Talocalcaneal coalition in the female adult skeleton from the archaeological site of Perlek-Dioksid, Serbia (10th - 12th centuries AD)

Authors

  • Veda Mikašinović Centre of Bone Biology, Faculty of Medicine, University of Belgrade
  • Tamara Šarkić Centre of Bone Biology, Faculty of Medicine, University of Belgrade
  • Ksenija Đukić Centre of Bone Biology, Faculty of Medicine, University of Belgrade

Keywords:

tarsal coalitions, talocalcaneal coalition, Perlek-Dioksid, paleopathology

Abstract

In this case report, we will present a case of rare pathological condition, a talocalcaneal coalition, which was recorded in a female adult individual from the archaeological site of Perlek-Dioksid, dated in the period between 10th and 12th centuries AD. During the bioanthropological and paleopathological analyses it was noted the presence of a bilateral bony fusion of the calcaneus and talus of a female adult individual, suggesting an occurrence of talocalcaneal coalition. This was further confirmed by an X-ray examination. Talocalcaneal coalition (TC) occurs when adjacent tarsal bones, the calcaneus and talus, are partially or completely fused. A talocalcaneal coalition becomes symptomatic when, at the age of 12 to 15 years, a pre-existing coalition becomes ossified. In this case, TC was accompanied by degenerative changes of the spine and bilateral femoral neck anteversion. This condition did not require any form of health-related care for this person, although it probably caused occasional pain of varying intensity. This pathological condition is rarely described in bioarchaeological literature and it is, therefore, important to report every recorded case in order to improve our corpus of knowledge regarding such conditions.

References

Amini, B., Rasuli, B., Baba, Y., et all. (2023). Talocalcaneal coalition. Reference article, Radiopaedia.org (Accessed on 14 Dec 2023) https://doi.org/10.53347/rID-2145

Brothwell, D. R. (1981). Digging up bones. New York: Cornell University Press.

Buikstra, J. E., Ubelaker, D. H. (1994). Standards for data collection from human skeletal remains. Fayetteville: Arkansas Archaeological Survey.

Buikstra, J. E. (2019). Ortner’s identification of pathological conditions in human skeletal Remains. San Diego: Academic Press.

Case, D.T., & Burnett, S.E. (2010). Identification of Tarsal Coalition and Frequency Estimates From Skeletal Samples. International Journal of Osteoarchaeology (2010). DOI: 10.1002/oa.1228

Cowell, H.R., & Elener, V. (1983). Rigid painful flatfoot secondary to tarsal coalition. Clinical Orthopaedics and Related Research, 1983 Jul-Aug; (177):54-60. [PubMed] [Reference list]

Crim, J. & Kjeldsberg, K. (2004). Radiographic Diagnosis of Tarsal Coalition. American Journal of Roentgenology. 2004: 182(2):323-8. doi:10.2214/ajr.182.2.1820323 - Pubmed

Djukic, K., Milenkovic, P., Milovanovic., P., Dakic., M., Djuric, M. (2014). The Increased Femoral Neck Anteversion in Medieval Cemetery of Pecenjevce. Aetiology and Differential Diagnosis in Archaeological Context. Chungara, Revista de AntropologíaChilena. Volumen 46, Nº 2, 2014. Páginas 295-303

Docquier, P., Maldaque, P., Bouchard, M. (2019). Tarsal Coalition in Paediatric Patients. Orthopaedics & Traumatology: Surgery & Research. 2019: 105(1):S123-31. doi:10.1016/j.otsr.2018.01.019 - Pubmed

Fabeck, L., M. Tolley, M. Rooze & F. Burny (2002). Theoretical study of the decrease in the femoral neck anteversion during growth. Cells Tissues Organs 171:269-275.

Fabry, G., Macewen, G.D. & Shands, A. R. Jr. (1973). Torsion of the femur: A follow-up study in normal and abnormal conditions. Journal of Bone and Joint Surgery American 55:1726-1738.

Ferembach, D., Schwidetzky, I. & Stloukal, M. (1980). Recommendations for age and sex diagnosis of skeletons. Journal of Human Evolution 7: 523–525.

Fopma, E., & Macnicol, M.F. (2002). Tarsal coalition. Current Orthopaedics 16: 65–73.

Harkess, J. (2003). Arthroplasty of hip. In Campbell’s Operative Orthopaedics, edited by S.T. Canale, pp. 315-482. Mosby, Philadelphia.

Hefti, F., Brunner, R., Hasler, C.C., & Jundt, G. (2007). PediatricOrthopedics in Practice. Springer, Verlag Berlin Heidelberg.

Kawashima, T., Uhthoff, H.K. (1990). Prenatal development around the sustentaculumtali and its relation to talocalcaneal coalitions. Journal of Pediatric Orthopaedics 10: 238–243.

Kernbach, K.J. (2010). Tarsal coalitions: etiology, diagnosis, imaging, and stigmata. Clinics in Podiatric Medicine and Surgery. 2010 Jan; 27(1):105-17. doi: 10.1016/j.cpm.2009.08.006. PMID: 19963173.

Kumai, T., Takakura, Y., Akiyama, K., Higashiyama, I., Tamai, S. (1998). Histopathological study of nonosseous tarsal coalition. Foot and Ankle International 19: 525–531.

Martus, J.E., Femino, J.E., Caird, M.S., Kuhns, L.R., Craig, C.L., Farley, F.A. (2008).Accessory anterolateral talar facet as an etiology of painful talocalcaneal impingement in the rigid flatfoot: a new diagnosis. Iowa Orthopedic Journal. 2008; 28:1-8. [PMC free article] [PubMed] [Reference list]

Мikić, Ž. (1978). O antropološkoj metodologiji terenske obrade skeletnih nalaza. GodišnjakCentrazabalkanološkaispitivanjaAkamedijanaukaiumjetnostiBosneiHercegovine 16/14, 3–44.

Mosier, K.M., &Asher, M. (1984). Tarsal coalitions and peroneal spastic flatfoot. Journal of Bone and Joint Surgery 66A: 976–984.

Park, J. J., Seok, H. G., Woo, I.H. et all. (2022). Racial differences in prevalence and anatomical distribution of tarsal coalition. Scientific Reports 12, 21567 (2022). https://doi.org/10.1038/s41598-022-26049-6

Schenkel, D., Degraauw, J., Degraauw, C. (2010). Talocalcaneal coalition in a 15 year old female basketball player. Journal of the Canadian Chiropractic Association. 2010 Dec: 54(4):222-8. PMID: 21120013; PMCID: PMC2989394.

Schoenecker, P.L., & Rich, M.M. (2006). The lower extremity. In Lovell and Winter’sPediatric Orthopaedics, edited by R.T. Morrissey, and S.L. Weinstein, pp. 1157-1211. Lippincott Williams and Wilkins, Philadelphia.

Spero, C.R., Simon, G.S., Tornetta, P. III. (1994). Clubfoot and tarsal coalition. Journal of Pediatric Orthopaedics 14: 372–376.

Suchey J. M. & Brooks, S. (1990). Skeletal age determination based on the os pubis: A comparison of the Acsádi-Nemeskéri and Suchey-Brooks methods. Human Evolution 5: 227–238.

Takakura, Y., Sugimoto, K., Tanaka, Y., Tamai, S. (1991). Symptomatic talocalcaneal coalition: Its clinical significance and treatment. Clinical Orthopaedics and Related Research 269: 249–256.

Taniguchi, A., Tanaka, Y., Kadono, K., Takakura, Y., Kurumatani, N.C. (2003). Sign for Diagnosis of Talocalcaneal Coalition. Radiology. 2003: 228(2):501-5. doi:10.1148/radiol.2282020445 - Pubmed

Trotter, M. &Gleser, G. C., 1958. A re-evaluation of estimation of stature based on measurements of stature taken during life and long bones after death. American Journal of Physical Anthropology 16: 79–123.

Varner, K.E., & Michelson, J.D. (2000). Tarsal coalition in adults. Foot and Ankle International 21: 669–6672.

Yun, S., Jin, W., Kim, G.et all. (2015). A Different Type of Talocalcaneal Coalition With Os Sustentaculum: The Continued Necessity of Revision of Classification. American Journal of Roentgenology. 2015: 205(6):W612-8. doi:10.2214/AJR.14.14082 - Pubmed

Downloads

Published

2024-02-28