Bone Anatomy of the Thoracic Limb in the Common Hippopotamus (Hippopotamus amphibius) and White Rhinoceros (Ceratotherium simum)

SUMMARY: Although megaherbivores do not belong to the Brazilian fauna, they can be found in national zoos, which makes it important to know the anatomy of the locomotor apparatus to contribute to the clinical routine of zoos and veterinary rehabilitation centers. Thus, the aim of this study was to describe the anatomical structures of the thoracic limb bones in the common hippopotamus (Hippopotamus amphibius) and white rhinoceros (Ceratotherium simum) and to compare them with the bone structures described for other ungulates. The scapula had a triangular appearance in the common hippopotamus, whereas in the white rhinoceros it had a rectangular appearance. The acromion was observed only in the common hippopotamus scapula. The hippopotamus humerus did not have the intermediate tubercle, only the greater and lesser tubercles, unlike the rhinoceros which also has the intermediate tubercle. The two megamammals studied had an ulna not incorporated to the radius and seven carpal bones distributed in two bone rows. The common hippopotamus had four digits and four metacarpal bones, while the white rhino had three digits, hence three metacarpal bones. Although with some species-specific differences, the bone anatomy found in the studied megaherbivores was similar to that described for domestic ungulates, such as horses and cattle. The fact that the bones studied belong to articulated skeletons of the collection of the Museum of Anatomy made it difficult to identify some anatomical structures. This study can help veterinarians in bone health care, animal welfare and comfort of such species present in Brazilian zoological parks.

Aunque los megaherbívoros no pertenecen a la fauna brasileña, se pueden encontrar en zoológicos nacionales, lo que hace importante conocer la anatomía del aparato locomotor para contribuir a la rutina clínica de los zoológicos y de los centros de rehabilitación veterinaria. Por tanto, el objetivo de este estudio fue describir las estructuras anatómicas de los huesos de los miembros torácicos en el hipopótamo común (Hippopotamus amphibius) y el rinoceronte blanco (Ceratotherium simum) y compararlas con las estructuras óseas descritas para otros ungulados. La escápula tenía una apariencia triangular en el hipopótamo común, mientras que en el rinoceronte blanco tenía una apariencia rectangular. El acromion se observó sólo en la escápula del hipopótamo común. El húmero del hipopótamo no tenía el tubérculo intermedio, sólo los tubérculos mayor y menor, a diferencia del rinoceronte que también tiene el tubérculo intermedio. Los dos ejemplares de megamamíferos estudiados tenían una ulna no incorporada al radio y siete huesos del carpo distribuidos en dos filas óseas. En el hipopótamo común se observaron cuatro dedos y cuatro huesos metacarpianos, mientras que en el rinoceronte blanco se encontraron tres dedos, por lo tanto, tres huesos metacarpianos.A pesar de algunas diferencias específicas de cada especie, la anatomía ósea encontrada en los megaherbívoros estudiados fue similar a la descrita para los ungulados domésticos, tal como los caballos y el ganado. El hecho de que los huesos estudiados pertenezcan a esqueletos articulados de la colección del Museo de Anatomía dificultó la identificación de algunas estructuras anatómicas. Este estudio puede ayudar a los veterinarios en el cuidado de la salud ósea, el bienestar animal y el confort de las especies presentes en los parques zoológicos brasileños.

The Influence of Morphological Characteristics on the Ball Throwing Velocity in the Professional Handball Players / Influencia de las Características Morfológicas en la Velocidad de Lanzamiento del Balón en los Jugadores Profesionales de Balonmano

SUMMARY: The aim of this study was to determine influence of upper limbs on the ball throwing velocity. A total of 10 professional handball players (25.74±4.84 years) participated in this study. All of them were playing in the top Montenegrin professional handball league. The results obtained in this study shows that upper limbs have high influence on ball throwing velocity. This study provides normative data and performance standards for professional handball. Coaches can use this information to determine the type of anthropometric characteristics that are needed for handball. Anthropometric parameters such as arm length, wrist diameter, hand length and arm span are the most relevant aspects related to ball throwing speed, given that these parameters cannot be changed through training, they should be taken into account when discovering talents.

El objetivo de este estudio fue determinar la influencia de los miembros superiores sobre la velocidad de lanzamiento de la pelota. En el estudio participaron un total de 10 jugadores profesionales de balonmano (25,74±4,84 años). Todos ellos jugaban en la principal liga profesional de balonmano de Montenegro. Los resultados obtenidos mostraron que los miembros superiores tienen una alta influencia en la velocidad de lanzamiento de la pelota. Este estudio proporciona datos normativos y estándares de rendimiento para el balonmano profesional. Los entrenadores pueden utilizar esta información para determinar el tipo de características antropométricas necesarias para el balonmano. Los parámetros antropométricos como la longitud del brazo, el diámetro de la muñeca, la longitud de la mano y la envergadura del brazo son los aspectos más relevantes relacionados con la velocidad de lanzamiento de la pelota, dado que estos parámetros no se pueden cambiar mediante el entrenamiento, deben tenerse en consideración a la hora de descubrir talentos.

Reconstruction of the pectoral girdle and forelimb musculature of Megaraptora (Dinosauria: Theropoda).

Megaraptora is a group of enigmatic, carnivorous non-avian theropod dinosaurs from the Cretaceous of Asia, Australia, and especially South America. Perhaps the most striking aspect of megaraptoran morphology is the large, robustly constructed forelimb that, in derived members of the clade, terminates in a greatly enlarged manus with hypertrophied, raptorial unguals on the medialmost two digits and a substantially smaller ungual on digit III. The unique forelimb anatomy of megaraptorans was presumably associated with distinctive functional specializations; nevertheless, its paleobiological significance has not been extensively explored. Here we draw from observations of the pectoral girdle and forelimb skeletons of Megaraptora and myological assessments of other archosaurian taxa to provide a comprehensive reconstruction of the musculature of this anatomical region in these singular theropods. Many muscle attachment sites on megaraptoran forelimb bones are remarkably well developed, which in turn suggests that the muscles themselves were functionally significant and important to the paleobiology of these theropods. Furthermore, many of these attachments became increasingly pronounced through megaraptoran evolutionary history, being substantially better developed in derived taxa such as Australovenator wintonensis and especially Megaraptor namunhuaiquii than in early branching forms such as Fukuiraptor kitadaniensis. When considered alongside previous range of motion hypotheses for Australovenator, our results indicate that megaraptorans possessed a morphologically and functionally specialized forelimb that was capable of complex movements. Notable among these were extensive extension and flexion, particularly in the highly derived manus, as well as enhanced humeral protraction, attributes that very probably aided in prey capture.

A randomized trial comparing cadaveric dissection and examination of prosections as applied surgical anatomy teaching pedagogies.

Anatomy is an important component in the vertical integration of basic science and clinical practice. Two common pedagogies are cadaveric dissection and examination of prosected specimens. Comparative studies mostly evaluate their immediate effectiveness. A randomized controlled trial design was employed to compare both the immediate and long-term effectiveness of dissection and prosection. Eighty third-year medical students undergoing their surgical rotation from the Yong Loo Lin School of Medicine were randomized into two groups: dissection and prosection. Each participated in a one-day hands-on course following a similar outline that demonstrated surgical anatomy in the context of its clinical relevance. A pre-course test was conducted to establish baseline knowledge. A post-course test was conducted immediately after and at a one-year interval to evaluate learner outcome and knowledge retention. A post-course survey was conducted to assess participant perception. Thirty-nine and thirty-eight participants for the dissection and prosection groups, respectively, were included for analysis. There was no significant difference between mean pre-course test scores between the dissection and prosection groups [12.6 (3.47) vs. 12.7 (3.16), P > 0.05]. Both the mean immediate [27.9 (4.30) vs. 24.9 (4.25), P < 0.05] and 1 year [23.9 (4.15) vs. 19.9 (4.05), P < 0.05] post-course test scores were significantly higher in the dissection group. However, when adjusted for course duration [dissection group took longer than prosection group (mean 411 vs. 265 min)], these findings were negated. There is no conclusive evidence of either pedagogy being superior in teaching surgical anatomy. Based on learner surveys, dissection provides a greater learner experience.

Comparison of a Scaled Cadaver-Based Musculoskeletal Model With a Clinical Upper Extremity Model.

Reliably and accurately estimating joint/segmental kinematics from optical motion capture data has remained challenging. Studies objectively characterizing human movement patterns have typically involved inverse kinematics and inverse dynamics techniques. Subsequent research has included scaled cadaver-based musculoskeletal (MSK) modeling for noninvasively estimating joint and muscle loads. As one of the ways to enhance confidence in the validity of MSK model predictions, the kinematics from the preceding step that drives such a model needs to be checked for agreement or compared with established/widely used models. This study rigorously compares the upper extremity (UE) joint kinematics calculated by the Dutch Shoulder Model implemented in the AnyBody Managed Model Repository (involving multibody kinematics optimization (MKO)) with those estimated by the Vicon Plug-in Gait model (involving single-body kinematics optimization (SKO)). Ten subjects performed three trials of (different types of) reaching tasks in a three-dimensional marker-based optical motion capture laboratory setting. Joint angles, processed marker trajectories, and reconstruction residuals corresponding to both models were compared. Scatter plots and Bland-Altman plots were used to assess the agreement between the two model outputs. Results showed the largest differences between the two models for shoulder, followed by elbow and wrist, with all root-mean-squared differences less than 10 deg (although this limit might be unacceptable for clinical use). Strong-to-excellent Spearman's rank correlation coefficients were found between the two model outputs. The Bland-Altman plots showed a good agreement between most of the outputs. In conclusion, results indicate that these two models with different kinematic algorithms broadly agree with each other, albeit with few key differences.

Superficial and Functional Lymphatic Anatomy of the Upper Extremity.

BACKGROUND: Knowledge of detailed lymphatic anatomy in humans is limited, as the small size of lymphatic channels makes it difficult to image. Most current knowledge of the superficial lymphatic system has been obtained from cadaveric dissections. METHODS: Indocyanine green lymphography was performed preoperatively to map the functional arm lymphatics in breast cancer patients without clinical or objective evidence of lymphedema. A retrospective review was performed to extract demographic, indocyanine green imaging, and surgical data. RESULTS: Three main functional forearm channels with variable connections to two upper arm pathways were identified. The median forearm channel predominantly courses in the volar forearm (99 percent). The ulnar forearm channel courses in the volar forearm in the majority of patients (66 percent). The radial forearm channel courses in the dorsal forearm in the majority of patients (92 percent). Median (100 percent), radial (91 percent), and ulnar (96 percent) channels almost universally connect to the medial upper arm channel. In contrast, connections to the lateral upper arm channel occur less frequently from the radial (40 percent) and ulnar (31 percent) channels. CONCLUSIONS: This study details the anatomy of three forearm lymphatic channels and their connections to the upper arm in living adults without lymphatic disease. Knowledge of these pathways and variations is relevant to any individual performing procedures on the upper extremities, as injury to the superficial lymphatic system can predispose patients to the development of lymphedema.

Stature estimation for Saudi men based on different combinations of upper limb part dimensions.

ABSTRACT: Estimating stature based on body/limb parts can help define the characteristics of unidentified bodies. The most studied upper limb part is the hand, although few studies have examined whether stature can be estimated using fingers plus other hand dimensions. Moreover, there is paucity in anthropometric studies that determined whether bilateral whole limb parts (e.g., arms, forearms, and hands) are related to stature among the living subjects.This prospective cross-sectional study aimed to evaluate the relationship between different upper limb measurements and the stature of Saudi men. Furthermore, I assessed whether upper limb asymmetry was present, and developed regression models to estimate stature based on different available measurements. Stature and 13 upper limb parameters were measured for 100 right-handed Saudi men who were 18 to 24 years old.All measurements were positively correlated with stature (P < .001), and the best single predictor was the bilateral ulnar length. Asymmetry was more pronounced in the hand measurements. A multiparameter model provided reasonable predictive accuracy (±3.77-5.68 cm) and was more accurate than single-parameter models. Inclusion of the right-side fingers improved the model's accuracy.This study developed potential models for estimating stature during the identification of bodies of Saudi men.

Homoplasy in the evolution of modern human-like joint proportions in Australopithecus afarensis.

The evolution of bipedalism and reduced reliance on arboreality in hominins resulted in larger lower limb joints relative to the joints of the upper limb. The pattern and timing of this transition, however, remains unresolved. Here, we find the limb joint proportions of Australopithecus afarensis, Homo erectus, and Homo naledi to resemble those of modern humans, whereas those of A. africanus, Australopithecus sediba, Paranthropus robustus, Paranthropus boisei, Homo habilis, and Homo floresiensis are more ape-like. The homology of limb joint proportions in A. afarensis and modern humans can only be explained by a series of evolutionary reversals irrespective of differing phylogenetic hypotheses. Thus, the independent evolution of modern human-like limb joint proportions in A. afarensis is a more parsimonious explanation. Overall, these results support an emerging perspective in hominin paleobiology that A. afarensis was the most terrestrially adapted australopith despite the importance of arboreality throughout much of early hominin evolution.

Anatomical characteristics of the bones of the thoracic limb of white-eared opossum (Didelphis albiventris) / Características anatómicas de los huesos del miembro torácico de la zarigüeya oreja blanca (Didelphis albiventris)

SUMMARY: The skeleton of the thoracic limb is one of the key aspects for the understanding of the habits and movement of different mammalian species. Considering the gap about studies related to marsupial osteology, this work proposes to study the aspects inherent to the skeleton of opossums, with emphasis on the detailed anatomical description of the bones that form the thoracic limb. For this purpose, the bones of six specimens of possums of the species Didelphis albiventris were used. These small to medium sized marsupials inhabit a wide range of South America, living in several types of habitats, being commonly described as arboreal omnivores and have anthropic habits. For the execution of this study, the bone accidents perceptible in the specimens were identified by superficial palpation, which were then radiographed. The thoracic limb bones were prepared by boiling and drying in the sun. Finally, from the radiographic images and the prepared bones, a detailed description of the anatomy of the bone components of the thoracic limb of Didelphis albiventris was made, joining the previously obtained data of surface anatomy. These data were compared with data from the literature, discussing the functional significance of the osteological findings of the thoracic limb of Didelphis albiventris.

RESUMEN: El esqueleto del miembro torácico es uno de los aspectos clave para el conocimiento de los hábitos y movimientos de las diferentes especies de mamíferos. Considerando los escasos estudios relacionados con la osteología marsupial, este trabajo se propusoestudiar los aspectos inherentes al esqueleto de la zarigüeya, con énfasis en la descripción anatómica detallada de los huesos que forman el miembro torácico. Para ello se utilizaron los huesos de seis ejemplares de zarigüeyas de la especie Didelphis albiventris. Estos marsupiales de pequeño a mediano tamaño habitan una zona amplia de América del Sur, viven en varios tipos de hábitats, se describen comúnmente como omnívoros arbóreos y tienen hábitos antrópicos. Para este estudio se identificaron mediante palpación superficial los accidentes óseos perceptibles en los especímenes, y posteriormente se tomaron imágens radiológicas. Los huesos de los miembros torácicos se prepararon hirviéndolos y secándolos al sol. Finalmente, a partir de las imágenes radiográficas y de los huesos preparados, se realizó una descripción detallada de la anatomía de los componentes óseos del miembro torácico de Didelphis albiventris, uniendo los datos de anatomía superficial obtenidos previamente. Estos datos se compararon con datos de la literatura, discutiendo la importancia funcional de los hallazgos osteológicos del miembro torácico de Didelphis albiventris.

Three-dimensional reconstruction of the upper limb from anatomical slices of the Korean visible human: simulation and educational application.

PURPOSE: Digital anatomy is a novel emerging discipline. Use of virtual reality brings a revolution in educational anatomy by improving retention and learning outcomes. Indeed, virtual dissection is a new learning tool for students and surgeons. Three-dimensional vectorial models of the human body can be created from anatomical slices obtained by lengthy series of cryosection from the visible human projects. The aim of this paper is to show how these mesh models could be embedded into an Acrobat® 3dpdf interface, to produce an easy-to-use fully interactive educational tool. METHODS: The learning of this method and its practical application were evaluated on a multicentric cohort of 86 people divided into 3 groups, according to the duration of their training (1, 2 or 3 days, respectively). Participants learned how to use the Mesh tool and how to model 3D structures from anatomical sections. At the end of the training, they were given a survey form. Participants were also asked to rate the training (Poor; Average; Good; Very Good; Excellent). RESULTS: Ninety four percent of the subjects rated the device as excellent and would continue to use digital anatomy in their practice. CONCLUSION: This result is the Diva3d® virtual dissection table, a powerful educational tool for anatomists and students. It could also be the basis of future simulation tools for hand surgeons training.

Evolutionary adaptations in the flexor digitorum profundus muscle in Tamandua mexicana (Xenarthra, Myrmecophagidae).

The northern tamandua (Tamandua mexicana) is a neotropical mammal of the order Pilosa, suborder Vermilingua, and family Myrmecophagidae. This species has anatomical and functional adaptations in its forelimb for semiarboreal quadrupedal locomotion. Several studies have reported that the medial head of the triceps brachii and flexor digitorum profundus muscles are fused in species belonging to the family Myrmecophagidae. However, there is no reference to the innervation in these. The triceps brachii muscle is commonly innervated by the radial nerve and the flexor digitorum profundus muscle by the ulnar and median nerves. This study aims to describe the gross anatomy of the flexor digitorum profundus muscle in Tamandua mexicana with respect to the shape, origin, insertion, innervation, and arterial supply. Both forelimbs of nine specimens were used, which were dissected from superficial to deep layers. The formalin-fixed caudomedial forearm muscles were weighed, and the weight percentages of individual forearm muscle specimens were calculated. The flexor digitorum profundus had the highest weight among the forearm muscles and consisted of five heads (three humerals, one radial, and one ulnar). These heads were innervated by median and ulnar nerves; therefore, based on the innervation pattern, we concluded that the medial head of the triceps brachii muscle is not fused with the flexor digitorum profundus. Therefore, the flexor digitorum profundus muscle is highly developed in Tamandua and occupies the caudal part of the arm and forearm, which is an evolutionary adaptation that could have occurred during evolution from the common ancestor of Tamandua and Myrmecophaga.

Quantifying morphological adaptations using direct measurements: The carnivoran appendicular skeleton as a case study.

Here, I study whether locomotor adaptations can be detected in limb bones using a univariate approach, and whether those results are affected by size and/or shared evolutionary history. Ultimately, it tests whether classical papers on locomotor adaptations should be trusted. To do that, I analyzed the effect of several factors (size, taxonomic group, and locomotor habit) on limb bone morphology using a set of 43 measurements of the scapula, long bones, and calcaneus, of 435 specimens belonging to 143 carnivoran species. Size was the main factor affecting limb morphology. Size-corrected analyses revealed artifactual differences between various locomotion-related categories in the analyses of raw data. Additionally, several between-group differences were new to the size-corrected analyses, suggesting that they were masked by the size-effect. Phylogeny had also an important effect, although it only became apparent after removing the effect of size, probably due to the strong covariation of both factors. Regarding locomotor adaptations, locomotor type was used to represent locomotor specialization, and utilized habitat as an indicator of the capacity to adopt different modes of locomotion (running, swimming, climbing, and digging) and thus maximize resource exploitation by being capable of navigating all the substrates in the habitat they use. Locomotor type produced better results than utilized habitat, suggesting that carnivorans use locomotor specialization to minimize locomotion costs. The characteristic limb bone morphology for each locomotor type studied is described, including several adaptations and trends that are novel to the present study. Finally, the results presented here support the hypothesis of a "viverrid-like", forest-dwelling carnivoran ancestor, either arboreal or terrestrial.

Constructing a Talent Identification Index System and Evaluation Model for Cross-Country Skiers.

A talent identification index system for male and female cross-country skiers in four age groups (11-12 years old, 13-14 years old, 15-16 years old, and 17-18 years old) was established. The system comprises five body shape indexes ( i =5): Leg-to-Body Ratio (LBR), body fat percentage, maturity status, spreaded brachia index, and upper extremity length. The physiological function indexes ( i =2) are VO2max and haemoglobin mass (Hb). The psychological indexes ( i =5) cover reaction time, perception speed, a quality-of-will scale, an attention test, and operational thinking. The physical fitness indexes ( i =11) comprise upper limb explosiveness, vertical jump, 3000-metre run, orthostatic forward flexion, closed-eyes single-leg stand, standing long jump, 20-metre sprint, pull-ups (males), flexed arm hang (females), hexagon jump, and a Functional Movement Screen (FMS) test. The athletic performance indexes ( i =3) comprise on-snow time trials for 1.2 km, 5 km, and 10 km. The talent identification evaluation model was created using automated evaluation software. The talent identification index system and evaluation standard table for cross-country skiers passed the P60 shortlist and P90 elite boundaries established using the percentile method. Thus, the results of this test profile verify that the evaluative model is objectively effective.

4D formation of human embryonic forelimb musculature.

The size, shape and insertion sites of muscles enable them to carry out their precise functions in moving and supporting the skeleton. Although forelimb anatomy is well described, much less is known about the embryonic events that ensure individual muscles reach their mature form. A description of human forelimb muscle development is needed to understand the events that control normal muscle formation and to identify what events are disrupted in congenital abnormalities in which muscles fail to form normally. We provide a new, 4D anatomical characterisation of the developing human upper limb muscles between Carnegie stages 18 and 22 using optical projection tomography. We show that muscles develop in a progressive wave, from proximal to distal and from superficial to deep. We show that some muscle bundles undergo splitting events to form individual muscles, whereas others translocate to reach their correct position within the forelimb. Finally, we show that palmaris longus fails to form from early in development. Our study reveals the timings of, and suggests mechanisms for, crucial events that enable nascent muscle bundles to reach their mature form and position within the human forelimb.

Whole-body morphological asymmetries in high-level female tennis players: A cross­sectional study.

This cross-sectional study aimed to examine the degree of whole-body morphological asymmetries in female tennis players. Data were collected in 19 high-level female tennis players (21.3 ± 3.4 years). Based on anthropometric measurements (upper arm, lower arm, wrist, upper leg and lower leg circumferences as well as elbow and knee widths) and dual x-ray absorptiometry research scans (bone mineral density (BMD), bone mineral content (BMC), lean mass (LM), fat mass (FM) as well as humerus, radio-ulnar, femur and tibia bone lengths), within-subject morphological asymmetries for both upper (dominant vs. non-dominant) and lower (contralateral vs. ipsilateral) extremities were examined. Upper arm (p = 0.015), lower arm (p < 0.001) and wrist circumferences (p < 0.001), elbow width (p = 0.049), BMD (p < 0.001), BMC (p < 0.001), LM (p = 0.001), humerus (p = 0.003) and radio-ulnar bone length (p < 0.001) were all greater in the dominant upper extremity. BMC (p < 0.001) and LM (p < 0.001) were greater in the contralateral lower extremity, whereas FM (p = 0.028) was greater in the ipsilateral lower extremity. This is the first study to report significant side-to-side differences in both upper and lower extremities in high-level female tennis players.

Upper limb arterial pattern: clinical correlation and embryological perspective / Padrão arterial dos membros superiores: correlação clínica com perspectiva embriológica

Abstract Background Variations in the upper limb arterial pattern are commonplace and necessitate complete familiarity for successful surgical and interventional procedures. Variance in the vascular tree may involve any part of the axis artery of the upper limb, including the axillary artery and brachial artery or its branches, in the form of radial and ulnar arteries, which eventually supply the hand via anastomosing arches. Objectives To study the peculiarities of the arterial pattern of the upper limb and to correlate them with embryological development. Methods The entire arterial branching of forty-two upper limbs of formalin fixed adult human cadavers was examined during routine dissection for educational purposes, conducted over a 3-year period in the Department of Anatomy, Lady Hardinge Medical College, New Delhi. Results The study found: 1) One case in which a common trunk arose from the third part of the axillary artery, which immediately splayed into four branches (2.4%); 2) High division of the brachial artery into ulnar and radial arteries, in 3 cases (7.1%); 3) Pentafurcation of the brachial artery into ulnar, interosseus, radial, and radial recurrent arteries and a muscular twig to the brachioradialis in 1/42 cases (2.4%); 4) Incomplete Superficial Palmar arch in 3/42 cases (7.1%); and 5) Presence of a median artery in 2/42 case(4.8%) Conclusions This study observed and described the varied arterial patterns of the upper limb and identified the various anomalous patterns, supplementing the surgeon's armamentarium in various surgical procedures, thereby helping to prevent complications or failures of reconstructive surgeries, bypass angiography, and many similar procedures.

Resumo Contexto As variações no padrão arterial dos membros superiores são comuns e, assim, necessitam de total familiaridade para que os procedimentos cirúrgicos e de intervenção sejam bem-sucedidos. A variância na árvore vascular pode envolver qualquer parte da artéria axial dos membros superiores, incluindo a artéria axilar, a artéria braquial ou os seus ramos, na forma das artérias radial e ulnar, as quais, em algum momento, suprem as mãos através dos arcos anastomosados. Objetivos Avaliar as peculiaridades do padrão arterial dos membros superiores e correlacioná-las ao desenvolvimento embriológico. Métodos Foram examinados os ramos arteriais completos de 42 membros superiores de cadáveres adultos conservados em formalina, os quais eram rotineiramente dissecados para fins educacionais durante 3 anos no Departamento de Anatomia Lady Hardinge Medical College, Nova Delhi. Resultados O estudo apresentou cinco desfechos. 1. Foi constatado um caso em que um tronco comum surgiu da terceira parte da artéria axilar que imediatamente se disseminou em quatro ramos (2,4%). 2. Houve divisão maior da artéria braquial em artérias ulnar e radial em três casos (7,1%). 3. Em um caso, ocorreu pentafurcação da artéria braquial em ulnar, interóssea, radial, radial recorrente e de um galho muscular em braquiorradial (2,4%). 4. Foi constatado arco palmar superficial incompleto em três dos 42 casos (7,1%). 5. Foi observada a presença da artéria mediana em 2 dos 42 casos (4,8%). Conclusões Este estudo compreende o padrão arterial do membro superior e identifica os diversos padrões anômalos para agregar ao arsenal terapêutico de cirurgiões para diversos procedimentos cirúrgicos, com o objetivo de combater quaisquer complicações ou falhas de cirurgias reconstrutivas, de angiografias de cirurgias de revascularização e muitas outras.

Sensor Architectures and Technologies for Upper Limb 3D Surface Reconstruction: A Review.

3D digital models of the upper limb anatomy represent the starting point for the design process of bespoke devices, such as orthoses and prostheses, which can be modeled on the actual patient's anatomy by using CAD (Computer Aided Design) tools. The ongoing research on optical scanning methodologies has allowed the development of technologies that allow the surface reconstruction of the upper limb anatomy through procedures characterized by minimum discomfort for the patient. However, the 3D optical scanning of upper limbs is a complex task that requires solving problematic aspects, such as the difficulty of keeping the hand in a stable position and the presence of artefacts due to involuntary movements. Scientific literature, indeed, investigated different approaches in this regard by either integrating commercial devices, to create customized sensor architectures, or by developing innovative 3D acquisition techniques. The present work is aimed at presenting an overview of the state of the art of optical technologies and sensor architectures for the surface acquisition of upper limb anatomies. The review analyzes the working principles at the basis of existing devices and proposes a categorization of the approaches based on handling, pre/post-processing effort, and potentialities in real-time scanning. An in-depth analysis of strengths and weaknesses of the approaches proposed by the research community is also provided to give valuable support in selecting the most appropriate solution for the specific application to be addressed.

Is sex a proxy for mechanical variables during an upper limb repetitive movement task? An investigation of the effects of sex and of anthropometric load on muscle fatigue.

BACKGROUND: Women report more work-related pain and neck/shoulder musculoskeletal disorders than men. For the same absolute workload, due to lower strength, females generally work at a higher relative intensity, which could induce more fatigue. However, the arm's anthropometric load (AL) of men is higher. Therefore, simply lifting their arm could be more fatiguing. Sex as a variable is formed of many constructs, and analyses can become muddied by their differing responses to fatigue. No studies have considered AL, when comparing how fatigue affects men and women. The purpose was to determine if including the arm's AL in the statistical analysis would impact findings of sex-specific effects of shoulder fatigue on muscle EMG. METHODS: Fifty-five (29m/26f) participants completed a repetitive pointing task (RPT) at shoulder height until they reported fatigue of 8+ on the BORG CR-10 scale. Muscle activities were measured using surface electrodes placed over the anterior deltoid (AD) and upper trapezius (UT) muscles. Muscle activity amplitude was quantified using root mean square (RMS). First- and last-minute data were used to assess change from no-fatigue (NF) to fatigue-terminal (FT) conditions. AL was calculated using sex-specific body parameter equations. General estimating equations (GEE) were used to determine the effects of sex and fatigue on RMS values, while including AL in the GEE. RESULTS: There was no sex difference in time to reach fatigue. A significant main effect of sex on RMS was observed (χ2(1) = 4.17, p = 0.04) when including AL as a covariate. Females displayed a significantly higher percentage change in AD RMS from NF to FT, compared to males (p = 0.03), when AL was included in the GEE. No sex differences in UT were observed. CONCLUSIONS: This sex difference emerged when AL was included as a covariate, suggesting that sex-associated anthropometric differences may contribute to sex differences in the fatigue response. Differences in the impact of AL on AD compared to UT could be explained by differences in their respective mechanical roles or muscle fiber content. Anthropometrics may be useful to include as covariates in future research to separate individual anthropometric differences from sex differences.

How Length Sizes Affect Body Composition Estimation in Adolescent Athletes Using Bioelectrical Impedance.

Bioelectrical impedance analysis (BIA) is a common practice to assess body composition in athletes, however, when measuring athletes with specific body geometry, its accuracy may decrease. In this study we examined how length dimensions affect body composition estimation and we compared BIA and dual-energy X-ray absorptiometry (DXA) assessments in three sports. 738 male adolescent athletes (15.8 ± 1.4 years) from three sports (soccer, basketball, and handball) were measured. Body composition was estimated by BIA (InBody 720) and by DXA (Lunar Prodigy). Differences between the two methods were tested by Bland-Altman analysis and by paired t-test. ANOVA was used for inter-group comparisons. Pearson correlation and multivariate linear regression was used to look for the relationship between segmental lean body mass and length dimensions. BIAInBody 720 consistently underestimated percent body fat (PBF) and overestimated lean body mass (LBM) than DXA. The magnitude of the differences between the two methods varied among the examined sports. Handball (PBF = 8.3 ± 2.4 %; LBM = -5.0 ± 2.1 kg) and basketball players (PBF = 8.8 ± 2.3 %; LBM = -5.3 ± 1.8 kg) had significantly larger differences between the two methods than soccer players (PBF = 6.4 ± 2.2 %; LBM = -3.1 ± 1.4 kg). There was a negative correlation between differences in segmental LBM estimation and length sizes (trunk length, upper extremity length, lower extremity length). The highest correlation was found for lower extremity (r = -0.4). Longer lower extremity resulted in greater difference in LBM estimation. The differences between the sport disciplines are most probably attributed to body height differences. Length dimensions result in overestimation of LBM with BIA, thus body composition assessment with BIAInBody 720 needs to be carefully interpreted in athletes with extreme length sizes, especially, with basketball players.