Arthritic lesions and congenital fusion in foot bones of Panochthus sp . ( Xenarthra , Cingulata )

A set of lesions are re-described and new pathological findings in foot bones of Panochthus sp. (Xenarthra, Cingulata) are presented. the material reexamined in fact presents enthesiophytes instead of osteoartrithis, as previously interpreted. Furthermore, Calcium Pyrophosphate Deposition Disease (CPPD) was observed, a lesion absent in previous report. CPPD also was found in another set of foot bones and it was associated with a congenital fusion of two sesamoids. the material studied were collected in two natural tank deposits, one in Paraíba (material reexamined) and other in rio Grande do Norte (new pathological findings) State.


INTRODUCTION
Arthritis is an informal term encompassing more than 100 types of joint diseases with different etiologies.It is one of the three major causes of skeletal lesions found in osseous remains (the other two conditions being trauma and infections; Ortner 2003), and commonly found in the fossil record since Permian (rothschild et al. 2012).
Among xenarthrans -a notable group of endemic mammals of the Neotropical region (Wetzel 1985) -arthritis has a modest record, including cases of spondyloarthropathy associated with calcium pyrophosphate deposition disease and osteoarthritis in the glyptodonts Glyptotherium sp.(Barbosa et al. 2014b) and Panochthus sp.(Barbosa and Luna 2014).Osteoarthritis also was identified on an axis of the giant ground-sloth Eremotherium larillardi (Barbosa et al. 2014a) and on a metatarsal III and an ectocuneiform assigned to Panochthus sp.(henriques et al. 1998).here we describe new cases of arthritic lesions in metatarsal and tarsal bones of  (Paula-Couto 1979, Zamorano et al. 2013).At least six valid species, which form a monophyletic group (Zamorano andBrandoni, 2013, Porpino et al. 2014), were assigned to this genus.they are known from the early-middle Pleistocene of Argentina (Zamorano et al. 2014a) to the Pleistocene-holocene of northeast Brazil (Porpino et al. 2014) and a recent finding suggests that the genus would already be present in the late Pliocene (Zamorano et al. 2014b).they share a suite of remarkable characters, such as a well-developed caudal tube with striated conical tubercles on its sides and the absence of the rosette ornamentation pattern on most carapace osteoderms, typical of most glyptodonts (Zamorano et al. 2014a).two valid species of this genus are recognized from northeast Brazil (Porpino et al. 2014): Panochthus greslebini Castellanos, 1941 and Panochthus jaguaribenses Moreira, 1965, both diagnosed by caudal tube characters.

MATERIALS AND METHODS
the specimens here analyzed are housed in the paleontological collections of the Museu Nacional, Universidade Federal do rio de Janeiro (MN/UFrJ, rio de Janeiro city, rio de Janeiro State, Brazil) and Museu Câmara Cascudo, Universidade Federal do rio Grande do Norte (MCC/UFrN, Natal city, rio Grande do Norte State, Brazil). the specimens include a left metatarsal III (MN 3631-V), a left ectocuneiform (MN 3734-V), a right ectocuneiform (MCC 1559-V), a right mesocuneiform (MCC 1559-V), a right metatarsal IV (MCC 1559-V) and two sesamoids of metatarsal III (MCC 1559-V).
All material is assigned to Panochthus sp. and was collected in two natural tank deposits -sedimentary deposits occurring in natural depressions developed on basement rock outcrops by physical-chemical weathering, common in northeastern Brazil (Araújo-Júnior et al. 2013).MN/ UFrJ specimens were collected at Campo Alegre site, taperoá municipality, Paraíba State, Brazil and the MCC/UFrN specimens were collected at Lagoa do Santo site, Currais Novos municipality, rio Grande do Norte State, Brazil (Fig. 1). the specimens from Campo Alegre site were found in association with two caudal tubes belonging to P. greslebini and P. jaguaribensis but, like most postcranial material found in this site, cannot be confidently assigned to any of these species (see Porpino et al. 2014 for a full explanation).the specimens belonging to MCC/UFrN collection received the same number because they were found articulated and are part of a near complete pes belonging to a single individual (Porpino and Bergqvist 2002).

RESULTS
In dorsal view, the left metatarsal III (MN 3631-V) has reactive new bone formation near the proximal articular surface of the ectocuneiform, forming a rugous bony spur (Fig. 2b). the same type of bone overgrowth is evident on lateral view, near the articular surface for the left metatarsal IV (Fig. 2c). the left ectocuneiform (MN 3734-V) exhibits the same bone overgrowth on its lateral face (Fig. 3b).Additionally, the left metatarsal III manifests bone formation marginally located and projecting onto the proximal articular surface (ectocuneiform articulation) (Fig. 2d).
the two sesamoids associated with the right metatarsal III (MCC 1559-V) are fused (Fig. 4b).Lateral view of the right mesocuneiform and the   sesamoid associated with the right metatarsal II reveal an extensive reactive new bone formation similar to that observed in MN 3631-V and MN 3734-V (Fig. 4c-d).Metatarsal IV (MCC 1559-V) exhibits new bone formation projecting onto the proximal joint surface of the entocuneiform (Fig. 4e).this lesion is identical in appearance to that recognized in the left metatarsal III (MN 3631-V).

DIFFERENTIAL DIAGNOSIS
the lesions in the left metatarsal III (MN 3631-V) and left ectocuneiform (MN 3734-V) were originally interpreted as osteophytes (henriques et al. 1998; figures 1-4), i.e., bone overgrowth on marginal edges of the synovial joint surface (Ortner 2003), which is considered the diagnostic indicator of osteoarthritis (rothschild and Martin 2006).however, reexamination of the material revealed that these bone alterations are not actually located on the marginal edges of the synovial articular surfaces.therefore, they cannot be considered osteophytes and are not indicative of osteoarthritis.
In fact, the bone overgrowth observed in both specimens represent enthesiophytes, that is, bone reaction at the sites of attachment of tendons, ligaments or capsule insertion (Jacobs 1983, rothschild andMartin 2006).Enthesitis was in the past considered suggestive of spondyloarthropathy (rothschild 1982, resnick 2002).however, it is frequently observed in healthy individuals (human population).When occurring in isolation it cannot be considered a diagnostic criterion for spondyloarthropathy (rothschild 2013).Enthesitis was noted in the right mesocuneiform and the sesamoid associated with the right metatarsal II recovered from the Lagoa do Santo site.As for the aforementioned specimens, these alterations cannot be attributed to spondyloarthropathy due to the lack of additional evidence (e.g.subcondral erosions, syndesmophyte; rothschild 2013).

Figure 1 -
Figure 1 -Location map of the fossil localities (Lagoa do Santo site, Currais Novos municipality, rio Grande do Norte State and Campo Alegre site, taperoá municipality, Paraíba State).

Figure 2 -
Figure 2 -(a) scheme of the foot of Panochthus sp.(modified from Burmeister, 1874); (b) left metatarsal III (MN 3631-V) in dorsal view with highlight of the lesion; (c) left metatarsal III (MN 3631-V) in lateral view with highlight of the lesion; (d) proximal articulation of left metatarsal III (MN 3631-V) with highlight of the lesion.Scale bar = 2.0 cm.Abbreviation: mt III: metatarsal III.