By Andrea Piccioli, Valentina Gazzaniga, Paola Catalano
This ebook offers the result of a distinct macroscopic and radiological research, by means of X-ray and CT experiment, of the bone pathologies of approximately 1800 matters who lived on the time of the Roman Empire (first and moment centuries A.D.) and whose continues to be have been recovered throughout the excavation of a suburban necropolis of Rome. The survey, which represents a collaboration among the Italian Society of Orthopaedics and Traumatology and the targeted Superintendent for the Archaeological historical past of Rome, has yielded amazing photos of alternative orthopaedic ailments in a interval while no surgery was once on hand: there are circumstances of an infection (osteomyelitis), metabolic sickness (gout), hematologic ailment (multiple myeloma), hectic lesions and their issues and degenerative pathology (osteoarthritis, relatively secondary and overload). A multidisciplinary crew together with orthopaedists, paleopathologists, radiologists and clinical historians has evaluated the key teams of bone illness within the inhabitants checking out tremendous circumstances and imagine of ortho-traumatologic pathologies in a pre-surgical period. The homogeneity of the pattern and the variety of matters make this a learn of basic importance.
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Extra resources for Bones: Orthopaedic Pathologies in Roman Imperial Age
15 Repairing a dislocation to the arm, from Guido Guidi, Chirurgia e Graeco in Latinum conversa, 1544 (Wellcome Library) remodelling; the main interventions on fractures, for instance, include the removal of minute particles, the filing of the fracture’s indented margins, the chiselling of overabundant or defective bone callus or the correction of congenital bone deformities  (Fig. 18a, b). All unnecessary pain must be limited, if not avoided; to this aim, an indepth knowledge of the nature and arrangement of bones, together with the careful respect for the patient’s needs are helpful; the faster the medical act, painful in itself, the more competent and morally correct.
Most probably, some orthopaedic information must have been contained in a lost work by Hippocrates on war injuries, where working as an army physician was recommended as a way to acquire anatomical knowledge and rapidly effective therapeutic techniques . Since its origins, a specific feature of the ancient orthopaedic competence is the self-perception of how spectacular the techniques of intervention on the bone are; the use of considerable tools, such as beams Fig. 14 Scamnum (Hippocratic bench), from Guido Guidi, Chirurgia e Graeco in Latinum conversa, 1544 1 The Study of Ancient Bone Remains or ladders to hang the patient and bring the dislocated bone back to its anatomical site (Fig.
These modifications are generally connected to loads carried on the back, with an increase of lumbar lordosis . The Allen fossa, situated on the anterior face of the femoral neck, is connected to extensions and flexions of the limb ; it is the outcome of the contact of the rectus muscle tendon on the anterior part of the femoral neck. Its presence is due to an upright posture , associated to ambulation on steep ground [37–39]. Bipartite acromion, the potential outcome of an over use and load of the rotator cuff , is the lack of fusion of the acromion with the scapular spine.
Bones: Orthopaedic Pathologies in Roman Imperial Age by Andrea Piccioli, Valentina Gazzaniga, Paola Catalano