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Publisher: Wiley
Languages: English
Types: Article
Objectives\ud Today, fractures at the growth plate (or physis) are common injuries in children, but provide challenges of identification in skeletonized remains. Clinical studies provide detailed information on the mechanisms, locations, age of occurrence, and complications associated with physeal fractures, enabling the development of new criteria for identifying this injury in non-adults. To test these criteria, skeletal remains from five rural and urban medieval cemeteries were examined.\ud \ud Methods\ud The sample consisted of 961 skeletons (0-17 years) with open epiphyses. Macroscopic observation looked for any irregularities of the metaphysis or epiphysis which was consistent with the clinical appearance of physeal fractures or resulting complications. Radiographic examination was applied to identify fracture lines or early growth arrest.\ud \ud Results\ud This study revealed 12 cases of physeal trauma (1.2%). Physeal fractures occurred predominantly at the distal end (75%), and while they were identified in all age categories, they were most frequent in those aged 12-17 years (0.2% TPR). The humerus was the most commonly affected location (3/12 or 25%).\ud \ud Conclusions\ud This study highlights the potential for recognizing physeal fractures in children of all ages, enhancing our understanding of non-adult trauma, and enabling us to assign a more precise age of the injury to build up a picture of their activities in the past.\ud
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    • Flynn JC, Richards JF, Jr., and Saltzman RI. 1975. Prevention and treatment of non-union of slightly displaced fractures of the lateral humeral condyle in children. An end-result study. J Bone Joint Surg Am 57(8):1087-1092.
    • Gaither C, and Murphy M. 2012. Consequences of conquest? The analysis and interpretation of subadult trauma at Puruchuco-Huaquerones, Peru. J Arch Science 39:467-478.
    • Gasco J, and de Pablos J. 1997. Bone remodeling in malunited fractures in children. Is it reliable? J Pediatr Orthop B 6(2):126-132.
    • Gilchrist R. 2012. Medieval Life. Archaeology and the Life Course. Woodbrigde: Boydell Press.
    • Glencross B. 2011. Skeletal injury across the life course: towards understanding social agency. In: Agarwal S, and Glencross B, editors. Social Bioarchaeology. Chichester: Wiley-Blackwell. p 390-409.
    • Glencross B, and Stuart-Macadam P. 2000. Childhood trauma in the archaeological record. Int J Osteoarchaeol 10:198-209.
    • Glencross B, and Stuart-Macadam P. 2001. Radiographic clues to fractures of distal humerus. Int J Osteoarchaeol 11:298-310.
    • Goldberg PJP. 2006. Life and death: the ages of man. In: Horrox R, and Ormrod WM, editors. A Social History of England 1200-1500. Cambridge: Cambridge University Press. p 413-434.
    • Goldberg PJP. 2008. Childhood and gender in later medieval England. Viator 39(1):249-262.
    • Gruber HE, Phieffer LS, and Wattenbarger JM. 2002. Physeal fractures, part II: fate of interposed periosteum in a physeal fracture. J Pediatr Orthop 22(6):710-716.
    • Hanawalt B. 1977. Childrearing among the lower classes of Medieval England. The Journal of Interdisciplinary History 8(1):1-22.
    • Hanawalt B. 1986. The ties that bound : peasant families in medieval England. New York: Oxford University Press. xii, 346 p. p.
    • Hardacre JA, Nahigian SH, Froimson AI, and Brown JE. 1971. Fractures of the lateral condyle of the humerus in children. J Bone Joint Surg Am 53(6):1083-1095.
    • Heighway C, and West J. 1980. Excavations at Gloucester, fifth interim report: St Oswalds Priory: 1977-8. The Antiquaries Journal 60:207-226.
    • Jacobsen S, Hansson G, and Nathorst-Westfelt J. 2009. Traumatic separation of the distal epiphysis of the humerus sustained at birth. J Bone and Joint Surg Br 91(6):797-802.
    • Jimenez-Brobeil SA, Al Oumaoui I, and Du Souich P. 2007. Childhood trauma in several populations from the Iberian Peninsula. Int J Osteoarchaeol 17:189-198.
    • John SD, Moorthy CS, and Swischuk LE. 1997. Expanding the concept of the toddler's fracture. Radiographics 17(2):367-376.
    • John SD, Wherry K, Swischuk LE, and Phillips WA. 1996. Improving detection of pediatric elbow fractures by understanding their mechanics. Radiographics 16(6):1443-1460; quiz 1463-1444.
    • Johnson K, Williams H, Foster KE, and Miller C. 2009. Paediatric Radiology. Oxford: Oxford University Press.
    • Peterson HA, Madhok R, Benson JT, Ilstrup DM, and Melton LJ, 3rd. 1994. Physeal fractures: Part 1. Epidemiology in Olmsted County, Minnesota, 1979-1988. J Pediatr Orthop 14(4):423-430.
    • Rathjen K, and Birch J. 2006. Physeal injuries and growth disturbances. In: Beaty J, and Kasser J, editors. Rockwood and Wilkins' Fractures in Children. PhiladelphiaBaltimore: Lippincott Williams and Wilkins. p 99-131.
    • Stamper P. 2009. Rural settlements and manors. In: Hunter D, and Ralston I, editors. The Archaeology of Britain An Introduction from Earliest Times to the Twenty-First Century. London-New York: Routledge. p 328-347.
    • Towner E, and Towner J. 2000. Developing the history of unintentional injury: the use of coroners' records in early modern England. Inj Prev 6(2):102-105.
    • Waldron T, and Rodwell W. 2007. St. Peter's, Barton-upon-Humber, Lincolnshire. A Parish Church and its Community. Oxford: Oxbow Books.
    • Withington ET. 1927. Hippocrates (vol. III). London - New York: William Heinemann.
    • Worlock P, and Stower M. 1986. Fracture patterns in Nottingham children. J Pediatr Orthop 6(6):656-660.
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