Differential diagnosis of a fused wrist with a partially destroyed capitate from Kazakhstan (1st-3rd century AD).

Abstract:

:We discuss here the differential diagnosis of carpal ankylosis along with the second and third metacarpals of the right hand in an adult male skeleton buried in a kurgan from Mayemer, Kazakhstan (86-242 AD, 95.4% cal.). Our assessment was conducted via macroscopic analysis as well as with the use of radiographic methods. Several groups of pathologies were considered: congenital diseases, inflammatory and infectious diseases, and trauma. Differential diagnosis was challenging due to the very poor preservation of the skeleton, and while several diseases are possible (e.g., rheumatoid arthritis, spondylarthropathy), we think the fusion is most likely of traumatic origin. Evidence for trauma was found, suggesting a scaphocapitate fracture syndrome, followed by ankylosis.

journal_name

Int J Paleopathol

authors

Schwarz L,Gresky J

doi

10.1016/j.ijpp.2015.11.004

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

46-52

eissn

1879-9817

issn

1879-9825

pii

S1879-9817(15)30024-3

journal_volume

12

pub_type

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