%0 Journal Article %T A macroscopic assessment of porosity and new bone formation on the inferior pars basilaris: Normal growth or an indicator of scurvy? %A Eggington J %A Pitt R %A Hodson C %J Int J Paleopathol %V 45 %N 0 %D 2024 Jun 22 %M 38781795 %F 1.448 %R 10.1016/j.ijpp.2024.05.001 %X OBJECTIVE: This research aims to determine the aetiology of porosity and subperiosteal new bone formation on the inferior surface of the pars basilaris.
METHODS: A total of 199 non-adult individuals aged 36 weeks gestation to 3.5 years, from a total of 12 archaeological sites throughout the UK, including Iron Age (n=43), Roman (n=12), and post-medieval (n=145) sites, with a preserved pars basilaris.
METHODS: The pars basilaris was divided into six segments, with porosity (micro and macro) and subperiosteal new bone formation recorded on the inferior surface in scorbutic and non-scorbutic individuals. Scurvy was diagnosed using criteria from the palaeopathological literature that was developed using a biological approach.
RESULTS: There was no statistically significant difference in microporosity between scorbutic and non-scorbutic individuals in four out of the six segments analysed. There was a significant negative correlation between age and microporosity in non-scorbutic and scorbutic individuals. A significant difference in subperiosteal new bone formation was observed between scorbutic and non-scorbutic individuals.
CONCLUSIONS: Microporosity on the inferior pars basilaris should not be considered among the suite of lesions included in the macroscopic assessment of scurvy in non-adult skeletal remains (less than 3.5 years).
CONCLUSIONS: This study highlights the risk of over diagnosing scurvy in past populations.
CONCLUSIONS: It is difficult to distinguish between physiological (normal) and pathological (abnormal) bone changes in the skeleton of individuals less than one year of age.
UNASSIGNED: Future research should focus on the analysis of individuals over 3.5 years of age.