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Here we describe the external gross morphology and internal architecture of a pathologic right second metatarsal (MMNS VP\u20106332) of a large\u2010bodied ornithomimid (~432\u2009kg) from the Santonian (Upper Cretaceous) Eutaw Formation in Mississippi, using a combination of X\u2010ray computed microtomography (microCT) and petrographic histological analyses. X\u2010ray microCT imaging and histopathologic features are consistent with multiple complete, oblique to comminuted, minimally displaced mid\u2010diaphyseal cortical fractures that produce a \u201cbutterfly\u201d fragment fracture pattern, and secondary osteomyelitis with a bone fistula formation. We interpret this as evidence of blunt force trauma to the foot that could have resulted from intra\u2010 or interspecific competition or predator\u2013prey interaction, and probably impaired the function of the metatarsal as a weight\u2010bearing element until the animal's death. Of particular interest is the apparent decoupling of endosteal and periosteal pathological bone deposition in MMNS VP\u20106332, which produces transverse sections exhibiting homogenously thick endosteal pathological bone in the absence of localized periosteal reactive bone. These distribution and depositional patterns are used as criteria for ruling out a pathological origin in favor of a reproductive one for unusual endosteal bone in fossil specimens. On the basis of MMNS VP\u20106332, we suggest caution in their use to substantiate a medullary bone identification in extinct archosaurians.<\/jats:p>","DOI":"10.1002\/ar.25069","type":"journal-article","created":{"date-parts":[[2022,10,4]],"date-time":"2022-10-04T03:23:01Z","timestamp":1664853781000},"page":"1864-1879","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Chronic fracture and osteomyelitis in a large\u2010bodied ornithomimosaur with implications for the identification of unusual endosteal bone in the fossil record"],"prefix":"10.1002","volume":"306","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5231-0113","authenticated-orcid":false,"given":"Tsogtbaatar","family":"Chinzorig","sequence":"first","affiliation":[{"name":"Department of Biological Sciences North Carolina State University  Raleigh North Carolina USA"},{"name":"Paleontology Research Laboratory North Carolina Museum of Natural Sciences  Raleigh North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7957-9593","authenticated-orcid":false,"given":"Kyla A.","family":"Beguesse","sequence":"additional","affiliation":[{"name":"Department of Biological Sciences North Carolina State University  Raleigh North Carolina USA"},{"name":"Paleontology Research Laboratory North Carolina Museum of Natural Sciences  Raleigh North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9798-176X","authenticated-orcid":false,"given":"Aurore","family":"Canoville","sequence":"additional","affiliation":[{"name":"Stiftung Schloss Friedenstein Gotha &amp; Museum f\u00fcr Naturkunde  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2173-8544","authenticated-orcid":false,"given":"George","family":"Phillips","sequence":"additional","affiliation":[{"name":"Conservation &amp; Biodiversity Section Mississippi Museum of Natural Science  Jackson Mississippi USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1654-1990","authenticated-orcid":false,"given":"Lindsay E.","family":"Zanno","sequence":"additional","affiliation":[{"name":"Department of Biological Sciences North Carolina State University  Raleigh North Carolina USA"},{"name":"Paleontology Research Laboratory North Carolina Museum of Natural Sciences  Raleigh North Carolina USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,10,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"crossref","unstructured":"Ann\u00e9 J. 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