We have mutiple specimens with classic skeletal changes associated with tuberculosis in our database. Here is a sneak peak at a few of the specimens that will be available to view in 3D once the Digitised Diseases website goes live.
B0002-4: Lincoln 85 DS 4.10. This is possible gastrointestinal tuberculosis.
Right os coxae: There is spiculated new compact bone formation on the auricular surface, which has an irregular joint surface contour. Superoposterior to this, there is an elliptical area of bone destruction, which has smooth margins and that interrupts a portion of the posterior iliac crest. There is a channel of reactive new compact bone and destructive porosity between the auricular surface to the inferior margin of the destructive lesion. On the gluteal surface, there is a large, but localised, area of pitting and spiculated new compact bone.
Left os coxae: On the iliac fossa there is a large area of remodelled cortical bone destruction with peripheral new woven bone extending to the anterior superior iliac spine. Inferior to this lesion, there is a second localised area of destructive remodelling with a large area of new woven bone inferiorly and anteriorly. There is a large area of remodelled new compact bone extending from the auricular surface to the beginning of the superior pubic ramus. A zone of spiculated new compact bone formation is located between the greater sciatic notch and obturator foramen lying under the gluteal musculature.
Sacrum: On the anterior surface of the vertebral bodies and the right ala (the left has taphonomic damage), there is a continuous layer of new compact bone with irregular areas of remodelled destructive changes continuing into the visible surface in the foramina. There is a delineated area of cortical destruction leaving a scooped out appearance that has a superior border of spiculated new woven bone. This is all in the immediate area of where the rectum is located. On the posterior surface there is destructive remodelling and pitting along the sacral spine. The right half of the sacral auricular surface has been destroyed, and the superior surface is disorganised with irregular new compact bone. On the left sacral auricular surface there are four large, destructive pits/pores.
B0021: Addingham (ARC 90) 134. Rib lesions associated with TB.
Left 5th Rib: There is a fine layer of new woven bone centrally on the visceral surface of the body, which overlays thicker smooth deposits of new compact bone.
B0036: Addingham (ARC90) DS 3.22. Pott’s Disease
1st-10th Thoracic vertebrae: There is bony fusion of the first to tenth thoracic (T1-10) vertebrae through the articular surfaces and fusion of the transverse processes inferiorly in T2-10. The bodies of T4-6 have been completely destroyed, except for some of the posterior most surface lining the vertebral column, causing kyphosis of the column (Pott’s disease). The inferior surface of the body of T1 is facing anteriorly. The inferior quarter of T1 is destroyed. There is only a portion (an eighth) of the posterior body remaining for T2. There is only an anterior wedge of T3 remaining. The body of T7 has been compressed and there is loss of the inferior half of the right side of the anterior body. There is further compression of T8-T10 and loss of the body of T9 on the left, giving the column a left lateral curvature (scoliosis). The articulating rib heads to T3-T6 are fused to the vertebral bodies. There is a depression into the inferior body of T10. There is porotic destruction to the transverse processes of T1-T10, especially T7-T10. Extensive pitting is observed on the spinous processes of T7-T10.
B0063: Hereford Cathedral (HE93a) 2472. Pott’s Disease
9th-12th Thoracic vertebrae (T9-12): There is bony fusion of the ninth to the twelfth thoracic (T9-T12) vertebrae anteriorly through the anterior longitudinal ligament and between T10 and T11 through the posterior longitudinal ligament, posterior body, and between the articular facets. The body of T10 is almost completely destroyed, leaving a posterior remnant. The body of T11 is compressed anteriorly leading to kyphosis of the vertebral column (Pott’s disease). The joint space between the bodies of T9-T10 and T11-T12 are maintained with extensive bone destruction of the inferior bodies of T9 and T11. There is irregular new compact bone formation on the superior bodies of T10 and T12.
B0037: Chichester (CH 86) 307. Cranial lesions in TB.
Cranium: There is a destructive lesion on the right parietal situated approximately in the centre of the bossing, which perforates the inner and outer tables. The ectocranial margin is sharp and irregular. On the endocranial surface the lesion has sharp margins, is smaller and more irregular than the external lesion, and has surrounding radial striated new woven bone.
B0039: Castleton Roman Vicus 1980. Ossification of pleura in TB.
Ossified pleura: This is an oval specimen of ossified pleura, which has jagged edges and disorganised surface on one side and a smooth surface on the other.