Bioarchaeology of the Near East, 14:27-49 (2020)
Entheseal changes in the Hellenistic-Roman population of Boğazköy, Turkey. Evidence for gender division of labor?
Handan Üstündağ
Department of Archaeology, Anadolu University,
26470 Eskişehir, Turkey
email: hustunda@anadolu.edu.tr
Abstract: Entheseal changes (EC) are changes to areas where connective tissue (tendon
or ligament) attaches to bone. Previous studies have suggested that heavy physical activity
has an effect on EC development, among other factors such as age, body size, and (male)
sex. In this study, EC in the upper limbs was examined in a Hellenistic-Roman rural
population from Boğazköy, Turkey to assess gender differences in activity patterns. EC
was positively correlated with age at death, and therefore, old adults were excluded when
comparing the EC scores of males and females. Significant differences in EC between the
sexes were tentatively considered as an indicator of gender-specific activities. Females exhibited
significantly higher EC scores at the common extensor muscles’ origin site (lateral
epicondyle of the humerus), with a right-sided dominance. Common extensor muscles are
related to movements of the wrist. It is assumed that the repetitive labor of weaving, spinning,
and grinding may have caused these changes. Significantly higher EC scores in males
than females were found only in the insertion site of the supraspinatus and infraspinatus
muscles (greater tubercle of the humerus). EC scores in this shoulder-related enthesis also
showed a right-sided dominance. It is assumed that some activities performed by males,
such as woodcutting, shoveling, and building-related activities may have caused EC in this
enthesis.
Key words: upper limb; lateral epicondylitis; activity patterns
Received 13 May 2020; accepted 2 November 2020; published online 3 December 2020.
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