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Annals of the Rheumatic Diseases 1999;58:72-78; doi:10.1136/ard.58.2.72
Copyright © 1999 BMJ Publishing Group Ltd & European League Against Rheumatism.
Ann Rheum Dis 1999;58:72-78 ( February )

Extended reports

The shape of the distal femur: a palaeopathological comparison of eburnated and non-eburnated femora Lee Shepstone,a Juliet Rogers,b John Kirwan,b Bernard Silvermanc

a School of Health Policy and Practice, University of East Anglia, Norwich, b Rheumatology Unit, Bristol University Division of Medicine, c Department of Mathematics, University of Bristol

Correspondence to: Dr L Shepstone, School of Health Policy and Practice, University of East Anglia, Norwich, NR4 7TJ.

Accepted for publication 19 November 1998

OBJECTIVES---To determine the difference in shape of the distal femur, viewed axially in two dimensions, between eburnated and non-eburnated femora.
METHODS---A comparison of 52 non-eburnated and 16 eburnated femora drawn from a large archeological skeletal population. Eburnation was taken to indicate late stage osteoarthritis. Shape variability, based on landmarks, was quantified using a principal components analysis after a Procrustes alignment.
RESULTS---A statistically significant difference was found between the two groups. This was with respect to the patellar groove and the shape of the medial condyle. The latter difference is consistent with bone remodelling as a knee stabilising mechanism.
CONCLUSIONS---Anatomical shape can be quantified using an uncomplicated statistical technique. It was used to quantify the shape of the distal femur and demonstrate shape differences associated with osteoarthritis of the knee.

Keywords: osteoarthritis; knee; bone remodelling


© 1999 by Annals of the Rheumatic Diseases

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This article has been cited by other articles:

  • Shepstone, L, Rogers, J, Kirwan, J R, Silverman, B W (2001). Shape of the intercondylar notch of the human femur: a comparison of osteoarthritic and non-osteoarthritic bones from a skeletal sample. Ann Rheum Dis 60: 968-973 [Abstract] [Full Text]  
  • Shepstone, L., Rogers, J., Kirwan, J., Silverman, B. (2000). Distribution of distal femoral osteophytes in a human skeletal population. Ann Rheum Dis 59: 513-520 [Abstract] [Full Text]  

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