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" ... Speith points out that, among anthropologists who have been studying the evolution of the human skull for centuries, "there is no known or evidenced direct association between an EOP exostosis and prolonged, habitual activity." But this could be the result of poor definitions. "Currently, there is no definitive palaeopathological methodology for recording entheseal changes," Becker notes, and there have long been concerns within the field of anthropology about observer error in scoring. "Presently, the best general method to record any entheseal changes may be descriptive, noting any dry bone patterns" such as irregularity, erosion, cavitation, and other anomalous bone forms, Becker suggests. ... "