Age, sex, and grip strength determine architectural bone parameters assessed by peripheral quantitative computed tomography (pQCT) at the human radius

The purpose of this study was to estimate the relation of some noninvasively derived mechanical characteristics of radial bone including architectural parameters for bone strength to grip strength and muscle cross-section. Sixty-three males between 21 and 78yr of age and 101 females between 18 and 80yr of age were measured at the nondominant forearm using peripheral quantitative computed tomography (pQCT). We assessed the integral bone mineral density (BMD(I)) and content (BMC(I)) by pQCT at the distal and at the mid-shaft radius. Integral bone area (Area(I)), cortical thickness (C-th), and a newly proposed index for bone strength; the stress-strain index (SSI) were also calculated. The dynamometrically measured maximum grip strength was taken as a mechanical loading parameter and muscle cross-section as a substitute for it. Sex, grip strength, BMC(I) and BMD(I) (distal radius) were identified in a multiple regression analysis to significantly predict bone strength as expressed by SSI, after adjusting for all other independent variables, including age and sex (p<0.0001). Grip strength was closest related to age, sex, BMD(I) and SSI(p) of the distal radius. The cross-sectional area of muscle was not significantly determining the grip strength within the analysis model. In conclusion, our results suggested that architectural parameters at the distal radius were better related to grip strength than to cross-sectional muscle area in both males and females. Maximum muscle strength as estimated by grip strength might be a stronger determinant of mechanical characteristics of bones as compared with cross-sectional muscle area.     

胫骨判定性别的逐步判别分析

西安地区现代成人男女各50例的胫骨,进行12项测量,用逐步判别分析的方法进行研究。其结果:仅用下段宽判定性别,准确性达71％;而用下段宽,下段矢径和滋养孔平面最大矢径判定性别,准确性可达77％。并将该结果与美国白人和黑人的有关资料进行了对比。     

Three-dimensional computer-aided design based design sensitivity analysis and shape optimization of the stem using adaptive p-method

The number of stem designs for total hip arthroplasty is increasing, and occasionally design changes have yielded unexpected clinical results. At present, we are not able to clearly identify which parameter of the stem is most important, and the optimum value of many parameters. The goals of this study were to identify which parameter is most important, to understand the effect of design change, and to find the optimum stem shape. For this purpose, we used adaptive p-method together with three-dimensional computer-aided design software program for the design sensitivity analysis (DSA) and shape optimization of the stem. The results suggested that increasing the lateral and medial width of the distal cross-section together with decreasing the medial-lateral width and the medial radius of the distal cross-section from the default value would lead to a decrease in the largest maximum principal stress of the distal cement. The medial width of middle cross-section, however, was not so simple. The result of DSA suggested that decreasing this parameter from the default value decreased the stress in the distal cement, but the optimum shape was obtained by increasing this parameter. The method used in this study will assist our engineers and surgeons in the process of modifying and optimizing the stem design.     

Femoral dimensions and mid-thigh circumference in Alligator mississippiensis

The mid-thigh circumference of the intact hindlimb in Alligator mississippiensis is tightly correlated with transverse dimensions of the proximal and distal articular surfaces of the femur, and with minimum midshaft femoral circumference. Maximum diameter of the proximal articular end, width across the distal articular end, and midshaft circumference are the best femoral predictors of circumference of the intact thigh. Regression equations of mid-thigh circumference against these femoral dimensions can be used to estimate the transverse dimensions of the intact hindlimb in extinct crocodylian-like archosaurs.     

External-internal relationships in humeri of modern human females

With data from an early twentieth century human skeletal collection, this exploratory study investigates associations between inner cortical and medullary cavity structures and outer shaft and epiphyseal features of a long bone. Humeri are measured directly in both whole bone and transverse section contexts; data along 2 axes at 2 sites are obtained. Twenty-two probable females, with an age range concentrated in middle adulthood, comprise the sample. Correlations between multiple external and internal bone measurements are analyzed, with the aim of yielding information on the physical nature of bone and on the effects of different measurement types, locations, and orientations for bone relationships. The study also examines whether prediction of inner humeral dimensions from outer measurements would be appropriate. Results indicate biepicondylar width and maximum length as the strongest external correlates of cortical dimensions. Contrasting with studies on the proximal femur, the humeral head shows external size changeability, mostly in the transverse plane, in response to modeling forces shared with the shaft. Epiphyseal measures are more highly associated with absolute rather than percent, and areal rather than linear, cortical variables. Medullary cavity dimensions are not significantly correlated with whole bone measures. Most associations demonstrate shape or proportion influences rather than a shared effect of linear body size. Regarding location and orientation, the distal site and medial-lateral axis display the strongest correlations among external and internal bone dimensions. In light of the demonstrated correlation patterns, prediction of humeral cortical quantity from external bone measures in living and skeletal populations would benefit from utilizing (1) biepicondylar width and maximum length; (2) an absolute, areal cortical measure; (3) a distal location; and (4) a medial-lateral orientation.     

Replicating a Colles fracture in an excised radius: revisiting testing protocols

A distal radius fracture in middle-age and older adults is often considered a sentinel indicator of osteoporosis. Mechanical testing of cadaveric specimens is often used to quantify bone strength and develop insight for relating in-vivo measures to fracture force. Mechanical testing protocols using an intact forearm have been successful at replicating a Colles fracture, however, excised isolated radius protocols based on the intact forearm testing protocol have not been as successful. One protocol originally designed to replicate the physiological condition of a fall on an outstretched hand was reproduced in our laboratory, yet surprisingly the produced distal radius fracture patterns were not consistent among specimens nor was dorsal angulation of the distal fragment that is characteristic of a Colles fracture observed. The purpose of this study was to perform a mechanics-based analysis of the excised radius loading protocol in order to quantify the imposed and internal forces on the radius. An idealized beam model of the excised radius revealed that in the area of the distal radius where Colles fractures occur, 99.99% of the maximum strain on the bone outer surface was the result of pure compressive loading. This loading condition is in direct contrast to the accepted mechanics of a Colles fracture, which is characterized as a metaphyseal bending fracture with the volar cortex failing due to tensile stresses and the dorsal cortex exhibiting compression and comminution. The results suggest that additional research, particularly related to overcoming the difficulties of reliably supporting and applying a force to the distal end of the radius, is necessary for clinical fracture patterns to be reliably reproduced with an excised radius mechanical testing protocol.     

Relationship between dental morphology, sex, body length and age in Pontoporia blainvillei and Sotalia fluviatilis (Cetacea) in Northern Rio de Janeiro, Brazil

The relationship between dental morphology, sex, body length and age of small cetaceans can be used to determine ontogeny, sexual dimorphism and geographical variation. The objective of this study was to determine the relationship between dental morphology, sex, body size and age. A total of 91 specimens of P. blainvillei and 80 specimens of S. fluviatilis accidentally captured in fisheries or stranded in northern Rio de Janeiro (21 masculine37'-22 masculine25'S), from September 1988 to November 1996 were analysed. The teeth root diameter in P. blainvillei was significantly different between the sex; the values for females were larger than males. In neither species aid we observed significant in variations dimension and number of teeth, thickness of dentine and cemental layers and in the maximum width of cement as a function of body size. Age was related to increases in tooth length, root and cingulum diameters, and maximum width of cement in individuals of P. blainvillei, and tooth and crown lengths and maximum width of cement in individuals of S. fluviatilis. The observation of a linear growth between maximum width of cement and age in both species indicates that the equations obtained can be used to estimate relative age in P. blainvillei and S. fluviatilis in northern of Rio de Janeiro.     

The "double barrel" free vascularized fibular bone graft

A further modification of the free vascularized fibular bone graft is described in which a transverse osteotomy is made from the anterolateral aspect of the fibular shaft just distal to the entry of the nutrient artery. This produces two vascularized bone struts that may be folded parallel to each other but that remain connected by the periosteum and muscle cuff surrounding the peroneal artery and vein. The proximal strut is vascularized by both a periosteal and an endosteal blood supply, whereas the distal strut is vascularized by a periosteal blood supply alone. This so-called "double barrel" free vascularized fibular graft has been employed in three patients with segmental bone defects of the distal femur and in one patient with adjacent bony defects of the radius and ulna.     

Longitudinal and transverse deformation of human Achilles tendon induced by isometric plantar flexion at different intensities

The present study determined in vivo deformation of the entire Achilles tendon in the longitudinal and transverse directions during isometric plantar flexions. Twelve young women and men performed isometric plantar flexions at 0% (rest), 30%, and 60% of the maximal voluntary contraction (MVC) while a series of oblique longitudinal and cross-sectional magnetic resonance (MR) images of the Achilles tendon were taken. At the distal end of the soleus muscle belly, the Achilles tendon was divided into the aponeurotic (ATapo) and the tendinous (ATten) components. The length of each component was measured in the MR images. The widths of the Achilles tendon were determined at 10 regions along ATapo and at four regions along ATten. Longitudinal and transverse strains were calculated as changes in relative length and width compared with those at rest. The ATapo deformed in both longitudinal and transverse directions at 30%MVC and 60%MVC. There was no difference between the strains of the ATapo at 30%MVC and 60%MVC either in the longitudinal (1.1 and 1.6%) or transverse (5.0～11.4 and 5.0～13.9%) direction. The ATten was elongated longitudinally (3.3%) to a greater amount than ATapo, while narrowing transversely in the most distal region (-4.6%). The current results show that the magnitude and the direction of contraction-induced deformation of Achilles tendon are different for the proximal and distal components. This may be related to the different functions of Achilles tendon, i.e., force transmission or elastic energy storage during muscle contractions.     

Sexual size dimorphism and sex identification using morphological traits of two Aegithalidae species

The black-throated tit, Aegithalos concinnus, and long-tailed tit, A. caudatus, are two widely-distributed species of Aegithalidae. They are thought to be monomorphic and thus difficult to differentiate between sexes in the field. We determined the sex of 296 black-throated tits and 129 long-tailed tits using DNA analysis, evaluated their sexual size dimorphism, and developed discriminant models to identify sex based on morphometries, including bill length, bill depth, bill-head length, maximum tarsus length, tarsus width, wing length, tail length, total body length, and body mass. Both species were sexually dimorphic in size, with males having larger measurements than females, except for bill length in black-throated tits, and both bill length and body mass in long-tailed tits. Moreover, both species showed similar sexual size dimorphism (SSD) among the morphological features, with tail length having the highest SSD value. The multivariate discriminant models for sex identification had an accuracy of 82% for both species, which was slightly higher than the best univariate discriminatory model for each species. Because of the complicated nature of the multivariate model, we recommend univariate models for sex identification using D = 0.491 × tail length - 24.498 (accuracy 80%) for black-throated tits and D = 0.807 × wing length - 45.934 (accuracy 78%) for long-tailed tits. Females in both species showed generally higher morphological variation than did males, resulting in lower accuracies in all discriminate functions regardless of univariate or multivariate approach. This could be the result of a sex-biased selective pressure in which males have higher selective pressures for these morphological features.     

Measurement of bone mineral content in vivo using photon absorptiometry

Progress in evaluating treatment of systemic bone disease has been hampered in the past by lack of precise in vivo quantitative techniques. Recently a method has been developed for measurement of bone mineral content (BMC), based on bone absorption of low-energy monochromatic radiation. This paper discusses a technique of photon absorptiometry using ¹²⁵l as a collimated point source. The technique is simple, with accuracy and precision within 2%.BMC and bone width (W) were measured in the distal radius of 359 normal subjects ranging in age from 5 to 82 years. A “normal” curve of BMC/W with age as the independent variable was then obtained from this population and was constructed for each sex. A positive correlation of BMC/W with height and body weight was found in a group of normal males.A series of patients with osteoporosis or malabsorption, or undergoing hemodialysis or steroid treatment, was then assessed in order to demonstrate changes in BMC/W that may occur secondary to disease or disturbances in calcium metabolism. Many of these patients were found to have a BMC/W below the normal mean value for their age and sex.     

Wrist impact velocities are smaller in forward falls than backward falls from standing

The wrist is a common fracture site for both young and older adults. The purpose of this study was to compare wrist kinematics in backward and forward falls with different fall protective responses. We carried out within-subject comparison of impact velocities and maximum velocities during descent of the distal radius among three different fall configurations: (a) backward falls with knees flexed, (b) backward falls with knees extended and (c) forward falls with knees flexed. We also examined the effect of fall configuration on fall durations, elbow flexion, trunk flexion and forearm angles at impact. Forward falls resulted in smaller impact velocities of the distal radius, longer fall duration, longer braking duration, greater elbow flexion and more horizontal landing position of the forearm compared to backward falls. The distal radius impact velocity during forward falls (1.33 m/s) was significantly lower than in backward falls, and among the backward falls the impact velocity of the flexed knee strategy (2.01 m/s) was significantly lower than the extended knee strategy (2.27 m/s). These impact velocities were significantly reduced from the maximum velocities observed during descent (forward falls=3.57 m/s, backward falls with knee flexed=3.16 m/s, backward falls with knees extended=3.52 m/s). We conclude that (1) smaller impact velocities of the wrists in forward falls could imply a lower fracture risk compared to backward falls, and (2) fall protective responses reduced wrist impact velocities in all fall directions.     

两种方法治疗桡骨远端骨折的疗效比较研究

目的:比较采用T形钢板内固定和闭合复位石膏外固定这两种方法治疗桡骨远端骨折的疗效研究。方法:选取我院2008年3月至2011年12月间的76例桡骨远端骨折患者,并按照治疗方法不同分为2组,41例患者进行T形钢板内固定,其余35例患者进行复位后石膏外固定。并借助X线对比分析桡骨远端骨折复位前后及临床愈合时桡骨腕关节的掌倾角、尺偏角及桡骨轴向缩短长度变化等数据,并根据改良的Shea评定法对临床疗效进行比较。结果:针对桡骨远端不稳定型骨折的患者,T形钢板内固定组的优良率要优于石膏外固定组的疗效(P<0.05);而对于稳定性桡骨远端骨折的患者,两组之间的优良率没有明显差异(P>0.05)。结论:对于桡骨远端不稳定骨折的患者,应优先选择T形钢板内固定手术方法,而对于稳定性骨折患者这两种治疗方法均可采用。     

基于边际回归的沈阳市绿化树种人工油松冠形模拟

构建城市典型绿化树种树冠外部轮廓预估模型,可以为城市绿化树种的空间配置优化奠定基础。本研究以辽宁省沈阳市典型绿化树种人工油松为对象,基于Crown Window装置获取60株样木树冠形状,利用幂函数、分段抛物线方程和修正Kozak方程选取基础模型,通过再参数化引入树冠结构因子(最大树冠半径)和相邻木竞争变量(相邻木平均树高、平均胸径、平均冠幅、相邻木株数,以及样木与其相邻木平均树冠接触高),构建耦合相邻木竞争及树冠结构因子的油松树冠外部轮廓预估模型。结果表明: 修正Kozak方程R_a²最大、均方根误差(RMSE)最小,模型稳定性良好,选取其为构建油松冠形模型的基础模型。通过再参数化在基础模型中引入最大树冠半径和相邻木平均胸径后,模型的R_a²提高0.0693,MSER为14.4%。分析最大树冠半径和相邻木竞争对油松树冠形状的影响发现,最大树冠半径对树冠形状影响较大,树冠半径随最大树冠半径增大而增大;相邻木平均胸径对树冠形状影响相比最大树冠半径较弱,树冠上半部分随相邻木竞争增强而增大,树冠下半部分随相邻木竞争增强而变小。本研究构建的耦合相邻木竞争及最大树冠半径的油松树冠外部轮廓边际回归模型具有良好的拟合优度,能够合理地模拟及预测沈阳市典型绿化树种人工油松的树冠形状。     

Distal phocomelia of the forearm in a thirteenth-century skeleton from Poland.

The skeleton of a 35- to 40-year-old male (A.D. 1250 to 1300) with distal phocomelia (intercalary transverse) of the right forearm and severe (90-100 degrees) right-sided scoliosis is examined. Congenital malformation of the the right forearm resulted in absence of the radius and ulna, and attachment of the upper arm and hand to the trunk. Lesser abnormalities consist of a-hypoplastic right scapula and misshapened ribs and sternum. This rare deformity reflects the variability and antiquity of congenital malformations of the upper limb.     

The epidemiology of low- and high-energy distal radius fracture in middle-aged and elderly men and women in southern norway

Background

Distal radius is one of the most frequent sites for fractures in the elderly population. Despite this, there is a paucity of epidemiological data for distal radius fracture, in particular, distinguishing between high- and low-energy fractures. Our aim was to study the epidemiology of high- and low-energy distal radius fracture in middle-aged and elderly men and women in Southern Norway, and search for associates with high- or low-energy distal radius fracture in this population.

Methodology/Principal Findings

Patients with distal radius fractures aged ≥50 years were identified from all four hospitals in Southern Norway between 2004 and 2005. Age-adjusted and age-specific incidence rates for men and women were calculated, and potential associates with high- and low-energy distal radius fracture were explored both in univariate and multivariate analyses. A total of 799 individuals (118 men and 681 women) aged ≥50 years with low-energy and 84 (48 men and 36 women) with high-energy distal radius fracture were identified. The overall age-adjusted incidence rate per 10,000 person-years was 18.9 for men (low energy, 12.8 vs. high-energy, 6.1) and 75.1 for women (low energy, 71.1 vs. high energy, 4.0). In multivariate model, younger age, male gender, summer season, and living in a rural area were independently associated with an increased risk of high-energy fracture.

Conclusion

An approximately fourfold higher age-adjusted incidence rate for distal radius fracture was found among women, when compared with men. However, the proportion of patients with high-energy distal radius fracture was approximately fivefold higher in men than in women. Our data suggest that younger age, male gender, summer seasons, and living in rural areas are independent risk factors for increased risk of high-energy distal radius fracture.     

The life history of rock gurnard (Trigloporus lastoviza, Brünn. 1768) in the Saronikos Gulf

Age, growth and reproduction of rock gurnard in the Saronikos Gulf (Greece) were studied. Otoliths from 638 specimens (sex combined) were read for age determination. The body length-otolith radius relationship was found linear (L = -18.0 + 4.99 _xR; where L = fish length in mm, R = otolith radius 20 X). The life span of females seemed to be longer than that of males, indicating a differential mortality with sex. The growth was lower than that in the Catalane Sea. The maximum age of fish collected was VIII and the maximum fork length estimated by von Bertalanffy equation was 356 mm. Weight increased as the 3.054252 power or the length. Reproduction was observed to take place between winter and early spring and occasionally in early winter. Males began to mature after completion of the second year and the females after the third. The exploitation rate was rather high, which suggests that the rock gurnard stock was overfished in Saronikos Gulf. The male to female ratio was usually 1:1.