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occurrence of degenerative joint disease in the radius: analysis

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changes, but <strong>the</strong> vertebral column was also extensively <strong>in</strong>volved<br />

(Wells, 1964). Based on evidence <strong>of</strong> DJD affect<strong>in</strong>g <strong>the</strong> jaw, it<br />

can be hypo<strong>the</strong>sized that <strong>the</strong> Neandertals <strong>of</strong> this time period had<br />

a diet composed <strong>of</strong> tough foods such as roots and nuts.<br />

Although more than likely related to trauma, rema<strong>in</strong>s <strong>of</strong><br />

ancient Nubians have been recovered with compression <strong>in</strong>juries to<br />

<strong>the</strong>ir necks, due perhaps to <strong>the</strong> habitual stress <strong>of</strong> carry<strong>in</strong>g pots<br />

<strong>of</strong> water on <strong>the</strong>ir heads (Wells, 1964). This is a significant<br />

contribution to <strong>the</strong> literature on DJD, as repeated trauma has<br />

been deemed responsible <strong>in</strong> many cases for <strong>the</strong> onset <strong>of</strong> DJD and<br />

its <strong>in</strong>itial expression.<br />

Jo<strong>in</strong>t function and Degenerative Jo<strong>in</strong>t Disease<br />

Degenerative <strong>jo<strong>in</strong>t</strong> <strong>disease</strong> generally has been regarded as a<br />

“wear and tear” phenomenon, or simply as degeneration <strong>of</strong><br />

articular cartilage and friction <strong>in</strong> <strong>jo<strong>in</strong>t</strong> articulation<br />

(Sokol<strong>of</strong>f, 1969). Rad<strong>in</strong>’s (1993) def<strong>in</strong>ition <strong>of</strong> DJD refers to<br />

mechanically caused <strong>jo<strong>in</strong>t</strong> failure simultaneous with <strong>the</strong><br />

destruction <strong>of</strong> articular cartilage. In more general terms, it<br />

is used <strong>in</strong> reference to arthritic changes <strong>of</strong> <strong>the</strong> <strong>jo<strong>in</strong>t</strong>s and<br />

<strong>jo<strong>in</strong>t</strong> surfaces. A medical def<strong>in</strong>ition <strong>of</strong> DJD is presented by<br />

Aufderheide and Rodriguez-Mart<strong>in</strong> (1998) that states, “DJD is a<br />

non<strong>in</strong>flammatory chronic, progressive pathological condition<br />

characterized by <strong>the</strong> loss <strong>of</strong> <strong>jo<strong>in</strong>t</strong> cartilage and subsequent<br />

lesions result<strong>in</strong>g from direct <strong>in</strong>terosseous contact with<strong>in</strong><br />

7

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