Physical disability in Late Antiquity Milan: slipped capital femoral epiphysis with severe secondary joint disease in the Basilica of San Dionigi
The paper presents the skeletal remains of an adult male of 30–40 years with bone lesions and deformity on the left hip, recovered during the archaeological excavation below the former Basilica of San Dionigi, dated to Late Antiquity (3rd – 5th century AD) Milan. Biological profile and paleopatholog...
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| Format: | Article |
| Language: | English |
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Schweizerbart Science Publishers
2022-10-01
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| Series: | Homo |
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| Online Access: | http://dx.doi.org/10.1127/homo/2022/1553 |
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| author | Lucie Biehler-Gomez Mirko Mattia Elisabetta Piccolo Emanuela Maderna Anna Maria Fedeli Carmelo Messina Fabrizio Slavazzi Cristina Cattaneo |
| author_facet | Lucie Biehler-Gomez Mirko Mattia Elisabetta Piccolo Emanuela Maderna Anna Maria Fedeli Carmelo Messina Fabrizio Slavazzi Cristina Cattaneo |
| author_sort | Lucie Biehler-Gomez |
| collection | DOAJ |
| description | The paper presents the skeletal remains of an adult male of 30–40 years with bone lesions and deformity on the left hip, recovered during the archaeological excavation below the former Basilica of San Dionigi, dated to Late Antiquity (3rd – 5th century AD) Milan. Biological profile and paleopathological analysis were performed following standard references and the bones underwent radiological examination. Differential diagnosis included congenital anomaly, active rickets, infectious diseases, femoral neck trauma, Legg-Carvé-Perthes disease, Slipped Capital Femoral Epiphysis (SFCE), osteogenesis imperfecta and osteoporosis. While the lesions were highly consistent with Legg-Calvé-Perthes disease, they were typical of SFCE, complicated by an avascular necrosis and secondary osteoarthrosis. The alteration of the femoral head led to a 7.8% leg-length discrepancy, causing gait alteration with partial compensation though increased muscular activity on the right leg, reduced mobility of the joint and potentially hip pain, difficulty in walking and running and even limping. This paper explores a case of physical disability from the Roman era found near a Christian place of worship and represents a rare case of SFCE in the paleopathological record. |
| format | Article |
| id | doaj-art-2df24fbe24b84ebe9049bdc2d9989040 |
| institution | Kabale University |
| issn | 1618-1301 |
| language | English |
| publishDate | 2022-10-01 |
| publisher | Schweizerbart Science Publishers |
| record_format | Article |
| series | Homo |
| spelling | doaj-art-2df24fbe24b84ebe9049bdc2d99890402025-02-03T10:07:03ZengSchweizerbart Science PublishersHomo1618-13012022-10-01731616710.1127/homo/2022/1553102061Physical disability in Late Antiquity Milan: slipped capital femoral epiphysis with severe secondary joint disease in the Basilica of San DionigiLucie Biehler-GomezMirko MattiaElisabetta PiccoloEmanuela MadernaAnna Maria FedeliCarmelo MessinaFabrizio SlavazziCristina CattaneoThe paper presents the skeletal remains of an adult male of 30–40 years with bone lesions and deformity on the left hip, recovered during the archaeological excavation below the former Basilica of San Dionigi, dated to Late Antiquity (3rd – 5th century AD) Milan. Biological profile and paleopathological analysis were performed following standard references and the bones underwent radiological examination. Differential diagnosis included congenital anomaly, active rickets, infectious diseases, femoral neck trauma, Legg-Carvé-Perthes disease, Slipped Capital Femoral Epiphysis (SFCE), osteogenesis imperfecta and osteoporosis. While the lesions were highly consistent with Legg-Calvé-Perthes disease, they were typical of SFCE, complicated by an avascular necrosis and secondary osteoarthrosis. The alteration of the femoral head led to a 7.8% leg-length discrepancy, causing gait alteration with partial compensation though increased muscular activity on the right leg, reduced mobility of the joint and potentially hip pain, difficulty in walking and running and even limping. This paper explores a case of physical disability from the Roman era found near a Christian place of worship and represents a rare case of SFCE in the paleopathological record.http://dx.doi.org/10.1127/homo/2022/1553slipped capital femoral epiphysiscrippleosteonecrosislate antiquityphysical disabilityroman era |
| spellingShingle | Lucie Biehler-Gomez Mirko Mattia Elisabetta Piccolo Emanuela Maderna Anna Maria Fedeli Carmelo Messina Fabrizio Slavazzi Cristina Cattaneo Physical disability in Late Antiquity Milan: slipped capital femoral epiphysis with severe secondary joint disease in the Basilica of San Dionigi Homo slipped capital femoral epiphysis cripple osteonecrosis late antiquity physical disability roman era |
| title | Physical disability in Late Antiquity Milan: slipped capital femoral epiphysis with severe secondary joint disease in the Basilica of San Dionigi |
| title_full | Physical disability in Late Antiquity Milan: slipped capital femoral epiphysis with severe secondary joint disease in the Basilica of San Dionigi |
| title_fullStr | Physical disability in Late Antiquity Milan: slipped capital femoral epiphysis with severe secondary joint disease in the Basilica of San Dionigi |
| title_full_unstemmed | Physical disability in Late Antiquity Milan: slipped capital femoral epiphysis with severe secondary joint disease in the Basilica of San Dionigi |
| title_short | Physical disability in Late Antiquity Milan: slipped capital femoral epiphysis with severe secondary joint disease in the Basilica of San Dionigi |
| title_sort | physical disability in late antiquity milan slipped capital femoral epiphysis with severe secondary joint disease in the basilica of san dionigi |
| topic | slipped capital femoral epiphysis cripple osteonecrosis late antiquity physical disability roman era |
| url | http://dx.doi.org/10.1127/homo/2022/1553 |
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