Osteochondritis dissecans. First results for Holocene hunter-gatherer human remains from southern Patagonia
DOI:
https://doi.org/10.31048/1852.4826.v11.n1.18882Keywords:
joint pathologies, paleopathology, physical activity, hunter-gatherers, PatagoniaAbstract
Osteochondritis dissecans (OCD) is a pathology that affects the articular cartilage and the subchondral bone in the articular epiphyses of humans and other mammals. Although its etiology is multifactorial, its presence has been frequently attributed to repetitive microtrauma because of physical activity on the affected joints. This paper is a first step in the study of this pathology in human remains from Patagonia Austral, as it has not been systematically studied. The objective is to analyze the variability of the OCD in a sample of 26 hunter-gatherer adult individuals that lived in this region during the Middle-Late Holocene (ca. 5200-70 years BP) and its possible relationship with age, sex, diet, chronology and region of origin. The association between its expression and the patterns of physical activity developed in accordance with the economic practices, is discussed. The overall prevalence observed in this sample (42,3%), higher than that reported for current populations, suggests that physical activity would have played an important role in the development of OCD in at least part of the affected individuals.Downloads
References
Aichroth, P. 1971. Osteochondritis dissecans of the knee. Bone & Joint Journal 53(3): 440-447.
Anderson, T. 2000. A medieval Italian child with osteochondritis dissecans of the cuboid. The Foot 10(4): 216-218.
Anderson, T, 2001. An example of unhealed osteochondritis dissecans of the medial cuneiform. International Journal of Osteoarchaeology 11: 381-384.
Appleby, J., R. Thomas y J. Buikstra. 2015. Increasing confidence in paleopathological diagnosis. Application of the Istanbul terminological framework. International Journal of Paleopathology 8: 19-21.
Aufderheide, A. y C. Rodríguez-Martín. 1998. The Cambridge encyclopedia of human paleopathology. Cambridge University Press, Cambridge, Reino Unido.
Barberena, R. 2002. Los límites del mar. Sociedad Argentina de Antropología, Buenos Aires.
Barrie, H. J. 1987. Osteochondritis dissecans 1887-1987. A centennial look at König’s memorable phrase. Bone & Joint Journal 69(5): 693-695.
Berndt, A. y M. Harty. 1959. Transchondral fractures (Osteochondritis Dissecans) of the talus. The Journal of Bone and Joint Surgery. American Volume 41: 988-1020.
Borrero, L. 2001. El poblamiento de la Patagonia. Toldos, milodones y volcanes. Emecé, Buenos Aires.
Borrero, L. y R. Barberena. 2006. Hunter-gatherer home ranges and marine resources: An archaeological case from southern Patagonia. Current Anthropology 47(5): 855-867.
Borrero, L., R. Barberena, N. Franco, J. Charlin y R. Tykot. 2009. Isotopes and rocks: geographical organization of Southern Patagonian hunter-gatherers. International Journal of Osteoarchaeology 19: 309-327.
Bourbou, C. 2003. Health patterns of proto-Byzantine populations (6th-7th centuries AD) in south Greece: the cases of Eleutherna (Crete) and Messene (Peloponnese). International Journal of Osteoarchaeology 13(5): 303-313.
Brooks, S. y J. Suchey. 1990. Skeletal age determination based on the os pubis: a comparison of the Acsádi-Nemeskéri and Suchey-Brooks methods. Human Evolution 5(3): 227-238.
Brownlow, H., L. O’Connor-Read y M. Perko. 2006. Arthroscopic treatment of osteochondritis dissecans of the capitellum. Knee Surgery, Sports Traumatology, Arthroscopy 14(2): 198-202.
Bruzek, J. 2002. A method for visual determination of sex, using the human hip bone. American Journal of Physical Anthropology 117: 157-168.
Buikstra, J. y D. Ubelaker. 1994. Standards for data collection from human skeletal remains. Arkansas Archaeological Survey Research Series N°44. Arkansas, USA.
Bulgheroni, E., L. Mattioli y P. Bulgheroni. 2017. Evolution of Osteochondritis Dissecans of the lateral femoral condyle combined with discoid meniscus. Joints 5(2): 114-117.
Bullough, P. 2004. Orthopaedic pathology. Elsevier Health Sciences, Missouri, USA.
Cahill, B. 1995. Osteochondritis dissecans of the knee: treatment of juvenile and adult forms. Journal of the American Academy of Orthopaedic Surgeons 3(4): 237-247.
Capasso, L., K. Kennedy y C. Wilczak. 1998. Atlas of occupational markers on human remains. Journal of Paleontology. Monographic Publication 3. Edigrafital SPA, Terramo, Italia.
Carlson, C., D. Meuten y D. Richardson. 1991. Ischemic necrosis of cartilage in spontaneous and experimental lesions of osteochondrosis. Journal of Orthopaedic Research 9(3): 317-329.
Casali, R. 2011. Contacto interétnico en el Norte de Tierra del Fuego: la Misión Salesiana La Candelaria (Río Grande) y la salud de la población Selk’nam (1895-1931). Facultad de Humanidades, Universidad Nacional de Mar del Plata, Argentina. Tesis Doctoral inédita, Buenos Aires.
Chu, P., J. Shih, Y. Hou, S. Hung, J. Chen y H. Lee. 2009. Osteochondritis dissecans of the glenoid: a rare injury secondary to repetitive microtrauma. Journal of Trauma and Acute Care Surgery 67(3): E62-E64.
D’angelo del Campo, M., J. Suby, P. García-Laborde y R. Guichón. 2017. Spondylolysis in the past: a case study of hunter-gatherers from Southern Patagonia. International Journal of Paleopathology 19: 1-17.
Darton, Y., V. Gallien, É. Henrion, M. Dupuis e I. Richard 2017. Osteochondral lesions and partial fractures of the talus in paleopathology. International Journal of Paleopathology 16: 31-39.
Debeer, P. y P. Brys. 2005. Osteochondritis dissecans of the humeral head: clinical and radiological findings. Acta Orthopaedica Belgica 71(4): 484-488.
Desai, S., M. Patel, L. Michelli, J. Silver y R. Lidge. 1987. Osteochondritis dissecans of the patella. Bone & Joint Journal 69(2): 320-325.
Edge, A. y K. Porter. 2011. Osteochondritis dissecans: a review. Trauma 13(1): 23-33.
Edmonds, E. y B. Heyworth. 2014. Osteochondritis dissecans of the shoulder and hip. Clinics in Sports Medicine 33(2): 285-294.
Edmonds, E. y J. Polousky. 2013. A review of knowledge in osteochondritis dissecans: 123 years of minimal evolution from König to the ROCK study group. Clinical Orthopaedics and Related Research Research 471: 1118-1126.
Eygendaal, D., G. Bain, L. Pederzini y G. Poehling. 2017. Osteochondritis dissecans of the elbow: state of the art. Journal of ISAKOS: Joint Disorders & Orthopaedic Sports Medicine 2(1): 47-57.
Flensborg, G., G. Martínez, M. González y P. Bayala. 2011. Revisión de los restos óseos humanos del sitio La Petrona (Transición Pampeano-Patagónica oriental, Argentina). Magallania 39(1): 179-191.
García Laborde P., J. Suby, R. Guichón y R. Casali. 2010. El antiguo cementerio de la misión de Rio Grande, Tierra del Fuego. Primeros resultados sobre patologías nutricionales-metabólicas e infecciosas. Revista Argentina de Antropología Biológica 12: 57-69.
Garrett, J. 1991. Osteochondritis dissecans. Clinics in Sports Medicine 10(3): 569-593.
Gogus, A. y C. Ozturk. 2008. Osteochondritis dissecans of the glenoid cavity: a case report. Archives of Orthopaedic and Trauma Surgery 128(5): 457-460.
González-José, R., S. Dahinten, M. Hernández y H. Pucciarelli. 2001. Craneometric variation and the settlement of the Americas: testing hypotheses by means of R-matrix and matrix correlation analyses. American Journal of Physical Anthropology 116: 154-165.
Guerra, J. y L. Timmerman. 1996. Clinical anatomy, histology and pathomechanics of the elbow in sports. Operative Techniques in Sports Medicine 4(2): 69-76.
Guichón, R. 1994. “Antropología física de Tierra del Fuego, caracterización biológica de las poblaciones prehispánicas”. Facultad de Filosofía y Letras, Universidad de Buenos Aires, Argentina. Tesis Doctoral inédita, Buenos Aires.
Guichón, R., A. Muñoz y L. Borrero. 2000. Datos para una tafonomía de restos óseos humanos en Bahía San Sebastián, Tierra del Fuego. Relaciones de la Sociedad Argentina de Antropología XXV: 297-311.
Guichón, R. y J. Suby. 2011. Estudio bioarqueológico de los restos humanos recuperados por Anne Chapman en Caleta Falsa, Tierra del Fuego. Magallania 39(1): 163-177.
Guichón, R., J. Suby, R. Casali y M. Fugassa. 2006. Health at the time of native-European contact in Southern Patagonia. Memorias do Instituto Oswaldo Cruz 101(Suppl. II): 97-105.
Gusinde, M. 1986. Los indios de Tierra del Fuego. Los Yamana. Centro Argentino de Etnología Americana, Buenos Aires.
Hefti, F., J. Beguiristain, R. Krauspe, B. Moller-Madsen, V. Riccio, C. Tschauner, R. Wetzel y R. Zeller. 1999. Osteochondritis dissecans: a multicenter study of the European Pediatric Orthopedic Society. Journal of Pediatric Orthopaedics B 8: 231-245.
Hendrix, C. 2005. Calcaneal apophysitis (Sever disease). Clinics in Pediatric Medicine and Surgery 22(1): 55-62.
Jaberi, F. 2002. Osteochondritis dissecans of the weight-bearing surface of the medial femoral condyle in adults. The Knee 9(3): 201-207.
Kessler, J., H. Nikizad, K. Shea, J. Jacobs y J. Weiss. 2013. The demographics and epidemiology of osteochondritis dissecans of the ankle, elbow, foot, and shoulder in children. Orthopaedic Journal of Sports Medicine 1(4 suppl.): 2325967113S00024.
Kida, Y., T. Morihara, Y. Kotoura, T. Hojo, H. Tachiiri, T. Sukenari, Y. Iwata, R. Furukawa, R. Oda, Y. Arai, H. Fujiwara y T. Kubo. 2014. Prevalence and clinical characteristics of osteochondritis dissecans of the humeral capitellum among adolescent baseball players. The American Journal of Sports Medicine 42(8): 1963-1971.
Kocher, M., R. Tucker, T. Ganley y J. Flynn. 2006. Management of osteochondritis dissecans of the knee. The American Journal of Sports Medicine 34(7): 1181-1191.
König, F. 2013. The classic: on loose bodies in the joint. Clinical Orthopaedics and Related Research 471(4): 1107-1115.
Kothari, A., P. Ponce, B. Arriaza y L. O’Connor-read. 2009. Osteochondritis dissecans of the knee in a mummy from Northern Chile. The Knee 16: 159-160.
Krogman, W. y M. Iscan. 1986. The human skeleton in forensic science. CC Thomas, Springfield.
L’Heureux, L. y R. Barberena. 2008. Evidencias bioarqueológicas en Patagonia Meridional: el sitio Orejas de Burro 1 (Pali Aike, provincia de Santa Cruz). Intersecciones en Antropología 9: 11-24.
L’Heureux, L., R. Guichón, R. Barberena y L. Borrero. 2003. Durmiendo bajo el faro: estudio de un entierro humano en Cabo Vírgenes (CV 17), provincia de Santa Cruz, República Argentina. Intersecciones en Antropología 4: 87-97.
Lindén, B. 1976. The incidence of osteochondritis dissecans in the condyles of the femur. Acta Orthopaedica Scandinava 47: 664-667.
Lovejoy, C., R. Meindl, R. Mensforth y T. Barton. 1985. Multifactorial determination of skeletal age at death: a method and blind tests of its accuracy. American Journal of Physical Anthropology 68: 1-14.
Loveland, C., J. Gregg y W. Bass. 1984. Osteochondritis dissecans from the Great Plains of North America. The Plains Anthropologist 29: 239-246.
Lowe, T. 1990. Scheuermann disease. The Journal of Bone and Joint Surgery. American 72(6): 940-945.
Matsuura, T., N. Suzue, T. Iwame, S. Nishio y K. Sairyo, K. 2014. Prevalence of Osteochondritis Dissecans of the capitellum in young baseball players: results based on ultrasonographic findings. The Orthopaedic Journal of Sports Medicine 2(8): 1-5.
McWhirr, A., L. Viner y C. Wells. 1982. Romano-British cemeteries at Cirencester (Vol. 2). Cirencester Excavation Committee Corinium Museum, Greece.
Meindl, R. y C. Lovejoy. 1989. Age changes in the pelvis: implications for paleodemography. Isçan, M. (ed.), Age markers in the human skeleton, 137-168, Ch. C. Thomas Publisher. Springfield, Illinois.
Ming, S., D. Jin y M. Kanta. 2004. Arthroscopic treatment of osteochondritis dissecans of the talus. Foot and Ankle Surgery 10(4): 181-186.
Nagura, S. 1960. The so-called osteochondritis dissecans of König. Clinical Orthopaedics and Related Research 18: 100-122.
O’Connor, T. 2008. On the differential diagnosis of arthropathy in bovids. Grupe, G., G. McGlynn y J. Peters (eds.), Limping together through the ages. Joint afflictions and bone infections, Documenta Archaeobiologae 6, 165-186, Verlag Marie Leidorf, Rahden.
Orquera, L. y E. Piana. 1999. Sea nomads of the Beagle Channel in Southernmost South America: over six thousand years of coastal adaptation and stability. The Journal of Island and Coastal Archaeology 4(1): 61-81.
Ortner, D. 2003. Identification of pathological conditions in human skeletal remains. Segunda edición. Elsevier Science/Academic Press, Nueva York.
Osborne, D., L. Simmons y S. Nawrocki. 2004. Reconsidering the auricular surface as an indicator of age at death. Journal of Forensic Sciences 49(5): 1-7.
Padgett, G., U. Mostosky, C. Probst, M. Thomas y C. Krecke. 1995. The inheritance of osteochondritis dissecans and fragmented coronoid process of the elbow joint in labrador retrievers. Journal of the American Animal Hospital Association 31(4): 327-330.
Paget, J. 1870. On the production of some of the loose bodies in joints. St. Bartholomews Hospital Reports 6: 1-4.
Petersen, J., J. Steinhagen, P. Catala-Lehnen y J. Bruns. 2006. Osteochondritis dissecans of the knee joint. Zeitschrift fur Orthopadie und ihre Grenzgebiete 144(4): R63-76.
Piana, E., A. Tessone y A. Zangrando. 2006. Contextos mortuorios en la región del canal Beagle... del hallazgo fortuito a la búsqueda sistemática. Magallania 1: 87-101.
Polousky, J. 2011. Juvenile Osteochondritis Dissecans. Sports Medicine and Arthroscopy Review 19(1): 56–63.
Ponce, P. 2010. “A comparative study of activity-related skeletal changes in 3rd-2nd millennium BC coastal fishers and 1st millenium AD inland agriculturists in Chile, South America”. Tesis Doctoral inédita, Durham University.
Prieto, A. 1993-1994. Algunos datos en torno a los enterratorios humanos de la región continental de Magallanes. Anales del Instituto de la Patagonia 22: 91-100.
Ratto, N., C. Aranda y L. Luna 2018. Caracterización inicial de las prácticas mortuorias, osteobiografía y síndrome criboso en Las Papas (Fiambalá, Catamarca, Argentina). Actas del XX Congreso Nacional de Arqueología Chilena. Concepción. Chile. En prensa.
Rodríguez-Martín, C. 2000. Osteocondritis disecante en poblaciones del pasado. Una revisión sobre su etiología, fisiopatología y epidemiología, con especial referencia a Canarias. Eres (Serie de Arqueología-Bioantropología) 9: 201-219.
Rogers, J. y T. Waldron. 1995. A field guide to joint disease in archaeology. John Wiley & Sons, Nueva York.
Saletta, M. J. 2015. “Excavando fuentes. La tecnología, subsistencia, movilidad y los sistemas simbólicos de Shelk’nam. Yámana/Yaghan y Aonikenk entre los siglos XVI y XX analizadas a partir de los registros escritos y arqueológicos”. Facultad de Filosofía y Letras, Universidad de Buenos Aires, Argentina. Tesis Doctoral inédita, Buenos Aires.
Solomon, L., D. Warwick y S. Nayagam (eds.). 2010. Apley’s system of orthopaedics and fractures. CRC Press, Nueva York.
Santiago, F., M. Salemme, J. Suby y R. Guichón. 2011. Restos humanos en el Norte de Tierra del Fuego: aspectos contextuales, dietarios y paleopatológicos. Intersecciones en Antropología 12(1): 147-162.
Scabuzzo, C. 2010. “Actividad, patología y nutrición de los cazadores-recolectores pampeanos”. Facultad de Ciencias Naturales y Museo, Universidad Nacional de La Plata, Tesis Doctoral inédita, La Plata.
Schenck, R. y J. Goodnight. 1996. Osteochondritis dissecans. Journal of Bone and Joint Surgery 78: 439-456.
Schimmer, R., W. Dick y B. Hintermann. 2001. The role of ankle arthroscopy in the treatment strategies of osteochondritis dissecans lesions of the talus. Foot & Ankle International 22(11): 895-900.
Shanley, D. y M. Mulligan. 1990. Osteochondrosis dissecans of the glenoid. Skeletal Radiology 19(6): 419-421.
Silva, A. M. 2001. Evidence of osteochondritis dissecans in late Neolithic/Chalcolithic Portuguese populations. Actas del VI Congreso Nacional de Paleopatología: 464-468. Asociación Española de Paleopatología, Madrid.
Slaus, M., Cicvara Pe?ina, I. Lucijani? y D. Strinovi?. 2010. Osteochondritis Dissecans of the knee in a subadult from a Medieval (Ninth Century AD) site in Croatia. Acta Clinica Croatica 49(2): 189-196.
Stirland, A. 1996. Patterns of trauma in a unique medieval parish cemetery. International Journal of Osteoarchaeology 6(1): 92-100.
Suby, J. 2014a. Desarrollos recientes en el estudio de la salud de las poblaciones humanas antiguas de Patagonia Austral. Luna, L., C. Aranda y J. Suby (eds.), Avances recientes en la bioarqueología latinoamericana, 69-100. Grupo de Investigación en Bioarqueología, Buenos Aires.
Suby, J. 2014b. Nódulos de Schmorl en restos humanos arqueológicos de Patagonia Austral. Magallania 42(1): 135-147.
Suby, J., R. Guichón y A. Zangrando. 2009. El registro biológico humano de la costa meridional de Santa Cruz. Revista Argentina de Antropología Biológica 11(1): 109-124.
Suby J., A. Zangrando y E. Piana. 2011. Exploraciones osteológicas de la salud de las poblaciones humanas del Canal Beagle. Relaciones de la Sociedad Argentina de Antropología 36: 249-270.
Suchey, J. y D. Katz. 1998. Applications of pubic age determination in a forensic setting. Reichs K. (ed.), Forensic osteology: advances in the identification of human remains, 204-236. Charles C. Thomas, Springfield, Illinois.
Takahara, M., T. Ogino, I. Sasaki, H. Kato, A. Minami y K. Kaneda. 1999. Long term outcome of osteochondritis dissecans of the humeral capitellum. Clinical Orthopaedics and Related Research 363: 108-115.
Tessone, A., R. Guichón, J. Suby y L. Kozameh. 2011. Bioarqueología de Península Mitre. Zangrando, A., M. Vázquez y A. Tessone (eds.), Los cazadores-recolectores del extremo oriental fueguino. Arqueología de Península Mitre e Isla de los Estados, 231-270. Sociedad Argentina de Antropología, Buenos Aires.
Thomas, R. y N. Johannsen. 2011. Articular depressions in domestic cattle phalanges and their archaeological relevance. International Journal of Paleopathology 1(1): 43-54.
Todd, T. 1921. Age changes in the pubic bone. American Journal of Physical Anthropology 4(1): 1-70.
Uematsu, K., T. Habata, Y. Hasegawa, K. Hattori, R. Kasanami, Y. Takakura y Y. Fujisawa. 2005. Osteochondritis dissecans of the knee: long-term results of excision of the osteochondral fragment. The Knee 12(3): 205-208.
Vikatou, I. 2012. “Are these `clogs´ made for walking? Osteochondritis dissecans: evidence of strenuous activity and trauma on skeletal elements of the foot from a post-medieval rural society in the Netherlands”. Facultad de Arqueología, Universidad de Leiden, Tesis de Maestría inédita. Holanda.
Vikatou, I., M. Hoogland y A. Waters-Rist. 2017. Osteochondritis Dissecans of skeletal elements of the foot in a 19th century rural farming community from The Netherlands. International Journal of Paleopathology 19: 53-63.
Waldron, T. 2009. Paleopathology. Cambridge University Press, Cambridge.
Wells, C. 1962. Joint pathology in ancient Anglo-Saxons. Bone & Joint Journal 44(4): 948-949.
Wells, C. 1974. Osteochondritis dissecans in ancient British skeletal material. Medical History 18: 365-369.
Ytrehus, B., C. Carlson y S. Ekman. 2007. Etiology and pathogenesis of osteochondrosis. Veterinary Pathology 44(4): 429-448.
Ytrehus, B., C. Carlson, N. Lundeheim, L. Mathisen, F. Reinholt, J. Teige y S. Ekman. 2004. Vascularisation and osteochondrosis of the epiphyseal growth cartilage of the distal femur in pigs-development with age, growth rate, weight and joint shape. Bone 34(3): 454-465.
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