Traumatic cubitus valgus consequent of distal humeral fracture: Two case studies from the Holocene Later Stone Age in southern Africa.

OBJECTIVES: Distal fractures of the humerus and their complications have rarely been described or analysed in the palaeopathological literature. The objective of this study was to evaluate two cases of distal humeral fracture with associated cubitus valgus observed in two individuals from the context of the Later Stone Age (LSA) in southern Africa. MATERIALS: Skeletal remains of two individuals. A middle-aged female radiocarbon dated to c.160 BP and a middle-aged male radiocarbon dated to c.2 300 BP. METHODS: Remains were macroscopically and radiographically assessed for injury. RESULTS: Both cases presented with healed antemortem injury to the right elbow attributed to possible falls. Distal humeral fracture resulted in non-union of the lateral epicondyle with extensive morphological changes to the elbow joint including an increased carrying angle. Morphological and osteoarthritic changes suggest a survival period of several years post-injury. SIGNIFICANCE: Cubitus valgus following traumatic injury has rarely been reported amongst historic or prehistoric populations. The described injuries would have had physical and functional consequences, raising questions relating to probable care received during the healing process. The elbow injuries would have resulted in restricted motion and instability of the elbow joint, with a high likelihood of ulnar neuropathy. LIMITATIONS: The contextual information for these individuals is limited and do not permit broader population level study. SUGGESTIONS FOR FURTHER RESEARCH: Formal biomechanical analysis including cross-sectional geometry analysis will provide further information regarding complications and strengthen the diagnosis of ulnar neuropathy. Further research is necessary on the prevalence and complications of humeral fracture.

Allometry of head and body size in Holocene foragers of the South African Cape.

Opportunities to assess morphological allometry in small-bodied human populations are rare. The foragers of the Later Stone Age of the South African Cape are characteristically small-bodied. Previous studies have shown that during the period of ca. 3500 to 2000 years BP (uncalibrated (14) C dates), the regional population shows transient reduced stature, body mass, and cranial size, a pattern that has been tentatively tied to demographic pressure on resources. This study examines the relationships among cranial size (centroid size) and body size (femoral length, femoral head diameter, and bi-iliac breadth) during the second half of the Holocene (N = 62). Reduced major axis regression indicates negative allometry of cranial centroid size with body size. Residuals (from ordinary least squares regression of cranial centroid size on body size) are regressed on radiocarbon date to examine temporal changes in the relationship between cranial and body size. Cranial and pelvic sizes are most conserved through time, while more ancient skeletons possess shorter femora and smaller femoral heads. The relationship between cranial centroid size and femoral length shows larger and more variable residuals at more recent dates, indicating a greater or more variable disassociation between cranial size and stature relative to more ancient skeletons. A similar, but nonsignificant relationship exists between cranial size and bi-iliac breadth. These results provide insights into the use of aspects of body size and proportionality in the assessment of health in past populations.

Craniofacial variation and population continuity during the South African Holocene.

We assess craniometric variation in 153 individually dated human crania from South Africa with the aim of investigating genetic continuity/discontinuity during the Holocene. Evidence from the archaeological record is used to pinpoint likely episodes of genetic discontinuity. Craniometric data are then used to assess the likelihood of genetic change having occurred. Two periods of possible genetic discontinuity are identified: i) c. 4,000 BP, when an increase in overall population size, shifts in site organization and diet, and reduced mobility, were accompanied by reductions in stature; ii) c. 2,000 BP, when the herding of domesticates and the use of pottery vessels were introduced into the region. Results indicate that there was a decrease in cranial size and concomitant size-related changes in craniofacial shape between c.4,000 BP and 3,000 BP. This was followed almost immediately by a recovery in craniofacial size and a return to pre-4,000 BP craniofacial shape at c. 3,000 BP. This recovery continued gradually, extending into the herder period without any major shifts in morphology at 2,000 BP. It is suggested that the fluctuations in craniofacial size/shape were related to changes in environmental factors. Results obtained are consistent with long term continuity in South African Later Stone Age populations during the Holocene.