The case of hip dysplasia of an adult from the Roman Period site of Velebit (Serbia)

Objective: This study is designed to reveal the diagnosis of a rare hip condition with an estimation of the possible cause of death. Materials: Archaeological site of Velebit dated between the 3rd and 4th century AD is located in northern Serbia. Grave No 24 differs from others in the unusual position of the skeletal remains in situ. Methods: The bioanthropological analyses included an estimation of skeletal preservation, cranial and postcranial skeletal measurements, estimation of sex and age at the moment of death, dental analysis and a paleopathological examination. This skeleton was analysed for signs of bone disease, using diagnostic paleopathological procedures comprising gross examination and CT scanning. Results: The results revealed that the analysed male individual was 40 to 55 years of age. The bioanthropological analyses showed two deformities of the pelvic bones, each on the outer surface, located posteriorly and superiorly of the acetabular area. The observed lesions were characterised as type 4 of developmental dysplasia of the hip. In addition, a sharp lesion was observed in the right posterior region of squama of the occipital bone. Conclusions: Our results clearly suggest that this individual had been suffering from hip dysplasia. The possible cause of death could be the observed head lesion. In addition, there is no skeletal conformation of unfavourable living conditions related to physiological stress and diet.