
György Pálfi
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Papers by György Pálfi
SUPPLEMENT ISSUE: Tuberculosis in Evolution
GUEST EDITORS: György Pálfi, Olivier Dutour, Pascale Perrin, Christophe Sola & Albert Zink
Proceedings of the ‘ICEPT2 - TB Evolution Meeting’, organized in the Albert Szent-Györgyi’s Nobel Prize Award anniversary Conference Series (23-25th March 2012, University of Szeged, Szeged, Hungary)
Volume 95 Supplement 1 2015
Pages S1–S216
SUPPLEMENT ISSUE: Tuberculosis in Evolution
GUEST EDITORS: György Pálfi, Olivier Dutour, Pascale Perrin, Christophe Sola & Albert Zink
Proceedings of the ‘ICEPT2 - TB Evolution Meeting’, organized in the Albert Szent-Györgyi’s Nobel Prize Award anniversary Conference Series (23-25th March 2012, University of Szeged, Szeged, Hungary)
Volume 95 Supplement 1 2015
Pages S1–S216
Entheseal changes (EC) can result from various causes, mechanical stress and Forestier’s disease (or DISH) being only two of them. The aim of this preliminary study is to explore the microarchitecture of the radial tuberosity, insertion site of m. biceps brachii, in order to explore if specific features resulting either from muscle overuse during the life of the individuals, or from metabolic disorders, can be identified.
Materials and Methods:
For this exploratory investigation, we relied on three pairs of radii, belonging to three male adults: (i) one
buried in the Hungarian cemetery of Sárrétudvari-Hízóföld with archery equipment, who was presumably a
mounted-archer from the Conquest period (Xth century), and exhibiting EC; (ii) one from the Hungarian
cemetery of Bácsalmás-Homokbánya (XVI-XVIIth centuries), without any evidence of archery context, showing entheseal changes associated to a DISH condition; (iii) one from the medieval cemetery of Val-de-Reuil, in Normandy, France, belonging to an apparent “normal” individual with non-changed entheses. Bicipital tuberosities were micro-CT scanned at a resolution of 17μm and several portions were analysed at different height levels of the zone of interest (25, 50 and 75%), in order to virtually differentiate the main
microarchitectural bone components and then to reconstruct in 3D the canals and cavities of both medullary and compact bone.
Results:
At this preliminary step of the study, we observed differences in the microarchitectural organisation of the
underlying bone of the enthesis, that are revealed by the 3D reconstructions of canals and cavities. In
particular, microstructural analysis revealed a change in the normal pattern characterised by an irregular
widening of the canal network for the metabolic-related EC, and an orientated organisation for the
mechanical-related EC, associated with an increased density of canals.
Discussion and Conclusions:
After a possible confirmation from further analyses, this method might allow to distinguish mechanical from metabolic entheseal changes. These preliminary observations are bringing new arguments to discuss the nature of EC and, consequently, to clarify some aspects of lifestyles among past human populations.
L’objectif de ce travail préliminaire est d’analyser les caractéristiques microstructurales de l’os sous-jacent afin de préciser la nature des modifications de la microarchitecture osseuse qui traduisent les changements macroscopiques identifiables à la surface de l’enthèse atteinte.
Cette étude repose sur les radius droits de deux sujets adultes datant du Néolithique ancien au Sahara (Hassi-el-Abiod, Mali, 7 000 ans BP). Le premier radius présente une enthésopathie au niveau de la tubérosité bicipitale tandis que l’enthèse du second est saine.
Des acquisitions microtomodensitométriques ont été effectuées sur ces radius à l’aide d’un microscanner (GE v|tome|x s) et des reconstructions 3D ont été réalisées sur le logiciel TIVMI® afin de définir quels paramètres qualitatifs et quantitatifs peuvent caractériser la microarchitecture de l’os cortical et de l’os trabéculaire de l'enthèse saine et pathologique.
Ces premiers résultats montrent l’intérêt de l'imagerie tridimensionnelle de la microarchitecture osseuse pour l’étude des marqueurs osseux d’activité dans les populations anciennes. Ce travail est préliminaire à une étude plus large portant sur une population archéologiquement documentée de cavaliers-archers hongrois du Xème siècle.