Londres - Cementerios Medievales 1066 - 1547, Bermondsey Abbey, Additional Pathological Records
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juanLondres - Cementerios Medievales 1066 - 1547, Bermondsey Abbey, Additional Pathological Records
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juanSITE CODE BA84 Palaeopathology PBR 1
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Context 3607 Osteologist: Jelena Bekvalac Date: 22.05.06
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An older male with healed fracture of the right lower leg bones and
osteoarthritis of the right hand.
Healed fracture of the right tibia and fibula
A well-healed and aligned compact fracture at the distal end of the right tibia
and fibula. There was involvement of the intra articular surface with a
transverse ridge across the middle of the joint surface producing a stepped
appearance to the surface as a whole. (The anterior part of the tibial talocrual
surface was lower than the posterior). The callus was well remodelled, and
there was only slight overlap of the bone fragments, which was most evident
from the posterior surface of the tibia & fibula. There was ankylosis of the right
inferior tibiofibular joint no doubt in response to the trauma. From this
ankylosis the superior tibiofibular joint was not fused but the bones were fixed
into place. It would appear that each bone was acting as a splint for the other.
In response to the trauma and the change in the joint alignment between the
tibia and talus there was secondary osteoarthritis of the taolcrual joint surface.
Pitting, Grade 2 osteophytic lipping & a small area of eburnation were present
on the joint surface.
The talus superior articular surface had Grade 2 lipping and a small area of
eburnation. The joint surfaces for articulation with the calcaneus also had
Grade 2 lipping. On the medial aspect of the talus and calcaneus there was a
bony protuberance that on the calcaneus had formed a pseudo facet on the
inferior surface of the posterior calcaneal facet. The area of this change was
located in the region for the attachment of the extensor digitorum brevis.
The trauma to the lower right leg must have caused impediment to walking
and would subsequently have put stress on other areas of the body, hence
the changes seen in the right foot. It may also explain the marked osteophytic
lipping of the lumbar vertebrae and involvement of the anterior ligament on
the anterior body surface of the lumbar vertebrae. The vertebrae as a whole
were damaged post mortem but were lipped at the margins and also
appeared in the lower thoracic and lumbar to be slightly diminished in anterior
body height. Again this may have been a consequence of the trauma to the
lower leg and added strain and impingement upon locomotion.
Osteoarthritis of the right hand
Grade 1 osteophytic lipping of the right carpals and a small area of polished
eburnated bone on the articulating surfaces between the trapezoid and
scaphoid. There was no involvement of the metacarpals or phalanges other
than joint marginal Grade 1 osteophytic lipping.
Diffuse enthesopathies throughout the skeleton, particularly pronounced in the
legs.
Pathology Codes
congenital infection joints trauma metabolic endocrine neoplastic circulatory other
311 4210
