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Cared for or Outcasts: A Case for Continuous Care in the Precontact U.S. Southwest

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New Developments in the Bioarchaeology of Care

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Abstract

Aztec Ruins is an important pre-Euro-American site in the U.S. Southwest that came into prominence after the decline of Pueblo Bonito in Chaco Canyon. A number of individuals interred at the site show evidence of having survived traumatic injuries, which seems to suggest a level of community care. This chapter focuses specifically on a woman who suffered, but survived, a severe fracture to the pelvis. The injury, defined as pelvic ring disruption, is consistent with a high impact injury. In addition to the fractured, misaligned pelvis she had several other traumatic injuries. Using the newly created web-based instrument known as the Index of Care (Tilley and Cameron, International Journal of Paleopathology 6(1):5–9, 2014), this woman was assessed to determine if the injuries suffered during her lifetime were sufficient to require caregiving by other members of the community. In this chapter we suggest that, taken together, these injuries suggest a decreased mobility and lessened efficiency of physical labor, and a review of clinical literature suggests serious health implications and ongoing pain. Care would have been required on a continuum beginning with trauma management and transforming into accommodation from community members, and suggests agency on the part of the injured to rehabilitate and reintegrate back into group practices.

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References

  • Agarwal, A., & Agarwal, R. (2010). The practice and tradition of bonesetting. Education for Health, 23(1), 1–8.

    Google Scholar 

  • Baessler, K., Bircher, M. D., & Stanton, S. L. (2004). Pelvic floor dysfunction in women after pelvic trauma. BJOG: An International Journal of Obstetrics and Gynaecology, 111(5), 499–502.

    Article  Google Scholar 

  • Báez-Molgado, S., Bartelink, E. J., Jellema, L. M., Spurlock, L., & Sholts, S. B. (2015). Classification of pelvic ring fractures in skeletonized human remains. Journal of Forensic Sciences, 60(S1), S171–S176.

    Article  Google Scholar 

  • Billman, B. R., Lambert, P. M., & Leonard, B. L. (2000). Cannibalism, warfare, and drought in the mesa Verde region in the twelfth century AD. American Antiquity, 65, 1–34.

    Article  Google Scholar 

  • Bora, K. S., & Sharma, A. (2011). The genus Artemisia: A comprehensive review. Pharmaceutical Biology, 49(1), 101–109.

    Article  Google Scholar 

  • Brooks, S., & Suchey, J. (1990). Skeletal age determination based on the Os pubis: A comparison of the Acsádi-Nemeskéri and Suchey-Brooks methods. Human Evolution, 5(3), 227–238.

    Article  Google Scholar 

  • Brown, G. M., Windes, T. C., & McKenna, P. J. (2008). Animas anamnesis: Aztec Ruins or Anasazi capital? In P. F. Reed (Ed.), Chaco’s northern prodigies: Salmon, Aztec, and the Ascendancy of the middle San Juan Region after AD 1100 (pp. 231–250). Salt Lake City: The University of Utah Press.

    Google Scholar 

  • Buckberry, J. L., & Chamberlain, A. T. (2002). Age estimation from the auricular surface of the ilium: A revised method. American Journal of Physical Anthropology, 119(3), 231–239.

    Article  Google Scholar 

  • Buikstra, J. E., & Ubelaker, D. H. (1994). Standards for data collection from human skeletal remains (Research Series, No. 44). Fayetteville: Arkansas Archaeological Survey.

    Google Scholar 

  • Cameron, C. M. (2011). Captives and culture change. Current Anthropology, 52(2), 169–209.

    Article  Google Scholar 

  • Capener, N. (1932). Sacro-Iliac displacements. British Medical Journal (BMJ), 1(3725), 1009.

    Article  Google Scholar 

  • Cibulka, M. T. (2004). Determination and significance of femoral neck anteversion. Physical Therapy, 84, 550–558.

    Google Scholar 

  • Cooper, J. (2006). Pelvic ring injuries. Trauma, 8(2), 95–110.

    Article  Google Scholar 

  • de Bruijn, M. C. (2015). Chest injuries. In A. W. J. M. Glaudemans, R. A. J. O. Dierckx, J. L. M. A. Gielen, & J. Zwerver (Eds.), Nuclear medicine and radiologic imaging in sports injuries (pp. 245–255). Berlin: Springer-Verlag.

    Chapter  Google Scholar 

  • DeGusta, D. (2002). Comparative skeletal pathology and the case for conspecific care in middle Pleistocene hominids. Journal of Archaeological Science, 29(12), 1435–1438.

    Article  Google Scholar 

  • Dettwyler, K. A. (1991). Can paleopathology provide evidence for “compassion”? American Journal of Physical Anthropology, 84(4), 375–384.

    Article  Google Scholar 

  • Djukic, K., Milenkovic, P., Milovanovic, P., Dakic, M., & Djuric, M. (2014). The increased femoral neck anteversion in medieval cemetery of Pecenjevce. Aetiology and differential diagnosis in archaeological context. Chungará (Arica), 46(2), 295–303.

    Article  Google Scholar 

  • Dozier, E. P. (1970). The pueblo Indians of North America. New York: Holt, Rinehart and Winston.

    Google Scholar 

  • Eshete, M. (2005). The prevention of traditional bone setter’s gangrene. The Journal of Bone and Joint Surgery, 87(1), 102–103.

    Google Scholar 

  • Fewkes, J. W. (1896). A contribution to ethnobotany. American Anthropologist, A9(1), 14–21.

    Article  Google Scholar 

  • Gillespie, P. (2009). Pelvic fracture. Surgery, 27(7), 292–296.

    Google Scholar 

  • Goffman, E. (1963). Stigma: Notes on the management of spoiled identity. New York: Simon and Schuster.

    Google Scholar 

  • Grant, R. E. (1982). The Hopi healer. American Indian Quarterly, 6(3/4), 291–304.

    Article  Google Scholar 

  • Gulan, G., Matovinović, D., Nemec, B., Rubinić, D., & Ravlić-Gulan, J. (2000). Femoral neck anteversion: Values, development measurement, common problems. Collegium Antropologicum, 24(2), 521–527.

    Google Scholar 

  • Haas, J., & Creamer, W. (1996). The role of warfare in the pueblo III period. In M. A. Adler (Ed.), The prehistoric pueblo world AD 1150–1350 (pp. 205–213). Tucson: The University of Arizona Press.

    Google Scholar 

  • Halbmayer, E. (2001). Socio-cosmological contexts and forms of violence: War, vendetta, duels and suicide among the Yupka of north-western Venezuela. In B. E. Schmidt & I. W. Schröder (Eds.), Anthropology of violence and conflict (pp. 49–75). London: Routledge.

    Google Scholar 

  • Halbmayer, E. (2004). ‘The One Who Feeds has the Rights’: Adoption and fostering of kin, affines and enemies among the Yukpa and other Carib-speaking Indians of lowland South America. In F. Bowie (Ed.), Cross-cultural approaches to adoption (pp. 145–164). New York: Routledge.

    Google Scholar 

  • Harrod, R. P. (2012). Centers of control: Revealing elites among the ancestral pueblo during the “Chaco Phenomenon”. International Journal of Paleopathology, 2(2–3), 123–135.

    Article  Google Scholar 

  • Harrod, R. P. (2013). Chronologies of pain and power: Violence, inequality, and social control among ANCESTRAL Pueblo populations (AD 850–1300). Las Vegas: University of Nevada, Las Vegas.

    Google Scholar 

  • Harrod, R. P., & Martin, D. L. (2014). Signatures of captivity and subordination on skeletonized human remains: A bioarchaeological case study from the ancient Southwest. In D. L. Martin & C. P. Anderson (Eds.), Bioarchaeological and forensic perspectives on violence: How violent death is interpreted from skeletal remains (pp. 103–119). Cambridge: Cambridge University Press.

    Chapter  Google Scholar 

  • Harrod, R. P., & Martin, D. L. (2015). Bioarchaeological case studies of slavery, captivity, and other forms of exploitation. In L. W. Marshall (Ed.), The archaeology of slavery: A comparative approach to captivity and coercion (pp. 41–63). Carbondale: Southern Illinois University, Center for Archaeological Investigations.

    Google Scholar 

  • Hatipoğlu, S., & Tatar, K. (1995). The strengths and weaknesses of Turkish bone-setters. World Health Forum, 16(2), 203–205.

    Google Scholar 

  • Hessman, M., Rickert, M., Hofmann, A., Rommins, P., & Buhl, M. (2010). Outcomes in pelvic ring fractures. European Journal of Trauma and Emergency Surgery, 2, 124–130.

    Article  Google Scholar 

  • Huber, B. R. (1990). The recruitment of Nahua Curers: Role conflict and gender. Ethnology, 29(2), 159–176.

    Article  Google Scholar 

  • Judge, W. J. (1989). Chaco Canyon-San Juan Basin. In L. S. Cordell & G. J. Gumerman (Eds.), Dynamics of southwest prehistory (pp. 209–261). Washington, DC: Smithsonian Institution Press.

    Google Scholar 

  • Katada, K. (1970). Questions on the Judo-Seifukushi system [translated from Japanese]. Seikeigeka [Orthopedic Surgery], 21(13), 1092.

    Google Scholar 

  • Kohler, T. A., & Kramer, T. K. (2006). Raiding for women in the pre-Hispanic northern pueblo southwest? Current Anthropology, 47(6), 1035–1045.

    Article  Google Scholar 

  • LeBlanc, S. A. (1999). Prehistoric warfare in the American Southwest. Salt Lake City: The University of Utah Press.

    Google Scholar 

  • Leeman, L. M. (1986). Pueblo health models and practices. Berkeley: University of California, Berkeley.

    Google Scholar 

  • Lekson, S. H. (1999). The Chaco Meridian: Centers of political power in the ancient Southwest. Walnut Creek: AltaMira Press.

    Google Scholar 

  • Lekson, S. H. (2006). The archaeology of Chaco Canyon: An eleventh-century pueblo regional center. Santa Fe: School of American Research Press.

    Google Scholar 

  • Lekson, S. H. (2009). A history of the ancient southwest. Santa Fe: School of Advanced Research Press.

    Google Scholar 

  • Letournel, E. (1970). Pelvic fractures. Injury: The British journal of accident surgery, 10(2), 145–148.

    Article  Google Scholar 

  • Letournel, E. (1980). Acetabulum fractures: Classification and management. Clinical Orthopaedics and Related Research, 151, 81–106.

    Google Scholar 

  • Ling, X., Aimin, L., Xihe, Z., Xiaoshu, C., & Cummings, S. R. (1996). Very low rates of hip fracture in Beijing, People’s Republic of China: The Beijing osteoporosis project. American Journal of Epidemiology, 144(9), 901–907.

    Article  Google Scholar 

  • Lister, R. H., & Lister, F. C. (1987). Aztec Ruins of the Animas: Excavated, preserved, and interpreted. Albuquerque: University of New Mexico Press.

    Google Scholar 

  • Lister, R. H, & Lister, F. C. (1990). Aztec ruins national monument: Administrative history of an archaeological preserve (Professional Papers No. 24). Santa Fe: Southwest Cultural Resources Center, National Park Service.

    Google Scholar 

  • Lovejoy, C. O., Meindl, R. S., Pryzbeck, T. R., & Mensforth, R. P. (1985). Chronological metamorphosis of the auricular surface of the Ilium: A new method for the determination of adult skeletal age at death. American Journal of Physical Anthropology, 68(1), 15–28.

    Article  Google Scholar 

  • Mann, R. W., Jantz, R. L., Bass, W. M., & Willey, P. S. (1991). Maxillary suture obliteration: A visual method for estimating skeletal age. Journal of Forensic Sciences, 36, 781–791.

    Google Scholar 

  • Martin, D. L. (1997). Violence against women in the La Plata River Valley (A.D. 1000–1300). In D. L. Martin & D. W. Frayer (Eds.), Troubled times: Violence and warfare in the past (pp. 45–75). Amsterdam: Gordon and Breach.

    Google Scholar 

  • Martin, D. L. (2008). Ripped flesh and torn souls: Evidence for slavery in the prehistoric Southwest, AD 800–1500. In C. M. Cameron (Ed.), Invisible citizens: Captives and their consequences (pp. 159–180). Salt Lake City: The University of Utah Press.

    Google Scholar 

  • Meindl, R. S., & Lovejoy, C. O. (1985). Ectocranial suture closure: A revised method for the determination of skeletal age at death based on the lateral-anterior sutures. American Journal of Physical Anthropology, 68(1), 57–66.

    Article  Google Scholar 

  • Mills, B. J. (2004). The establishment and defeat of hierarchy: Inalienable possessions and the history of collective prestige structures in the pueblo southwest. American Anthropologist, 106(2), 238–251.

    Article  Google Scholar 

  • Monsivais, D. B. (2013). Decreasing the Stigma burden of chronic pain. Journal of the American Association of Nurse Practitioners, 25(10), 551–556.

    Google Scholar 

  • Morris, E. H. (1924). Burials in the Aztec Ruin. New York: Anthropological Papers of the American Museum of Natural History.

    Google Scholar 

  • Mudge, A. J., Bau, K. V., Purcell, L. N., Wu, J. C., Axt, M. W., Selber, P., et al. (2014). Normative reference values for lower limb joint range, bone torsion, and alignment in children aged 4–16 years. Journal of Pediatric Orthopaedics, 23(1), 15–25.

    Article  Google Scholar 

  • Munro, A. M., & Malville, J. M. (2011). Ancestors and the Sun: Astronomy, architecture and culture at Chaco Canyon. Proceedings of the International Astronomical Union, 7(S278), 255–264.

    Article  Google Scholar 

  • Nelson, B. A. (1995). Complexity, hierarchy, and scale: A controlled comparison between Chaco Canyon, New Mexico, and La Quemada, Zacatecas. American Antiquity, 60(4), 597–618.

    Article  Google Scholar 

  • Oyebola, D. D. O. (1980). Yoruba traditional bonesetters: The practice of orthopaedics in a primitive setting in Nigeria. Journal of Trauma, 20(4), 312–322.

    Article  Google Scholar 

  • Panda, A. K., & Rout, S. (2015). Puttur Kattu (Bandage) – A traditional bone setting practice in South India. Journal of Ayurveda and Integrative Medicine, 2(4), 174–178.

    Article  Google Scholar 

  • Parsons, E. W. C. (1936). Taos pueblo [General Series in Anthropology, no. 2]. New York: Johnson Reprint Corp. 1970.

    Google Scholar 

  • Paul, B. D. (1976). The maya bonesetter as sacred specialist. Ethnology, 15(1), 77–81.

    Article  Google Scholar 

  • Phenice, T. W. (1969). A newly developed visual method of sexing the Os pubis. American Journal of Physical Anthropology, 30(2), 297–301.

    Article  Google Scholar 

  • Pillsbury, B. L. (1978). Traditional health care in the near east. Washington, DC: US Agency for International Development.

    Google Scholar 

  • Plog, S., & Heitman, C. (2010). Hierarchy and social inequality in the American Southwest, A.D. 800–1200. Proceedings of the National Academy of Sciences of the United States of America, 107(46), 19619–19626.

    Article  Google Scholar 

  • Prevezas, N., Antypas, G., Louverdis, D., Konstas, A., Papasontiriou, A., & Sbonias, G. (2009). Proposed guidelines for increasing the reliability and validity of Letournel classification system. Injury, International Journal of the Care of The Injured, 40(10), 1098–1103.

    Article  Google Scholar 

  • Rainey, K. D., & Adams, K. R. (2004). Plant use by native peoples of the American southwest: Ethnographic documentation [HTML Title]. Retrieved November 13, 2015, from http://www.crowcanyon.org/plantuses.

  • Ruatti, S., Guillot, S., Brun, J., Thony, F., Bouzat, P., Payen, J. F., et al. (2015). Which pelvic ring fractures are potentially lethal? Injury, International Journal of the Care of The Injured, 46(6), 1059–1063.

    Article  Google Scholar 

  • Siegmeth, A., Müllner, T., Kukla, C., & Vécsei, V. (2000). [Associated injuries in severe pelvic trauma] translated from German. Der Unfallchirurg, 103(7), 572–581.

    Article  Google Scholar 

  • Simmons, L. W. (1942). Sun Chief: The autobiography of a Hopi Indian. New Haven: Yale University Press.

    Google Scholar 

  • Stefanski, J. L., & Smith, K. J. (2006). The role of nutrition intervention in wound healing. Home Health Care Management and Practice, 18(4), 293–99.

    Article  Google Scholar 

  • Stein, J. R., & McKenna, P. J. (1988). An archaeological reconnaissance of A Late Bonito Phase Occupation Near Aztec Ruins National Monument, New Mexico. Santa Fe: National Park Service.

    Google Scholar 

  • Stimson, L. A. (1899). A practical treatise on fractures and dislocations. New York: Lea Brothers and Company.

    Google Scholar 

  • Subbu, R., & Haddad, F. (2015). Paediatric hip pain: A rare injury. International Journal of Sports and Exercise Medicine, 1(3), 1–5.

    Google Scholar 

  • Tile, M. (1988). Pelvic ring fractures: Should they be fixed? The Journal of Bone and Joint Surgery, 70-B(1), 1–12.

    Google Scholar 

  • Tilley, L., & Cameron, T. (2014). Introducing the index of care: A web-based application supporting archaeological research into health-related care. International Journal of Paleopathology, 6(1), 5–9.

    Article  Google Scholar 

  • Todd, T. W. (1920). Age changes in the pubic bone. I. The male white pubis. American Journal of Physical Anthropology, 3, 285–334.

    Article  Google Scholar 

  • Toll, H. W. (2008). The La Plata, the Totah, and the Chaco: Variations on a theme. In P. F. Reed (Ed.), Chaco’s northern prodigies: Salmon, Aztec, and the Ascendancy of the Middle San Juan Region after AD 1100 (pp. 309–333). Salt Lake City: The University of Utah Press.

    Google Scholar 

  • Tooker, E. (1962). An ethnography of the Huron Indians, 1615–1649. Bulletin, No. 190, Bureau of American Ethnology. Washington, DC: Smithsonian Institution Press.

    Google Scholar 

  • Turi, C. E., Shipley, P. R., & Murch, S. J. (2014). North American Artemisia species from the subgenus Tridentatae (Sagebrush): A phytochemical, botanical and pharmacological review. Phytochemistry, 98, 9–26.

    Article  Google Scholar 

  • Vallier, H. A., Cureton, B. A., Schubeck, D., & Wang, X.-F. (2012). Functional outcomes in women after high-energy pelvic ring injury. Journal of Orthopaedic Trauma, 26(5), 296–301.

    Article  Google Scholar 

  • Van Dyke, R. M. (2009). Chaco reloaded: Discursive social memory on the post-Chacoan landscape. Journal of Social Archaeology, 9(2), 220–248.

    Article  Google Scholar 

  • Warren, D. M. (1974). Bono traditional healers. Rural Africana, 26(Winter), 25–39.

    Google Scholar 

  • Waugh, O. C., Byrne, D. G., & Nicholas, M. K. (2014). Internalized Stigma in people living with chronic pain. The Journal of Pain, 15(5), 550.e1–e10.

    Article  Google Scholar 

  • White, T. D., Folkens, P. A., & Black, M. T. (2012). Human osteology (3rd ed.). Burlington: Academic Press.

    Google Scholar 

  • Wilcox, D. R. (1993). The evolution of the Chacoan Polity. In: J. M. Malville, & G. Matlock (Eds.) The Chimney Rock Archaeological Symposium (pp. 76–90). General Technical Report, No. RM-227. Fort Collins: U. S. Forest Service.

    Google Scholar 

  • Wilcox, D. R. (2004). The evolution of the Chacoan polity. In J. M. Malville (Ed.), The Chimney Rock: The ultimate outlier (pp. 163–186). Lanham: Lexington Books.

    Google Scholar 

  • Yamauchi, Y. (1996). Japanese orthopedic surgeons – Survival through the next century. Journal of Orthopaedic Science, 1(5), 299–300.

    Article  Google Scholar 

  • Young, J. W., & Burgess, A. R. (1987). Radiologic management of pelvic ring fractures. Baltimore: Urban and Schwarzenberg.

    Google Scholar 

  • Yount, S. M. (2013). The impact of pelvic floor disorders and pelvic surgery on women’s sexual satisfaction and function. Journal of Midwifery and Women’s Health, 58(5), 538–545.

    Article  Google Scholar 

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Willett, A.Y., Harrod, R.P. (2017). Cared for or Outcasts: A Case for Continuous Care in the Precontact U.S. Southwest. In: Tilley, L., Schrenk, A. (eds) New Developments in the Bioarchaeology of Care. Bioarchaeology and Social Theory. Springer, Cham. https://doi.org/10.1007/978-3-319-39901-0_4

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