Mitchell, P. D. and Redfern, R. (2008). Diagnostic criteria for developmental dislocation of the hip in human skeletal remains. Internat J Osteoarchaeol 18 (1). Vol 18(1), pp. 61-71.

Title
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Title:
Diagnostic criteria for developmental dislocation of the hip in human skeletal remains
Issue
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Issue:
Internat J Osteoarchaeol 18 (1)
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Series:
International Journal of Osteoarchaeology
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Volume:
18 (1)
Page Start/End
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Page Start/End:
61 - 71
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Journal
Abstract
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Abstract:
Dislocation is the most severe form of developmental dysplasia of the hip (DDH). It significantly impairs hip function in the young, and may lead to debilitating early-onset osteoarthritis in adults. To identify the wide range of diagnostic criteria for this condition in pathological specimens, the authors analysed the cases of developmental dislocation from a large series of 6000 individuals (6580 hips) from the medieval cemetery at Spitalfields in London. They describe the changes at the true acetabulum, and have created a four-stage classification of the false acetabulum. The skeletal response to the altered biomechanics and limb shortening that occurs in developmental dislocation is described in the pelvis, lower limb and spine. This includes asymmetric growth in childhood, and asymmetric degenerative change in adulthood. The authors conclude with a discussion of the clinical literature on developmental dislocation of the hip that will aid palaeopathologists to estimate the symptoms that an excavated individual may have experienced during their lifetime.
Author
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Author:
Piers D Mitchell
Rebecca Redfern
Year of Publication
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Year of Publication:
2008
Locations
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Subjects / Periods:
CEMETERY (Monument Type England)
Human Skeletal Remains (Auto Detected Subject)
MEDIEVAL (Historic England Periods)
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BIAB (The British & Irish Archaeological Bibliography (BIAB))
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URI: http://www3.interscience.wiley.com/journal/114220033/abstract
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Created Date:
27 Aug 2008