A saurischian (Archosauria, Dinosauria) ilium from the Upper Triassic of southern Brazil and the rise of Herrerasauria.

The Carnian (Upper Triassic) rocks of the Candelária Sequence present a rich record of dinosaurs, including some of the oldest known dinosaurs worldwide. In this contribution we describe the first unequivocal dinosaur from the Pivetta site, located in the Restinga Sêca municipality, Southern Brazil. The specimen CAPPA/UFSM 0373 is an isolated but well-preserved left ilium. A thorough examination of the specimen's anatomy and a phylogenetic analysis provides evidence that CAPPA/UFSM 0373 belongs to the Herrerasauria. We were able to identify several similarities with potential non-herrerasaurid herrerasaurians (e.g., Tawa hallae, "Caseosaurus crosbyensis"), which were previously only known from North American deposits. In contrast, herrerasaurids (e.g., Herrerasaurus ischigualastensis) are almost exclusively known from South America. Our results support the nesting of CAPPA/UFSM 0373 as an early-diverging herrerasaurian. Furthermore, this is potentially the first record of a non-herrerasaurid herrerasaurian in unambiguous Carnian beds, suggesting a hidden diversity of dinosaurs in the Carnian rocks of the Candelária Sequence, which can be revealed even by fragmentary specimens.

Test of the auricular surface sex estimation method in fetuses and non-adults under 5 years old from the Lisbon and Granada Reference Collections.

Non-adult sex estimation is an active field of forensic inquiry as morphological variations between males and females are subtle, but observable, even from intrauterine development. The objectives of this study are threefold: to test the validity of the auricular surface method for sex estimation (Int J Osteoarchaeol 27:898-911, 2017) in fetuses and children under the age of 5 years old; to evaluate if health conditions, reported as the cause of death, influence its accuracy; and to detect possible secular trends in sexual dimorphism. One-hundred and ninety-seven skeletal individuals from the Lisbon and Granada Identified Collections were studied. Individuals were divided according to the hormonal peaks (< 0, 0-2, < 2, and 2.1-5 years old), cause, and year of death (before and after 1960). As in previous studies, two ratios (FI/CF and DE/AD) and two qualitative variables (OM and MRS) showed the highest frequencies of correct estimation (0.81-0.86). The correct sex allocations increased when the discriminant function (0.85) and logistic regression (0.86) were applied. Males of the age groups < 0 and 2.1-5 years were all correctly sexed by both formulae, and the same was observed for the female probabilities of adequate allocation. The cause and year of death were identified as variables without statistical significance. It is proposed that this method can be incorporated with confidence into the multifactorial laboratory protocols for non-adult sex estimation from skeletal remains.

A dinosaur ilium from the Late Triassic of Brazil with comments on key-character supporting Saturnaliinae.

Discoveries in Carnian-aged rocks are establishing a rich and diverse dinosaurian fauna at the so-called 'dawn of the age of dinosaurs' in the Late Triassic of Western Gondwana. Accordingly, Brazilian strata from the Candelária Sequence have contributed extensively to this trend. Here, we present a new dinosaurian specimen (CAPPA/UFSM 0200) from this geological unit. The material was collected at a fossiliferous site that had no previous record of dinosaurs. Our specimen comprises a single ilium, which we describe in detail. Its anatomy is consistent with Carnian sauropodomorph dinosaurs, but differs from coeval specimens by several features, although we do not discard the possibility of these features being the result of intraspecific variation. In part of our phylogenetic investigation, CAPPA/UFSM 0200 was recovered within Saturnaliinae, a group comprised of Carnian sauropodomorphs from South America. However, based on examination of better-sampled coeval taxa, a character (a strong rugosity in the ilium) supporting this less inclusive position might be related to intraspecific variation and so, should be carefully considered. This study increases the distribution of dinosaur remains in fossiliferous units from southern Brazil and adds to the discussion regarding intraspecific variation and its implications in the phylogeny of early dinosaurs.

Safe Gluteal Fat Graft Avoiding a Vascular or Nervous Injury: An Anatomical Study in Cadavers.

Background: Fat grafting for gluteal augmentation is one of the most popular aesthetic surgery procedures. It has an associated mortality to fat embolism of 0.2%. Objectives: The authors of this study sought to describe which technique for synthetic graft application was least likely to cause a fat embolism. Methods: Ten fresh bodies were obtained and 4 groups arranged with 5 buttocks each randomly assigned. Group 1 was infiltrated through the upper medial intergluteal sulcus (upper medial intergluteal sulcus) with an angulation of -30°, -10°, and 0°. Group 2 was infiltrated through the middle lower gluteal sulcus with an angulation of -30°, 0°, and +15°. Group 3 was infiltrated through a peritrochanteric (PT) access at the level of the femur head at 0° and +10° and in the middle of the buttock at the level of the posterior superior iliac crest at -30° toward the trochanter (lateral direction). Group 4 was infiltrated in the same manner as group 1 without -30°. A complication occurred when the graft was in contact with the vascular or nervous bundle, within the gluteus medius muscle, or both. Results: Group 1 had 3 buttocks with a complication (UMIGS -30°). Group 2 had complications in all the injection techniques. Group 3 had 5 buttocks with a complication (PT at 0°). Group 4 had no complications. Conclusions: The injection of the fat graft through the UMIGS at 0° and 10° angles, and through the middle of the buttock at the level of posterior superior iliac crest a -30° angle, reaches the surface needed for gluteal augmentation. The group 2 techniques should be avoided because they have a high risk of complication.

Reliability of age estimation from iliac auricular surface in a subactual Chilean sample.

The aim of this study was to test the reliability of Osborne et al. (2004) [8] age estimation based on the iliac auricular surface of the ilium. We selected 172 skeletons with documented sex and age-at-death and established six uniformly distributed age intervals for analysis. ANOVA was employed to assess the association of the documented age with sex and the auricular surface classification. We employed Bonferroni post-hoc tests to find any statistical differences across documented ages within each phase of Osborne's criteria. While the ANOVA showed a significant association between the documented age and the auricular surface classification, post-hoc tests found that phases 2 and 3 were the only consecutive phases with significant differences. We argue that a lack of statistical significance between consecutive phases undermines the reliability of this method for forensic purposes especially in middle adults. It may be possible that the collapse of intermediate phases would increase the accuracy of this method.

Validation of the sex estimation method elaborated by Schutkowski in the Granada Osteological Collection of identified infant and young children: Analysis of the controversy between the different ways of analyzing and interpreting the results.

Sex estimation of juveniles in the Physical and Forensic Anthropology context is currently a task with serious difficulties because the discriminatory bone characteristics are minimal until puberty. Also, the small number of osteological collections of children available for research has made it difficult to develop effective methodologies in this regard. This study tested the characteristics of the ilium and jaw proposed by Schutkowski in 1993 for estimation of sex in subadults. The study sample consisted of 109 boys and 76 girls, ranging in age from 5 months of gestation to 6 years, from the identified osteological collection of Granada (Spain). For the analysis and interpretation of the results, we have proposed changes from previous studies because we believe they raised methodological errors relating to the calculation of probabilities of success and sex distribution in the sample. The results showed correct assignment probabilities much lower than those obtained by Schutkowski as well as by other authors. The best results were obtained with the angle and depth of the sciatic notch, with 0.73 and 0.80 probability of correct assignment respectively if the male trait was observed. The results obtained with the other criteria were too small to be valid in the context of Physical or Forensic Anthropology. From our results, we concluded that Schutkowski method should not be used in forensic context, and that the sciatic notch is the most dimorphic trait in subadults and, therefore, the most appropriate to develop more effective methods for estimating sex.

A new morphological classification of the anterior inferior iliac spine: relevance in subspine hip impingement / Nueva clasificación morfológica de la espina iliaca anteroinferior: relevancia en el pinzamiento subespinoso de la cadera

Femoroacetabular impingement syndrome (FAI) is a clinical entity that has been recognized in recent years as a frequent cause of pain and the early development of hip arthrosis. Subspine hip impingement is characterized by the prominent or abnormal morphology of the anteroinferior iliac spine (AIIS), which contributes to the development of a clinical picture that is similar to FAI. The aims of this study were to propose a new morphological classification of the AIIS, to determine the prevalence of the different AIIS morphologies based on this classification and to correlate the presence of said morphologies with different gender and age groups. The sample consisted of 458 hemipelvises from individuals of known age and sex (264 men and 194 women). Each specimen was analyzed to determine the prevalence of each of the different morphologies of the AIIS based on the classification proposed as Type 1: the presence of a concave surface between the AIIS and the acetabular rim; Type 2A: the presence of a flat surface between the AIIS and the acetabular rim; Type 2B the presence of a convex surface between the AIIS and the acetabular rim; and Type 3: the AIIS protrudes inferiorly toward the anterior acetabulum. A prevalence of 69.87% was determined for Type 1 AIIS (320/458). In regard to abnormal morphology, prevalences of 17.90% (82/458), 3.71% (17/458) and 8.52% (39/458) were determined for type 2A, Type 2B and Type 3, respectively. The prevalence of abnormal AIIS morphology was 30.30% (80/264) in male specimens and 29.90% (58/194) in female specimens. This study demonstrates the prevalence of the different morphologies of the AIIS, providing information that will be useful in determining the role of the AIIS in the emergence of subspine hip impingement.

El Síndrome de Pinzamiento Femoroacetabular (PFA) es una entidad clínica reconocida en los últimos años como una causa de dolor y desarrollo de artrosis temprana de cadera. El pinzamiento subespinoso de la cadera se caracteriza por una espina iliaca anteroinferior (EIAI) prominente o con una morfología anormal, lo que contribuye al desarrollo de un cuadro clínico similar al PFA. El objetivo fue proponer una nueva clasificación morfológica de la EIAI y determinar las prevalencias de las distintas morfologías de la EIAI en base a la misma y correlacionarla con los distintos sexos y grupos de edad. La muestra consistió en un total de 458 hemipelvis, de sexo y edad conocidos (264 hombres y 194 mujeres). Cada pieza fue analizada para determinar la prevalencia de variaciones morfológicas de la EIAI en base a la clasificación propuesta. Tipo 1: presencia de una superficie cóncava entre la EIAI y reborde acetabular, Tipo 2A: presencia de una superficie plana entre la EIAI y el reborde acetabular, Tipo 2B: presencia de una superficie convexa entre la EIAI y el reborde acetabular y Tipo 3: la EIAI protruye hacia el acetábulo anterior o inferiormente. Se determinó una prevalencia de 69,87% para la EIAI Tipo 1 (320/458). En cuanto a las morfologías anormales, se determinó una prevalencia de 17,90% (82/458), 3,71% (17/458) y 8,52% (39/459) para los Tipos 2A, 2B y 3, respectivamente. La prevalencia de una morfología anormal en las EIAI de especímenes del sexo masculino fue de 30,30% (80/264) y en el sexo femenino 29,90% (58/194). Se evidencia la prevalencia de las diferentes morfologías que puede tener la EIAI; esta información será de ayuda para determinar el papel de la EIAI en la aparición del pinzamiento subespinoso de la cadera.

Influence of bone architecture on the primary stability of different mini-implant designs.

INTRODUCTION: Mechanical interlocking between a mini-implant (MI) and the bone substrate reflects directly on the primary stability achieved. The purposes of this study were to evaluate MI design performance in distinct bone substrates and correlate geometric characteristics with insertion site quality. METHODS: Two types of self-drilling MIs (1.6 × 8 mm) were allocated to 2 groups according to their geometric designs: Tomas system (Dentaurum, Ispringen, Germany) and Dual-Top (Rocky Mountain Orthodontics, Denver, Colo). Forty sections (8 × 10 mm) were taken from bovine pelvic ilium and pubic bone. Geometric design characteristics were evaluated using scanning electron microscope imaging and Image-Pro Insight software (Media Cybernetics, Rockville, Md). Bone quality parameters were assessed with a microcomputed tomography system, and primary stability was evaluated by insertion torque and pull-out strength. Intergroup comparisons were performed with analysis of variance and Tukey tests, and the Pearson correlation test was carried out (P <0.05). RESULTS: No significant difference was observed in the comparisons of the groups (Tomas: insertion torque, 12.87 N·cm; pull-out strength, 181 N; and Dual-Top: insertion torque, 9.95 N·cm; pull-out strength, 172.5 N) in the ilium. However, the Tomas group had a marked increase in insertion torque (25.08 N·cm; P <0.05) in the pubic bone. CONCLUSIONS: MI mechanical performance differed according to bone quality parameters, indicating that certain geometric parameters may be set depending on the insertion substrate.

Posterior lumbar plexus block in children: a new anatomical landmark.

BACKGROUND AND OBJECTIVES: Posterior lumbar plexus block is a well established anesthetic technique for lower limb surgeries. Both magnetic resonance imaging and clinical prospective studies were performed to verify if a new palpable landmark could be used for lumbar plexus block in pediatric patients. METHODS: Twenty-five magnetic resonance imaging exams were analyzed to verify the relationship between the ipsilateral lumbar plexus and the sulcus formed by the division between the longissimus and the iliocostal muscles. The mean angle between the point of needle introduction and the lumbar plexus was measured. In a prospective series, 100 consecutive patients (1 to 15 years old) were given posterior lumbar plexus block. Under general anesthesia, the first palpable depression found by sliding the finger laterally at the L4 spine level was used as a landmark. A needle was introduced perpendicularly at the point where this sulcus crossed the line connecting the iliac crests. The ease of sulcus palpation, time spent in the block procedure, and postoperative pain score at 3 time points (M1, awake; M2, discharge from the postanesthesia care unit; M3, the fifth postoperative hour) were registered. RESULTS: The mean angle found in 25 magnetic resonance images was 5.6 degrees. Clinical data from 99 patients were analyzed. The intramuscular groove was easily palpable in 93% of the patients. More than 95% of the blocks were completed in less than 5 minutes. The median pain scores were 0 for M1/M2 and 1 for M3. The block was effective in 97% of patients (95% confidence interval, 93.6%-100%). There was 1 case of subarachnoid puncture (95% confidence interval, 0%-3%). CONCLUSIONS: The sulcus formed by the division between the longissimus and the iliocostal muscles is a simple, direct, and easy-to-identify landmark for posterior lumbar plexus block in children.