A case of developmental dysplasia of the hip with dislocation from Ancient Rome

This study focuses on an individual from the southeastern area of the Roman Suburbium in Late Antiquity (3rd-5th centuries CE), whose skeleton was found in a multiple burial alongside five others. Osteological and CT imaging analyses revealed a significant developmental defect in the left hip, characterized by a shallow, flattened acetabulum and a hypoplastic or aplastic femoral head, with no evidence of infection or postmortem alteration. This rare condition provides a compelling case study demonstrating the effectiveness of an integrated diagnostic approach combining traditional osteology with advanced imaging techniques. Despite prior research into orthopedic pathologies in Roman Imperial and Late Antique populations, no comparable cases have been documented, highlighting a notable gap in the bioarchaeological literature regarding congenital skeletal defects. This case contributes to a broader understanding of disability in ancient communities and raises important questions about social recognition and support for individuals with physical impairments in the past. However, limitations exist due to the absence of certain skeletal elements, which restricts a full assessment of compensatory biomechanical adaptations, such as load redistribution through the trunk or upper limbs. Nevertheless, the findings underscore the growing importance of refining diagnostic standards to better identify and interpret evidence of disability in historical populations.