This report describes a defect on the right scapula of a 50 to 60 year old male slave who had been buried extra-muros in the Le Colombier cemetery of Vaison-la-Romaine (5 th to 6 th century AD) in Vaucluse, France. This injury can only be described as a stress fracture, most likely associated with heavy and persistent use of the humerus in abduction. Other bony defects on the skeleton included early signs of ossification of the glenohumeral joint, slight vertebral discopathy, and osteoarthrosis on the right hip. A relationship between scapular stress fractures and walking devices has been described in the current medical literature, and taking this in consideration, possible aetiologies for this scapular defect include either consistent use of a crutch or routine physical labour. Little information is available on either stress fractures or assisted walking devices in antiquity; therefore this information is a valuable contribution to palaeopathology.

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Bipedal human motion is related to the original shape of the foot. Distortion and degenerative changes may be caused by failure in the complex chain of movements. There are few references to valgus flatfoot in either the palaeopathological or medical literature. The study of three French medieval series (Macon, Larina and Cutry) in the osteological collections of the CEPAM (UMR 6130 -CNRS/UNSA) at Valbonne (France) enabled us to define several significant osseous signs which provide evidence of abnormal biomechanical constraints following structural change in the foot. The consequences of the change of axis of the talar pulley, abnormal osseous contacts, and evolutionary modifications noticed in some synostoses of the tarsus, are particularly useful for study. Analysis of the location of arthritic change in the joint may produce an additional coherent argument to the diagnosis. The recognition of flatfootedness in an archaeological context provides a marker of health and of distress, which is all the more interesting since bones required for this diagnosis are often present and relatively well preserved in the excavations of burials.

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