目的:化脓性关节炎在古病理学中并不常见。本研究旨在通过观察中国古代的一个病例,为化脓性关节炎提供鉴别诊断。我们还旨在增加目前关于化脓性关节炎的古病理学文献。
方法:从达普齐公墓发现了一个成年男性骨骼,陕西,可追溯到西汉(公元前3世纪-公元1世纪)。
方法:进行宏观观察。
结果:M142左侧髋臼的溶解外观和大量新骨形成与化脓性关节炎相容。髋部病理大大影响了他的身材。两个股骨轴呈现不同程度的鲁棒性。他还表现出严重的骨关节炎。
结论:患有化脓性髋关节炎的个体,原因不明,很长一段时间,这极大地影响了他的日常生活。并发症包括骨关节炎,缩短身材,行走困难。
结论:这项研究提供了一个新的化脓性关节炎病例,并提供了对西汉保护皇家陵墓的人们的见解。
结论:骨骼保存不好,将骨骼变化的观察限制在身体的其他部位。
OBJECTIVE: Septic arthritis is not commonly reported in paleopathology. This study aims to provide a differential diagnosis of septic arthritis by looking at a
case from ancient China. We also aim to add to the current literature on septic arthritis in paleopathology.
METHODS: One adult male
skeleton recovered from the Dapuzi Cemetery, Shaanxi, dating to the Western Han Dynasty (3rd century BCE-1st century CE).
METHODS: Macroscopic observations were conducted.
RESULTS: The lytic appearance and massive new bone formation on the left acetabulum of M142 are compatible with septic arthritis. The hip pathology greatly influenced his stature. The two femur shafts present different degrees of robusticity. He also showed severe osteoarthritis.
CONCLUSIONS: The individual suffered from septic arthritis of the hip, of unknown cause, for a long period, which greatly influenced his daily life. Complications included osteoarthritis, shortened stature, and difficulties in walking.
CONCLUSIONS: This study offers a new
case of septic arthritis and provides insight into the people who guarded the royal tombs in the West Han Dynasty.
CONCLUSIONS: The
skeleton is not well-preserved, limiting observations of bony changes to other areas of the body.