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Skeletal tuberculosis, pelvic contraction, and parturition

M S Micozzi

    American Journal of Physical Anthropology
    |August 1, 1982
    PubMed
    Summary

    Tuberculosis can cause pelvic deformities leading to difficult childbirth (dystocia). This pelvic shape may serve as a marker for skeletal tuberculosis in past populations.

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    Area of Science:

    • Medical anthropology
    • Paleopathology
    • Obstetrics

    Background:

    • Tuberculosis (TB) is a systemic infectious disease.
    • Pelvic morphology can be influenced by various factors, including disease.
    • Difficult parturition (dystocia) is a significant obstetric complication.

    Purpose of the Study:

    • To investigate the association between tuberculosis and obliquely contracted pelvis.
    • To explore the potential of pelvic deformities as markers for skeletal tuberculosis in historical contexts.
    • To understand the reproductive implications of tuberculosis-induced pelvic contracture.

    Main Methods:

    • Observation of pelvic morphology in a Southeast Asian population.
    • Clinical data collection on childbearing women (n=762).
    • Hypothesis formulation regarding the etiology of pelvic contracture.

    Main Results:

    • Four cases of obliquely contracted pelvis were identified in association with tuberculosis and dystocia.
    • The observed pelvic deformity is hypothesized to result from sacroiliac joint tuberculosis.
    • Sacral ala destruction is proposed as the mechanism for pelvic contracture.

    Conclusions:

    • Obliquely contracted pelvis linked to tuberculosis and dystocia is a notable finding.
    • This pelvic deformity may serve as a diagnostic marker for skeletal tuberculosis in archaeological remains.
    • The study highlights the impact of systemic tuberculosis on reproductive capacity.

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