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