Of Athletes and Agriculture: Cam-type Femoroacetabular Impingement in Medieval and Post-medieval Dutch Skeletal Collections

This thesis will look at the prevalence of cam-type femoroacetabular impingement among three medieval and post-medieval populations from the Netherlands in order to identify a pattern or trend in the said prevalence. These could in turn be linked to biological sex, environment and historical period and offer new insights in the lifestyle, in particular physical activity, of historical populations from the Netherlands. The results of this thesis could in turn also contribute to a better understanding of femoroacetabular impingement in the modern age. The trend that the femoral heads of the males in this sample are significantly less spherical than in females may be related to a sex-based labour division. Males would have done the bulk of the heavy work which put more strain on their lower limbs. The most important takeaway from this thesis is that femoroacetabular impingement, in particular cam-type, is not a new disorder. It is present in a wide range of populations from different...Show moreThis thesis will look at the prevalence of cam-type femoroacetabular impingement among three medieval and post-medieval populations from the Netherlands in order to identify a pattern or trend in the said prevalence. These could in turn be linked to biological sex, environment and historical period and offer new insights in the lifestyle, in particular physical activity, of historical populations from the Netherlands. The results of this thesis could in turn also contribute to a better understanding of femoroacetabular impingement in the modern age. The trend that the femoral heads of the males in this sample are significantly less spherical than in females may be related to a sex-based labour division. Males would have done the bulk of the heavy work which put more strain on their lower limbs. The most important takeaway from this thesis is that femoroacetabular impingement, in particular cam-type, is not a new disorder. It is present in a wide range of populations from different environments and historical periods. The activity levels and physical load on the proximal femur of modern professional athletes may be comparable to ancient populations who were involved in physically demanding professions daily. The environment and diet might play a larger role in all of this than anticipated.Show less

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Of Athletes and Agriculture: Cam-type Femoroacetabular Impingement in Medieval and Post-medieval Dutch Skeletal Collections