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1.
Child Adolesc Social Work J ; 38(4): 449-461, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34108798

RESUMO

There is a pressing need to equip youth-serving community organizations to respond to the unique needs of trauma-exposed children. Early prevention measures can be an effective means of redirecting children to self-regulatory healing, while facilitating their transition toward strength-based thriving. Sport can offer a powerful opportunity to reach these children; however there remains little information on how to effectively develop, deliver, evaluate, and sustain trauma-sensitive sport programs in a community context. The purpose of this paper is to outline a case study of integrating sport-based trauma-sensitive practices with BGC Canada's national Bounce Back League program. An interdisciplinary partnership of academic, community, and practice experts used a community-based participatory action research approach, paired with a knowledge translational approach, to guide the process of program development. Mixed methods (e.g., surveys, logbooks, interviews, focus groups, online communications) were used to generate ongoing insights of staff's training experiences, successes and challenges of program implementation, and potential impact of program on club members. Several stages of program development are described, including: (a) collaboratively planning the program; (b) piloting the program to three clubs; (c) adapting the program using pilot insights; (d) expanding the adapted program to ten clubs; and (e) creating opportunities to maintain, sustain, and scale-out practices throughout grant duration and beyond. Lessons learned regarding the leadership team's experiences in terms of developing, adapting, and integrating trauma-sensitive practices in this community context are shared. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10560-021-00776-7.

2.
J Fish Biol ; 92(6): 1849-1865, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29603222

RESUMO

A total of 230 anadromous Salmo trutta (brown trout) were sampled in five sheltered coastal fjords (or sea lochs) on the Isle of Skye, Scotland, U.K., in 2016 at varying distances from active Atlantic salmon Salmo salar farms. Statistical models were developed to investigate potential correlations between salmon lice Lepeophtheirus salmonis burdens on S. trutta hosts and their proximity to S. salar farm cages. Significant correlations were found between lice burdens and fish fork length and proximity to the nearest S. salar farm. The probability of the presence of L. salmonis on fish hosts increased with fish host size and with distance from the nearest S. salar farm, but total lice burdens were highest in fish sampled near S. salar farms and decreased with distance. The proportion of different life-cycle stages of L. salmonis were also dependent on S. salar farm proximity, with higher juvenile lice numbers recorded at sites near S. salar farm cages. These results highlight the complexity of the relationship between S. trutta and L. salmonis infections on wild fish and emphasize the requirement of further research to quantify these effects to better inform conservation and management strategies, particularly in areas of active S. salar farm facilities.


Assuntos
Aquicultura , Copépodes , Doenças dos Peixes/transmissão , Salmo salar/parasitologia , Truta/parasitologia , Animais , Feminino , Doenças dos Peixes/parasitologia , Masculino , Escócia
3.
J Fish Biol ; 92(5): 1635-1644, 2018 May.
Artigo em Inglês | MEDLINE | ID: mdl-29537067

RESUMO

This study assessed the usefulness of passing euthanized Atlantic salmon Salmo salar smolts through an Archimedean screw turbine to test for external damage, as compared with live, actively swimming smolts. Scale loss was the only observed effect. Severe scale loss was 5·9 times more prevalent in euthanized turbine-passed fish (45%) than the live fish (7·6%). Additionally, distinctive patterns of scale loss, consistent with grinding between the turbine helices and housing trough, were observed in 35% of euthanized turbine-passed smolts. This distinctive pattern of scale loss was not seen in live turbine-passed smolts, nor in control groups (live and euthanized smolts released downstream of the turbine), which suggests that the altered behaviour of dead fish in turbine flows generates biased injury outcomes.


Assuntos
Meio Ambiente , Centrais Elétricas , Salmo salar , Migração Animal , Animais , Natação
5.
J Fish Biol ; 88(2): 580-94, 2016 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-26748995

RESUMO

This study revealed between-lake genetic structuring between Coregonus lavaretus collected from the only two native populations of this species in Scotland, U.K. (Lochs Eck and Lomond) evidenced by the existence of private alleles (12 in Lomond and four in Eck) and significant genetic differentiation (FST = 0·056) across 10 microsatellite markers. Juvenile C. lavaretus originating from eggs collected from the two lakes and reared in a common-garden experiment showed clear phenotypic differences in trophic morphology (i.e. head and body shape) between these populations indicating that these characteristics were, at least partly, inherited. Microsatellite analysis of adults collected from different geographic regions within Loch Lomond revealed detectable and statistically significant but relatively weak genetic structuring (FST = 0·001-0·024) and evidence of private alleles related to the basin structure of the lake. Within-lake genetic divergence patterns suggest three possibilities for this observed pattern: (1) differential selection pressures causing divergence into separate gene pools, (2) a collapse of two formerly divergent gene pools and (3) a stable state maintained by balancing selection forces resulting from spatial variation in selection and lake heterogeneity. Small estimates of effective population sizes for the populations in both lakes suggest that the capacity of both populations to adapt to future environmental change may be limited.


Assuntos
Variação Genética , Genética Populacional , Salmonidae/genética , Alelos , Animais , Feminino , Pool Gênico , Genótipo , Lagos , Masculino , Repetições de Microssatélites , Fenótipo , Escócia
6.
J Thromb Haemost ; 13(6): 1036-42, 2015 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-25780857

RESUMO

BACKGROUND: Hemophilia A (HA) is an X-linked bleeding disorder caused by a deficiency in factor VIII (FVIII). von Willebrand disease (VWD) is characterized by a quantitative or qualitative defect in von Willebrand factor (VWF). Patients with VWD with severely low VWF or VWD Type 2N (VWD2N), a VWD subtype distinguished by defective VWF binding to FVIII, may have reduced FVIII levels secondary to their VWD. These patients superficially resemble patients with HA and pose a potential for misdiagnosis. OBJECTIVES: To investigate the unexplained cause of bleeding in HA patients without known FVIII mutations by assessing plasma VWF antigen (VWF:Ag), FVIII binding capacities and VWF genotypes. PATIENTS/METHODS: Thirty-seven of 1027 patients with HA studied as part of the Hemophilia Inhibitor Research Study lacked identifiable F8 mutations. These patients (cases) and 73 patients with identified F8 mutations (controls) were evaluated for VWF:Ag, a patient's VWF capacity to bind FVIII (VWF:FVIIIB) and VWF sequence. RESULTS: Four cases had VWF:Ag < 3 IU dL(-1) and VWF mutations consistent with Type 3 VWD. Six cases and one control were heterozygous for mutations previously reported to cause Type 1 VWD (VWD1) (n = five cases and one control) or predicted to be deleterious by Polyphen2 and SIFT prediction tools (n = 1 case). One control had VWF:Ag < 30 IU dL(-1) and seven patients (four cases and three controls), including two cases who were heterozygous for a known VWD2N mutation, had reduced VWF:FVIIIB. CONCLUSIONS: These data emphasize that some patients diagnosed with HA require VWF assessments in order to achieve a comprehensive diagnosis and an optimal treatment strategy.


Assuntos
Coagulação Sanguínea/genética , Fator VIII/genética , Hemofilia A/genética , Mutação , Fator de von Willebrand/genética , Adolescente , Adulto , Biomarcadores/sangue , Testes de Coagulação Sanguínea , Estudos de Casos e Controles , Criança , Análise Mutacional de DNA , Fator VIII/metabolismo , Predisposição Genética para Doença , Hemofilia A/sangue , Hemofilia A/diagnóstico , Hemorragia/sangue , Hemorragia/diagnóstico , Hemorragia/genética , Heterozigoto , Homozigoto , Humanos , Masculino , Fenótipo , Valor Preditivo dos Testes , Ligação Proteica , Estados Unidos , Adulto Jovem , Fator de von Willebrand/metabolismo
7.
J Fish Biol ; 84(5): 1614-9, 2014 May.
Artigo em Inglês | MEDLINE | ID: mdl-24773546

RESUMO

Reported here are several deviations (n = 15; 1·96%) from typical morphology in a large sample (n = 767) of European brook lamprey Lampetra planeri from a single population in the Loch Lomond catchment; this includes one specimen bearing a true anal fin. A brief review of petromyzontid teratology is provided.


Assuntos
Lampreias/anormalidades , Animais , Lagos , Escócia , Teratogênese
8.
J Pediatr Urol ; 10(5): 859-63, 2014 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-24598458

RESUMO

OBJECTIVE: To assess the feasibility and outcomes of laparo-endoscopic single site (LESS) partial nephrectomy (PN) in infants and small children for upper urinary tract duplication anomalies. MATERIALS AND METHODS: The medical records of all patients undergoing LESS PN at a single pediatric institution were retrospectively reviewed for patient demographics, perioperative details, and outcomes. A cystoscopy was initially performed to place an externalized catheter into the ureter of the ipsilateral normal renal moiety. An Olympus TriPort, an Olympus Endoeye flexible tip laparoscope, standard 3- or 5-mm instrumentation, and a LigaSure Blunt were utilized. RESULTS: Four children (two boys, two girls) underwent LESS PN. Three patients underwent upper pole PN and one underwent lower pole PN. All procedures were performed for poorly functioning obstructed renal moieties (one ureterocele, one ureteropelvic junction obstruction and vesicoureteral reflux, and two ectopic ureters). Median age was 6.2 months (range 2.5-16.4 months). Median weight was 7.7 kg (range 6.1-12.6 kg). Median operative time was 126 min (range 97-180 min). No patient received inpatient postoperative narcotics. Median follow-up was 9.9 months (range 6.2-19.1 months). No postoperative complications were noted. Postoperative renal ultrasound demonstrated successful resection in all patients. CONCLUSIONS: LESS PN is technically feasible, safe, and effective for upper urinary tract duplication anomalies in infants and small children.


Assuntos
Laparoscopia/métodos , Nefrectomia/métodos , Obstrução Ureteral/cirurgia , Ureterocele/cirurgia , Sistema Urinário/anormalidades , Refluxo Vesicoureteral/cirurgia , Fatores Etários , Pré-Escolar , Cistoscopia , Estudos de Viabilidade , Feminino , Humanos , Lactente , Masculino , Duração da Cirurgia , Estudos Retrospectivos , Resultado do Tratamento , Obstrução Ureteral/diagnóstico , Obstrução Ureteral/etiologia , Ureterocele/diagnóstico , Ureterocele/etiologia , Refluxo Vesicoureteral/diagnóstico , Refluxo Vesicoureteral/etiologia
9.
Cell Death Dis ; 5: e1002, 2014 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-24434510

RESUMO

Adaptive responses of skeletal muscle regulate the nuclear shuttling of the sarcomeric protein Ankrd2 that can transduce different stimuli into specific adaptations by interacting with both structural and regulatory proteins. In a genome-wide expression study on Ankrd2-knockout or -overexpressing primary proliferating or differentiating myoblasts, we found an inverse correlation between Ankrd2 levels and the expression of proinflammatory genes and identified Ankrd2 as a potent repressor of inflammatory responses through direct interaction with the NF-κB repressor subunit p50. In particular, we identified Gsk3ß as a novel direct target of the p50/Ankrd2 repressosome dimer and found that the recruitment of p50 by Ankrd2 is dependent on Akt2-mediated phosphorylation of Ankrd2 upon oxidative stress during myogenic differentiation. Surprisingly, the absence of Ankrd2 in slow muscle negatively affected the expression of cytokines and key calcineurin-dependent genes associated with the slow-twitch muscle program. Thus, our findings support a model in which alterations in Ankrd2 protein and phosphorylation levels modulate the balance between physiological and pathological inflammatory responses in muscle.


Assuntos
Diferenciação Celular , Células Musculares/citologia , Proteínas Musculares/imunologia , Músculo Esquelético/citologia , NF-kappa B/imunologia , Proteínas Nucleares/imunologia , Proteínas Repressoras/imunologia , Animais , Quinase 3 da Glicogênio Sintase/genética , Quinase 3 da Glicogênio Sintase/imunologia , Humanos , Camundongos , Camundongos Endogâmicos C57BL , Camundongos Knockout , Células Musculares/imunologia , Proteínas Musculares/genética , Músculo Esquelético/imunologia , NF-kappa B/genética , Proteínas Nucleares/genética , Ligação Proteica , Proteínas Repressoras/genética
10.
J Fish Biol ; 82(5): 1708-16, 2013 May.
Artigo em Inglês | MEDLINE | ID: mdl-23639164

RESUMO

Lamprey-induced scarring of the nationally rare Coregonus lavaretus, a known host of a freshwater-resident population of European river lamprey Lampetra fluviatilis, was found to have declined precipitously since the establishment of several non-native fishes in Loch Lomond. Evidence presented in this study points to the possibility that L. fluviatilis in this lake may have altered its trophic ecology in response to the negative impact that non-native species, in particular ruffe Gymnocephalus cernuus, have had on their favoured host.


Assuntos
Lampreias/fisiologia , Perciformes/parasitologia , Salmonidae/parasitologia , Animais , Espécies Introduzidas , Lagos , Dinâmica Populacional , Escócia
11.
J Fish Biol ; 82(3): 1093-100, 2013 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-23464566

RESUMO

Interspecific sneak male mating tactics between paired lamprey species are described for the first time. Although alternative mating tactics among petromyzontids have been described previously, including intraspecific sneak males, the presence of sneak male tactics between parasitic and non-parasitic forms suggests that high levels of gene flow between putative lamprey species could remain high, despite large body size discrepancies.


Assuntos
Lampreias/fisiologia , Reprodução , Comportamento Sexual Animal , Animais , Feminino , Fluxo Gênico , Lampreias/genética , Masculino
13.
J Fish Biol ; 80(2): 387-407, 2012 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-22268437

RESUMO

A key for three putative species apparently found in three geographic areas, i.e. Coregonus clupeoides (in Scotland), Coregonus stigmaticus (in England), and Coregonus pennantii (in Wales) given in a recent review was tested quantitatively using 544 individuals from nine populations. The classification success of the key was very low (27%). It was concluded that there is currently no robust evidence for the recognition of the three putative species. Furthermore, the use of phenotypic characters alone to distinguish putative species in postglacial fish species such as those of the genus Coregonus that show homoplasy in many of these traits is questioned. In the absence of further evidence, it was concluded that a single highly variable species best describes the pattern of phenotypic variation in these U.K. populations. On this basis it is argued that taxonomic subdivision of U.K. European coregonids is inappropriate and that Coregonus lavaretus should prevail as the species name applicable to all populations.


Assuntos
Especiação Genética , Fenótipo , Salmonidae/classificação , Animais , Inglaterra , Variação Genética , Salmonidae/genética , Escócia , País de Gales
14.
J Fish Biol ; 77(10): 2391-404, 2010 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-21155790

RESUMO

Differences in stable-isotope values, morphology and ecology in whitefish Coregonus lavaretus were investigated between the three basins of Loch Lomond. The results are discussed with reference to a genetic investigation to elucidate any substructuring or spawning site fidelity. Foraging fidelity between basins of Loch Lomond was indicated by δ¹³C and δ¹5N values of C. lavaretus muscle tissue. There was, however, no evidence of the existence of sympatric morphs in the C. lavaretus population. A previous report of two C. lavaretus'species' in Loch Lomond probably reflects natural variation between individuals within a single mixed population.


Assuntos
Ecossistema , Fenótipo , Salmonidae/fisiologia , Animais , Isótopos de Carbono/metabolismo , Comportamento Alimentar , Feminino , Cabeça/anatomia & histologia , Masculino , Repetições de Microssatélites , Isótopos de Nitrogênio/metabolismo , Salmonidae/anatomia & histologia , Escócia
15.
Leukemia ; 24(6): 1171-8, 2010 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-20393505

RESUMO

The t(4;14) translocation in multiple myeloma (MM) simultaneously dysregulates two apparent oncogenes: fibroblast growth factor receptor 3 (FGFR3) controlled by the 3' immunoglobulin heavy chain enhancer on der(14) and MMSET controlled by the intronic Emu enhancer on der(4). Although all MM tumors and cell lines with a t(4;14) translocation have dysregulated MMSET, about 25% do not express FGFR3. Therefore, the function of dysregulated wild-type (WT) FGFR3 in the pathogenesis of MM remains unclear. We developed a murine transgenic (TG) model in which WT FGFR3 is overexpressed in B lymphoid cells. Although high levels of FGFR3 resulted in lymphoid hyperplasia in about one-third of older mice, no increase in tumorigenesis was observed. However, double TG FGFR3/Myc mice develop mature B lymphoma tumors that occur with a higher penetrance and shorter latency than in single TG Myc mice (P=0.006). We conclude that expression of high levels of WT FGFR3 can be oncogenic and cooperate with MYC to generate B lymphoid tumors. This suggests that dysregulated FGFR3 expression is likely to be essential at least for the early stages of pathogenesis of MM tumors that have a t(4;14) translocation.


Assuntos
Linfoma de Células B/etiologia , Mieloma Múltiplo/etiologia , Proteínas Proto-Oncogênicas c-myc/fisiologia , Receptor Tipo 3 de Fator de Crescimento de Fibroblastos/fisiologia , Animais , Biomarcadores Tumorais/genética , Biomarcadores Tumorais/metabolismo , Southern Blotting , Western Blotting , Feminino , Perfilação da Expressão Gênica , Genes de Imunoglobulinas , Humanos , Técnicas Imunoenzimáticas , Imunofenotipagem , Imunoprecipitação , Linfoma de Células B/patologia , Masculino , Camundongos , Camundongos Transgênicos , Mieloma Múltiplo/patologia , Análise de Sequência com Séries de Oligonucleotídeos , RNA Mensageiro/genética , RNA Mensageiro/metabolismo , Reação em Cadeia da Polimerase Via Transcriptase Reversa
16.
Biochem Biophys Res Commun ; 285(2): 378-86, 2001 Jul 13.
Artigo em Inglês | MEDLINE | ID: mdl-11444853

RESUMO

Human Ankrd2 transcript encodes a 37-kDa protein that is similar to mouse Ankrd2 recently shown to be involved in hypertrophy of skeletal muscle. These novel ankyrin-rich proteins are related to C-193/CARP/MARP, a cardiac protein involved in the control of cardiac hypertrophy. A human genomic region of 14,300 bp was sequenced revealing a gene organization similar to mouse Ankrd2 with nine exons, four of which encode ankyrin repeats. The intracellular localization of Ankrd2 was unknown since no protein studies had been reported. In this paper we studied the intracellular localization of the protein and its expression on differentiation using polyclonal and monoclonal antibodies produced to human Ankrd2. In adult skeletal muscle Ankrd2 is found in slow fibers; however, not all of the slow fibers express Ankrd2 at the same level. This is particularly evident in dystrophic muscles, where the expression of Ankrd2 in slow fibers seems to be severely reduced.


Assuntos
Proteínas Musculares/genética , Músculo Esquelético/metabolismo , Regiões Promotoras Genéticas , Animais , Repetição de Anquirina , Sequência de Bases , Sítios de Ligação , Células Cultivadas , Feminino , Humanos , Masculino , Camundongos , Dados de Sequência Molecular , Peso Molecular , Proteínas Musculares/análise , Músculo Esquelético/citologia , Distrofias Musculares/genética , Distrofias Musculares/metabolismo , Distrofias Musculares/patologia , Proteínas Nucleares , Especificidade de Órgãos , RNA Mensageiro/análise , RNA Mensageiro/genética , Proteínas Repressoras , Alinhamento de Sequência , Homologia de Sequência do Ácido Nucleico , TATA Box , Fatores de Transcrição/metabolismo , Transcrição Gênica
17.
Hum Mol Genet ; 10(9): 963-72, 2001 Apr 15.
Artigo em Inglês | MEDLINE | ID: mdl-11309370

RESUMO

Despite the clinical importance of human aneuploidy, we know little of the causes of mammalian non-disjunction. In part, this reflects the fact that, unlike lower organisms, segregation 'impaired' chromosomes are virtually non-existent in mammals. To address this issue, we have studied the mouse Y chromosome on the BALB/cWt ('Wt') inbred background, a system in which loss of the Y chromosome in gonadal tissue has been linked to hermaphroditism. Our results indicate that the Wt Y chromosome is stably transmitted during meiotic cell divisions, but non-disjoins at an extremely high frequency in mitosis. Surprisingly, the non-disjunction events are largely restricted to the earliest cleavage divisions, indicating that there is a temporal 'window' during which the Wt Y chromosome is susceptible to non-disjunction. The non-disjunction phenotype has both cis and trans components: the Wt Y chromosome malsegregates on a variety of genetic backgrounds, demonstrating an intrinsic defect; however, the incidence of non-disjunction is significantly influenced by strain background, indicating the existence of modifying loci and thus providing evidence for a genetic effect on mammalian non-disjunction. These studies suggest that the earliest cell divisions in mammals are non-disjunction-prone, an interpretation which provides an explanation for the high rate of chromosome mosaicism observed in studies of in vitro fertilization (IVF)-derived human preimplantation embryos. Further, our observations raise the possibility that the IVF setting adversely affects chromosome segregation and suggest that genetic quality be an important consideration in any attempt to improve or modify in vitro procedures for use on human eggs and embryos.


Assuntos
Embrião de Mamíferos/fisiologia , Genótipo , Não Disjunção Genética , Cromossomo Y/genética , Animais , Blastocisto/fisiologia , Mapeamento Cromossômico , Segregação de Cromossomos , Feminino , Feto/embriologia , Feto/fisiologia , Marcadores Genéticos , Hibridização in Situ Fluorescente , Masculino , Meiose/genética , Camundongos , Camundongos Endogâmicos BALB C , Camundongos Endogâmicos C57BL , Mitose/genética , Diferenciação Sexual , Espermatozoides/fisiologia
18.
Proc AMIA Symp ; : 704-8, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-11079975

RESUMO

The language describing coronary vasculature provides a suitable paradigm for research in semantic interpretation of anatomical text. As a pilot project we investigate the possibility of highly accurate retrieval of arterial branching relationships asserted in cardiac catheterization reports. Our methodology relies on the cooperation of underspecified linguistic analysis and structured domain knowledge. The satisfactory results of formal evaluation on both a training and testing set support the promise of this approach.


Assuntos
Cateterismo Cardíaco , Vasos Coronários/anatomia & histologia , Processamento de Linguagem Natural , Humanos , Linguística , Prontuários Médicos , Projetos Piloto , Semântica , Unified Medical Language System , Vocabulário Controlado
20.
J Hand Surg Am ; 24(2): 283-7, 1999 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-10194011

RESUMO

Although reconstruction of the torn thumb metacarpophalangeal (MCP) joint ulnar collateral ligament (UCL) has been shown to reduce symptoms, final joint motion may be different from that of the uninjured state. It was hypothesized that nonanatomic repositioning of the UCL might affect joint motion; therefore, the effect of UCL attachment site on MCP range of motion was investigated. The UCL and MCP joint capsule were visualized in each of 8 fresh cadaveric hands without otherwise disrupting the joint. The centers of the ligament attachments were marked with pins and each specimen was mounted on a testing frame capable of applying loads through the flexor and extensor tendons. After measuring the flexion, extension, and radial and ulnar deviation ranges of motion of the intact specimen, the origin of the ligament (on the metacarpal) and an attached bone block were elevated and repositioned 2 mm proximal and 2 mm palmar and range of motion was tested. The origin was reattached in its anatomic location and the insertion of the ligament was similarly elevated and displaced 2 mm in distal, dorsal, and palmar directions. Compared with the intact joint, palmar placement of the UCL origin on the metacarpal increased radial deviation (from a mean of 18 degrees to a mean of 27 degrees); proximal placement of the origin decreased it (from 18 degrees to 10 degrees). Similarly, dorsal placement of the UCL insertion on the phalanx increased radial deviation (from 18 degrees to 25 degrees) and distal positioning of the insertion decreased it (from 18 degrees to 11 degrees). Relative to intact joint flexion range of motion (mean, 57 degrees), distal placement of the UCL phalangeal insertion restricted motion (mean, 47 degrees), as did palmar placement (mean, 48 degrees). Extension and ulnar deviation motions were unaffected by ligament attachment position. This study demonstrates that nonanatomic reconstruction of the UCL alters normal MCP joint range of motion.


Assuntos
Ligamentos Colaterais/cirurgia , Instabilidade Articular/cirurgia , Articulação Metacarpofalângica/cirurgia , Amplitude de Movimento Articular , Polegar/fisiopatologia , Fenômenos Biomecânicos , Cadáver , Ligamentos Colaterais/fisiopatologia , Humanos , Instabilidade Articular/fisiopatologia , Articulação Metacarpofalângica/fisiopatologia
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