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The vascular system, as it passes through grooves and foramina along the surfaces of bones, can leave impressions on the skeleton. The areas where bones and vessels come into close contact can allow palaeopathologists to investigate vascular variations and pathological changes long after the loss of any soft tissues. For example, abdominal (Diekerhof et al., 2002; Ando et al., 2003) and thoracic (Sheeran & Sclafani, 2000; Takahashi et al., 2007) aneurysms can lead to lesions on the vertebrae.
The final chapter is a warning against over-interpretation in palaeopathology and considers the concept of ‘wrong-end epidemiology’ and how to avoid it.
Primary and secondary osteoarthritis are described, and an operational definition is given to aid in its diagnosis. Other diseases associated with osteoarthritis are also discussed.
Metabolic diseases including Paget’s disease, osteoporosis, rickets and scurvy form the main topics for this chapter. Some less common conditions are also mentioned.
The main part of this chapter is given over to a consideration of the four major bacterial diseases of bone: osteomyelitis, tuberculosis, syphilis and leprosy. A brief account is also given of some viral and parasitic diseases
Caries, ante-mortem tooth loss, dental calculus and periapical lesions form the bulk of this chapter. There are also short accounts of dental anomalies and dental tumours.
Fractures and dislocations form the bulk of this chapter, which also includes sections on accidental and intentional wounding, legalised trauma, amputation and the autopsy.
The art of diagnosis is considered in this chapter in both its historical and modern contexts. It is suggested that palaeopathologists should use operational definitions to make diagnoses in human remains.
Normal and abnormal growth is the subject matter of this chapter, which deals with dwarfism, gigantism, disorders of skull growth and various conditions in which a part of the whole of a limb may not develop.
Several of the theories of health and disease are critically considered. It is suggested that health is a subjective value-laden phenomenon, whereas disease is objective and value-free.
The basic concepts of palaeopathology are discussed, including the stability of the reaction of the skeleton to pathological insults and the expression of disease.