{Reference Type}: Journal Article
{Title}: A macroscopic assessment of porosity and new bone formation on the inferior pars basilaris: Normal growth or an indicator of scurvy?
{Author}: Eggington J;Pitt R;Hodson C;
{Journal}: Int J Paleopathol
{Volume}: 45
{Issue}: 0
{Year}: 2024 Jun 22
{Factor}: 1.448
{DOI}: 10.1016/j.ijpp.2024.05.001
{Abstract}: <B>OBJECTIVE: </B>This research aims to determine the aetiology of porosity and subperiosteal new bone formation on the inferior surface of the pars basilaris.<BR><B>METHODS: </B>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.<BR><B>METHODS: </B>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.<BR><B>RESULTS: </B>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.<BR><B>CONCLUSIONS: </B>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).<BR><B>CONCLUSIONS: </B>This study highlights the risk of over diagnosing scurvy in past populations.<BR><B>CONCLUSIONS: </B>It is difficult to distinguish between physiological (normal) and pathological (abnormal) bone changes in the skeleton of individuals less than one year of age.<BR><B>UNASSIGNED: </B>Future research should focus on the analysis of individuals over 3.5 years of age.