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Guest Interview: Putting Flesh on the Bones with James Neill

19 Dec

James Neill is a Project Archivist working on the Putting Flesh on the Bones project at the University of Bradford. Prior to this project James worked for a diverse range of arts, heritage and higher education organisations, including London Metropolitan Archives, the Mercers’ Company and the University of Arts London. As an archivist James has worked on a broad range of collections, from medieval manuscripts created by the Estate of Sir Richard Whittington to counter-cultural US comic books of the 1960s. His primary professional focus is working with archive collections with real historical, cultural or organisational value.


These Bones of Mine (TBOM):  Hello James, thank you for joining me here at These Bones of Mine! I have to say I am pretty excited to talk about your new project, entitled ‘Putting Flesh on the Bones’, which is based at the University of Bradford.  Could you tell us a little bit about the project and your role within it?

James Neill (JN):  Thanks David.  The ‘Putting Flesh on the Bones’ is an 18 month-long project which aims to catalogue, digitise and promote the archive collection of renowned palaeopathologist Calvin Wells (1908-1978).  The majority of the collection relates to Calvin’s distinguished palaeopathology career, but also reflects his many other intriguing professional and personal endeavours.  After his death Calvin’s archive of research papers, correspondence, photographs and transparencies, radiographs, and audio-visual material came to Bradford under the management of his friend and colleague Dr Keith Manchester.  This includes Calvin’s unique library of rare and antiquarian books on medicine, archaeology and anthropology.

The British palaeopathologist Calvin Wells examining a human crania. Image credit: University of Bradford.

When the collection arrived at Bradford it was divided between two different departments, with the palaeopathology material going to the Biological Anthropology Research Centre (B.A.R.C.), and his books and more personal ephemera being held by Special Collections at the J.B. Priestley Library.  This physical split as well as lack of comprehensive understanding about the contents of the collection limited its accessibility for potential users. Moreover many items, particularly the transparencies and audio-visual material, are vulnerable to deterioration and in need of professional conservation.

These factors motived B.A.R.C. Collections Manager Dr Jo Buckberry and Special Collections Librarian Alison Cullingford to bid in 2016 for a Wellcome Trust Research Resources Grant.  The purpose of the grant is to improve access to health-related library and archive collections, and is a substantial boon for archive projects across the U.K. Fortunately Jo and Alison were successful in their application and the ‘Putting Flesh on the Bones’ project was awarded a grant of almost £140,000.

We’re very fortunate because the grant has allowed us to afford a team of specialists, including a project archivist, osteologist, conservator and placement student.  As the project archivist my role is oversee each part of the cataloguing and digitisation process, as well as manage and organise all promotional aspects of the project through online and outreach activities.  Ultimately I am responsible for ensuring the collection’s potential for scientific and historical research is fulfilled by making it more accessible and known to relevant audiences as well the wider public.

TBOM:  Having been a longtime itinerant visitor to the University of Bradford, and its Department of Archaeological Sciences, I’ve always been intrigued by the fundamental role the department has played in establishing human osteology and palaeopathology as archaeological-based disciplines within Britain and internationally.  However, the university itself was the recipient of Calvin Wells physical archive rather than the base of his work. 

As such I’m intrigued by the relationship between the man and his archive.  How, and by what methods, are you making the numerous research articles, monographs, and review publications available to current researches?

JN:  Bradford’s role in developing palaeopathology teaching and research on an international level is central to the Calvin Wells Archive story.  It was Calvin’s wish that the collection be held in trust by the Wellcome Library with the intention of ultimate donation to a University offering a course in Palaeopathology to degree level.  With the introduction of the MSc Course in Osteology, Palaeopathology and Funerary Archaeology at Bradford, Calvin’s wife Freddie released the collection to the Department of Archaeological Sciences.

A collection of slides that were left behind in the archive, a very useful and durable form of documentation. Image credit: University of Bradford.

Whilst the collection is yet to be fully catalogued we’re confident that the archive holds the vast majority of Calvin’s published and unpublished skeletal research and reports.  This includes additional material, such as photographs, handwritten notes, annotated typescripts, and related correspondence.  For the first time, all of Calvin’s research will be available from one resource.  A central reason why the Wellcome Trust funded the project was our ability to demonstrate the continued interest and demand for Calvin’s work.  An analysis by Bradford’s Subject Librarian for Archaeology and Forensics Sarah George demonstrated that in the 40 years since his death, citations of his work have risen year on year.

The intention of the ‘Putting Flesh on the Bones’ project is to unlock the collection for potential researchers by producing a comprehensive catalogue of its contents. Our team Osteologist Michelle Williams-Ward is focused on parts of the collection which require specialist descriptions, such as Wells’ skeletal reports and associated photographic material. Michelle is uniquely placed for this role given that she has just completed a PhD thesis ‘Buried Identities: An osteological and archaeological analysis of burial variation and identity in Anglo-Saxon Norfolk’ which analysed remains from many of the same archaeological sites Wells worked on.

Upon completion the catalogue will be publicly available via the Archives Hub, a national database of archives collections which covers several major UK Higher Education archives and special collections. Archives Hub is keyword searchable, so researchers will be able to search for material by site, date, persons, and, in some cases, pathology. The material can be viewed through the University of Bradford’s Special Collections at the J.B. Priestley Library.

Calvin and Freddie Wells with Vilheim Moller-Christensen, dated to 1962. Image credit: University of Bradford.

If researchers are unable to visit in person there are Reprographics and other services available upon request. Additionally any visual material on vulnerable formats, specifically Calvin’s large slide collection, will be digitised and made available via Special Collection’s digital repository which is currently in the development stage.

TBOM: ‘Putting Flesh on the Bones’ then sounds like it is doing a wonderful service to the work and life of Calvin Wells. Although I’ve been aware of his reputation as a palaeopathologist within the United Kingdom, and his importance in helping to establish the practice, I’m keen to learn of Calvin as an individual.

Having read Waldron’s 2014 review of his life and work in the Journal of Medical Biography, the reader is left with a strong impression of him as a somewhat intense, passionate researcher who, at times, read far too much into the skeletal remains of past individuals. Particularly so in his now notorious and problematic case of identifying rape from the remains of a skeleton identified as female and the graphic contextual details that he goes into, which is not supported by the archaeological or osteological evidence present.

Having worked with, and continuing to develop, the access and availability of both his professional and personal archive, what have your insights into his character been like?

JN:  It’s crucial for archive projects to be impartial in how they open up historical records for research and interpretation. Therefore the ‘Putting Flesh on the Bones’ want to reveal all facets of Calvin’s character, both positive and negative.  Similarly it’s our responsibility to provide historical context alongside the material, in order to bring greater understanding about the time which Wells lived and worked.  As an archivist I can only speak to Calvin’s character as it comes across in the archive material.  There is great deal more to be understood about Calvin’s personality from reading biographies written by friends and colleagues.  In addition to Tony Waldron’s article, I recommend reading Glyn Daniel, Gerald D Hart, Cecil J Hackett, and Keith Manchester and Charlotte Roberts. Some of these articles aren’t readily accessible, and the project will change that.

A shot of Calvin working in the great outdoors, analysing skeletal remains at White Horse Cottage, Norwich. Image credit: University of Bradford.

With the exception of memoirs from his service in the Royal Army Medical Core in WWII, the archive material documents Calvin’s life from 1955 until his death at age 70 in 1978.  This was a particularly eventful time Calvin’s life when he produced the bulk of his research and established his legacy in palaeopathology.  Whilst he didn’t keep a diary as such, Calvin was meticulous in preserving his professional and personal correspondence.  We are fortunate because he often kept copies of his own letters, meaning we can read both parts of conversation.  These letters provide unique insight into Calvin’s character and his relationships with others.

An obvious aspect of Calvin’s personality is that he was a gregarious individual, eager to converse with anybody in his fields of expertise.  As a result of the popularity of ‘Bones, Bodies and Disease’ Calvin received considerable correspondence from academics, researchers and university students.  He was particularly generous with the last group, who wrote to him asking about degree courses, research areas or future career paths.  In these instances Calvin expressed earnest enthusiasm for new scientific and academic endeavours, and in many cases established enduring pen-friendship with young scholars and researchers.  It is interesting to now Google the names of these individuals and to discover that many became top doctors, scientists and even politicians.

Given his privileged background, it might be assumed that Calvin was particular about his correspondents.  However he was pleased to converse with the many strangers who wrote to him following an appearance on national radio or TV.  An ITV profile about Wells’, showing the doctor analyse ancient bones, swinging Anglo-Saxon swords and water-ski, promoted an influx of letters from as far afield as Australia.  This included an enquiry from a Norfolk sheep farmers relating to the location of large churches in rural areas with a low population.  In another letter Calvin politely declines the services of a Welsh dowser who believes he can locate bog bodies in Dersingham Bog.  There are also numerous letters from parents and teachers enquiring about how to get children involved in archaeology and osteology.  In all of these instances Calvin is polite to a fault and comes across as natural educator who cherishes the opportunity to share his intellectual passions with others.

A selection of the human skeletal remains that Calvin helped to document. Many of the skeletal remains that he studied came from sites within Norfolk and the east of England. Image credit: University of Bradford.

Concerning the more negative aspects of Calvin’s character, it’s a shame that a small number of ill-judged interpretations of human remains have come to define him as a person.  It is true that Calvin could be intense and bombastic in expressing his professional and personal opinion.  This is evident in his correspondence with Sonia Chadwick Hawkes, with whom he collaborated on the series of controversial reports on an Anglo-Saxon cemetery in Kings Worthy, Hampshire.  Without hashing out the detail the Ancient Monuments Laboratory – who commissioned Sonia to produce the report on the site – resisted Calvin’s involvement on the project.  This was less to do with Calvin dramatic over-interpretations of remains, and more to with his vocal contempt for a fellow palaeopathologist on the team.  In their correspondence Hawkes pleaded with Calvin to tone his comments down, writing that they are “far too hot and strong for anyone’s but my sympathetic and sympathising eyes and ears”.

Clearly Calvin was at his most hostile when interacting with journal editors or publishers who edited his work without permission or published it with errors or inaccuracies.  In fact Calvin wrote about it in an unpublished article called ‘Editorial Arrogance and Bad Manners’, where he lays into the ‘discourteous tempering’ of journal editors.  It appears that Calvin was extremely intellectually proud and felt he had seniority or ownership over palaeopathology at the time.  This is ironic because accepting some constructive criticism may have softened his language or persuaded him to omit some of the more graphic descriptions which have since left an indelible mark on his scientific bibliography.

Photograph of a slingshot wound on a crania, analysed by Calvin Wells, from ancient Cirencester. Image credit: University of Bradford.

However I think that Calvin’s archive material ultimately shows him to be a diligent and conscientious man, both at work and with friends and family.  I predict that the unlocking the collection will show a more thoughtful, progressive and accomplished Calvin than currently remembered.

TBOM: Calvin’s work has been fundamental in making the field of palaeopathology an integral discipline of study within archaeology itself. Indeed, the identification, diagnosis, and demographic attributes associated with studying both ancient diseases and evidence of trauma associated with archaeological remains allows, researchers to build up a detailed picture of human health over the ages. It also allows us to delve into ancient epidemiology within defined populations, allowing for patterns, observations and human behaviour to be identified and investigated.

However, as you have had prime access to his professional and private correspondence, I’m keen to learn what has become one of your favourite pieces of his research, whether it was his bone reports or articles on the value of human skeletal remains as portals into the past?

Related to this I’m keen to hear what you think drove Calvin Wells, the individual, to go from practising as a GP (general practitioner), from helping to heal and comfort the living, to working solely on the ancient dead, diagnosing signs of trauma and disease processes?

JN:  Being based in the School of Archaeological and Forensic Science alongside researchers and students has given me the opportunity to understand Calvin’s research in manner not immediately clear to an archivist such as myself.  Therefore I recognise the value of those parts of Calvin’s research which will be most useful and beneficial to the collection’s anticipated users – Palaeopathologists, Osteologists and Archaeologists.  In addition to his published reports on skeletal material, many of which are not currently available, the collection holds Calvin’s original research notes, graphs and tables, excavation maps, and photographs, slide and radiographs of skeletal remains.  This raw data will allow the researchers of today to reassess and reinterpret the human remains and archaeological sites initially reported on by Calvin and his colleagues.  With regard to Calvin’s bone work, I don’t have a specific favourite piece of research but rather appreciate the meticulously preserved empirical evidence which gives the archive material contemporary scientific value.

A collection shot of the archives that Calvin Wells left behind, including postcards, books, skeletal reports and photographs. Image credit: University of Bradford.

That being said I do personally enjoy the articles Calvin wrote for more popular publications, such as the Times Literary Supplements, the Reader and the US magazine Horizon.  Additionally Calvin wrote regular columns for the Eastern Daily Press under pseudonym ‘Calliphon’.  These articles show that Wells was just as enthusiastic about discussing current medical issues as he was waxing on about disease and injury in ancient history.  For example in an article from 1957 Calvin outlines the mounting evidence of direct links between tobacco smoking and cancer.  In another he provides medical and moral arguments for embracing the mass polio vaccinations in 1955, about which much of the British public were wary.  Wells also used the column to write biographies of Norwich’s great physicians or wax lyrical about primitive man in East Anglia.  It was a popular feature for which ‘Calliphon’ received a great a considerable amount of fan mail.  Adulation was something Calvin embraced, and it increased as he became more prominent in palaeopathology.

On a surface level it could be argued that Calvin devoted himself full-time to palaeopathology primarily as a means of supplementing his pension whilst pursing his interest in the ancient dead.  However, there is something in the fact that Calvin wanted recognition beyond his work as a regional GP.  It’s clear that the career change opened up a new world for both he and his wife Freddie.  From around the mid-1960s, Calvin started to forge relationships with leading scientists and academics, began lecturing for prominent organisations, and received more opportunities to appear on radio and television.  As a natural showman, Calvin fully embraced the attention and respect that being an international authority on palaeopathology brought him.  This is not to say Calvin was cynically pursuing fame, as he invested a great deal of time and research into every job and appearance.  It is clear that Calvin seemed to be gearing up for a third act in his life before cancer struck unexpectedly.

TBOM: Do you think Calvin Wells would be surprised today that his work and research (and dare I say reputation) still plays such a fundamental component in the British history of palaeopathology? Do you think he would be struck by the diverse and wide-ranging courses available, and by the active number of researchers within the field?

JN:  With regard to how Calvin would feel about the development of palaeopathology, I think he would be awestruck by the methodological and technological developments in the subject.  Most of all I think Calvin would be compelled to revise his belief that only individuals with medical qualifications can practise palaeopathology, particularly when confronted with the scale of advancements made by researchers with backgrounds in physical anthropology, archaeology, medicine, biology, and zoology.  While the discipline has significantly evolved and diversified, I think Calvin would recognise his own passion and dedication present in today’s palaeopathologists.

A shot of Calvin Wells in action, helping to teach schoolchildren in Toronto on the value in studying human skeletal remains. Image credit: University of Bradford.

I was recently speaking with Dr Keith Manchester who remarked on how proud Calvin would be that his work continues to have influence almost two generations later.  Clearly he was conscious about leaving a legacy in palaeopathology, and this is evident in the extent with which the archive collection has been cared for and maintained.  Concerning the more contentious aspects of his legacy I think Calvin would be philosophical, probably following Oscar Wilde’s famous line that ‘the only thing worse in life than being talked about is not being talked about’.

TBOM:  Indeed, I think he’d be glad that his fundamental role within British palaeopathology, and palaeopathology as a discipline within its own right, would continued to be recognised.  Thank you very much for joining me at These Bones of Mine James, and I wish you the best of luck archiving the Calvin Wells collection.

Further Information

  • Visit the Putting Flesh on the Bones project website for further information and frequent updates.  The site is a wealth of information on Calvin’s books, skeletal reports and other aspects of intriguing life and lifelong passion for palaeopathological topics.
  • To visit the Twitter page for the project please follow @PFOTB_project, for the project Instagram page please check it out at puttingfleshonthebones.

Bibliography

Daniel, Glyn. 1978. ‘Calvin Wells Obituary; A Man’s Place in Nature by Glyn Daniel’. From The Times, 5 August 1978. [Available from University of Bradford Special Collections].

Hart, G. 1983. ‘Disease in Ancient Man: An International Symposium’. Toronto, Canada (1983).

Roberts, C. 2012. Calvin Percival Bamfylde Wells (1908-1978). In: The Global History of Paleopathology: Pioneers and Prospects. Edited by Jane Buikstra. New York: Oxford University Press. pp. 141-145.

Waldron, T. 2014. Crooked Timber: The Life of Calvin Wells (1908-1978). Journal of Medical Biography. 22 (2): 82-89. (Open Access).

Wells, C. 1961. Bones, Bodies and Disease. London: Thames & Hudson.

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An Introduction to Fibrous Dysplasia & McCune-Albright Syndrome

28 Oct

Definition of Fibrous Dysplasia: ‘Fibrous dysplasia is a non-inherited metabolic bone disease in which abnormal differentiation of osteoblast maturation (which) leads to replacement of normal marrow and cancellous bone by immature bone and fibrous stroma’ (Fitzpatrick et al 2004: 1389).  Fibrous Dsyplasia (FD) can be described as either monostotic (one) or polyostotic (many), depending on how many bones are affected by the disease.  Fibrous Dysplasia lesions are often displayed as having a ‘ground glass‘ appearance on x-rays and are a distinctive radiographic feature of the disease, although it is not pathognomonic of it (Waldron 2009).  It is also noted that pathological fractures are a key defining feature of polyostotic Fibrous Dysplasia (Marsland & Kapoor 2008).  FD is described as a rare disease, with the monostotic form being more prevalent than the polyostotic form.

Definition of McCune-Albright Syndrome:  McCune-Albright Syndrome (MAS) was originally typically diagnosed and recognised when a person had any of the two of the triad of the following symptoms: polyostotic Fibrous Dysplasia, Cafe-au-lait marks and/or precocious puberty.  However it was later recognised that ‘endocrinopathies, including hyperthyroidism, growth hormone excess, renal phosphate wasting with or without rickets/osteomalacia, and Cushing Syndrome’  could be found in association with the original triad (Dumitrescu & Collins 2008: 1).  In all three systems (skin, skeletal & endocrine), the presentation and abnormality can be highly variable from person to person depending on the tissues involved and the extent of the involvement (OMIM-see below).  Estimated prevalence is 1/100,000 to 1/1,000,000, it is such a wide margin because no thorough prevalence study has been carried out in recent times (Dumitrescu & Collins 2008: 1).

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As a person who happens to have McCune Albright syndrome, to have known to have it from the first years of life, I have become somewhat forgetful of its origin: that somewhere in the early postzygotic  divisions of my life, the disease appeared and became a part of me.  Although I am aware each day of the ramifications that the mutation of the GNAS1 gene has caused I often consider myself lucky.  Lucky in the fact that in my case it has only led to broken bones and various surgeries rather than the full expression of the endocrinopathies that can occur.  I use a wheelchair for everyday mobility with limited use of crutches, mostly used for aiding inside mobility (and sometimes excavations!).

In my personal case, the disease has most affected the main weight-bearing bones of the lower limbs (fairly typical as they are the stress bearing bones, prone to fracture from weakened bone architecture).  Generally speaking,the long bones of the appendicular skeleton tend to be bowed naturally with a pathological weakness due to the lack of normal bone density and high bone cell turnover, with the aforementioned bone lesions occurring spontaneously which sometimes lead to fracture.  This includes the bilateral deformity of the femora with which I’ve had numerous pathological fractures (Five natural transverse fractures, five elective surgery initiated) on both the left and right sides, alongside a number of fractures of the right tibia and fibula (including both transverse and hairline fractures), two on the right humerus and the 5th metatarsal in the right foot.  The shepherd’s crook deformity is the common bowing deformity with varus angulation of the proximal femur (Fitzpatrick et al 2004: online).

As stated the primary bones affected by the MAS pathological fractures are typically located in the appendicular skeleton and include the following bones in order of prevalence first:  a) femur, b) tibia, c) fibula, d) humerus and e) the ribs.  It can also affect the craniofacial skeleton with distinct abnormalities in the amount of bone growth and deformity; however this tends to lessen with age after the primary and secondary growth periods (adolescence and sexual maturity), or ‘burn out’ as it is often called by medical specialists (Dumitrescu & Collins 2008: 8).

‘An example of the shepherds crook’ deformity of the femoral neck (coxa vara) with internal fixation.

My experiences of living with McCune Albright syndrome has included numerous hospitalizations due to fractured bones and planned corrective surgeries.  This has also included large amounts of time stuck in my old friend the Thomas Splint in bed bound traction, alongside enduring a host of various corrective surgical procedures to improve the angulation of both femoral necks.  Although the initial idea following a number of fractures was to treat the femoral deformities with an Ilizarov apparatus by manipulating the bone growth every day, it was quickly decided that an intramedullary rod (nicknamed the Sheffield Rod), carried out in conjunction with osteotomies to correct the femoral neck angle during surgery, would be a much safer and further reaching goal in stabilising both femoral necks in the long term.  (A rather wonderful digital video of a rod being inserted/hammered in can be viewed here).  Five major elective intramedullary rod surgeries later (3 for the left femur and 2 for the right femur!), and it seems as if they have thus far stabilised each femoral shaft/neck enough for them not to fracture again.  However this is also due to using the wheelchair much more extensively than before!

I also have had surgery to stabilise the right tibia and fibula.  This was decided after having undergone three accidental fractures of the right tibia and fibula with a space of 5 years (when the tibia breaks the fibula often follows because of their connection via the interosseous membrane), with each fracture requiring many months in plaster in order for the bone to heal.  Again this surgery included osteotomies of the tibia and fibula to improve the angle of the bone (and thus improve the bio-mechanical loading of the lower leg) and included the fixation of the tibia by means of a titanium plate.  It was hoped that an intramedullary rod could be inserted into the tibia after the tibial osteotomy but the risk of massive blood loss (an outcome of the porous bone and increased heartbeat/blood flow) and the presence of porous cortical bone meant that the tibia was probably unlikely to be able to ‘hold’ the rod in place.

I have also fractured the right humerus twice, with the second transverse fracture resulting in the fixation of the humerus with a permanent titanium plate and associated screws.  This is similar to my right tibia which has a permanent titanium plate and screws to fixate the bone and alleviate some of the pressure of walking.

I have undertaken treatment using biphosphonphates (in my case the drug pamidronate) to increase the bone density itself over a number of years in the past when I was a teenager, but the resultant bone density scans (taken at intervals before, during and after the treatment) showed little improvement and treatment was subsequently stopped.  Upon further reading into this it seems there are possible problems for long term users of biphosphonates.   This can include the higher risk of fracture after long term use due to the bodies inability to metabolize the drug and the natural effect of the biphosphonate inhibition on the bone cell turnover rate (Ott 2005: 31897).  There are many cases though where drug treatment has proved beneficial; however each case should be merited individually and each person monitored as appropriate.  I will stress here that there are many different types of biphosphonates available and that McCune Albright Syndrome varies in its intensity.

X ray of my left femur and hip with a locking intramedullary rod and screws.  Although please note that two of the femoral neck screws have now been taken out.

Although this is just a short post on the introduction to the disease that is sharing life with me it can also be found in the archaeological record.  Waldron (2009: 214) points out that Fibrous Dysplasia is often best diagnosed in an archaeological skeleton by the noting of either a shepherd’s crook deformity, healed fractures and findings of expansile swellings on one or more bones.  Subjecting the suspected sample to X-ray should show ‘lucent areas with endosteal scalloping and sometimes a thick sclerotic border’  (Waldron 2009: 215).  Unlike today’s vast array of modern medical treatment and surgical procedures, people in the past largely had to make do and mend.

As Roberts & Manchester (2010) discuss in their book, fracture treatment in the medieval age and before was fairly adept at helping in supporting and stabilising the fracture site.  However with repeated breaks in the main weight supporting bones, it is doubtful whether one could have led a normal life if the fractures were not reduced properly or repeatedly after continual breaks (Oakley 2007).  It also should be noted here that due to the nature of McCune Albright Syndrome it is unlikely to be described in the archaeology record as human skin rarely preserves.  It is far more likely that Fibrous Dysplasia is diagnosed based on the skeletal remains.

In the archaeological record Fibrous Dysplasia remains a rare and elusive disease to diagnose, whilst is has actively been described and documented in more recent human remains (Nerlich et al. 1991).  The following two case studies highlight individual cases of where Fibrous Dysplasia has been documented in archaeological material.

A recent case study presented by Craig & Craig (2011) discusses a juvenile skeleton with evidence of polyostotic Fibrous Dysplasia.  The skeletal remains of a child aged 7 years presents with Fibrous Dysplasia with evidence of involvement most noticeable with large bone expansion on the left mandible alongside involvement of the temporal, maxilla, parietal and frontal craniofacial bones.  A review of the burial context of the skeleton and of the Anglo-Saxon cemetery population that the child comes from shows no differentiation between this and other burials, indicating no differentiation in the disposition of this child’s body or associated grave goods.  Craig & Craig (2011) also cite further Ango-Saxon literature to suggest that it is highly unlikely that the child was stigmatized due to his disability, although we can never know for sure.

Recent evidence in a 120,000 year old Neandertal individual from the Upper Pleistocene site of Krapina in present day Croatia highlights the likely evidence for Fibrous Dysplasia presence in a small rib fragment (Monge et al. 2013).  This is extremely rare to find a bone lesion or tumour  in skeletal material from such a period and it is extremely exciting.  The rib was allocated original as a faunal remain when the site was initially excavated, but the rib was recognised for being of Neandertal origin by sharp eyed human osteology legend Tim D. White (Monge et al. 2013).

X ray of the transverse fracture of my right tibia and fibula in the summer of 2009.  This was the first of three transverse fractures of the right tibia and fibula that followed in quick succession over a short number of years, and resulted in the fixation of the tibia with a permanent titanium plate.

Below are some medical and non-medical sources of information on the various aspects of both Fibrous Dysplasia & McCune Albright Syndrome (FD and MAS). This includes a few recent palaeopathology articles that are freely available, medical articles discussing both FD and MAS, core palaeopathology textbooks and support groups in the US and UK for sufferers of the bone disease.  Although the disease is not headline grabbing news, the lack of research into the socio-economic aspects of the disease is distinctly lacking, as is the number of foundations or adult support services for sufferers with the disease.

I am thankful for the support of my friends, family & my consultant in the treatment of this syndrome and for continued support given.

N.B. The origin of the Ilizarov frame is particularly interesting.  It was first used in the 1950s in the USSR, with Dr Gavril Ilizarov originally using bicycle wheel spokes to fixate, support and lengthen badly fractured bones.  It was only introduced to the West in the 1980’s as a direct result of Ilizarov’s corrective surgery on a patient in Italy when all other options had failed in healing the patient’s fractures.  So far I have managed to avoid having the frame but it is still a standard procedure for badly fragmented fractures, in particular it is often used after motorbike accidents or reconstructing limb angulation/length.

Bibliography and Further Sources:

Fibrous Dysplasia:

Medical Articles:

  • Lee, J. S. FItzgibbon, E. J., Chen, Y. R., Kim, H. J., Lustig, L. R., Akintoye, S. O., Collins, M. T. & Kaban, L. B. 2012. Clinical Guidelines for the Management of Craniofacial Fibrous Dysplasia. Orphanet Journal of Rare Disease. 7 (1): 1-19..
  • Marsland, D. & Kapoor, S. 2008. Rheumatology and Orthopaedics. London: Mosby Elsevier.

McCune-Albright Syndrome:

Medical Articles:

Palaeopathology:
  • Aufderheide, A. C. & Rodríguez-Martín. C. 1998. Cambridge: Cambridge University Press. (pg.420-421).
  • Roberts, C. & Manchester, K. 2010. The Archaeology of Disease Third Edition. Stroud: The History Press.
  • Waldron, T. 2009. Palaeopathology: Cambridge Manuals in Archaeology. Cambridge: Cambridge University Press.
General Medical
  • Pub Med, a US National Library of Medicine website.

How To Use The Blog Roll

26 Feb

As a part of my current learning process pre-MSc, I’ll be searching out new sites to add to the blog roll below.  Ideally the blog roll will be a source of information on various aspects of human osteology and archaeology.  I will continue to add sites as and when I find them.  Also there are a number of organisations included in the list, such as the Institute For Archaeologists (IFA), British Association for Biological Anthropology and Osteoarchaeology (BABAO), & the Council for British Archaeology (CBA), which provide key calling points for interested parties.  These associations are designed to help promote and educate the public, as well as other archaeological companies, by providing information on current theories & finds, and helping to pool resources of specialists.  They also provide ethical and legal frameworks in the exciting world of archaeology!

As a result of a little late night website searching regarding the carpals (the wrist bones), I stumbled upon this site.  A series of radiographic images are presented daily and discussed regarding radiological technique and pathology present.  Thus the site presents a database for students studying radiology. 

Fractured 3rd metacarpal on the left hand in natural anatomical position(Courtesy of Emily Evans).

The highlight for those of us interested in human osteology is the chance to see the individual skeletal elements in full articulation with related anatomical elements. 

The next post will deal with the basic skeletal nomenclature, and the directional terms in anatomy!

P.S. Please click on the photo to enlargen the X-ray!