Skeleton with traces of multiple pathological changes from the burial of the end 17th – begining 18th centuries on the Penza territory

Background. The nature of the pathological changes observed on the bones of people who lived several centuries ago makes it possible to establish how this or that disease proceeds in conditions of minimal medical care. Moreover, the picture of the manifestation of the pathological process is indispensable for everyday medical practice. Materials and methods. The studied materials are represented by an incomplete human skeleton found in a burial in the historical center of the city of Penza, on the territory of the park named after M.Yu. Lermontov. The burial dates the finish 17th ‒ initial period 18th centuries. The skeleton belonged to the man 20‒30 years. Traces of multiple pathological changes are located on the skeleton. Bones with traces of pathological changes were examined with x-ray and with computed tomography scanner. Results. During the research, it was found that the individual was characterized by medium body height. Individual experienced significant physical exertion during his lifetime. The pronounced impression of vascular sulcus and fosses of pachyon granulations was noted on the inner surface of the parietal bone. The most pronounced pathology of the postcranial skeleton was observed on the right tibia. The distal two-thirds of the diaphysis have signs of pathological growth of the cortical layer with exposure of fistulous tracts. Periostitis was also signs on the diaphysis of the left ulna. The fusiform thickening was observed in the upper third of the left tibia. Perhaps there was limited mobility of the knee articulation. The sings of a healed trauma are visible on the back of the left foot in the area of the articulatio cuneonavicularis. Conclusion. Signs of a chronic inflammatory process were observed on the left ulna and right tibia. The etiology of pathology on the place of the right shin is not exclusively understandable. The most probable diagnosis is chronic osteomyelitis. Possibly, the pathology of the right shin led to difficulties in walking. The individual should to rely on a walking stick or crutches. The outcome of the trauma to the left foot was apparently fortunate. The trauma had little effect on the functionality of the foot.