Federico di Montefeltro's Hyperkyphosis: A Visual-Historical Case Report
Author Information
Author(s): D'Antoni Anthony V, Terzulli Stephanie L
Primary Institution: Touro College of Osteopathic Medicine
Hypothesis
The report aims to describe the Duke's hyperkyphosis, develop relevant differential diagnoses, and suggest a possible etiology of the convexity.
Conclusion
The Duke's thoracic hyperkyphosis could have been caused by repetitive trauma to the spine due to numerous hours on horseback with heavy armor.
Supporting Evidence
- The Duke's hyperkyphosis is visible in two paintings by Piero della Francesca.
- Possible causes of the hyperkyphosis include Scheuermann disease, osteoporosis, and trauma-related spinal changes.
- The Duke's profession involved many hours on horseback, which could have contributed to his spinal condition.
Takeaway
This study looks at a historical figure's back condition shown in paintings to help medical students learn how to observe and diagnose better.
Methodology
The study involved visual analysis of two paintings and literature searches to formulate a plausible etiology of the Duke's thoracic hyperkyphosis.
Limitations
The study cannot confirm the Duke's condition during childhood due to the lack of childhood representations.
Digital Object Identifier (DOI)
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