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Osteoware: Standardized Skeletal Documentation Software

Osteoware: Standardized Skeletal Documentation Software

Thanks for your reply and patience, but i....

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Last seen: 2 years 3 months ago
Joined: 01/20/2015 - 07:35

Thanks for your patience with me, but i still confused. 

Should i have a good knowledge with enthesis (muscle, ligament, tendon attachment sites) for every bone in the human skeleton when i record abnormal bone loss or abnormal bone formation. In other words, if i found an abonrmal bone loss i should ask if this bone loss occurred at an enthesis or not, if occured an anthesis, then it will be an entheseal defect, and in the description field i will mention that this entheseal defect for example (in the ulna- at spinator enthesis- 3x6mm). And if i found an abnormal bonre formation, i should also ask first if this abnormal bone ocuur in an enthesis or not. if occurred in an enthesis for example at spinator crest in ulna, then it is an enthesophyte, and if it reachs 2mm height i will check enthesophyte checkbox, and i will mention this in the description field in addition to it is an enthesophyte at spinator enthesis. After recording all observations i will analyze these raw data i collected according to differential diagnosis. Is my understanding right?   

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Last seen: 2 days 1 hour ago
Joined: 12/09/2011 - 13:44

Thank you for your questions.

When recording abnormal bone formation at locations consistent with muscle or ligament attachments, have a quick look at a good anatomy textbook; Gray's Anatomy is an old reference but the human body has not changed (though some terms for structures have modernized) and the book is easily accessible almost anywhere.  You should easily be able to determine the muscle (or if more extensive bone formation then the group of muscles) and/or ligament attaching at that location.  Yes, enter this information in the description field, and I like to include a brief outline of what that muscle does biomechanically as it is helpful.

I do not know your experience with studying human skeletal remains, so I only caution you to understand and get a good grasp of normal human variation before entering a lot of pathology data.

If you have not found this yet, the International Journal of Osteoarchaeology has a special journal issue in 2013 just on entheseal changes: http://onlinelibrary.wiley.com/doi/10.1002/oa.2298/full

And a 2015 article that may be helpful: http://www.sciencedirect.com/science/article/pii/S0018442X15000165