MA, University of Cincinnati, 2009, Arts and Sciences : Anthropology
Osteomyelitis is a pus-producing infection caused by the presence of bacteria, such as Staphylococcus aureus, that specifically affects the endosteal surface of bone. Although this disease can be found in prehistoric and historic populations, one ubiquitous system for descriptive classification has not been developed for use on skeletal remains. This research utilizes the long bones from Civil War soldier amputees with evidence of osteomyelitis, housed at the National Museum of Health and Medicine in Washington D.C., to develop a classification method for use on skeletal collections to assess the characteristics of osteomyelitis. In total, 77 long bone specimens (including humeri, radii, ulnae, femora, tibiae and fibulae) were examined. Three categories, Etiology, Severity and Duration, were used to both classify and describe the osteomyelitis presented in each case. The first category, Etiology, describes the origin of the infection by determining whether the osteomyelitis is “Exogenous” or “Hematogenous”. The second category, Severity, is divided into “Minor”, “Moderate,” and “Severe” Hyperostosis. The final descriptive category, Duration, determines whether the infection is “Acute” or “Chronic” based upon information gathered from medical records. The Wehri classification system of osteomyelitis can be readily applied to collections of skeletal remains, unlike most other methods of classifying osteomyelitis, because it provides specific morphological traits for each category, thereby removing the vague nature of other systems.
Committee: Alan Sullivan (Committee Chair); Anthony Perzigian (Committee Member); MariaTeresa Tersigni-Tarrant (Committee Member)
Subjects: American History; Archaeology; Armed Forces; Biology; Forensic Osteology; Pathology