The effect of age, sex, and physical activity on entheseal morphology in a contemporary Italian skeletal collection.

Entheseal changes are traditionally included in a large array of skeletal features commonly referred to as "skeletal markers of activity." However, medical studies and recent anthropological analyses of identified skeletal series suggest a complex combination of physiological and biomechanical factors underlying the variability of such "markers." The aim of this study is to examine the relationship between age, sex, physical activity, and entheseal variability. To this end, 23 postcranial entheses are examined in a large (N = 484) Italian contemporary skeletal series using standardized scoring methods. The sample comprises subjects of known age, sex and, mostly, occupation. Results show a strong relationship between age and entheseal changes. Differences between sexes are also highlighted, while the effects of physical activity appear moderate. Altogether, our study indicates that entheseal morphology primarily reflects the age of an individual, while correlation with lifetime activity remains ambiguous.

The study of entheses: proposal of a standardised scoring method for twenty-three entheses of the postcranial skeleton.

Entheses are always visible on the bone, although with variable forms and degrees of expression. The term "robusticity" indicates the "normal" osseous markings at entheses, while "enthesopathy", indicates the presence of enthesophytes or osteolytic areas. A scoring method for enthesopathy development has already been proposed. In this paper, a standardised descriptive and photographic scoring method is proposed for the robusticity of 23 postcranial skeleton entheses. For each enthesis, 3 levels of development are described, corresponding, in general, to a weak-moderate expression (degree 1), strong development (degree 2) and very strong development (degree 3). The interobserver error of about 20% seems acceptable given the great morphological variability of these traits.