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Osteochondritis Dissecans of skeletal elements of the foot in a 19th century rural farming community from The Netherlands.

Abstract：

:Osteochondritis Dissecans (OD) is a pathological condition of the subchondral bone and surrounding cartilage of synovial joints, associated with strenuous activity and/or trauma. Reports of OD in archaeological skeletal remains are few and the majority demonstrate low OD prevalence (<1%). A predominantly 19th century skeletal sample from Middenbeemster, the Netherlands, was assessed for OD. The sample included adult individuals of both sexes. There were no definitive OD lesions in non-pedal elements, yet 12.9% of individuals suffered from pedal OD. Few archaeological and clinical reports specify the prevalence of pedal OD. According to the few that do, the Middenbeemster pedal OD prevalence is distinctly high. Several factors could have contributed to this. First, the rural Beemster community was centered around cattle farming, requiring extensive outside work and animal maintenance; thus, increasing the chances of acute/repetitive trauma in the foot. Second, the footwear worn during that period in the Netherlands was the wooden clog. It is suggested that the hard and inflexible clog, which is poor at absorbing shock and limits the movement of the foot, could have resulted in repetitive microtrauma. These two factors combined may have caused a high frequency of OD.

journal_name

Int J Paleopathol

journal_title

International journal of paleopathology

authors

Vikatou I,Hoogland MLP,Waters-Rist AL

doi

10.1016/j.ijpp.2017.09.005

subject

Has Abstract

pub_date

2017-12-01 00:00:00

pages

53-63

eissn

1879-9817

issn

1879-9825

pii

S1879-9817(16)30123-1

journal_volume

19

pub_type

历史文章,杂志文章

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