By Andrea Piccioli, Valentina Gazzaniga, Paola Catalano
This publication provides the result of a distinct macroscopic and radiological research, by way of X-ray and CT test, of the bone pathologies of approximately 1800 matters who lived on the time of the Roman Empire (first and moment centuries A.D.) and whose continues to be have been recovered in the course of the excavation of a suburban necropolis of Rome. The survey, which represents a collaboration among the Italian Society of Orthopaedics and Traumatology and the targeted Superintendent for the Archaeological historical past of Rome, has yielded brilliant photographs of other orthopaedic ailments in a interval whilst no surgery used to be to be had: there are circumstances of an infection (osteomyelitis), metabolic sickness (gout), hematologic sickness (multiple myeloma), tense lesions and their problems and degenerative pathology (osteoarthritis, really secondary and overload). A multidisciplinary staff together with orthopaedists, paleopathologists, radiologists and scientific historians has evaluated the most important teams of bone affliction within the inhabitants checking out superb circumstances and imagine of ortho-traumatologic pathologies in a pre-surgical period. The homogeneity of the pattern and the variety of topics make this a learn of primary importance.
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Additional info for Bones: Orthopaedic Pathologies in Roman Imperial Age
Consulting the several available historical sources, Roman Imperial medicine looks like a field of knowledge deeply related to the civil and social life, a field where different expectations and waitings join with an increasingly rising market demand . The geographical borders expansion with the high variability of the socioeconomic status of the inhabitants of the Empire, also followed by the change of the risk factors, of the onset conditions and spread of infectious diseases, in a word of the whole pathological background (called “pathocenosis” by Mirko D.
In the De Re Medica, Celsus gives a more practical and realistic view of doctors’ and surgeons’ “modus operandi”; even with his pathological interpretations and some specific therapeutic treatments of Hippocratic tradition, Celsus is mainly interested in the praxis. On the other hand, Galen represents the Greek medical philosophical culture, and mirrors a Hippocratic approach also in the re-elaboration of orthopae- 22 1 The Study of Ancient Bone Remains Fig. 19 Repairing broken arm, torn ligament or shoulder dislocation, from Guido Guidi, Chirurgia e Graeco in Latinum conversa, 1544 (Wellcome Library) dic surgery through the Alexandrian tradition, which had enriched it with the design of new mechanical tools .
The bone remains have shown some traumatic lesions, such as fractures, dislocations, haematomas or pulled muscles. These have been recorded on an appropriate database, separating fractures/ dislocations from tendon/muscle traumas. Traumas are classified into accidental (due to life style), deliberate (due to violence), ritual, punishment (amputation) and therapeutic (surgical); their frequency, localization and severity can provide “traumatological patterns”, useful for the analysis of the socio-cultural features of the ancient populations.
Bones: Orthopaedic Pathologies in Roman Imperial Age by Andrea Piccioli, Valentina Gazzaniga, Paola Catalano