Temporal and Spatial Influences on Fawn Summer Survival in Pronghorn Populations: Management Implications from Noninvasive Monitoring.

Monitoring vital rates allows managers to estimate trends in growth rates of ungulate populations. However, connecting the influence of nutrition on ungulate demography is challenging. Noninvasive sampling offers a low-cost, low-effort alternative for measuring nutritional indices, allowing for an increased understanding of the mechanistic relationships between environmental factors, nutrition, and specific population vital rates. We examined the temporal influence of intrinsic and extrinsic factors on pronghorn (Antilocapra americana) fawn recruitment. We collected fresh fecal samples from adult female pronghorn in five subpopulations spanning three sampling periods associated with critical maternal life-history stages (late gestation, early lactation, breeding season) for 2 years to investigate both intra- and interannual influences. Intrinsic factors were fecal glucocorticoid metabolites (FGMs), nutritional indices (fecal nitrogen (FN) and 2,6-diaminopimelic acid (DAPA)), and dietary composition (protein intake of forbs, graminoids, legumes, other, shrubs), while the extrinsic factor was vegetative greenness (normalized difference vegetation index (NDVI)). We found variations in DAPA, protein intake of forbs, variation in forb protein intake, and protein intake of legumes during late gestation positively influenced fawn recruitment. Fecal nitrogen during early lactation showed the strongest positive influence on the recruitment of any measured parameter. Finally, breeding season NDVI and the variation in DAPA values positively influenced the subsequent year's fawn recruitment. Our longitudinal study enabled us to investigate which parameter was most important to specific periods of fawn development and recruitment. We combined the results across five subpopulations, but interpretation and subsequent management decisions should be made at the subpopulation level such that pronghorn subpopulations with low recruitment can be positively influenced by increasing nitrogen on the landscape available to adult females during the early lactation period. As the use of noninvasive monitoring methods continues to expand, we believe our methodologies and results can be broadly applied to other ungulate monitoring programs.

Relevance of Individual Data When Assessing the Gastrointestinal Nematode Infection Level, Nutritional and Productive Variables in a Tropical Farm Context: The Median Isn't the Message.

We evaluated the relationship between individual and herd GIN infection level, nutrition, production performance and anemia parameters in a tropical farm context. Fifty-four female goats were monitored to assess their body condition score (BCS, nutritional status indicator), live weight (LW) and LW gain (LWG, both used as production level indicators), FAMACHA© and hematocrit (HT, both used as anemia indicators). Goats browsed for 4 h in a tropical forest and received balanced feed and chopped grass. The eggs per gram of feces (EPG) indicated the GIN burden, with fecal samples obtained at 7:00 (AM) and 15:00 h (PM.) from each goat at six sampling points during the study. The variables and their relationship with GIN burdens were analyzed using Kruskall-Wallis, ANOVA and Friedman tests and Spearman correlations. The fecal samples obtained in the AM and PM can be equally representative of parasitic burdens (similar and highly correlated). However, the EPG of individual goats from periods of 30 days apart can be considered independent. The BCS and LWG varied between sampling times (p < 0.05), whereas EPG, LW and HT did not (p > 0.05). The GIN burden was negatively correlated with HT and BCS (-0.21, p = 0.01 for each one). The individual pattern of infection demonstrates the true impact of GINs on their hosts. Additionally, feeding and nutritional status may present important variations influencing the performance of the goats more than the impact of GINs under the farm conditions of the present study. However, GIN infection contributed to the variation in goat health and productivity in this tropical farm.

Quiste meniscal posterior a la sutura meniscal con monofilamento de polipropileno / Meniscal cyst after polypropylene monofilament suture

Introducción: la función del tejido meniscal es fundamental en la transmisión y distribución de cargas de la rodilla. En casos de lesión meniscal, la sutura es el tratamiento quirúrgico de elección, y pueden utilizarse diferentes materiales para realizarla. El objetivo del trabajo es analizar la aparición de quistes meniscales sintomáticos con el uso de sutura no reabsorbible del tipo monofilamento de polipropileno en un grupo de pacientes con lesiones en asa de balde y evaluar el material de sutura como causal de quiste.Materiales y métodos: se realizó un estudio retrospectivo de un grupo de pacientes con lesiones en asa de balde suturadas con material no reabsorbible del tipo monofilamento de polipropileno (MP) y sutura de alta resistencia de polietileno de ultra alto peso molecular UHMWPE (SAR) y se analizó la presencia de quiste meniscal sintomático como complicación. Los criterios de inclusión para este estudio fueron pacientes con lesiones en asa de balde a los cuales se les realizó sutura meniscal con técnicas combinadas con material de tipo no reabsorbible. Se excluyeron pacientes con lesiones que no fueran con patrón en asa de balde o a los cuales se les hizo sutura meniscal todo-adentro únicamente.Resultados: un total de veinticinco pacientes, quince de sexo masculino y diez de sexo femenino. La edad media del grupo evaluado fue de 27.8 años. El 72% fue suturado con sutura de alta resistencia (SAR) mientras que a un 28% se les realizó sutura con monofilamento de polipropileno (MP). El 92% de las lesiones se presentaron en el menisco interno. Se observaron tres pacientes con quistes meniscales sintomáticos asociados a la sutura MP, los cuales fueron tratados quirúrgicamente con buena evolución. Conclusión: identificamos en nuestra serie que la aparición de quistes sintomáticos se relaciona estrechamente con el uso de monofilamento de polipropileno (MP). Consideramos la utilización de hilos no reabsorbibles de alta resistencia (polietileno de ultra alto peso molecular UHMWPE) como la primera opción para realizar las suturas meniscales por la baja tasa de complicación y los buenos resultados. Nivel de Evidencia: IV

Introduction: The function of the meniscal tissue is fundamental in the transmission and distribution of knee loads. In cases of meniscal injury, suturing is the surgical treatment of choice, and different materials can be used to perform it. The aim of the work is to analyze the appearance of symptomatic meniscal cysts with the use of non-absorbable polypropylene monofilament suture in a group of patients with bucket handle injuries and to evaluate the suture material as a cause of the cyst. Materials and methods: a retrospective study was carried out on a group of patients with bucket-handle injuries sutured with non-absorbable polypropylene monofilament (MP) material and high-strength ultra-high molecular weight UHMWPE polyethylene (SAR) suture and the presence of a symptomatic meniscal cyst as a complication was analyzed. The inclusion criteria for this study were patients with bucket-handle injuries in whom meniscal suture was performed with combined techniques with non-resorbable material. Patients with injuries other than a bucket-handle pattern or who underwent all-in meniscal suturing only were excluded.Results: a total of twenty-five patients, fifteen males and ten females. The average age of the evaluated group was 27.8 years. 72% were sutured with high resistance suture (SAR) while 28% were sutured with polypropylene monofilament (MP). 92% of the injuries occurred in the medial meniscus. Three patients were observed with symptomatic meniscal cysts associated with the MP suture, which were treated surgically with good outcomes. Conclusion: we identified in our series that the appearance of symptomatic cysts is closely related to the use of polypropylene monofilament (MP). We consider the use of high-strength non-absorbable threads (ultra-high molecular weight polyethylene UHMWPE) as the first option to perform meniscal sutures due to the low complication rate and good results. Level of Evidence: IV

Seasonal shifts in pronghorn antelope (Antilocapra americana) diets under a new lens: Examining diet composition using a molecular technique.

Foraging is one of the most fundamental activities contributing to the maximization of an animal's fitness, and thus herbivores must optimize their diet selection and intake to meet their nutrient demands for survival, growth, and reproduction. Using plant DNA barcoding, we determined diet composition of five subpopulations of adult female pronghorn antelope (Antilocapra americana) grazing rangelands in southern and southeastern Idaho, USA. Fecal samples were collected for two years (2018-2019), and across metabolically-important adult female life history stages (late gestation, early lactation, breeding season). Plant DNA barcoding yielded 137 detected species within pronghorn diets across subpopulations and sampling periods with forbs being the most abundant. Pronghorn dietary functional group composition ranged from 52.2-60.3% from forbs followed by shrubs (22.6-28.2%), graminoids (8.7-15.7%), and legumes (5.5-9.6%). Dietary protein intake was also highest from forbs and ranged from 32.4-62.4% followed by graminoids (1.2-43.1%), shrubs (18.7-21.3%), and legumes (2.6-7.4%). We found significant intra- and interannual differences in the mean number of genera-based plant detections in pronghorn diets. Dietary protein intake of cultivated legumes (e.g., alfalfa [Medicago sativa] and sainfoin [Onobrychis viciifolia]) was lower than expected, ranging from <1.0-30.8%, suggesting that even within an agricultural-dominated landscape, factors other than plant nutritional composition contributed to pronghorn diets. Although the plant DNA barcoding technique exhibits limitations, it demonstrated potential for elucidating pronghorn dietary species richness, particularly for plants consumed in small proportions, as well as for observing temporal fluctuations in functional group composition and dietary protein intake explained through the interplay between environmental factors, plant chemical composition, and the animals' physiological needs.

En la búsqueda de predictores que nos ayuden a obtener un mejor resultado en la cirugía de revisión de ligamento cruzado anterior / In the search for predictors that help us obtain a better result in anterior cruciate ligament revision surgery

Introducción: Los factores de riesgo de re-ruptura de LCA son errores técnicos, características del injerto, lesiones meniscales, condrales o lesiones no tratadas. El objetivo de nuestro trabajo fue reconocer predictores modificables que nos ayuden a obtener un mejor resultado en la cirugía de revisión de LCA. Materiales y métodos: estudio descriptivo transversal. Serie de pacientes tratados en nuestro centro entre 2011 y 2021 a los cuales se les realizó cirugía de revisión de LCA. Se registraron edad, sexo, falla de cirugía primaria traumática, o no, fijación utilizada, ubicación de ambos túneles, injerto utilizado en la cirugía primaria, lesiones articulares condrales y meniscales antiguas y nuevas y tipo de injerto utilizado en cirugía de revisión. Resultados: se analizaron un total de ciento nueve pacientes. Con mayor frecuencia, los pacientes masculinos se sometieron a revisión entre los veinte y los cuarenta años. La principal causa traumática fue la práctica deportiva (40.37%), seguida de accidente de tránsito o en domicilio (7.33%) y en ambiente laboral (24.8%), y sin causa demostrable (27.5%). La mala posición del túnel femoral aislada fue la falla técnica más común en un 41.29%, sin error técnico en 38.53%, y falla de colocación de túnel tibial aislada en 2.75%. En el total de los pacientes evaluados, el 28.44% (treinta y un pacientes) no presentó lesión meniscal previa ni actual; mientras que el 71.56% (setenta y ocho pacientes) evidenció algún tipo de lesión. La elección del injerto fue autoinjerto de H-T-H (30.28%), aloinjerto de tibial posterior (30.28%), aloinjerto de tibial anterior (19.27%), autoinjerto de ST-RI (11.01%), y otros aloinjertos Aquiles, Peroneos y ST (9.17%).Discusión: serán necesarios más estudios para determinar si esta tasa de falla persiste a pesar de nuestro mayor conocimiento de la técnica y diversos aspectos de la cirugía de revisión. Nivel de Evidencia: IV

Introduction: Risk factors for ACL rupture are technical errors, graft characteristics, meniscal and chondral injuries, or untreated injuries. The objective of our work was to recognize modifiable predictors that help us obtain a better result in ACL revision surgery. Materials and methods: cross-sectional descriptive study. Series of patients treated at our center between 2011 and 2021 who underwent ACL revision surgery. Age, sex, traumatic or non-traumatic primary surgery failure, fixation used, location of both tunnels, graft used in primary surgery, old and new chondral and meniscal joint injuries and type of graft used in revision surgery were recorded. Results: a total of one hundred and nine patients were analyzed. Most often, male patients underwent revision between the ages of twenty and forty. The main traumatic cause was sports practice (40.37%), followed by traffic accident or at home (7.33%) and in the work environment (24.8%), and without demonstrable cause (27.5%). Isolated femoral tunnel malposition was the most common technical failure at 41.29%, no technical error at 38.53%, and isolated tibial tunnel placement failure at 2.75%. In all the patients evaluated, 28.44% (thirty-one patients) did not present a previous or current meniscal lesion; while 71.56% (seventy-eight patients) showed some type of injury. Graft choice was H-T-H autograft (30.28%), posterior tibial allograft (30.28%), anterior tibial allograft (19.27%), ST-RI autograft (11.01%), and other Achilles, fibular, and ST allografts (9.17%) Discussion: more studies will be necessary to determine if this failure rate persists despite our greater knowledge of the technique and various aspects of revision surgery. Level of Evidence: IV

Después de una cirugía de ligamento cruzado anterior, ¿cuándo puedo manejar? Evaluación postoperatoria de habilidades de conducción y de reacción de frenado / After anterior cruciate ligament surgery, when can I drive? Postoperative assessment of driving skills and braking reaction

Introducción: La mayoría de las personas que se someten a una reconstrucción del LCA están en edad de conducir, por lo tanto, es importante saber cuándo es seguro para el paciente reanudar la conducción. El objetivo de este trabajo es evaluar de manera prospectiva cuándo los pacientes recuperan las habilidades de manejo y de reacción de frenado después de la reconstrucción primaria de LCA, y compararlos con un grupo control de voluntarios sanos. Materiales y métodos: estudio prospectivo de una serie de pacientes que se sometieron a reconstrucción primaria del LCA utilizando injerto semitendinoso y recto interno. Se excluyeron pacientes en los que se empleó otro tipo de injerto o se les realizó otro gesto quirúrgico y laborales. Se evaluó la capacidad de volver a manejar de manera segura a las 2-3 semanas y a las 4-5 semanas postoperatorias mediante test de reacción simple y de resistencia a la monotonía, y se compararon los resultados con un grupo control de voluntarios sanos. Resultados: en total fueron ciento sesenta y seis pacientes, treinta fueron casos y ciento treinta y seis, controles. Se hallaron diferencias significativas (p = 0.03) entre los casos y controles en las pruebas realizadas tempranamente en cuanto a la aprobación, y no, de los test. Según el promedio en segundos obtenido en cada test realizado, se observan diferencias significativas en el primera prueba de resistencia a la monotonía (p = 0.0001) a favor del grupo control. Discusión: de acuerdo a la prueba de reacción simple y al test a la monotonía evaluados en nuestro trabajo, los pacientes que se someten a reconstrucción del LCA con autoinjertos de ST-RI están en condiciones de manejar un automóvil luego de las 4-5 semanas de la cirugía

Introduction: Most people who undergo ACL reconstruction are of driving age, it is important to know when it is safe for the patient to resume driving. The objective of this work was to prospectively evaluate when patients recover driving skills and brake reaction skills after ACL reconstruction and compare them with a control group of healthy volunteers. Materials and methods: prospective study of a series of patients who underwent primary ACL reconstruction using semitendinosus and medial rectus graft. Patients in whom another type of graft was used, or another surgical and labor gesture was performed, were excluded. The ability to return to driving safely at 2-3 weeks and 4-5 weeks postoperatively was evaluated using the simple reaction and resistance to monotony tests, and the results were compared with a control group of healthy volunteers.Results: a total of 166 patients, 30 are cases and 136 controls. Significant differences (p = 0.03) were found between cases and controls in the tests carried out early in terms of passing and not passing the tests. The relationship according to the average in seconds obtained in each test carried out, significant differences are observed in the first test of resistance to monotony (p = 0.0001) in favor of the control group. Discussion: according to the simple reaction test and the monotony test evaluated in our study, patients who undergo ACL reconstruction with ST-RI autografts are able to drive a car 4-5 weeks after surgery

Grazing diverse combinations of tanniferous and nontanniferous legumes: implications for foraging behavior, performance, and hair cortisol in beef cattle.

A diversity of forages with different types and concentrations of nutrients and plant secondary compounds may lead to complementary relationships that enhance cattle performance and welfare. We determined whether grazing combinations of tanniferous legumes (Lotus corniculatus, birdsfoot trefoil [BFT], Onobrychis viciifolia, sainfoin [SF]), and alfalfa [ALF] (Medicago sativa) influence foraging behavior, performance, and hair cortisol concentration in beef cattle compared with grazing the same legumes as monocultures. Twenty-one pairs of heifers grazed three spatial replications of seven treatments: monocultures of BFT, SF, or ALF, and all possible two- and three-way choices among strips of these legumes: SF-BFT, ALF-BFT, ALF-SF, and ALF-SF-BFT in two periods of 25 d each (adaptation phase + experimental period) during two consecutive years. The lowest incidence of grazing events occurred in the BFT treatment (42.0% of the total scans recorded; P < 0.10), with the rest of the treatments ranging between 47.8% (SF-BFT) and 52.6% (ALF-SF) of the total scans recorded. Heifers selected a varied diet, preferring SF over BFT or ALF in a 46:27:27 ratio for the three-way choice, and in a 70:30 ratio for both two-way choices. Heifers preferred BFT over ALF (62:38 ratio) in a two-way choice. All treatments followed similar daily grazing patterns (P > 0.10), with two major grazing events (1 h after sunrise and 3 h before dark). No differences among treatments were observed for the number of steps taken by heifers on a daily basis, motion index, or the percentage of time heifers spent standing (1,599, 5,356, and 45.3%, respectively; P > 0.10), suggesting that heifers on choice treatments did not invest extra time in walking, searching, or patch switching activities relative to heifers grazing monocultures. Heifers grazing the three-way choice gained more body weight (1.27 kg/d) than the average gains observed for animals grazing in all legume monocultures (1.00 kg/d; P = 0.014) or two-way choices (0.97 kg/d; P = 0.007), suggesting a synergism among pasture species for the treatment with the highest diversity. No differences in hair cortisol concentration were observed among treatments, with values ranging between 1.4 (BFT) and 2.12 ng/g (three-way choice; P > 0.10). Thus, forage diversity has the potential to enhance animal performance without affecting grazing efficiency, likely explained by the spatial arrangement of the forage species presented in the study.

Preference for inorganic sources of magnesium and phosphorus in sheep as a function of need.

We determined whether sheep discriminate among different mineral supplements containing P and Mg and if they modify their selection as a function of the basal diet received. Forty lambs were offered four-way choices among inorganic sources of P and Mg: magnesium oxide in its coarse 1) C-MgO and granular 2) MgO forms and magnesium phosphate: 3) Mag33 (33% Mg and 2.7% P), and 4) MGP (25% Mg and 15% P), and two-way choices between MGP and each of the other minerals, and between MgO and C-MgO (baseline). Subsequently, lambs were randomly assigned to four groups (10 lambs/group) and fed rations such that the levels of Mg and P were low (LMg_LP), adequate (NMg_NP), low in Mg and adequate in P (LMg_NP), or adequate in Mg and low in P (NMg_LP). After 29 d, choice tests (post-deficiency) were repeated. During baseline, lambs ate and preferred Mag33 > C-MgO = MGP > MgO (P < 0.05). This pattern remained during post-deficiency tests, but lambs in LMg_LP and LMg_NP increased their preference for MGP and C-MgO, respectively, whereas lambs in NMg_LP increased their preference for C-MgO and MGP relative to baseline (P < 0.05). The serum concentrations of P and Mg increased after preference tests, and preference for MgO and MGP in low-Mg groups increased as the serum concentration of Mg declined (P < 0.05). Thus, lambs discriminated among different minerals and some groups modified their preferences based on the basal diets received, which rectified mineral imbalances.

The effect of plant bioactive compounds on lamb performance, intake, gastrointestinal parasite burdens, and lipid peroxidation in muscle.

Plant extracts have been widely used in animal production systems due to the benefits promoted by their bioactive components, mainly through their antioxidant effects and positive effects on animal growth, health, and meat quality. We determined whether bioactive compounds (BC) from grape (Vitis vinifera), olive (Olea europaea), and pomegranate (Punica granatum) have beneficial effects on lamb growth while controlling gastrointestinal parasitism and reducing skeletal lipid peroxidation in muscle. Fourteen lambs (4 to 5 mo of age) were housed in individual pens and assigned to two treatment groups (seven animals/group), where they received: 1) a basal diet of beet pulp:soybean meal (90:10) (CONTROL) and 2) the same diet, but containing 0.3% of BC extracted from grape, olive, and pomegranate (BNP). After 21 d of consuming their respective rations (period 1), all lambs were dosed with 10,000 L3 stage larvae of Haemonchus contortus. Intake, production, and physiological parameters were determined before infection (period 1), after oral dosage with L3 (period 2), and during early (period 3) and later (period 4) developmental stages of infection. Groups of animals did not differ in their ration intake or average daily gain, either before or after the infection, or in their parasitic burdens estimated through fecal egg counts (P > 0.05). Lambs under BNP showed greater feed efficiency before infection (P < 0.001), but the pattern reversed after infection. In addition, the inclusion of plant bioactives to the diet did not have an effect (P > 0.05) on blood or lipid peroxidation in muscle or on hemogram, serum concentration of haptoglobin, and immunoglobulin E. These results could be explained by low dietary doses and constrained absorption or ruminal inactivation of these compounds. Changes in feed efficiencies suggest a negative interaction between BC in the diet and parasitism, which warrants further research.

In vitro digestibility of mountain-grown irrigated perennial legume, grass and forb forages is influenced by elevated non-fibrous carbohydrates and plant secondary compounds.

BACKGROUND: Perennial legumes cultivated under irrigation in the Mountain West USA have non-fibrous carbohydrate (NFC) concentrations exceeding 400 g kg-1 , a level commonly found in concentrate-based ruminant diets. Our objective was to determine the influence of NFC concentration and plant secondary compounds on in vitro rumen digestion of grass, legume and forb forages compared with digestion of their isolated neutral detergent fiber (NDF) fraction. Forages were composited from ungrazed paddocks of rotationally stocked, irrigated monoculture pastures between May and August 2016, frozen in the field, freeze-dried, and ground. RESULTS: The maximum rate (RMax ) of gas production was greater for the legumes alfalfa (ALF; Medicago sativa L.) and birdsfoot trefoil (BFT; Lotus corniculatus L.) than for the legume cicer milkvetch (CMV; Astragalus cicer L.) the grass meadow brome (MBG; Bromus riparius Rehm.) and the non-legume forb small burnet (SMB; Sanguisorba minor Scop.), and intermediate for the legume sainfoin (SNF; Onobrychis viciifolia Scop.). The RMax of isolated NDF was greatest for BFT and CMV, intermediate for ALF, SNF and SMB and least for MBG. CONCLUSIONS: More than 900 g of organic matter kg-1 dry matter of legumes was digested after 96 h. Across forages, the extent of whole-plant digestion increased with NFC and crude protein concentrations, decreased with NDF concentrations, and was modulated by secondary compounds. The extent of digestion of isolated NDF decreased with concentration of lignin and residual tannins. © 2020 Society of Chemical Industry.

Complicaciones a corto plazo de la reconstrucción artroscópica de ligamento cruzado anterior con autoinjerto de isquiotibiales y su asociación con sexo y rango etario / Short-term complications of arthroscopic reconstruction of the anterior cruciate ligament with hamstring autograft and their association with gender and age range

Introducción: El desgarro del ligamento cruzado anterior es una lesión frecuente en ortopedia y traumatología, presentando la reconstrucción artroscópica excelentes resultados. No obstante, pueden existir complicaciones tales como artritis séptica, hemartrosis, infección del sitio quirúrgico, hematomas o TVP, entre otras. El objetivo del trabajo es describir y evaluar las complicaciones a corto plazo de la reconstrucción artroscópica de la plástica del ligamento cruzado anterior con autoinjerto de isquiotibiales y analizar la frecuencia de aparición de las mismas en cuanto a edad y sexo. Material y Métodos: Se analizó de forma retrospectiva una serie de 631 pacientes con reconstrucción artroscópica del LCA operados en nuestro centro entre los años 2015 y 2019. Se agrupó a los pacientes según sexo (femenino-masculino) y rango etario (<20, 20-29, 30-39 y >40), evaluando las complicaciones encontradas luego de la plástica ligamentaria dentro de los primeros 45 días de postoperatorio. Resultados: Las complicaciones observadas fueron en el 6,5% del total de los pacientes. La proporción en varones fue de hasta 5-8:1. El mayor número de complicación se presentó en pacientes menores de 20 años con un 8,1%. Se observó en el total de la muestra derrame con requerimiento de artrocentesis evacuadora en 2,69%, celulitis resuelta con antibióticos en 2,06% y artritis séptica en 1,42%, habiendo un porcentaje menor al 1% de hematoma resuelto con antibióticos y TVP. Conclusiones: Consideramos importante la evaluación de factores inmodificables como el sexo y la edad para un seguimiento más cercano de estos pacientes en las primeras etapas del postoperatorio, así como también conocer las complicaciones más frecuentes a corto plazo que se presentan en este tipo de intervención que nos permitirá su correcto abordaje y tratamiento. Nivel de Evidencia: IV

Tratamiento endoscópico y esclerosis de la lesión de Morel-Lavallée. A propósito de un caso / Endoscopically treatment and sclerosis of Morel-Lavallée lesion. Case report

La lesión de Morel-Lavallée es una patología cerrada de partes blandas, ocasionada por la separación traumática de la piel y tejido celular subcutáneo de la fascia muscular. Debido a su asociación con traumatismos de alta energía puede pasar desapercibida y llevar a un diagnóstico tardío. Su localización es variable, y la región lumbar es poco frecuente. Generalmente con el diagnóstico precoz y el tratamiento conservador se obtienen buenos resultados.Presentamos un reporte de caso de una paciente de sexo femenino, de veinte años, que sufrió un accidente automovilístico, con una colección localizada en región dorsolumbar diagnosticada tardíamente. Fue tratada de forma endoscópica y con la aplicación de agentes esclerosantes. Se obtuvieron buenos resultados con remisión de la colección. Nivel de Evidencia: V

The Morel-Lavallée lesion is closed soft tissue pathology, caused by the traumatic separation of the skin and subcutaneous cellular tissue of the muscular fascia. Due to its association with high-energy trauma, it can go unnoticed, generating a late diagnosis. Its location is variable, the lumbar region being rare. Generally, with early diagnosis and conservative treatment, good results are obtained.We present a case report of a twenty-year-old female patient suffering a car accident with a late-diagnosed collection located in the thoracolumbar region. She was treated endoscopically and with the application of sclerosing agents. Good results were obtained with remission of the collection. Level of Evidence: V

El uso local de vancomicina en injerto autólogo para reconstrucción de ligamento cruzado anterior. ¿Reduce la tasa de artritis séptica? Comparación en dos grupos: uso local de profilaxis con vancomicina versus sin uso / The local use of vancomycin in autologous hamstring graft for ACL reconstruction. Does it reduce the rate of septic arthritis? Comparison in two groups: local use of prophylaxis with vancomycin vs. without use

Introducción: El objetivo del trabajo es evaluar y comparar de manera retrospectiva la tasa de artritis séptica (AS) postquirúrgicas en reconstrucción de LCA entre dos grupos de estudio: A, sin el uso local de vancomicina en el injerto autólogo de isquiotibiales, versus grupo B, con profilaxis antibiótica local.Materiales y métodos: se trabajaron dos grupos compuestos por 683 pacientes en total, con diagnóstico primario de ruptura de LCA. Grupo A, operados entre 2016 y 2017, en los que no se utilizó profilaxis antibiótica del autoinjerto; y el grupo B, intervenidos entre 2018 y 2019, donde se sumergió el autoinjerto de isquiotibiales en 500 mg de vancomicina en 100 ml de solución fisiológica como profilaxis local. En ambos grupos se llevó a cabo el protocolo usual pre, intra y postquirúrgico. Resultados: se analizó la relación entre presencia de infección y las diferentes variables estudiadas, se observó que el uso local de vancomicina en el injerto autólogo de isquiotibiales está asociado a menor infección (p <0.05). La edad, el sexo y el sanatorio donde se realiza la cirugía no condicionan necesariamente la presencia de infección (p >0.05).Conclusión: presentamos este trabajo como prueba en nuestro medio del claro beneficio que se obtuvo, ya que los pacientes que fueron sometidos a la profilaxis local de vancomicina del autoinjerto mostraron una disminución notable de artritis séptica.Tipo de estudio: Artículo Original ­ Descriptivo-transversal. Nivel de evidencia: III

Introduction: The aim of the study is to evaluate and retrospectively compare the rate of postoperative septic arthritis (SA) in ACL reconstruction, between two study groups: A without local use of vancomycin in autologous hamstring graft versus group B with local antibiotic prophylaxisMaterials and methods: two groups composed of 683 patients in total, with a primary diagnosis of ACL rupture, were studied. Group A, operated on in 2016 and 2017, in which antibiotic prophylaxis of the autograft was not used; and the second group B, between 2018 and 2019, where the hamstring autograft was submerged in 500 mg of vancomycin in 100 ml of physiological solution as local prophylaxis. Preoperative intravenous antibiotic prophylaxis was carried out in both groups as the usual protocol.Results: it was obtained as a result that in group A, the two years that they worked without "pre-soaking" of antibiotics in the autograft and the relationship between the presence of infection and the different variables studied was analyzed, where they found that the use Local vancomycin in the autologous hamstring graft is associated with a minor infection (p <0.05). However, age, sex and the sanatorium where the surgery is performed do not necessarily determine the presence of infection (p >0.05)Conclusion: we present this work as proof in our environment of the clear benefit that we obtained, since the patients who underwent local prophylaxis of vancomycin of the autograft, showed a notable decrease in septic arthritis.Type of study: Original Article - Descriptive-cross-sectional. Level of Evidence: III

Quistes y pseudoquistes de rodilla. Clasificación y algoritmo diagnóstico y terapéutico / Knee cysts and pseudocysts. Classification and diagnostic-therapeutic algorithm

Introducción: La aparición de la resonancia magnética y su evolución en la calidad de las imágenes ha guiado el diagnóstico de patologías poco habituales. El objetivo de este trabajo fue evaluar imágenes quísticas y pseudoquísticas en una serie de resonancias magnéticas de pacientes atendidos en nuestro centro, clasificándolas y analizando su frecuencia de aparición y el desarrollo y aplicación de un algoritmo diagnóstico y terapéutico. Materiales y métodos: fueron evaluadas las historias clínicas y resonancias magnéticas de 1808 pacientes cuyo motivo de consulta fue gonalgia de diversa etiología. Se aplicaron criterios de inclusión y exclusión. Se valoró la presencia de imágenes quísticas y pseudoquísticas, y se registró la localización, frecuencia, el tratamiento aplicado y su recidiva. Fueron incluidos en este trabajo quinientos treinta hombres y trescientas once mujeres, con edades comprendidas entre once a ochenta y cuatro años (con un promedio de cuarenta y uno). Se obtuvieron ochocientas noventa y cuatro rodillas de un total de ochocientos cuarenta y un pacientes, donde se observaron 1128 imágenes compatibles con quistes o pseudoquistes. Resultados: en ciento tres pacientes observamos dos o más imágenes. Diecisiete pacientes requirieron tratamiento quirúrgico por vía artroscópica; de estos, catorce fueron quistes asociados a lesión meniscal y tres, gangliones de la vaina del ligamento cruzado anterior. Un quiste de la inserción de la pata de ganso y dos colecciones prerrotulianas se resolvieron de manera abierta. No registramos ninguna recidiva. Conclusión: los quistes y pseudoquistes de rodilla son patologías habituales, consideramos importante el correcto análisis clínico imagenológico para evitar errores de apreciación y tratamiento. La RM es la principal herramienta de estudio para patologías de rodilla, permite evaluar imágenes de difícil observación por otro método y posibilita así un diagnóstico más certero. Consideramos fundamental estar familiarizado con la anatomía específica, conocer su ubicación, entender la relación con estructuras adyacentes y comprender el análisis de las características y patrones de las diferentes lesiones observadas en la RM para poder establecer un diagnóstico correcto.Tipo de estudio: Artículo original. Nivel de evidencia: IV

Introduction: The appearance of magnetic resonance imaging and its evolution in the quality of the images, has led to the diagnosis of unusual pathologies. The objective of this work is to evaluate cystic and pseudocystic images in a series of magnetic resonance imaging of patients treated at our center, classifying and analyzing their frequency of appearance and the development and application of a diagnostic and therapeutic algorithm.Materials and methods: the clinical histories and magnetic resonances of 1808 patients whose reason for consultation was knee paint of different etiology were retrospectively evaluated. Inclusion and exclusion criteria were applied. The presence of cystic and pseudocystic images was assessed, location, frequency, applied treatment and recurrence were recorded. 530 men and 311 women were included in this study, aged between 11 and 84 years (with an average of 41 years). Results: 894 knees were obtained from a total of 841 patients, where 1128 images compatible with cysts or pseudocysts were observed. In 103 patients we observed two or more images. Seventeen patients required arthroscopic surgical treatment, of these, fourteen were cysts associated with meniscal injury and three were ganglions of the anterior cruciate ligament sheath. One hamstring cyst and two pre-patellar collections were openly resolved. We did not record any recurrence.Conclusion: knee cysts and pseudocysts are common pathologies, we consider the correct clinical imaging analysis important to avoid errors of appreciation and treatment. MRI is the main study tool for knee pathologies, allowing the evaluation of images that are difficult to observe by another method, thus enabling a more accurate diagnosis. We consider it essential to be familiar with the specific anatomy, know its location, understand the relationship with adjacent structures, and understand the analysis of the characteristics and patterns of the different lesions observed on MRI in order to establish a correct diagnosis. Level of evidence: IV

Use of biochar by sheep: impacts on diet selection, digestibility, and performance.

The objective of this study was to determine the influence of biochar obtained from exothermic production of lodgepole pine (Pinus contorta) and quaking aspen (Populus tremuloides) on sheep performance and diet digestibility and on preference for a ration enriched with this carbon-based material. Twenty-four lambs were housed in individual pens and assigned to one of three treatment groups (eight animals per group), where they received: 1) a 60:40 ration of alfalfa:barley (Control), 2) an isoenergetic and isonitrogenous ration with alfalfa, barley, and 2% biochar (BC), and 3) a simultaneous offer of the Control and BC rations (Choice). Lambs were exposed to two consecutive feeding periods (Period 1: 13 d and Period 2: 21 d), representing time intervals where the evolution of intake, animal performance, and rumen parameters were assessed; in vivo digestibility was determined during the last 5 d of the study. Ration intake did not differ among groups of lambs (P > 0.10), although during some days in Period 2, intake was greater for the BC and Choice groups than for the Control group (P < 0.05). Lambs in Choice had a lower preference for BC than for the Control ration (Period 1: P < 0.05; Period 2: P < 0.10), although they incorporated a substantial amount of BC (39 and 40%, for Periods 1 and 2, respectively) into their diets. No differences in body weight gains (ADG) or gain-to-feed ratios were found among groups of animals (P > 0.10), although dry matter digestibility and digestible dry matter intake was greater for lambs in the BC group than for lambs in Control group (P < 0.05). The ruminal concentration of the volatile acid acetate in Period 2 was greater for BC than for Choice (P < 0.05). During the same period, the concentration of valerate and ruminal pH values were greater in BC than in Control (P < 0.05). Thus, the addition of biochar to grain-based diets enhanced diet digestibility and influenced some ruminal parameters in lambs. Nevertheless, these positive effects were not reflected in significant improvements on ADG or feed conversion efficiencies. Lambs offered choices between Control and BC rations formed a diet with concentrations of biochar of ~1.2%, suggesting that these animals would tolerate such levels without reductions in ration palatability.

Preference for inorganic sources of calcium and phosphorus by sheep as a function of need.

We hypothesized that ruminants discriminate among different mineral supplements and modify their selection as a function of need. Forty lambs were offered four-way choices among P, Ca, and Mg sources: monosodium phosphate (MSP), Magnesium phosphate (MGP), Monocalcium phosphate (MCP), and Dicalcium phosphate (DCP); and two-way choices between DCP and the other mineral sources (Baseline). Subsequently, lambs were randomly assigned to four groups (10 lambs/group) and fed rations such that levels of Ca and P were low (LCa_LP), adequate (NCa_NP), low in Ca and adequate in P (LCa_NP), or adequate in Ca and low in P (NCa_LP). Four- and two-way choice tests were repeated (Post-deficiency). During Baseline, lambs ate and preferred MSP > MGP>DCP = MCP (p < .0001), showing that they discriminated among minerals. This pattern remained during four-way Post-deficiency tests, but lambs in LCa_LP, LCa_NP, and NCa_LP showed increased preference for MCP, MGP, and DCP, respectively, relative to other groups and Baseline (p < .05). Some mineral preference also changed in relation to serum concentration of P and Ca. Thus, lambs discriminated among minerals and some groups modified their preferences from Baseline to Post-deficiency choice tests, likely influenced by mineral needs, which in turn contributed to rectify mineral imbalances.

Ingestive Behavior of Young Lambs on Contrasting Tropical Grass Sward Heights.

The efficiency of grazing ruminant production systems is directly associated to the animals' ingestive behavior, and to structural characteristics of the pastures. The objective of this study was to evaluate the ingestive behavior of young lambs grazing three different heights of Capim Aruana (Panicum maximum). The experiment was carried out in two consecutive years, in which 30 tester lambs (4-5 months old) were equally divided into three paddocks (treatments) corresponding to different average sward heights of Aruana grass: (1) Tall-75 cm; (2) Medium-50 cm; and (3) Short-25 cm in a randomized block design. Ingestive behavior assessments were carried out every 28 days through 10-min observations of the main activities of the animals (grazing, ruminating, idling) and biting rate, from sunrise to sunset. In addition, the productive and qualitative characteristics of the pastures were assessed. Despite differences in pasture structure, grazing time (GT) and idling time were similar among treatments (P = 0.4266 and P = 0.2939, respectively). The shortest ruminating time (RT, P = 0.0181) was recorded in the treatment of lowest sward height. Lambs grazing on this treatment also showed 23% more bites per minute (P= < 0.0001) than animals in the Tall and Medium treatments. A Decision Tree analysis was performed for GT, identifying in a hierarchical order that the initial weight of the animals and sward height explained 62% (R 2 = 0.621) of the variation, representing the variables with the greatest influence on GT. Initial body weight explained 48% of the model. Thus, our research shows that the different sward heights of Capim Aruana mainly alter the lamb's RT and biting rate, and that the animals' initial body weight is a key factor influencing GT, given that this variable makes lambs more susceptible to changes in sward height.