Considering care: A traumatic obturator fracture dislocation of the hip in a middle-aged man from Gaelic Medieval Ballyhanna, Co. Donegal, Ireland.

Int J Paleopathol

Department of Archaeology, College of Humanities, University of Exeter, Exeter EX4 4QE, UK. Electronic address:

Published: September 2022

Objective: This article explores the potential care provided to a middle-aged man who had a suite of injuries evident in his skeleton, most notably an obturator fracture dislocation in his left hip.

Materials: The skeleton derived from the Late Medieval Gaelic population buried at Ballyhanna, Co. Donegal, Ireland.

Methods: A transdisciplinary bioarchaeology of care approach was adopted to undertake a phenomenological study of an individual with an acquired disability.

Results: The man would have required intensive nursing care in the months following the initial injury, and longer-term accommodations may have been made by the wider community to support him.

Conclusions: Use of a transdisciplinary bioarchaeology of care approach enables important insights to be gained concerning the social impact of disability on the affected individual, his kin, and wider community.

Significance: This study achieves a new level of integration of bioarchaeological findings with archaeological, historical, and ethno-historical sources, thereby enabling a phenomenological approach to interpretation of life after acquired disability. This is the first study to allow such an intimate insight into lived experience and it provides a model for bioarchaeology of care analysis of individuals from historical eras.

Limitations: These include difficulties in identifying the nature of a long-standing complex injury.

Suggestions For Future Research: Further explorations of the bioarchaeology of care in historical time periods should incorporate a similarly wide range of transdisciplinary sources to enrich interpretations of the lived experiences of individuals, their care-givers and broader communities.

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http://dx.doi.org/10.1016/j.ijpp.2022.07.003DOI Listing

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