Herniation Pits in Human Mummies A CT Investigation in the Capuchin Catacombs of Palermo, Sicily 英文参考文献.docVIP

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Herniation Pits in Human Mummies A CT Investigation in the Capuchin Catacombs of Palermo, Sicily 英文参考文献.doc

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Herniation Pits in Human Mummies A CT Investigation in the Capuchin Catacombs of Palermo, Sicily 英文参考文献

HerniationPitsinHumanMummies:ACTInvestigation intheCapuchinCatacombsofPalermo,Sicily StephaniePanzer1*,DarioPiombino-Mascali2,AlbertR.Zink2 1DepartmentofRadiology,TraumaCenterMurnau,Murnau,Germany,2EURAC-InstituteforMummiesandtheIceman,Bolzano,Italy Abstract Herniation pits (HPs) of the femoral neck were first described in a radiological publication in 1982 as round to oval radiolucenciesintheproximalsuperiorquadrantofthefemoralneckonanteroposteriorradiographsofadults.Infollowing earlyclinicalpublications,HPsweregenerallyrecognizedasanincidentalfinding.Incontrast,incurrentclinicalliterature they are mentioned in the context of femoroacetabular impingement (FAI) of the hip joint, which is known to cause osteoarthritis(OA).ThesignificanceofHPsinchronicskeletaldisorderssuchasOAisstillunclear,buttheyarediscussedasa possibleradiologicalindicatorforFAIinalargepartofclinicalstudies.Inthispaleoradiologicalstudyweexaminedasample ofmummiesfromtheCapuchinCatacombsofPalermo,Sicily,byamobilecomputedtomography(CT)scanner.Evaluation of the CT examinations revealed HPs in six out of 16 (37.5%) adult male mummies.The first aim of this study was to comparethecharacteristicsofHPsshowninourmummycollectiontothefindingsdescribedinclinicalliterature.Thereby CTevaluationrevealedthattheirosseousimagingcharacteristicsareinaccordance,consistingofroundtoovalsubcortical lesionsattheanteriorfemoralneck,clearlydemarcatedbyascleroticmargin.ThesecondaimwastointroduceHPstothe paleoradiologicalandpaleopathologicalmethodologyasanentitythatunderwentarenaissancefromanincidentalfinding toapossibleradiologicalindicatorofFAIintheclinicalsituation.AsFAIplaysanimportantroleinthedevelopmentofOAof thehip,whichisaverycommonfindinginhumanskeletalremains,HPsshouldalwaysbeconsideredinpaleoradiological evaluationofhipjointdiseases. Citation:PanzerS,Piombino-MascaliD,ZinkAR(2012)HerniationPitsinHumanMummies:ACTInvestigationintheCapuchinCatacombsofPalermo,Sicily.PLoS ONE7(5):e36537.doi:10.1371/journal.pone.0036537