生活在约旦晚期奥斯曼游牧社区的下肢创伤和膝盖以下截肢

IF 1.3 3区 地球科学 Q3 PALEONTOLOGY
Margaret A. Judd
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引用次数: 0

摘要

目的:将古病理学分析与民族历史、民族志和民族医学报告相结合,评估历史上一位游牧贝都因女性在膝盖以下截肢和残肢多处损伤后存活下来的社会文化影响。在约旦的Wadi ath-Thamad地区,一具游牧风格的墓葬中发现了一名中年女性,该墓葬可追溯到奥斯曼帝国晚期(1789-1918)。方法显微及影像学评价。结果右下肢出现股骨髁上(Hoffa)骨折、膝关节复合损伤及下肢截肢。其他可能影响运动的病理病变包括双侧肩峰肌、椎间盘疾病、骨关节炎和右钩骨钩骨骨折。结论:该患者膝盖以下截肢,残肢两次受伤,并可能经历过腰痛。移动可能会很痛苦,但她可能在社区中发挥作用,在家庭帐篷和指定的社区女性工作空间内执行特定性别的日常任务。民族历史和民族志报告表明,可能发生了其他妻子的婚姻降级或返回父亲的帐篷。意义:在古病理学文献中,多处损伤愈合和单肢截肢是罕见的。目前尚不清楚截肢或残肢损伤是否发生在同一事件中。如果它们是由不同的事件引起的,轻微的髋关节骨关节炎表明截肢先于其他损伤。对截肢患者进行全面的病理评估可能会对截肢后损伤的消退、健康问题和损伤提供更多的见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Living with lower limb traumas and below-knee amputation in a Jordanian Late Ottoman nomadic community

Objective

Paleopathological analysis is combined with ethnohistorical, ethnographic and ethnomedical reports to assess the sociocultural implications for a historical nomadic Bedouin female following her survival of a below-knee amputation and multiple injuries to the stump.

Materials

A middle-aged female recovered from a nomadic-style burial dated to the Late Ottoman Period (1789–1918) in Jordan’s Wadi ath-Thamad region.

Methods

Macroscopic and radiographic assessment.

Results

A supracondylar femur (Hoffa) fracture, knee complex injury and lower leg amputation were observed on the right lower limb. Other pathological lesions that may have affected movement included bilateral os acromiale, intervertebral disc disease, osteoarthritis and right hook of hamate fracture.

Conclusions

The individual survived a below-knee amputation, two injuries to the stump, and likely experienced lower back pain. Mobility may have been painful, but she likely functioned within the community performing gender-specific daily tasks within the family tent and designated community female workspaces. Ethnohistoric and ethnographic reports suggest that marital demotion by other wives or a return to her father’s tent may have occurred.

Significance

Healed multiple injuries and amputation affecting one limb are rare in paleopathological literature.

Limitations

It is uncertain whether the amputation or either of the stump injuries occurred during the same event. If they resulted from separate events, slight hip joint osteoarthritis suggests that the amputation preceded the other injuries.

Suggestions for further research

Full pathological assessment of individuals with amputations may provide additional insight into impairment resolution, health problems and injury arising from impairment following amputation.

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来源期刊
CiteScore
2.90
自引率
25.00%
发文量
43
期刊介绍: Paleopathology is the study and application of methods and techniques for investigating diseases and related conditions from skeletal and soft tissue remains. The International Journal of Paleopathology (IJPP) will publish original and significant articles on human and animal (including hominids) disease, based upon the study of physical remains, including osseous, dental, and preserved soft tissues at a range of methodological levels, from direct observation to molecular, chemical, histological and radiographic analysis. Discussion of ways in which these methods can be applied to the reconstruction of health, disease and life histories in the past is central to the discipline, so the journal would also encourage papers covering interpretive and theoretical issues, and those that place the study of disease at the centre of a bioarchaeological or biocultural approach. Papers dealing with historical evidence relating to disease in the past (rather than history of medicine) will also be published. The journal will also accept significant studies that applied previously developed techniques to new materials, setting the research in the context of current debates on past human and animal health.
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