Roberts, A. M., Robson-Brown, K., Musgrave, J. and Leslie, I. (2006). A case of bilateral scapholunate advanced collapse in a Romano-British skeleton from Ancaster. Internat J Osteoarchaeol 16 (3). Vol 16(3), pp. 208-220.

Title
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Title:		 A case of bilateral scapholunate advanced collapse in a Romano-British skeleton from Ancaster
Issue
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Issue:		 Internat J Osteoarchaeol 16 (3)
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Series:		 International Journal of Osteoarchaeology
Volume
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Volume:		 16 (3)
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Page Start/End:		 208 - 220
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Publication Type:		 Journal
Abstract
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Abstract:		 Degenerative joint disease (DJD) of the wrist (radiocarpal joint) is relatively uncommon in modern Western populations, usually occurring as a result of trauma. Clinically, scapholunate advanced collapse (SLAC) is the most common pattern of DJD seen in the wrist, involving a progressive destruction of the radioscaphoid and then the capitolunate joint. There is only one report of SLAC wrist in the palaeopathological literature. In the paper, the authors report on another ancient case of bilateral SLAC wrists, found in a Roman skeleton from Ancaster, Lincolnshire. The osteological analysis of ANC 01 217 skeleton determined that this was an elderly but robust adult (50+ years) male, about 165 cm tall. The bones were sufficiently well preserved to allow inspection of joint surfaces. The bones were also radiographed. Osteoarthritis (OA) was diagnosed according to accepted palaeopathological criteria: principally the presence of eburnation on a joint surface. Eburnation was found at the articular surfaces of the wrist joint and numerous intercarpal joints bilaterally. The pattern of joints affected matched modern clinical descriptions of SLAC wrist. Radiographic changes characteristic of OA were identifiable at the wrist joint, but not at the intercarpal joints. This case proves that SLAC wrist is identifiable in dry bones, but the discrepancy between the observational and radiographic findings highlights the problems encountered when attempting to compare disease in archaeological versus modern populations.
Author
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Author:		 A M Roberts
Kate Robson-Brown
Jonathan Musgrave
I Leslie
Year of Publication
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Year of Publication:		 2006
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Subjects / Periods:
Joint (Auto Detected Subject)
ROMAN (Historic England Periods)
Joint Surfaces (Auto Detected Subject)
Joint Surface Eburnation (Auto Detected Subject)
20TH CENTURY (Historic England Periods)
Source
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BIAB (The British & Irish Archaeological Bibliography (BIAB))
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URI: http://www3.interscience.wiley.com/cgi-bin/abstract/112455730/ABSTRACT
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Created Date:		 04 May 2007