Three-dimensional surface scanning methods in osteology: A topographical and geometric morphometric comparison.

OBJECTIVES: Three-dimensional (3D) data collected by structured light scanners, photogrammetry, and computed tomography (CT) scans are increasingly combined in joint analyses, even though the scanning techniques and reconstruction software differ considerably. The aim of the present study was to compare the quality and accuracy of surface models and landmark data obtained from modern clinical CT scanning, 3D structured light scanner, photogrammetry, and MicroScribe digitizer. MATERIAL AND METHODS: We tested 13 different photogrammetric software tools and compared surface models obtained by different methods for four articulated human pelves in a topographical analysis. We also measured a set of 219 landmarks and semilandmarks twice on every surface as well as directly on the dry bones with a MicroScribe digitizer. RESULTS: Only one photogrammetric software package yielded surface models of the complete pelves that could be used for further analysis. Despite the complex pelvic anatomy, all three methods (CT scanning, 3D structured light scanning, photogrammetry) yielded similar surface representations with average deviations among the surface models between 100 and 200 µm. A geometric morphometric analysis of the measured landmarks showed that the different scanning methods yielded similar shape variables, but data acquisition via MicroScribe digitizer was most prone to error. DISCUSSION: We demonstrated that three-dimensional models obtained by different methods can be combined in a single analysis. Photogrammetry proved to be a cheap, quick, and accurate method to generate 3D surface models at useful resolutions, but photogrammetry software packages differ enormously in quality.

Towards a complete classification of the Neotropical thorny catfishes (Siluriformes: Doradidae)

We propose a revised classification of Doradidae based on phylogenetic analyses of sequence data for one nuclear (rag1) and two mitochondrial (co1, 16s) genes, and corroborated by caudal-fin morphology. The molecular dataset comprises 174 doradid specimens representing all 31 valid genera, 83 of the 96 valid extant species and 17 species-level taxa that remain undescribed or nominally unassigned. Parsimony and Bayesian analyses of molecular data support six major lineages of doradids assigned here to three nominal subfamilies (Astrodoradinae, Doradinae, Wertheimerinae) and three new ones (Acanthodoradinae, Agamyxinae, Rhinodoradinae). The maximum parsimony topology of Doradidae was sensitive to ingroup density and outgroup age. With the exceptions of Astrodoradinae and Doradinae, each subfamily is diagnosed by caudal-fin characteristics. The highest degree of fusion among skeletal elements supporting the caudal fin is observed in Acanthodoradinae and Aspredinidae, lineages that are sister to the remaining doradids and aspredinoids (i.e., Auchenipteridae + Doradidae), respectively. Fusion among caudal-fin elements tends to be higher in taxa with rounded, truncate or emarginate tails and such taxa typically occupy shallow, lentic habitats with ample structure. Caudal-fin elements are more separated in taxa with moderately to deeply forked tails that occupy lotic habitats in medium to large river channels.(AU)

Propomos uma classificação revisada de Doradidae baseada na análise filogenética de dados moleculares dos genes rag1, co1 e 16s, e suportada pela morfologia da nadadeira caudal. A matriz molecular inclui 174 espécimes de doradídeos representando os 31 gêneros válidos, 83 das 96 espécies viventes e 17 táxons não descritos ou nominalmente não designados. As análises de parcimônia e bayesiana suportam seis linhagens principais de doradídeos atribuídas a três subfamílias nominais (Astrodoradinae, Doradinae, Wertheimerinae) e três novas subfamílias (Acanthodoradinae, Agamyxinae, Rhinodoradinae). A árvore de máxima parcimônia de Doradidae é sensível à densidade de grupo interno e a idade do grupo externo. Com exceção de Astrodoradinae e Doradinae, cada subfamília é diagnosticada por características da nadadeira caudal. Dentro da família Doradidae e da superfamília Aspredinioidea (Aspredinidae, Auchenipteridae e Doradidae), o maior grau de fusão entre os elementos da nadadeira caudal é observado nas linhagens mais antigas, Acanthodoradinae e Aspredinidae, respectivamente. A fusão entre os elementos da nadadeira caudal é maior em táxons com a caudal arredondada, truncada ou emarginada e esses táxons normalmente ocupam habitats lênticos rasos. Os elementos da nadadeira caudal são mais separados em táxons com a cauda bifurcada ocupando habitats lóticos em canais de rios médios a grandes.(AU)

A comparison of proteomic, genomic, and osteological methods of archaeological sex estimation.

Sex estimation of skeletons is fundamental to many archaeological studies. Currently, three approaches are available to estimate sex-osteology, genomics, or proteomics, but little is known about the relative reliability of these methods in applied settings. We present matching osteological, shotgun-genomic, and proteomic data to estimate the sex of 55 individuals, each with an independent radiocarbon date between 2,440 and 100 cal BP, from two ancestral Ohlone sites in Central California. Sex estimation was possible in 100% of this burial sample using proteomics, in 91% using genomics, and in 51% using osteology. Agreement between the methods was high, however conflicts did occur. Genomic sex estimates were 100% consistent with proteomic and osteological estimates when DNA reads were above 100,000 total sequences. However, more than half the samples had DNA read numbers below this threshold, producing high rates of conflict with osteological and proteomic data where nine out of twenty conditional DNA sex estimates conflicted with proteomics. While the DNA signal decreased by an order of magnitude in the older burial samples, there was no decrease in proteomic signal. We conclude that proteomics provides an important complement to osteological and shotgun-genomic sex estimation.

Medical School Hotline: A New Osteological Resource at the John A. Burns School of Medicine.

The Mann-Labrash Osteological Collection of the University of Hawai'i is the newest collection of contemporary known-identity human skeletal remains in the United States. The collection, consisting of the partial or complete remains of individuals of European, African, Asian, and Pacific Islander ancestry, is an invaluable educational and research resource for medical students and visiting researchers. The collection reflects the population diversity of Hawai'i. The Mann-Labrash Osteological Collection provides a unique and irreplaceable resource for medical students and scientists interested in anatomy, disease, trauma, developmental defects, and biological diversity, particularly as they pertain to Hawai'i and the people of Polynesia.

Osteoimmunology: A Current Update of the Interplay Between Bone and the Immune System.

Immunology, already a discipline in its own right, has become a major part of many different medical fields. However, its relationship to orthopedics and trauma surgery has unfortunately, and perhaps unjustly, been developing rather slowly. Discoveries in recent years have emphasized the immense breadth of communication and connection between both systems and, importantly, the highly promising therapeutic opportunities. Recent discoveries of factors originally assigned to the immune system have now also been shown to have a significant impact on bone health and disease, which has greatly changed how we approach treatment of bone pathologies. In case of bone fracture, immune cells, especially macrophages, are present throughout the whole healing process, assure defense against pathogens and discharge a complex variety of effectors to regulate bone modeling. In rheumatoid arthritis and osteoporosis, the immune system contributes to the formation of the pathological and chronic conditions. Fascinatingly, prosthesis failure is not at all solely a mechanical problem of improper strain but works in conjunction with an active contribution of the immune system as a reaction to irritant debris from material wear. Unraveling conjoined mechanisms of the immune and osseous systems heralds therapeutic possibilities for ailments of both. Contemplation of the bone as merely an unchanging support pillar is outdated and obsolete. Instead it is mandatory that this highly diverse network be incorporated in our understanding of the immune system and hematopoiesis.

Gross Osteology and digital radiography of the common Capybara (Hydrochoerus hydrochaeris), Carl Linnaeus, 1766 for scientific and clinical application / Osteologia bruta e radiografia digital da capivara comum (Hydrochoerus hydrochaeris), Carl Linnaeus, 1766 para aplicação científica e clínica

Being able to study anatomical structures of wildlife species for science and clinical practice is of great importance. We aimed to describe the normal gross osteology of the common adult capybara Hydrochoerus hydrochaeris (Linnaeus, 1766), using macerated bone specimens and high-resolution digital radiography. The complete axial and appendicular skeleton was further compared with previously reported anatomical findings. For this purpose, we used three adult capybara cadavers (two females and one male), with a mean bodyweight of ±50 kg. Some H. hydrochaeris-specific morphological characteristics, especially in the skull region, show evidence of adaptation to aquatic life, such as an elongated head shape, with eyes, ears, and nose, located dorsally, to stay above water. Additionally, the entire bone structure demonstrates the size and weight support of the largest rodent and its adaptation with respect to foraging and locomotion behaviors. As a semi-aquatic herbivore, classified as cursorial (having limbs adapted for running), the authors believe it should be reclassified as cursorial-swimming/diving. Moreover, we argue to consider a differentiation between H. hydrochaeris silvestris to H. hydrochaeris synanthrope, due to substantial weight variation, in some cases > 100%. This inevitably has an impact on the development of bone structure, thus influencing habitual adaptation, and consequently, its clinical implications and animal handling. Radiography exams helped in the identification of bone structures, which otherwise were not observed in anatomical specimens, such as ossa sesamoidea, including the ossiclelunulae. Likewise, the radiographs were particularly helpful in overall better comprehension of the intubation and catheterization procedures. We believe this work can contribute as a reference to anatomical studies for students and professionals acting in clinic, surgery, and research.(AU)

Ser capaz de estudar estruturas anatômicas dos animais da fauna para fins científicos e prática clínica é de grande importância. Objetivamos descrever a osteologia geral normal de capivaras adultas Hydrochoerus hydrochaeris (Linnaeus, 1766), usando amostras de ossos macerados e radiologia digital de alta resolução. O esqueleto axial e apendicular foi posteriormente comparado a achados anatômicos reportados anteriormente. Para esse fim, nós utilizamos de três cadáveres de capivaras adultas (duas fêmeas e um macho) com peso médio de cerca de 50 kg. cada. Algumas características morfológicas de cavidade específicas, especialmente na região do crânio, evidenciam a adaptação à vida aquática, como o formato alongado da cabeça, com olhos, orelhas e nariz localizados dorsalmente, para permanência sobre a água. O completo desenvolvimento morfológico ósseo é evidência de tamanho e suporte de peso do maior roedor, assim como de seus hábitos de alimentação e locomoção, sendo um herbívoro semiaquático, classificado como cursório (tendo membros adaptados à corrida), caso em que os autores acreditam deveria ser reclassificado como cursorial-natação/mergulho. Além disso, argumentamos que deve ser considerada uma diferenciação entre H. hydrochaeris silvestris e H. hydrochaeris sinantropo, devido ao fato da variação substancial de peso, em alguns casos> 100%, inevitavelmente terá um impacto no desenvolvimento da estrutura óssea, influenciando, assim, a adaptação habitual e, consequentemente, suas implicações clínicas e manejo animal. A radiografia auxiliou na correlação e identificação de estruturas ósseas que não observadas em espécimes anatômicos, como o osso sesamóide, incluindo o ossículo lunar. Ademais, as radiografias foram particularmente úteis para uma melhor compreensão geral de procedimentos de intubação e cateterização. Acreditamos que este trabalho possa contribuir como referência de estudos anatômicos para estudantes e profissionais atuantes em clínica, cirurgia e pesquisa.(AU)

Neutron radiography as a diagnostic tool in human osteology.

X-ray radiography (XR) is a standard imaging tool in human osteology. Here we compare a series of human bone and tooth images taken using both X-ray and thermal neutron radiography (TNR) to identify the possible applications of the latter method. The TNR imaging is superior in case of bones contaminated with soil, and combined TNR and XR images may be used to find the areas with high proportion of organic fraction (i.e., collagen) in bone and dentin.

Anátomo-radiografia dos ossos longos do membro torácico do Tamandua tetradactyla / Anatomo-radiography of long-bones in thoracic limb of Tamandua tetradactyla

Objetivou-se descrever os acidentes anatômicos dos ossos longos do membro torácico de Tamandua tetradactyla por meio de análises macroscópicas e radiográficas. Foram utilizados 34 espécimes, que foram a óbito por atropelamento. A avaliação do úmero demonstrou as mesmas estruturas presentes nos animais domésticos, além de outras sem prévia descrição. Já no antebraço, rádio e ulna se apresentaram completamente separados, e apesar de, como o úmero, serem identificados alguns dos mesmos acidentes anatômicos descritos em outras espécies, também notamos particularidades. Todas as estruturas descritas na análise macroscópica foram identificadas à radiografia, quando realizada em pelo menos duas projeções ortogonais. As estruturas anátomo-radiográficas dos ossos longos do T. tetradactyla demonstraram grande variaçãoanatômica em comparação a outros mamíferos, o que torna a referida espécie muito singular. Assim o conhecimento de suas particularidades é fundamental para abordagens clínico-cirúrgicas mais seguras.

The objective was to describe the anatomical accidents of the long bones of the thoracic limb of Tamandua tetradactyla by means of macroscopic and radiographic analyzes. We used 34 specimens, which were death by running over. Evaluation of the humerus demonstrated the same structures present in domestic animals, besides others without previous description. In the forearm, radius and ulna were completely separated, and although, like the humerus, some of the same anatomical accidents described in other species were identified, we also noticed particularities. All the structures described in the macroscopic analysis were identified on radiography, when performed in at least two orthogonal projections. The anatomic-radiographic structures of the long bones of T. tetradactyla showed great anatomical variation compared to other mammals, which makes the species very unique. Thus knowledge of their particularities is fundamental for safer clinical-surgical approaches.

Clinical decision support system for the management of osteoporosis compared to NOGG guidelines and an osteology specialist: a validation pilot study.

BACKGROUND: Although osteoporosis is an easily diagnosed and treatable condition, many individuals remain untreated. Clinical decision support systems might increase appropriate treatment of osteoporosis. We designed the Osteoporosis Advisor (OPAD), a computerized tool to support physicians managing osteoporosis at the point-of-care. The present study compares the treatment recommendations provided by OPAD, an expert physician and the National Osteoporosis Guideline Group (NOGG). METHODS: We performed a retrospective analysis of 259 patients attending the outpatient osteoporosis clinic at the University Hospital in Iceland. We entered each patient's data into the OPAD and recorded the OPAD diagnostic comments, 10-year risk of major osteoporotic fracture and treatment options. We compared OPAD recommendations to those given by the osteoporosis specialist, and to those of the NOGG. RESULTS: Risk estimates made by OPAD were highly correlated with those from FRAX (r = 0.99, 95% CI 0.99, 1.00 without femoral neck BMD; r = 0.98, 95% CI, 0.97, 0.99 with femoral neck BMD. Reassurance was recommended by the expert, NOGG and the OPAD in 68, 63 and 52% of cases, respectively. Likewise, intervention was recommended by the expert, NOGG, and the OPAD in 32, 37 and 48% of cases, respectively. The OPAD demonstrated moderate agreement with the physician (kappa 0.51, 95% CI 0.41, 0.61) and even higher agreement with NOGG (kappa 0.69, 95% CI 0.60, 0.77). CONCLUSION: Primary care physicians can use the OPAD to assess and treat patients' skeletal health. Recommendations given by OPAD are consistent with expert opinion and existing guidelines.

Quantification of anatomical variation at the atlanto-occipital articulation: morphometric resolution of commingled human remains within the repatriation documentation process.

Within many institutional collections are skeletal and mummified human remains representing a part of our species' adaptation and evolution to various biocultural environments. Archaeologically recovered individuals come from deep into our past, and possess information that provides insight into population history, genetics, diet, health and other questions relevant to all living peoples. Academic concerns have been raised regarding the reinterment of these collections due to the rise of the international repatriation movement, the passage of various laws and implementation of institutional policies. While all potential research questions cannot be anticipated, the proactive documentation of collections is one way to ensure primary data are maintained for future study. This paper explores developments in digitization technology that allow the archive of virtual copies of human remains, and an example of how anatomical and archaeological collections can be digitized towards pragmatic research goals. The anatomical variability of the human atlanto-occipital (AO) articular surfaces was studied using non-metric categorical shape, 2D measurement and 3D morphometric analyses to provide reference standards for the reassociation of individuals from commingled skeletal remains, such as found in some archaeological sites or forensic investigations including mass grave or mass disaster recovery scenes. Results suggest that qualitative shape observations and caliper-derived measurements of the articulating AO condyles tend to display significant sexual dimorphism and biological ancestry-related size and shape differences. Variables derived from a scanned 3D mesh, such as condylar angle and articular surface curvature, quantify biomechanical variation and display a stronger congruency within individuals. It is recommended that a two-stage approach involving initial screening and identification of possible reassociation candidates is accomplished with a linear osteometric approach, followed by 3D laser scanning of the candidate joint surfaces for morphometric analyses to confirm reassociations when destructive DNA typing is not allowed or otherwise impractical due to cost or other resource restrictions.

Evaluating osteological ageing from digital data.

Age at death estimation of human skeletal remains is one of the key issues in constructing a biological profile both in forensic and archaeological contexts. The traditional adult osteological methods evaluate macroscopically the morphological changes that occur with increasing age of specific skeletal indicators, such as the cranial sutures, the pubic bone, the auricular surface of the ilium and the sternal end of the ribs. Technologies such as computed tomography and laser scanning are becoming more widely used in anthropology, and several new methods have been developed. This review focuses on how the osteological age-related changes have been evaluated in digital data. First, the 3D virtual copies of the bones have been used to mimic the appearance of the dry bones and the application of the traditional methods. Secondly, the information directly extrapolated from CT scans has been used to assess qualitatively or quantitatively the changes of the trabecular bones, the thickness of the cortical bones, and to perform morphometric analyses. Lastly, the most innovative approach has been the mathematical quantification of the changes of the pelvic joints, calculating the complexity of the surface. The importance of new updated reference datasets, created thanks to the use of CT scanning in forensic settings, is also discussed.

Evaluation of lesion burden in a bone-by-bone comparison of osteological and radiological methods of analysis.

OBJECTIVE: To evaluate differences in lesion identification in skeletal remains with respect to bone type and method of analysis. MATERIALS: 212 mostly 19th century adult skeletons from St. Bride's Church in London. METHODS: Using a standard protocol, an osteologist evaluated each set of remains for lesions. A radiologist used the same system to examine radiographs of the crania, humeri, pelves, tibiae, and femora. RESULTS: Osteological analysis noted more lesions per bone type. All bone types examined showed positive, statistically significant correlations between the number of lesions identified by each analytical method. The humerus, tibia, and femur exhibited the strongest correlations. The pelvis exhibited the weakest correlation. For the cranium and pelvis, males showed stronger correlations. CONCLUSIONS: Sex-related differences in correlations were likely influenced by the presence, in females, of lesions affecting the entire skeleton (e.g., osteoporosis). Greater correlations between analytical modalities were observed for long bones. SIGNIFICANCE: Our findings quantify the contexts in which radiological and osteological evaluations converge and diverge and discuss the implications of these results for lesion burden interpretation. LIMITATIONS: Generalizability, potential subjectivity of evaluative methods. SUGGESTIONS FOR FURTHER RESEARCH: Assessment of another study collection using the same methods, to determine if the similar correlations are observed.

Osteologic analysis of ethnic differences in supernumerary ethmoidal foramina: implications for endoscopic sinus and orbit surgery.

BACKGROUND: Knowledge of the position of the ethmoidal arteries is critical to enable safe endoscopic sinus and orbital surgery. The presence of a third or "middle" ethmoid variant has recently become more relevant as endoscopic intraconal surgery continues to advance. The purpose of this study was to quantify the presence of supernumerary (ie, over 2) ethmoid foramina in different ethnicities and genders. METHODS: Morphometric osteologic measurements were performed in 273 orbits. Prevalence of supernumerary ethmoid foramina and orbital length data were obtained from human skulls of Asian (n = 54), Caucasian (n = 70), African (n = 39), Hispanic (n = 49), and Middle Eastern (n = 61) derivation. Correlations between gender, ethnicity, symmetry, orbital floor, and lamina papyracea length were assessed by analysis of variance, paired t test, and χ2 test. RESULTS: Supernumerary foramina were identified in 95 of 273 orbits (34.79%). A significantly higher prevalence was seen in Asian (42.59%), African (41.02%), and Hispanic (41.00%) skulls as compared with Caucasian (25.71%) and Middle Eastern (22.95%) skulls (p < 0.05 for all). The length of the orbital floor was significantly shorter in the Asian (3.35 ± 1.52 cm) specimens (p < 0.01). Asians were found to have the highest risk of ethmoid artery injury compared with the other ethnic groups (ratio of number of supernumerary foramina to orbital floor length = 0.72). CONCLUSION: Supernumerary ethmoidal foramina were common among all orbits studied. Orbits of Asian and African derivation had significantly greater numbers of ethmoidal foramina, both unilaterally and symmetrically and within a shorter orbital length, suggesting a greater proximity between the ethmoidal vessels. Surgeons should be alert to the possible presence of middle ethmoidal vessels during endoscopic sinus and orbital approaches.

Comparative skull anatomy of terrestrial and crevice-dwelling Trachylepis skinks (Squamata: Scincidae) with a survey of resources in scincid cranial osteology.

Skinks account for more than 25% of all lizard species; however, representatives of fewer than a quarter of all species have been characterized osteologically. All but a few of the available cranial descriptions concentrate solely on characters that can be seen externally on the intact skull. Mabuyid skinks of the genus Trachylepis are the dominant, fully limbed skinks in Sub-Saharan Africa, and nearly all species have the same generalized body plan. Although a few rock crevice-dwelling species possess slight body depression, extreme dorsoventral depression is observed only in Trachylepis laevis. We investigated the detailed skull anatomy of three Trachylepis skinks (T. laevis, T. sulcata, and T. gonwouoi, a recently described species allied to T. affinis) using high-resolution X-ray micro-computed tomography. Our goals were to review the scincid cranial osteology literature in a phylogenetic context, provide a detailed anatomical atlas for the mabuyid lineage, and investigate the morphological adaptations of the highly modified T. laevis. Our results demonstrate that there is significant morphological variation between these three taxa, including the loss and fusion of structures, as well as changes in the shape, scale, and relationship between individual elements. Trachylepis laevis possesses several osteological modifications that have produced a reducton in head depth that are likely functional consequences of extreme rupicolous habits, including a flat skull roof, many strongly recumbent elements, and a depressed neurocranium.We hypothesize these modifications may correspond to descreased bite force and increased capabilities of cranial kinesis. Our study is the first element-by-element description of a skink using computed tomography technology.

Rotational alignment of the knee is different in osteological specimens with and without a large cam deformity of the proximal femur.

PURPOSE: We studied a large osteological collection for differences in knee rotation based upon the presence or absence of a large cam deformity of the proximal femur. METHODS: We obtained 357 matched tibiae and femora from the Hamann-Todd Osteological Collection and measured: femoral head-neck alpha angle, anteroposterior axis (or Whiteside's line) at the distal femur relative to the posterior condylar axis, and position of the tibial tubercle with respect to the posterior condylar axis of the proximal tibia. We then divided these specimens into two groups based upon alpha angle <45° (Group 1, n = 73) or alpha angle >60° (Group 2, n = 122) and performed an independent samples t-test to evaluate for differences in measured parameters between groups using this subset of specimens. RESULTS: The mean alpha angles in Group 1 and 2 were 40.9° ± 3.3° and 67.0° ± 5.6°, respectively. Whiteside's line was externally rotated with respect to the posterior femoral condylar axis by a mean of 1.8° ± 6.8° in Group 1, vs. 3.0° ± 3.7° in Group 2 (p = 0.03). The tibial tubercle was externally rotated by a mean of 19.4° ± 6.8° in Group 1, versus 16.6° ± 5.1° in Group 2 (p = 0.003). CONCLUSIONS: Specimens with femoral head-neck alpha angle >60° demonstrated greater external rotation of the distal femur and a more internally-rotated tibial tubercle compared to specimens with an alpha angle <45°. Differences in anatomic characteristics of the knee may play a role in the development of patellofemoral pain in patients with a large cam deformity.

Osteology of Carnufex carolinensis (Archosauria: Psuedosuchia) from the Pekin Formation of North Carolina and Its Implications for Early Crocodylomorph Evolution.

Crocodylomorphs originated in the Late Triassic and were the only crocodile-line archosaurs to survive the end-Triassic extinction. Recent phylogenetic analyses suggest that the closest relatives of these generally gracile, small-bodied taxa were a group of robust, large-bodied predators known as rauisuchids implying a problematic morphological gap between early crocodylomorphs and their closest relatives. Here we provide a detailed osteological description of the recently named early diverging crocodylomorph Carnufex carolinensis from the Upper Triassic Pekin Formation of North Carolina and assess its phylogenetic position within the Paracrocodylomorpha. Carnufex displays a mosaic of crocodylomorph, rauisuchid, and dinosaurian characters, as well as highly laminar cranial elements and vertebrae, ornamented dermal skull bones, a large, subtriangular antorbital fenestra, and a reduced forelimb. A phylogenetic analysis utilizing a comprehensive dataset of early paracrocodylomorphs and including seven new characters and numerous modifications to characters culled from the literature recovers Carnufex carolinensis as one of the most basal members of Crocodylomorpha, in a polytomy with two other large bodied taxa (CM 73372 and Redondavenator). The analysis also resulted in increased resolution within Crocodylomorpha and a monophyletic clade containing the holotype and two referred specimens of Hesperosuchus as well as Dromicosuchus. Carnufex occupies a key transition at the origin of Crocodylomorpha, indicating that the morphology typifying early crocodylomorphs appeared before the shift to small body size.

Idiopathic Toe Walking: A Gait Laboratory Review.

Idiopathic toe walking (ITW) is defined as one who is neurologically normal but demonstrates a preference for walking on the toes. It is a diagnosis of exclusion so differential diagnoses such as cerebral palsy, neuropathy or myopathy must be ruled out. A review of 102 patients attending a gait laboratory with a presumptive diagnosis of ITW found that gait analysis data agreed with this diagnosis in 81 (79.4%) of cases while the remaining 21 (20.6%) were not typical of this diagnosis. The features found to be significantly different between the groups were Babinski response, fast stretch of the gastrocnemius, knee flexion at initial contact and asymmetry at the ankles during gait. This study highlights that clinical gait analysis can be a useful, non-invasive means of diagnosing idiopathic toe walking and recommending appropriate intervention based on clinical and dynamic assessment of calf tightness.

The (mis)use of adult age estimates in osteology.

CONTEXT: Adult age-at-death is presented in a number of different ways by anthropologists. Ordinal categories predominate in osteoarchaeology, but do not reflect individual variation in ageing, with too many adults being classified as "middle adults". In addition, mean ages (derived from reference samples) are overly-relied upon when developing and testing methods. In both cases, "age mimicry" is not adequately accounted for. OBJECTIVES: To highlight the many inherent biases created when developing, testing and applying age-estimation methods without fully considering the impact of "age mimicry" and individual variation. METHODS: The paper draws on previously published research (Web of Science, Pub Med, Google Scholar) on age estimation methods and their use in anthropology. RESULTS AND CONCLUSIONS: There is a lack of consistency in the methods used to estimate age and for the mode of combining them. Ordinal categories are frequently used in osteoarchaeology, whereas forensic anthropologists are more likely to produce case-specific age ranges. Mean ages reflect the age structure of reference samples and should not be used to estimate age for individuals from populations with a different age-at-death structure. Individual-specific age ranges and/or probability densities should be used to report individual age. Further research should be undertaken on how to create unbiased, combined method age estimates.

The Distal Humerus Axial View: Assessment of Displacement in Medial Epicondyle Fractures.

BACKGROUND: The assessment and treatment of childhood medial epicondyle humerus fractures continues to be associated with significant debate. Several studies demonstrate that standard radiographic views are unable to accurately portray the true displacement. Without reliable ways to assess the amount of displacement, how can we debate treatment and outcomes? This study introduces a novel imaging technique for the evaluation of medial epicondyle fractures. METHODS: An osteotomy of a cadaveric humerus was performed to simulate a medial epicondyle fracture. Plain radiographs were obtained with the fracture fragment displaced anteriorly in 2-mm increments between 0 and 18 mm. Anteroposterior (AP), internal oblique (IR), lateral (LAT), and distal humerus axial (AXIAL) views were performed. Axial images were obtained by positioning the central ray above the shoulder at 15 to 20 degrees from the long axis of the humerus, centered on the distal humerus. Displacement (mm) was measured by 7 orthopaedic surgeons on digital radiographs. RESULTS: At 10 mm displacement, AP views underestimated displacement by 5.5±0.6 mm and IR views underestimated by 3.8±2.1 mm. On LAT views, readers were not able to visualize fragments with <10 mm displacement. Displacement ≥10 mm from LAT views was overestimated by 1 reader by up to 4.6 mm and underestimated by others by up to 18.0 mm. AXIAL images more closely estimated the true amount of displacement, with a mean 1.5±1.1 mm error in measurement for <10 mm displacement and a mean 0.8±0.7 mm error for displacements of ≥10 mm. AXIAL measurements correlated strongly with the actual displacement (r=0.998, P<0.05); AP measurements did not (r=0.655, P=0.55). Intraclass correlation coefficient (ICC) was 0.257 for AP and IR measurements; ICC was 0.974 for AXIAL measurements. CONCLUSIONS: Standard imaging, consisting of AP, IR, and LAT radiographs, consistently underestimates the actual displacement of medial epicondyle humerus fractures. The newly described AXIAL projection more accurately and reliably demonstrated the true displacement while reducing the need for advanced imaging such as computed tomography. CLINICAL RELEVANCE: This simple view can be easily obtained at a clinic visit, enhancing the surgeon's ability to determine the true displacement.

Evaluation of discriminant functions for sexing skulls from visually assessed traits applied in the Rainer Osteological Collection (Bucharest, Romania).

The sexing of human skeletal remains based on visual scoring of descriptive traits on the skull is useful for both forensic and bioarchaeological studies, given that many such features preserve well in the field and can be assessed quickly. The goal of our work is to evaluate the accuracy of this method on an age-balanced, known sex, random sample of 360 modern adult crania in the Rainer Osteological Collection. Consistent with Walker (2008), we scored glabella area (G), the mastoid process (Ma), the mental eminence (M), the orbital edge (O) and the nuchal crest (N), on a five-point scale. We generated sex discriminant functions (logistic), selected the most accurate of them, and subsequently applied them to archaeological samples from Romania. Each skull feature showed significant score differences by sex. Eight out of 31 discriminant functions passed criteria of high accuracy (∼90%), sex bias (±2%), and ease of use (direct calculation of sex). The best estimates were obtained for the 30-60 age groups. Further testing these functions on six archaeological samples showed high percentages of agreement with the sex assessed on the coxal bone. The study also indicated that, although easy to learn by novices, the method of visually scoring the skull traits depends on prior experience with human osteology. The accuracy of the method may be influenced by geographical and historical differences which are bound to exist between populations.