Dolnı́ Věstonice 15: Pathology and Persistence in the Pavlovian

Several lines of archaeological and human palaeontological data from the Moravian earlier Gravettian (or Pavlovian) indicate a high level of mobility among these earlier Upper Palaeolithic human populations. The congenitally abnormal young adult Dolni Věstonice 15 human remains support this pattern. Dolni Věstonice 15 suffered serious developmental abnormalities, most likely as a result of the X-linked dominant form of chondrodysplasia calcificans punctata, that included pronounced infantile and minor later childhood developmental defects of dental enamel (enamel hypoplasia), asymmetrical curvature and angular deformities of the proximal femora, asymmetrical shortening of the femora, a diaphyseal deformity of the distal right humerus, a probable healed left ulnar fracture with associated deformity of the radial diaphysis, elevated length asymmetries of the forearms, and an unusual pattern of anomalies of tooth position and number. These are combined with trivial intervertebral articular degenerations, plus localized pronounced osteoarthritis of the right glenohumeral joint and right second and fifth ray hand proximal interphalangeal joints. Yet, there is little asymmetry of the lower limbs distal of the mid-femora, and both diaphyseal hypertrophy of the humeri, femora and tibiae and relative arm and leg muscle attachment size and moment arms indicate a level of skeletal hypertrophy average to high for an earlier Upper Palaeolithic human. The severe upper limb osteoarthritis may indicate a pattern of pronounced and repetitive carrying or dragging of heavy loads. These data indicate the ability of the population to keep a severely affected individual alive through development, yet they also emphasize the necessity for all individuals to participate actively in the elevated mobility and overall activity levels of these earlier Upper Palaeolithic human populations.