Case study of Legg-Calvé-Perthes disease observed in Radom (Poland, 18th–19th century) with literature review

Authors

DOI:

https://doi.org/10.18778/1898-6773.86.1.03

Keywords:

Perthes disease, skeletal material, radiology, osteology, palaeopathology

Abstract

The aim of this study is to present the pathological lesions observed in a skeleton (male, about 35–38 years old) from Radom (Poland), dated to the 18th–19th century. Bone changes were observed in both femurs and both pelvic bones. The head of the femur is enlarged and deformed, described as “mushroom-shaped”, with areas of smooth cortex and cavities, or possible cystic residues. The neck of femur is short and thick. The bone shaft and distal epiphysis do not show any changes. The changes were also observed in both acetabularies of the hip joint (marginal bone formation, subchondral bone remodelling). Radiographic images show bilateral necrosis of the femoral head. There is a significant sclerotization of the femoral head, with a discrete visible crescent sign. These macroscopic and radiological changes match the symptoms associated with Legg-Calvé-Perthes disease. This is the first case of the disease described in bioarchaeological materials from Poland.

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References

Baranowski T, Skóra K, Skrzyńska K. 2020. Stanowisko 4. Badania interdyscypli­narne. Przestrzeń osadnicza wczesnośredniowiecznego Radomia 3. Warszawa: In­stytut Archeologii i Etnologii PAN.
View in Google Scholar

Berger E, Chen L, Sun Z, Sun Z. 2017. A prob­able case of Legg-Calvé-Perthes disease in Warring States-era China. Int J Paleop­athol 16:27–30. https://doi.org/10.1016/j.ijpp.2016.11.001
View in Google Scholar DOI: https://doi.org/10.1016/j.ijpp.2016.11.001

Bogucka M, Samsonowicz H. 1986. Dzieje miast i mieszczaństwa w Polsce przedroz­biorowej. Wrocław: Wyd. Ossolineum.
View in Google Scholar

Buikstra JE, Ubelaker DH. 1994. Standards for data collection from human skeletal remains. Arkansas Archeological Survey Research Series, No. 44: Fayetteville.
View in Google Scholar

Drusini AG. 2008. The coronal pulp cavity index: A forensic tool for age determina­tion in human adults. Cuad. de Medicina Forense 14(53–54):235–2.
View in Google Scholar DOI: https://doi.org/10.4321/S1135-76062008000300006

Đurić M, Rakočević Z, Bumbaširević M, Lešić A, Kelečević J. 2004. Two cases of joint disease in post-Medieval church cemetery of St. Ilija. Coll Antropol 28 Suppl. 2:273–82.
View in Google Scholar

Ferreira MT, Neves MJ, Wasterlain SN. 2013. Lagos leprosarium (Portugal): direct and indirect evidence of disease. J Archaeol Sci 40(5):2298–307. https://doi.org/10.1016/j.jas.2012.12.039
View in Google Scholar DOI: https://doi.org/10.1016/j.jas.2012.12.039

Fritsch KO, Hamoud H, Allam AH, Gross­mann A, Nur El-Din AH, Abdel-Maksoud G, Soliman MA, Badr I, Sutherland JD, Sutherland ML, Akl M, Finch CE, Thom­as GS, Wann LS, Thompson RC. 2015. The orthopedic diseases of ancient Egypt. Anat Rec 298(6):1036–46. https://doi.org/10.1002/ar.23136
View in Google Scholar DOI: https://doi.org/10.1002/ar.23136

Gąssowski J. 1951. Wczesnohistoryczne cmen­tarzysko szkieletowe w Radomiu. Wiadomości Archeologiczne 18(4):305–326.
View in Google Scholar

Guerado E, Caso E. 2016. The physiopa­thology of avascular necrosis of the fem­oral head: an update. Injury. 47 Suppl 6:16–26. https://doi.org/10.1016/S0020-1383(16)30835-X
View in Google Scholar DOI: https://doi.org/10.1016/S0020-1383(16)30835-X

Guille JT, Lipton GE, Szöke G, Bowen JR, Harcke HT, Glutting JJ. 1998. Legg-Calvé-Perthes disease in girls. A comparison of the results with those seen in boys. J Bone Joint Surg. 80(9):1256–63. https://doi.org/10.2106/00004623-199809000-00002
View in Google Scholar DOI: https://doi.org/10.2106/00004623-199809000-00002

Herrerín J, Garralda M. 2010. Legg-Calvé-Perthes disease and unifocal eosinophilic granuloma in a Visigoth from Duratón Necropolis (Segovia Spain). Int J Osteoar­chaeol 22:86–97. https://doi.org/10.1002/oa.1189
View in Google Scholar DOI: https://doi.org/10.1002/oa.1189

Hosalkar HS, Mulpuri K. 2012. Legg-Calvé-Perthes disease: where do we stand af­ter 100 years? Clin Orthop Relat Res 470(9):2345–6. https://doi.org/10.1007/s11999-012-2418-0
View in Google Scholar DOI: https://doi.org/10.1007/s11999-012-2418-0

Kierzkowska-Kalinowska E. 1970. Dziesięć lat badań Ekspedycji Wykopaliskowej w Radomiu Instytutu Historii Kultury Materialnej PAN. Biuletyn Kwartalny Radomskiego Towarzystwa Naukowego 7:39–68.
View in Google Scholar

Kierzkowska-Kalinowska E. 1979. Rozwój pro­cesów osadniczych na obszarze Radomia przed lokacją miasta. In: Kalinowski W, ed­itor. Urbanistyka i architektura Radomia. Lublin: Wydawnictwo Lubelskie, 9–44.
View in Google Scholar

Konigsberg LW, Hens SM. 1998. Use of ordinal categorical variables in skeletal assessment of sex from the cranium. Am J Phys Anthropol 107:97–112. https://doi.org/10.1002/(SICI)1096-8644(199809)107:1<97::AID-AJPA8>3.0.CO;2-A
View in Google Scholar DOI: https://doi.org/10.1002/(SICI)1096-8644(199809)107:1<97::AID-AJPA8>3.0.CO;2-A

Kozak J. 1997. Mortality structure of adult individuals in Poland in the feudal period. Variability and Evolution 6:81–91.
View in Google Scholar

Kurasiński T, Skóra K. 2016. Cmentarzysko w Radomiu, stanowisko 4. Przestrzeń osadnicza wczesnośredniowiecznego Ra­domia. Łódź: Instytut Archeologii i Et­nologii PAN.
View in Google Scholar

Kusiński W. 1991. Stadia rozwoju urbanizacji w Polsce. Przegląd Geograficzny 63:271–81.
View in Google Scholar

Larson AN, Sucato DJ, Herring JA, Adolf­sen SE, Kelly DM, Martus JE, Love­joy JF, Browne R, Delarocha A. 2012. A prospective multicenter study of Legg-Calvé-Perthes disease: functional and radiographic outcomes of nonoperative treatment at a mean follow-up of twen­ty years. J Bone Joint Surg 94:584–92. https://doi.org/10.2106/JBJS.J.01073
View in Google Scholar DOI: https://doi.org/10.2106/JBJS.J.01073

Leo DG, Leong WY, Gambling T, Long A, Murphy R, Jones H, Perry DC. 2018. The outcomes of Perthes’ disease of the hip: a study protocol for the development of a core outcome set. Trials 19:374–481.
View in Google Scholar DOI: https://doi.org/10.1186/s13063-018-2695-3

Leroux J, Abu Amara S, Lechevallier J. 2018. Legg-Calvé-Perthes disease. Orthop Trau­matol Surg Res 104(1S):107–12.
View in Google Scholar DOI: https://doi.org/10.1016/j.otsr.2017.04.012

Loder RT, Skopelja EN. 2011. The epidemi­ology and demographics of Legg-Calvé-Perthes’ disease. ISRN Orthop 504393. https://doi.org/10.5402/2011/504393
View in Google Scholar DOI: https://doi.org/10.5402/2011/504393

Manzon VS, Ferrante Z, Giganti M, Gualdi-Russo E. 2017. On the antiquity of Legg-Calvé-Perthes disease: Skeletal evidence in Iron Age Italy. HOMO 68(1):10–17. https://doi.org/10.1016/j.jchb.2016.11.002
View in Google Scholar DOI: https://doi.org/10.1016/j.jchb.2016.11.002

Marques C, Cunha E. 2001. A paleopatho­logical evidence of Perthes disease. In: Sanchez-Sanchez JA, editor. Actas del V Congreso Nacional de Paleopatologia. Al­calá la Real, Asociación Española de Paleo­patología, 311–313.
View in Google Scholar

Ortner DJ. 2003. Identification of pathologi­cal conditions in human skeletal remains. London: Academic Press.
View in Google Scholar

Ortner DJ. 2008. Differential diagnosis of skeletal lesions in infectious disease. In: Pinhasi R, Mays S, editors. Advances in human palaeopathology. Chichester: John Wiley&Sons, 191–214.
View in Google Scholar

Ortner DJ, Putschar WGJ. 1981. Identifica­tion of Pathological Conditions in Hu­man Skeletal Remains. Washington, DC: Smithsonian Institution Press.
View in Google Scholar

Pavone V, Chisari E, Vescio A, Lizzio C, Sessa G, Testa G. 2019. Aetiology of Legg-Calvé-Perthes disease: A systematic review. World J Orthop 10(3):145–165. https://doi.org/10.5312/wjo.v10.i3.145
View in Google Scholar DOI: https://doi.org/10.5312/wjo.v10.i3.145

Perry DC, Hall AJ. 2011. The epidemiology and etiology of Perthes disease. Orthop Clin North Am 42: 279–283. https://doi.org/10.1016/j.ocl.2011.03.002
View in Google Scholar DOI: https://doi.org/10.1016/j.ocl.2011.03.002

Piątkowski S. 2000. Radom – zarys dziejów miasta. Wyd. Radom: Radom.
View in Google Scholar

Phenice WT. 1969. A newly developed visu­al method of sexing the os pubis. Am J Biol Anthropol 30/2:297–301. https://doi.org/10.1002/ajpa.1330300214
View in Google Scholar DOI: https://doi.org/10.1002/ajpa.1330300214

Ponce P, Novellino P. 2014. A palaeopatho­logical example of Legg-Calvé-Perthes disease from Argentina. Int J Paleopathol 6:30–33. https://doi.org/10.1016/j.ijpp.2014.03.004
View in Google Scholar DOI: https://doi.org/10.1016/j.ijpp.2014.03.004

Shah H. 2014. Perthes disease: evaluation and management. Orthop Clin North Am 45:87–97. https://doi.org/10.1016/j.ocl.2013.08.005
View in Google Scholar DOI: https://doi.org/10.1016/j.ocl.2013.08.005

Skubicha E. 2010. Archeologia Radomia – dzieje badań. In: Buko A, Główka D, ed­itors. Radom: korzenie miasta i regionu. Badania 2009. Warszawa: Instytut Arche­ologii i Etnologii PAN, 105–113.
View in Google Scholar

Smith MO. 2002. A Probable case of meta­static carcinoma from the late prehis­toric eastern Tennessee River valley. Int J Osteoarchaeol 12:235–47. https://doi.org/10.1002/oa.618
View in Google Scholar DOI: https://doi.org/10.1002/oa.618

Smrčka V, Marik I, Svenssonova M, Likovsky J. 2009. Legg-Calvé-Perthes disease in Czech archaeological material. Clin Or­thop Relat Res 467:293–97. https://doi.org/10.1007/s11999-008-0527-6
View in Google Scholar DOI: https://doi.org/10.1007/s11999-008-0527-6

Thompson GH, Salter RB. 1986. Legg–Calve–Perthes Disease. Clinical Symposia. 38:2.
View in Google Scholar

Waldron T. 2009. Palaeopathology. Cam­bridge: Cambridge University Press.
View in Google Scholar DOI: https://doi.org/10.1017/CBO9780511812569

Walker PL. 2008. Sexing skulls using discrimi­nant function analysis of visually assessed traits. Am J Biol Anthropol 136(1):39–50. https://doi.org/10.1002/ajpa.20776
View in Google Scholar DOI: https://doi.org/10.1002/ajpa.20776

Wasterlain SN, Umbelino C. 2014. Legg-Calvé-Perthes disease and slipped femoral capital epiphysis in the skeletal remains of the Me­diaeval Necropolis of Santa Maria (Sintra, Portugal). Cadernos do DEEvH. 2(2):27–39.
View in Google Scholar

White TD, Folkens PA. 2000. Human osteolo­gy. (2nd ed.). San Diego: Accademic Press.
View in Google Scholar

Zapłata R. 2011. Wstępne wyniki badań ar­cheologicznych w wykopie 1/2010 na stanowisku 1 „Majdan” i w wykopie I-2/2010 na stanowisku 2 „osada” w Ra­domiu. In: Buko A, Główka D, Trzeciecki, editors. Radom: korzenie miasta i regionu. Tom 2. Warszawa: Wyd. Instytutu Archeologii i Etnologii PAN, 89–112.
View in Google Scholar

Yanko NV, Artemyev AV, Kaskova LF. 2021. Dental health indicators of the Chernyak­hov population from Shyshaki (Ukraine). Anthropol Rev 84(1):17–28. https://doi.org/10.2478/anre-2021-0002
View in Google Scholar DOI: https://doi.org/10.2478/anre-2021-0002

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Published

2023-03-28

How to Cite

Myszka, A., Mańkowska-Pliszka, H., Rzeźnicka, E., Dąbkowska, A., & Tomczyk, J. (2023). Case study of Legg-Calvé-Perthes disease observed in Radom (Poland, 18th–19th century) with literature review. Anthropological Review, 86(1), 23–36. https://doi.org/10.18778/1898-6773.86.1.03

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