Posible Enfermedad de Perthes en un Individuo del Cementerio Mudéjar de Uceda (Guadalajara)

  1. Enrique Dorado Fernández 1
  2. Ildefonso Ramírez González 2
  3. Loreto Parro González 3
  4. Zulema Cardoso Cita 4
  5. Concepción Magaña-Loarte 1
  6. Elena Ruiz Mediavilla 5
  7. Juan Carlos Prados Frutos 6
  1. 1 Laboratorio de Antropología, Instituto Anatómico Forense, Madrid.
  2. 2 Universidad Europea (México)
    info

    Universidad Europea (México)

    Heróica Puebla de Zaragoza, México

    ROR https://ror.org/01eyjev41

  3. 3 G3A Consulting
  4. 4 Hospital Clínico.
  5. 5 Escuela de Medicina Legal, Madrid
  6. 6 Universidad Rey Juan Carlos
    info

    Universidad Rey Juan Carlos

    Madrid, España

    ROR https://ror.org/01v5cv687

Book:
Paleopatología y bioarqueología: Contextualizando el registro óseo. Actas del XIII Congreso Nacional de Paleopatología, Écija (Sevilla) 1-4 octubre de 2015
  1. Marta Díaz-Zorita Bonilla (ed. lit.)
  2. Javier Escudero Carrillo (ed. lit.)
  3. Inmaculada López Flores (ed. lit.)
  4. Joaquín Lucena Romero (ed. lit.)
  5. Esther Mora Rosa (ed. lit.)
  6. Sonia Robles Carrasco (ed. lit.)

Publisher: Asociación Española de Paleopatología

ISBN: 978-84-697-6581-4

Year of publication: 2017

Pages: 313-316

Congress: Congreso Nacional de Paleopatología (13. 2015. Écija)

Type: Conference paper

Abstract

We report a case of pathology in the left Os coxae, in a male skeleton, around 35 year-old, from the Mudejar medieval necropolis in Uceda, Guadalajara, between the 13th and the 14th centuries.A direct anthropological study was performed, as well as the study of the radiological images. A pathology limited to the left Os coxae can be observed, with a deformation of the femoral head, which appears in the form of “mushroom”, flat shaped, and laterally enlarged. The surgical neck appears short and wide. Horizontalization of the femoral head and of the neck can be observed. No fovea capitis can be seen. A strong affectation in the acetabulum is evidenced, especially in the bottom part, with abundant presence of marginal osteophytes, indicating an acute phase of osteoarthritis. In the rest of the skeleton no pathology in the contralateral pelvis, or any other significant signs are found. The skeleton was recovered mostly complete. The bilateral antecurvatum suggests vitamin and mineral deficiencies. It has been proposed the differential diagnosis with other etiologies such as Development Dysplasia of Hip (DDH), epiphysiolysis, or tuberculosis. On the basis of the above, it is concluded that morphology and radiological images, as well as the one-sidedness, are characteristic of Perthes’ disease (Legg-Calvé-Perthes disease).