Alejandra C. Ordóñez

A case of calcaneal osteomyelitis from the prehispanic population of El Hierro (Canary Islands)

A right calcaneus with a deep resorptive lesion surrounded by an osteosclerotic reaction in its lateral aspect was found among intermingled bone remains in a collective burial cave of the island of El Hierro, in the Canary Archipelago. It belonged to an adult prehispanic man, with an estimated antiquity of ≈1000 years BP. The bone shows a penetrating lesion in the lateral aspect slightly superior-anterior to the calcaneal tuberosity, surrounded by a bone rim, and communicating with a large cavity opening cranially where Achilles tendon is inserted. The lesion is suggestive of calcaneal osteomyelitis. The initiating cause was probably a puncture wound, perhaps with a retained foreign body that caused the large abscess. Other infectious and non-infectious etiologic possibilities are discussed.

A skeletal case of hypertrophic osteoarthropathy from the Canary Islands dating from 1000 BP

A left tibia, the distal right tibia, and the proximal four fifths of the right ulna and radius, probably belonging to an adult prehispanic man (antiquity of ≈1000 years BP) were found among commingled bone remains in a collective burial cave of the island of El Hierro, in the Canary Archipelago. All four bones show an intense periosteal bone formation, encrusting the preserved cortical bone of the diaphyses. Differential diagnosis include melorheostosis, syphilis, and leprosy, although the most likely diagnosis is hypertrophic osteoarthropathy, which is usually associated with lung neoplasm or non-malignant diseases leading to chronic hypoxemia. The marked bone proliferation, possibly due to a chronic condition, suggests that possibly the underlying illness was a non-malignant one.