Survey studies of osteoarchaeological collections occasionally yield specimens exhibiting rare skeletal developmental disorders. Beyond paleopathological diagnosis, however, it is often difficult to gain insight into the processes, mechanisms, and consequences of the pathology, notably because archaeological specimens are often fragmentary. Here, we propose a combination of virtual reconstruction (VR) and geometric morphometrics (GM) to address these issues. As an example, we use VR to reconstruct the only known archaeological specimen exhibiting persistence of the pelvic triradiate cartilage and compare it via GM with a set of healthy pelvises representing both sexes and different ontogenetic stages. Our results evidence (i) a marked deviation of the pathological pelvis from the adult mean shape, (ii) the retention of typical male features, and (iii) the retention of a paedomorphic ratio between iliac and ischiopubic size. Altogether, such data offer new insights into the modularity and integration of pelvic ontogeny, while at the same time demonstrating the usefulness of a combined VR/GM approach as complement to classical methods of paleopathology. Anat Rec, 298:335-345, 2015. V C 2014 Wiley Periodicals, Inc.Key words: growth disorders; triradiate cartilage; middle ages; virtual reconstruction; geometric morphometrics Skeletal growth and development is a central topic in bioanthropological research. The study of the pathways leading to the adult skeletal phenotype is relevant for sex determination, the estimation of age at death, and the diagnosis of disease in unidentified subjects from an archaeological and/or forensic context. The relative contribution of genetic and environmental factors to skeletal features, however, is often unknown (Scheuer and Black, 2000). In this regard, the study of congenital developmental disorders offers indirect clues on (i) the genetic background of the structure's ontogeny and (ii) the degree of developmental and functional integration between different skeletal modules.Among growth disorders, skeletal growth zone persistence (SGP) represents an occasional finding, possibly