Tuberkulose i middelalderen - adbou.dk

22 APPENDIKS
2. Articulatio cubiti
Scoring of the epiphyses and metaphyses
of Humerus, Extremitas distalis, Radius,
Caput radii and Ulna, Extremitas proximalis
which make up the elbow.
Among children and young people the described
lesions will occur at the area between
the metaphysic and epiphysis
75 % of the bone surface in the scoring
area has to be preserved for the bone to
be registered.
/ The bone is missing, or preserved less than 75 %
0
1
Normal smooth bone, which have no lesions as described below,
but there may be other lesions related to post-mortem damages
or other pathological conditions.
The lesion evolves through various steps, which can be present
at the same time. The first step is the presence of an erosive
area, which can be more or less grained. Later the grained area
evolved into a cluster of edgy pits. The fusion of pits will perforate
the bone surface and cause an oval, circular or coalesced
shaped hole at the bone surface, and the trabecular bone will be
exposed.
It is important that the edges of the hole and the trabecular
bone are sharp and have the same coloration as the surrounding
bone, or the lesion will be due to post-mortem changes and not
tuberculosis.
Often there will be no reactive bone growth at the lesion, except
for a slight smoothing of the exposed trabecular bone.
Due to the lesions the overall look of the bone may look worn
out, and there can be eburnation at the articular surface at a
young age. The eburnation are NOT scored, it is only a part of
the general description of the lesions
After the registration of each of the single bones the registrations are
combined under the title: Elbow
If at least two single bones are preserved a “0” is noted, and if just
one of the preserved bones are registered as” 1”, then Elbow also is
noted as “1”
Tuberkulose i middelalderen III