Herniation Pits in Human Mummies: A CT Investigation in the Capuchin Catacombs of Palermo, Sicily
Identifieur interne : 000458 ( Main/Exploration ); précédent : 000457; suivant : 000459Herniation Pits in Human Mummies: A CT Investigation in the Capuchin Catacombs of Palermo, Sicily
Auteurs : Stephanie Panzer [Allemagne] ; Dario Piombino-Mascali [Italie] ; Albert R. Zink [Italie]Source :
- PLoS ONE [ 1932-6203 ] ; 2012.
English descriptors
- KwdEn :
- MESH :
- diagnostic imaging : Femur Neck, Mummies, Osteoarthritis.
- methods : Paleopathology.
- Humans, Sicily, Tomography, X-Ray Computed.
Abstract
Herniation pits (HPs) of the femoral neck were first described in a radiological publication in 1982 as round to oval radiolucencies in the proximal superior quadrant of the femoral neck on anteroposterior radiographs of adults. In following early clinical publications, HPs were generally recognized as an incidental finding. In contrast, in current clinical literature they are mentioned in the context of femoroacetabular impingement (FAI) of the hip joint, which is known to cause osteoarthritis (OA). The significance of HPs in chronic skeletal disorders such as OA is still unclear, but they are discussed as a possible radiological indicator for FAI in a large part of clinical studies.
In this paleoradiological study we examined a sample of mummies from the Capuchin Catacombs of Palermo, Sicily, by a mobile computed tomography (CT) scanner. Evaluation of the CT examinations revealed HPs in six out of 16 (37.5%) adult male mummies.
The first aim of this study was to compare the characteristics of HPs shown in our mummy collection to the findings described in clinical literature. Thereby CT evaluation revealed that their osseous imaging characteristics are in accordance, consisting of round to oval subcortical lesions at the anterior femoral neck, clearly demarcated by a sclerotic margin.
The second aim was to introduce HPs to the paleoradiological and paleopathological methodology as an entity that underwent a renaissance from an incidental finding to a possible radiological indicator of FAI in the clinical situation. As FAI plays an important role in the development of OA of the hip, which is a very common finding in human skeletal remains, HPs should always be considered in paleoradiological evaluation of hip joint diseases.
Url:
DOI: 10.1371/journal.pone.0036537
PubMed: 22567164
PubMed Central: 3342258
Affiliations:
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Zink</name><affiliation wicri:level="1"><nlm:aff id="aff2"><addr-line>EURAC - Institute for Mummies and the Iceman, Bolzano, Italy</addr-line></nlm:aff><country xml:lang="fr">Italie</country><wicri:regionArea>EURAC - Institute for Mummies and the Iceman, Bolzano</wicri:regionArea><wicri:noRegion>Bolzano</wicri:noRegion></affiliation></author></analytic><series><title level="j">PLoS ONE</title><idno type="eISSN">1932-6203</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Femur Neck (diagnostic imaging)</term><term>Humans</term><term>Mummies (diagnostic imaging)</term><term>Osteoarthritis (diagnostic imaging)</term><term>Paleopathology (methods)</term><term>Sicily</term><term>Tomography, X-Ray Computed</term></keywords><keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Femur Neck</term><term>Mummies</term><term>Osteoarthritis</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Paleopathology</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Sicily</term><term>Tomography, X-Ray Computed</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Herniation pits (HPs) of the femoral neck were first described in a radiological publication in 1982 as round to oval radiolucencies in the proximal superior quadrant of the femoral neck on anteroposterior radiographs of adults. In following early clinical publications, HPs were generally recognized as an incidental finding. In contrast, in current clinical literature they are mentioned in the context of femoroacetabular impingement (FAI) of the hip joint, which is known to cause osteoarthritis (OA). The significance of HPs in chronic skeletal disorders such as OA is still unclear, but they are discussed as a possible radiological indicator for FAI in a large part of clinical studies.</p><p>In this paleoradiological study we examined a sample of mummies from the Capuchin Catacombs of Palermo, Sicily, by a mobile computed tomography (CT) scanner. Evaluation of the CT examinations revealed HPs in six out of 16 (37.5%) adult male mummies.</p><p>The first aim of this study was to compare the characteristics of HPs shown in our mummy collection to the findings described in clinical literature. Thereby CT evaluation revealed that their osseous imaging characteristics are in accordance, consisting of round to oval subcortical lesions at the anterior femoral neck, clearly demarcated by a sclerotic margin.</p><p>The second aim was to introduce HPs to the paleoradiological and paleopathological methodology as an entity that underwent a renaissance from an incidental finding to a possible radiological indicator of FAI in the clinical situation. As FAI plays an important role in the development of OA of the hip, which is a very common finding in human skeletal remains, HPs should always be considered in paleoradiological evaluation of hip joint diseases.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Roberts, C" uniqKey="Roberts C">C Roberts</name></author><author><name sortKey="Manchester, K" uniqKey="Manchester K">K Manchester</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Aufderheide, Ac" uniqKey="Aufderheide A">AC Aufderheide</name></author><author><name sortKey="Rodriguez Martin, C" uniqKey="Rodriguez Martin C">C Rodríguez Martín</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ortner, Dj" uniqKey="Ortner D">DJ Ortner</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Konig, W" uniqKey="Konig W">W 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Malara</name></author><author><name sortKey="Young, D" uniqKey="Young D">D Young</name></author><author><name sortKey="O Donell, J" uniqKey="O Donell J">J O'Donell</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Steinbock, Rt" uniqKey="Steinbock R">RT Steinbock</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Murray, Ro" uniqKey="Murray R">RO Murray</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stulberg, Sd" uniqKey="Stulberg S">SD Stulberg</name></author><author><name sortKey="Cordell, Ld" uniqKey="Cordell L">LD Cordell</name></author><author><name sortKey="Harris, Wh" uniqKey="Harris W">WH Harris</name></author><author><name sortKey="Ramsey, Pl" uniqKey="Ramsey P">PL Ramsey</name></author><author><name sortKey="Macewen, Gd" uniqKey="Macewen G">GD MacEwen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Leunig, M" uniqKey="Leunig M">M 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uniqKey="Kavanagh E">EC Kavanagh</name></author><author><name sortKey="Read, P" uniqKey="Read P">P Read</name></author><author><name sortKey="Carty, F" uniqKey="Carty F">F Carty</name></author><author><name sortKey="Zoga, Ac" uniqKey="Zoga A">AC Zoga</name></author><author><name sortKey="Parvizi, J" uniqKey="Parvizi J">J Parvizi</name></author><author><name sortKey="Morrison, Wb" uniqKey="Morrison W">WB Morrison</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Pfirrmann, Cw" uniqKey="Pfirrmann C">CW Pfirrmann</name></author><author><name sortKey="Mengiardi, B" uniqKey="Mengiardi B">B Mengiardi</name></author><author><name sortKey="Dora, C" uniqKey="Dora C">C Dora</name></author><author><name sortKey="Kalberer, F" uniqKey="Kalberer F">F Kalberer</name></author><author><name sortKey="Zanetti, M" uniqKey="Zanetti M">M Zanetti</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wells, C" uniqKey="Wells C">C Wells</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jurmain, R" uniqKey="Jurmain R">R Jurmain</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jurmain, R" uniqKey="Jurmain R">R Jurmain</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Waldron, T" uniqKey="Waldron T">T Waldron</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Harris, Wh" uniqKey="Harris W">WH Harris</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Beall, Dp" uniqKey="Beall D">DP Beall</name></author><author><name sortKey="Sweet, Cf" uniqKey="Sweet C">CF Sweet</name></author><author><name sortKey="Martin, Hd" uniqKey="Martin H">HD Martin</name></author><author><name sortKey="Lastine, Cl" uniqKey="Lastine C">CL Lastine</name></author><author><name sortKey="Grayson, De" uniqKey="Grayson D">DE Grayson</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Allemagne</li><li>Italie</li></country></list><tree><country name="Allemagne"><noRegion><name sortKey="Panzer, Stephanie" sort="Panzer, Stephanie" uniqKey="Panzer S" first="Stephanie" last="Panzer">Stephanie Panzer</name></noRegion></country><country name="Italie"><noRegion><name sortKey="Piombino Mascali, Dario" sort="Piombino Mascali, Dario" uniqKey="Piombino Mascali D" first="Dario" last="Piombino-Mascali">Dario Piombino-Mascali</name></noRegion><name sortKey="Zink, Albert R" sort="Zink, Albert R" uniqKey="Zink A" first="Albert R." last="Zink">Albert R. 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