Land use change and forest management effects on soil carbon stocks in the Northeast U.S.

BACKGROUND: In most regions and ecosystems, soils are the largest terrestrial carbon pool. Their potential vulnerability to climate and land use change, management, and other drivers, along with soils' ability to mitigate climate change through carbon sequestration, makes them important to carbon balance and management. To date, most studies of soil carbon management have been based at either large or site-specific scales, resulting in either broad generalizations or narrow conclusions, respectively. Advancing the science and practice of soil carbon management requires scientific progress at intermediate scales. Here, we conducted the fifth in a series of ecoregional assessments of the effects of land use change and forest management on soil carbon stocks, this time addressing the Northeast U.S. We used synthesis approaches including (1) meta-analysis of published literature, (2) soil survey and (3) national forest inventory databases to examine overall effects and underlying drivers of deforestation, reforestation, and forest harvesting on soil carbon stocks. The three complementary data sources allowed us to quantify direction, magnitude, and uncertainty in trends. RESULTS: Our meta-analysis findings revealed regionally consistent declines in soil carbon stocks due to deforestation, whether for agriculture or urban development. Conversely, reforestation led to significant increases in soil C stocks, with variation based on specific geographic factors. Forest harvesting showed no significant effect on soil carbon stocks, regardless of place-based or practice-specific factors. Observational soil survey and national forest inventory data generally supported meta-analytic harvest trends, and provided broader context by revealing the factors that act as baseline controls on soil carbon stocks in this ecoregion of carbon-dense soils. These factors include a range of soil physical, parent material, and topographic controls, with land use and climate factors also playing a role. CONCLUSIONS: Forest harvesting has limited potential to alter forest soil C stocks in either direction, in contrast to the significant changes driven by land use shifts. These findings underscore the importance of understanding soil C changes at intermediate scales, and the need for an all-lands approach to managing soil carbon for climate change mitigation in the Northeast U.S.

Fixation strength in arthroscopic labral repair of the hip: A head-to-head comparison of the biomechanical performance of a biocompatible vs. all-suture anchor in the setting of acetabuloplasty.

Much is known about the biomechanical performance of various types of suture anchors commonly used for labral fixation in the shoulder; however, similar studies in the hip are less common. We sought to compare all-suture and polyether ether ketone small-diameter anchors in the setting of labral repair during hip arthroscopy, with and without acetabuloplasty. We hypothesized that the biomechanical properties of the all-suture group when compared to polyether ether ketone anchors would be similar amongst native acetabula and significantly less following acetabuloplasty and that pullout forces would be reduced in the anterior and inferior regions of the acetabulum compared to the superior region. Bone density was measured in nine matched pairs of fresh-frozen cadaveric acetabula in the superior, anterosuperior, and anterior regions. Acetabuloplasty was performed in all three regions, while the contralateral acetabulum was left in situ as a control. Suture anchors were placed such that one each of two different types was placed within each region. Specimens were tested in cyclic fatigue and loaded to failure. The all-suture group had significantly higher cyclic displacement compared to the polyether ether ketone, but there was no significant difference in ultimate load, regardless of acetabuloplasty. Amongst all non-resected specimens, the lowest bone density was observed consistently in the inferior region. Our results indicate that, with or without acetabuloplasty, a small-diameter polyether ether ketone anchor appears to be more stable than an all-suture anchor, which needs to be set first.

Antinociceptive effects of bupivacaine injected within the internal abdominis rectus sheath in standing healthy horses.

OBJECTIVE: To evaluate a regional anesthetic technique for blocking the abdominal midline in horses. STUDY DESIGN: Anatomical description and prospective, crossover, placebo-controlled, blinded study. ANIMALS: Adult horses; two cadavers, six healthy animals. METHODS: In stage 1, 0.5% methylene blue with 0.25% bupivacaine (0.5 mL kg-1) was injected using ultrasonography into the internal rectus abdominis sheath (RAS) of two cadavers with a one-point or two-point technique. The dye spread was described after the dissection of the abdomens. In stage 2, each horse was injected with 1 mL kg-1 of 0.9% NaCl (treatment PT) or 0.2% bupivacaine (treatment BT) using a two-point technique. The abdominal midline mechanical nociceptive threshold (MNT) was measured with a 1 mm blunted probe tip and results analyzed with mixed-effect anova. Signs of pelvic limb weakness were recorded. RESULTS: The cadaver dissections showed staining of the ventral branches from the eleventh thoracic (T11) to the second lumbar (L2) nerve with the one-point technique and T9-L2 with the two-point technique. Baseline MNTs were, mean ± standard deviation, 12.6 ± 1.6 N and 12.4 ± 2.4 N in treatments PT and BT, respectively. MNT increased to 18.9 ± 5.8 N (p = 0.010) at 30 minutes, and MNT was between 9.4 ± 2.0 and 15.3 ± 3.4 N from 1 to 8 hours (p > 0.521) in treatment PT. MNTs in treatment BT were 21.1 ± 5.9 to 25.0 ± 0.1 N from 30 minutes to 8 hours (p < 0.001). MNTs after the RAS injections were higher in treatment BT than PT (p = 0.007). No pelvic limb weakness was observed. CONCLUSIONS AND CLINICAL RELEVANCE: Antinociception of at least 8 hours without pelvic limb weakness was observed in the abdominal midline in standing horses after the RAS block. Further investigations are necessary to evaluate suitability for ventral celiotomies.

Disturbance and management effects on forest soil organic carbon stocks in the Pacific Northwest.

Carbon (C)-informed forest management requires understanding how disturbance and management influence soil organic carbon (SOC) stocks at scales relevant to landowners and forest policy and management professionals. The continued growth of data sets and publications allows powerful synthesis approaches to be applied to such questions at increasingly fine scales. Here, we report results from a synthesis that used meta-analysis of published studies and two large observational databases to quantify disturbance and management impacts on SOC stocks. We conducted this, the third in a series of ecoregional SOC assessments, for the Pacific Northwest, which comprises ~8% of the land area but ~12% of the U.S. forest sector C sink. At the ecoregional level, our analysis indicated that fundamental patterns of vegetation, climate, and topography are far more important controls on SOC stocks than land use history, disturbance, or management. However, the same patterns suggested that increased warming, drying, wildland fire, and forest regeneration failure pose significant risks to SOC stocks across the region. Detailed meta-analysis results indicated that wildfires diminished SOC stocks throughout the soil profile, while prescribed fire only influenced surface organic materials and harvesting had no significant overall impact on SOC. Independent observational data corroborated the negative influence of fire on SOC derived from meta-analysis, suggested that harvest impacts may vary subregionally with climate or vegetation, and revealed that forests with agricultural uses (e.g., grazing) or legacies (e.g., cultivation) had smaller SOC stocks. We also quantified effects of a range of common forest management practices having either positive (organic amendments, nitrogen [N]-fixing vegetation establishment, inorganic N fertilization) or no overall effects on SOC (other inorganic fertilizers, urea fertilization, competition suppression through herbicides). In order to maximize the management applications of our results, we qualified them with ratings of confidence based on degree of support across approaches. Last, similar to earlier published assessments from other ecoregions, we supplemented our quantitative synthesis results with a literature review to arrive at a concise set of tactics for adapting management operations to site-specific criteria.

Reducing Length of Stay and Hospital Readmission for Orthopedic Patients: A Quality Improvement Project.

BACKGROUND: Transitioning patients from the hospital to home after a total hip or knee arthroplasty is challenging. Severe pain, comorbidities and complex medication regimes have the potential to delay readiness for discharge, increase length of stay (LOS), and cause readmissions. OBJECTIVE: The goal of this practice improvement project was to improve patient readiness for discharge after total joint arthroplasty to reduce LOS, prevent emergency department (ED) visits, and prevent hospital readmissions. METHODS: This quality improvement project was guided by the Iowa Model and implemented a prepost program implementation evaluation design. Nurses incorporated the Registered Nurse Assessment of Readiness for Hospital Discharge Scale (RN-RHDS) to guide and evaluate discharge education efforts. RESULTS: The focused education cohort demonstrated significantly decreased LOS and decreased readmissions compared to the cohort receiving standard education efforts. ED visits were not significantly different amongst cohorts. CONCLUSION: This practice improvement project demonstrates successful translation of research into practice. IMPLICATIONS FOR NURSING: The use of focused education and the RN-RHDS tool is recommended for nursing to improve patient readiness for discharge and patient outcomes.

Gel-like carbon dots: A high-performance future photocatalyst.

To protect water resources, halt waterborne diseases, and prevent future water crises, photocatalytic degradation of water pollutants arouse worldwide interest. However, considering the low degradation efficiency and risk of secondary pollution displayed by most metal-based photocatalysts, highly efficient and environmentally friendly photocatalysts with appropriate band gap, such as carbon dots (CDs), are in urgent demand. In this study, the photocatalytic activity of gel-like CDs (G-CDs) was studied using diverse water pollution models for photocatalytic degradation. The degradation rate constants demonstrated a remarkably enhanced photocatalytic activity of G-CDs compared with most known CD species and comparability to graphitic carbon nitride (g-C3N4). In addition, the rate constant was further improved by 1.4 times through the embedment of g-C3N4 in G-CDs to obtain CD-C3N4. Significantly, the rate constant was also higher than that of g-C3N4 alone, revealing a synergistic effect. Moreover, the use of diverse radical scavengers suggested that the main contributors to the photocatalytic degradation with G-CDs alone were superoxide radicals (O2-) and holes that were, however, substituted by O2- and hydroxyl radicals (OH) due to the addition of g-C3N4. Furthermore, the photocatalytic stabilities of G-CDs and CD-C3N4 turned out to be excellent after four cycles of dye degradation were performed continuously. Eventually, the nontoxicity and environmental friendliness of G-CDs and CD-C3N4 were displayed with sea urchin cytotoxicity tests. Hence, through various characterizations, photocatalytic degradation and cytotoxicity tests, G-CDs proved to be an environmentally friendly and highly efficient future photocatalyst.

Metformin derived carbon dots: Highly biocompatible fluorescent nanomaterials as mitochondrial targeting and blood-brain barrier penetrating biomarkers.

Carbon dots (CDs) have been intensively studied since their discovery in 2004 because of their unique properties such as low toxicity, excellent biocompatibility, high photoluminescence (PL) and good water dispersibility. In this study metformin derived carbon dots (Met-CDs) were synthesized using a microwave assisted method. Met-CDs were meticulously characterized using ultra-violet spectroscopy (UV-vis), photoluminescence (PL), Fourier Transform Infrared spectroscopy (FTIR), X-ray photoelectron spectroscopy (XPS), atomic force (AFM) and transmission electron (TEM) microscopies. According to results of cytotoxicity studies, Met-CDs possess low-toxicity and excellent biocompatibility towards both non-tumor and tumor cell lines indicating that Met-CDs are outstanding candidates for living cell bioimaging studies. Furthermore, bioimaging studies have displayed that Met-CDs can penetrate the cell membrane and disperse throughout the cell structure including the nucleus and mitochondria. More specifically, Met-CDs tend to start localizing selectively inside the mitochondria of cancer cells, but not of non-tumor cells after 1 h of incubation. Finally, a zebrafish study confirmed that Met-CDs cross the blood-brain barrier (BBB) without the need of any other ligands. In summary, this study presents synthesis of Met-CDs which feature abilities such as mitochondrial and nucleus localizations along with BBB penetration.

Tree planting has the potential to increase carbon sequestration capacity of forests in the United States.

Several initiatives have been proposed to mitigate forest loss and climate change through tree planting as well as maintaining and restoring forest ecosystems. These initiatives have both inspired and been inspired by global assessments of tree and forest attributes and their contributions to offset carbon dioxide (CO2) emissions. Here we use data from more than 130,000 national forest inventory plots to describe the contribution of nearly 1.4 trillion trees on forestland in the conterminous United States to mitigate CO2 emissions and the potential to enhance carbon sequestration capacity on productive forestland. Forests and harvested wood products uptake the equivalent of more than 14% of economy-wide CO2 emissions in the United States annually, and there is potential to increase carbon sequestration capacity by ∼20% (-187.7 million metric tons [MMT] CO2 ±9.1 MMT CO2) per year by fully stocking all understocked productive forestland. However, there are challenges and opportunities to be considered with tree planting. We provide context and estimates from the United States to inform assessments of the potential contributions of forests in climate change mitigation associated with tree planting.

The Complicated Evolutionary Diversification of the Mpeg-1/Perforin-2 Family in Cnidarians.

The invertebrate innate immune system is surprisingly complex, yet our knowledge is limited to a few select model systems. One understudied group is the phylum Cnidaria (corals, sea anemones, etc.). Cnidarians are the sister group to Bilateria and by studying their innate immunity repertoire, a better understanding of the ancestral state can be gained. Corals in particular have evolved a highly diverse innate immune system that can uncover evolutionarily basal functions of conserved genes and proteins. One rudimentary function of the innate immune system is defense against harmful bacteria using pore forming proteins. Macrophage expressed gene 1/Perforin-2 protein (Mpeg-1/P2) is a particularly important pore forming molecule as demonstrated by previous studies in humans and mice, and limited studies in non-bilaterians. However, in cnidarians, little is known about Mpeg-1/P2. In this perspective article, we will summarize the current state of knowledge of Mpeg-1/P2 in invertebrates, analyze identified Mpeg-1/P2 homologs in cnidarians, and demonstrate the evolutionary diversity of this gene family using phylogenetic analysis. We will also show that Mpeg-1 is upregulated in one species of stony coral in response to lipopolysaccharides and downregulated in another species of stony coral in response to white band disease. This data presents evidence that Mpeg-1/P2 is conserved in cnidarians and we hypothesize that it plays an important role in cnidarian innate immunity. We propose that future research focus on the function of Mpeg-1/P2 family in cnidarians to identify its primary role in innate immunity and beyond.

Editorial Commentary: #Capsule-ophilesRejoice! The Evidence in Support of Diligent Capsular Management During Hip Arthroscopy Can No Longer Be Ignored.

From its infancy until now, the enthusiasm and growth of the field of hip arthroscopy have been exciting to watch. Perhaps, it could be argued that there has not been a more hotly debated topic in recent years than what to do with the hip capsule. Once merely an afterthought in the context of hip arthroscopy, the oft overlooked and underappreciated intricacies of hip capsular anatomy and its role in hip stability have now taken center stage. As surgical indications continue to expand, our surgical techniques have rapidly evolved. Despite the rapid growth and advent of industry, the leaders in this field have remained steadfast in their relentless quest to improve their scientific knowledge and understanding of the native hip joint. If we have learned nothing else from watching the capsular debate evolve, it is that without an advanced understanding of the critical and complex marriage of anatomy and function that exists in a healthy hip joint, we cannot begin to master the surgical treatment of its pathologic states.

Ulnar Collateral Ligament Repair With Collagen-Dipped FiberTape Augmentation in Overhead-Throwing Athletes.

BACKGROUND: There has been a renewed interest in ulnar collateral ligament (UCL) repair in overhead athletes because of a greater understanding of UCL injuries, an improvement in fixation technology, and the extensive rehabilitation time to return to play. PURPOSE/HYPOTHESIS: To evaluate the clinical outcomes of a novel technique of UCL repair with internal brace augmentation in overhead throwers. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: Patients undergoing a novel technique of UCL repair with internal brace augmentation were prospectively followed for a minimum of 1 year. Potential candidates for repair were selected after the failure of nonoperative treatment when imaging suggested a complete or partial avulsion of the UCL from either the sublime tubercle or medial epicondyle, without evidence of poor tissue quality of the ligament. The final decision on UCL repair or traditional reconstruction was determined intraoperatively. Demographic and operative data were collected at the time of surgery. Return to play, and Kerlan-Jobe Orthopaedic Clinic (KJOC) scores were collected at 1 year and then again at 2 years postoperatively. RESULTS: Of the 111 overhead athletes eligible for the study, 92% (102/111) of those who desired to return to the same or higher level of competition were able to do so at a mean time of 6.7 months. These patients had a mean KJOC score of 88.2 at final follow-up. CONCLUSION: UCL repair with internal brace augmentation is a viable option for amateur overhead throwers with selected UCL injuries who wish to return to sport in a shorter time frame than allowed by traditional UCL reconstruction.

Spatial modeling of litter and soil carbon stocks on forest land in the conterminous United States.

Forest ecosystems contribute substantially to carbon (C) storage. The dynamics of litter decomposition, translocation and stabilization into soil layers are essential processes in the functioning of forest ecosystems, as these processes control the cycling of soil organic matter and the accumulation and release of C to the atmosphere. Therefore, the spatial distribution of litter and soil C stocks are important in greenhouse gas estimation and reporting and inform land management decisions, policy, and climate change mitigation strategies. Here we explored the effects of spatial aggregation of climatic, biotic, topographic and soil variables on national estimates of litter and soil C stocks and characterized the spatial distribution of litter and soil C stocks in the conterminous United States (CONUS). Litter and soil variables were measured on permanent sample plots (n = 3303) from the National Forest Inventory (NFI) within the United States from 2000 to 2011. These data were used with vegetation phenology data estimated from LANDSAT imagery (30 m) and raster data describing environmental variables for the entire CONUS to predict litter and soil C stocks. The total estimated litter C stock was 2.07 ±â€¯0.97 Pg with an average density of 10.45 ±â€¯2.38 Mg ha-1, and the soil C stock at 0-20 cm depth was 14.68 ±â€¯3.50 Pg with an average density of 62.68 ±â€¯8.98 Mg ha-1. This study extends NFI data from points to pixels providing spatially explicit and continuous predictions of litter and soil C stocks on forest land in the CONUS. The approaches described illustrate the utility of harmonizing field measurements with remotely sensed data to facilitate modeling and prediction across spatial scales in support of inventory, monitoring, and reporting activities, particularly in countries with ready access to remotely sensed data but with limited observations of litter and soil variables.

Effect of Intraoperative Platelet-Rich Plasma Treatment on Postoperative Donor Site Knee Pain in Patellar Tendon Autograft Anterior Cruciate Ligament Reconstruction: A Double-Blind Randomized Controlled Trial.

BACKGROUND: Donor site morbidity in the form of anterior knee pain is a frequent complication after bone-patellar tendon-bone (BPTB) autograft anterior cruciate ligament (ACL) reconstruction. Hypothesis/Purpose: The purpose was to examine the effect of the intraoperative administration of platelet-rich plasma (PRP) on postoperative kneeling pain. It was hypothesized that PRP treatment would reduce knee pain. STUDY DESIGN: Randomized controlled trial; Level of evidence, 2. METHODS: Fifty patients (mean ± SD age, 30 ± 12 years) undergoing BPTB ACL autograft reconstruction were randomized to the PRP (n = 27) or sham (n = 23) treatment. In either case, 10 mL of venous blood was drawn before the induction of anesthesia and either discarded (sham) or processed (PRP) for preparation of a PRP gel to be later mixed with donor site bone chips and inserted into the patellar defect. At 12 weeks, 6 months, 1 year, and 2 years after surgery, patients completed International Knee Documentation Committee (IKDC) forms and visual analog scale pain scores for activities of daily living and kneeling. Healing indices at the donor site were assessed by routine noncontrast magnetic resonance imaging (MRI) at 6 months. Mixed-model analysis of variance was used to assess the effect of PRP on patient symptoms and MRI indices of donor site healing, as measured by the width of the donor site defect. RESULTS: Kneeling pain, pain with activities of daily living, and IKDC scores were not different between treatment groups at any of the time intervals ( P = .08-.83). Kneeling pain improved from 12 weeks to 6 months and from 1 to 2 years ( P < .05). IKDC scores improved substantially from 12 weeks to 6 months ( P < .001) and continued to improve to 2 years (PRP, 86 ± 19; sham, 89 ± 10). MRI indices of donor site healing were not different between treatment groups ( P = .53-.90). CONCLUSION: Whether randomized to receive PRP in their patellar defect or not, patients continued to have similar levels of kneeling pain and patellar defect sizes after autograft BPTB ACL reconstruction. Registration: NCT01765712 ( ClinicalTrials.gov identifier).

Reforestation can sequester two petagrams of carbon in US topsoils in a century.

Soils are Earth's largest terrestrial carbon (C) pool, and their responsiveness to land use and management make them appealing targets for strategies to enhance C sequestration. Numerous studies have identified practices that increase soil C, but their inferences are often based on limited data extrapolated over large areas. Here, we combine 15,000 observations from two national-level databases with remote sensing information to address the impacts of reforestation on the sequestration of C in topsoils (uppermost mineral soil horizons). We quantify C stocks in cultivated, reforesting, and natural forest topsoils; rates of C accumulation in reforesting topsoils; and their contribution to the US forest C sink. Our results indicate that reforestation increases topsoil C storage, and that reforesting lands, currently occupying >500,000 km2 in the United States, will sequester a cumulative 1.3-2.1 Pg C within a century (13-21 Tg C·y-1). Annually, these C gains constitute 10% of the US forest sector C sink and offset 1% of all US greenhouse gas emissions.

Flexor Carpi Radialis to Palmaris Longus Tendon Transfer for Spontaneous Rupture of the Flexor Carpi Radialis Tendon-A Review of an Uncommon Finding and Surgical Technique for Operative Correction.

Spontaneous ruptures of the flexor carpi radialis tendon (FCR) are rare and associated with systemic inflammatory diseases, localized tendinopathy related to scaphotrapezial-trapezoidal arthritis, or chronic immunosuppression from corticosteroids. While most cases do not require operative intervention, some patients develop weakness, impaired range of motion, and persistent pain. Previously reported surgical options include synovectomy, tendon stump resection, and osteophyte removal. We describe a surgical technique for patients with persistent symptomatology following FCR rupture in which the FCR is transposed end-to-side to the palmaris longus tendon. Three cases using this technique are presented with follow-up of 4-9 months that were collected at Lenox Hill Hospital. All three patients did well regarding specific outcome measures: grip strength, range of motion, and functional activity. FCR transfer to palmaris is an alternative to other surgical options for the spontaneous rupture of the FCR tendon in patients who remain symptomatic despite a course of non-operative therapy.

Estimating litter carbon stocks on forest land in the United States.

Forest ecosystems are the largest terrestrial carbon sink on earth, with more than half of their net primary production moving to the soil via the decomposition of litter biomass. Therefore, changes in the litter carbon (C) pool have important implications for global carbon budgets and carbon emissions reduction targets and negotiations. Litter accounts for an estimated 5% of all forest ecosystem carbon stocks worldwide. Given the cost and time required to measure litter attributes, many of the signatory nations to the United Nations Framework Convention on Climate Change report estimates of litter carbon stocks and stock changes using default values from the Intergovernmental Panel on Climate Change or country-specific models. In the United States, the country-specific model used to predict litter C stocks is sensitive to attributes on each plot in the national forest inventory, but these predictions are not associated with the litter samples collected over the last decade in the national forest inventory. Here we present, for the first time, estimates of litter carbon obtained using more than 5000 field measurements from the national forest inventory of the United States. The field-based estimates mark a 44% reduction (2081±77Tg) in litter carbon stocks nationally when compared to country-specific model predictions reported in previous United Framework Convention on Climate Change submissions. Our work suggests that Intergovernmental Panel on Climate Change defaults and country-specific models used to estimate litter carbon in temperate forest ecosystems may grossly overestimate the contribution of this pool in national carbon budgets.

Biomechanical Comparison of Ulnar Collateral Ligament Repair With Internal Bracing Versus Modified Jobe Reconstruction.

BACKGROUND: The number of throwing athletes with ulnar collateral ligament (UCL) injuries has increased recently, with a seemingly exponential increase of such injuries in adolescents. In cases of acute proximal or distal UCL insertion injuries or in partial-thickness injuries that do not respond to nonoperative management, UCL repair and augmentation rather than reconstruction may be a viable option. PURPOSE/HYPOTHESIS: The purpose of this study was to biomechanically compare a new technique of augmented UCL repair versus a typical modified Jobe UCL reconstruction technique. The hypotheses were that (1) the repaired specimens would have less gap formation and a higher maximal torque to failure compared with the reconstruction group, and (2) while both groups would show an increase in gap formation after the simulated tear, the repair group would return closer to the native values compared with the reconstruction group. STUDY DESIGN: Controlled laboratory study. METHODS: Nine matched pairs of cadaveric arms were dissected to expose the UCL. Each elbow was mounted on a test frame at 90° of flexion. A cyclic valgus rotational torque was applied to the humerus with the UCL in its intact state and repeated in its surgically torn state. Finally, each specimen received either an augmented repair or reconstruction and was again put through the cyclic protocol, followed by a torque to failure. RESULTS: Gap formation (0.51 ± 0.22 mm) in the torn state for the repair group was significantly higher (P = .04) than in the intact state (0.33 ± 0.12 mm). After the procedures, the repair group (0.35 ± 0.16 mm) showed greater resistance to gapping (P = .03) compared with the reconstruction group (0.53 ± 0.23 mm). No statistical differences were found for the maximum torque at failure, torsional stiffness, or gap formation during the failure test. CONCLUSION: The current study shows that this novel technique of augmented UCL repair replicates the time-zero failure strength of traditional graft reconstruction and appears to be more resistant to gapping at low cyclic loads. CLINICAL RELEVANCE: This study demonstrates that this novel technique has important biomechanical properties, including time-zero strength and ultimate failure load, compared with the gold standard of UCL reconstruction. In some throwing athletes, this technique may supplant standard UCL reconstruction as the procedure of choice.

Anatomy of the hip capsule and pericapsular structures: A cadaveric study.

The anatomical literature contains relatively little qualitative or quantitative information regarding the anatomy of the hip joint capsule and its relationship to the surrounding pericapsular structures. We aimed to provide a detailed description of the anatomy of these relationships in a cadaveric study. Dissections of 11 nonpaired, fresh-frozen cadaveric hips were performed, documenting capsular dimensions and attachments to pericapsular structures including the rectus femoris, gluteus minimus, iliocapsularis, and piriformis and short external rotator muscles. Tendon footprints of these pericapsular muscles were measured, as well as their distance from reproducible bony landmarks. The thickest portion of the hip capsule is posterosuperiorly and superiorly near its acetabular origin, while the thinnest portion is posteriorly and posteroinferiorly near its femoral insertion. The piriformis has no capsular contribution; however, the reflected head of the rectus femoris, gluteus minimus, iliocapsularis, and external rotator tendons all demonstrate consistent capsular adhesions. There are complex associations among these structures, yet the surrounding layers of the capsule are confluent in predictable relationships. Knowledge of the intricate relationship between the hip capsule and pericapsular structures presented here will be useful for surgeons as they perform the precise and specific capsular releases required by various operative procedures. This study also provides information that can lead to further biomechanical, radiographic, and clinical studies on these structures.

New findings in hip capsular anatomy: dimensions of capsular thickness and pericapsular contributions.

PURPOSE: The purpose of this investigation was to provide a detailed description of the anatomy of the hip capsule and pericapsular structures. METHODS: Dissections were performed on 11 nonpaired, fresh-frozen cadaveric hips by 2 independent observers: 1 fellowship-trained orthopaedic total joint surgeon and 1 chief orthopaedic surgery resident. Documentation of capsular thickness, origins, insertions, and attachments to pericapsular structures including the abductors, rectus femoris, piriformis, short external rotators, and iliocapsularis muscles was performed. Tendinous insertions of the surrounding pericapsular muscles were measured according to size and distance from reproducible osseous landmarks. RESULTS: The capsule is thickest near the acetabular origin at the posterosuperior and superior hemi-quadrants and is thinnest near the femoral insertion in the posterior and posteroinferior hemi-quadrants. The iliocapsularis, indirect head of the rectus, conjoint, obturator externus, and gluteus minimus tendons all show consistent capsular contributions, whereas the piriformis does not have a capsular attachment. Osseous landmarks for tendinous attachments are defined and illustrated. The inter-relation of these structures is complex, yet their relations to the anterior hip capsule and contributions to its thickness are predictable. CONCLUSIONS: The dynamic pericapsular structures pertinent to the hip arthroscopist include the iliocapsularis, gluteus minimus, and reflected head of the rectus femoris. At the acetabulum, the thickest region of the capsule is posterosuperior and superolateral. At the femoral insertion, the thickest region is anterior. CLINICAL RELEVANCE: Knowledge of the intricate relation between the hip capsule and pericapsular structures presented here will be useful for surgeons as they perform the precise and specific capsular releases required during hip arthroscopy. Our anatomic findings contribute important qualitative data that build on the recent literature regarding the importance of capsular management during hip arthroscopy to postoperative hip stability.

From models to measurements: comparing downed dead wood carbon stock estimates in the U.S. forest inventory.

The inventory and monitoring of coarse woody debris (CWD) carbon (C) stocks is an essential component of any comprehensive National Greenhouse Gas Inventory (NGHGI). Due to the expense and difficulty associated with conducting field inventories of CWD pools, CWD C stocks are often modeled as a function of more commonly measured stand attributes such as live tree C density. In order to assess potential benefits of adopting a field-based inventory of CWD C stocks in lieu of the current model-based approach, a national inventory of downed dead wood C across the U.S. was compared to estimates calculated from models associated with the U.S.'s NGHGI and used in the USDA Forest Service, Forest Inventory and Analysis program. The model-based population estimate of C stocks for CWD (i.e., pieces and slash piles) in the conterminous U.S. was 9 percent (145.1 Tg) greater than the field-based estimate. The relatively small absolute difference was driven by contrasting results for each CWD component. The model-based population estimate of C stocks from CWD pieces was 17 percent (230.3 Tg) greater than the field-based estimate, while the model-based estimate of C stocks from CWD slash piles was 27 percent (85.2 Tg) smaller than the field-based estimate. In general, models overestimated the C density per-unit-area from slash piles early in stand development and underestimated the C density from CWD pieces in young stands. This resulted in significant differences in CWD C stocks by region and ownership. The disparity in estimates across spatial scales illustrates the complexity in estimating CWD C in a NGHGI. Based on the results of this study, it is suggested that the U.S. adopt field-based estimates of CWD C stocks as a component of its NGHGI to both reduce the uncertainty within the inventory and improve the sensitivity to potential management and climate change events.