“…Given the ability of the mechanosensitive cortical and trabecular bony tissues to adjust structurally during life to the site-specific loading environment (e.g., Hoechel et al, 2015;Katoh et al, 1996;Mazurier, 2006;Mazurier et al, 2010;Raux et al, 1975;Toumi et al, 2006Toumi et al, , 2012Townsend et al, 1975;Van Kampen & Huiskes, 1990), the assessment of patellar endostructural features such as cortical bone thickness variation and trabecular network arrangement have the potential to provide subtle functionally related information about the knee joint mechanical environment (Cazenave et al, 2019;Cazenave et al, 2022). A preliminary comparative study noninvasively investigating the inner organizational pattern of the adult patella in two Neanderthals (from Krapina, Croatia, and Regourdou, France), one anatomically modern fossil human (the Magdalenian from Chancelade, France), and in a sample of African-and Europeanderived Holocene individuals revealed marked differences not only between the Neanderthal and the fossil and Holocene humans, but also between the two Neanderthal specimens (Cazenave et al, 2020).…”