Ca2+-regulatory muscle proteins in the alcohol-fed rat

Alcoholic myopathy is characterized by muscle weakness and difficulties in gait and locomotion. It is one of the most prevalent skeletal muscle disorders in the Western hemisphere, affecting between 40% and 60% of all chronic alcohol misusers. However, the pathogenic mechanisms are unknown, although recent studies have suggested that membrane defects occur as a consequence of chronic alcohol exposure. It was our hypothesis that alcohol ingestion perturbs membrane-located proteins associated with intracellular signalling and contractility, in particular those relating to calcium homeostasis. To test this, we fed male Wistar rats nutritionally complete liquid diets containing ethanol as 35% of total dietary energy. Controls were pair-fed identical amounts of the same diet in which ethanol was replaced by isocaloric glucose. At the end of 6 weeks, rats were killed and skeletal muscles dissected. These were used to determine important ion-regulatory skeletal muscle proteins including sarcalumenin (SAR), sarcoplasmic-endoplasmic reticulum Ca(2+)-adenosine triphosphatase (ATPase) (SERCA1), the junctional face protein of 90 kd (90-JFP), alpha(1)- and alpha(2)-dihydropyridine receptor (alpha(1)-DHPR and alpha(2)-DHPR), and calsequestrin (CSQ) by immunoblotting. The relative abundance of microsomal proteins was determined by immunoblotting using the enhanced chemiluminescence (ECL) technique. The data showed that alcohol-feeding significantly reduced gastrocnemius and hind limb muscle weights (P <.05 in both instances). Concomitant changes included increases in the relative amounts of SERCA1 (P <.05) and Ca(2+)-ATPase activity (P <.025). However, there were no statistically significant changes in either SAR, 90-JFP, alpha(1)-DHPR or alpha(2)-DHPR (P >.2 in all instances). Reductions in CSQ were of marginal significance (P =.0950). We conclude that upregulation of SERCA1 protein and Ca(2+)-ATPase activity may be an adaptive mechanism and/or a contributory process in the pathology of alcohol-induced muscle disease.

Spinoglenoid septum: a new anatomic finding

The spinoglenoid ligament has been implicated in compression of the suprascapular nerve in cases with isolated atrophy of the infraspinatus muscle. We dissected 32 shoulders of 16 embalmed cadavers. We could detect a spinoglenoid ligament in only 5 shoulders, and it was thin, loose, and weak. Instead of the spinoglenoid ligament, we observed a septum formed by the thickening of the fascial cover of the distal third of the supraspinatus and infraspinatus muscles. It originated from the spinoglenoid notch and extended into the posterior capsule. We named this structure the spinoglenoid septum. The suprascapular nerve passed between the bony margin of the spinoglenoid notch and the medial concave margin of the spinoglenoid septum. This septum may be a cause of dynamic compression of the suprascapular nerve.

Structure and evolution of the horizontal septum in vertebrates

Although the horizontal septum (HS) has been identified as playing a role in fish biomechanics and in path finding of cells during zebrafish development, its morphology is poorly known. However, it is generally regarded as an evolutionarily conserved structure. To test this idea, we applied a novel combination of techniques to analyse the HS of 35 species from all major gnathostome clades in which is visualized its collagen fibre architecture. Results show that the HS is a conserved trait only with respect to the presence of caudolateral [= epicentral] and craniolateral [= posterior oblique] collagen fibre tracts, but differs remarkably with respect to the specifications of these tracts. Our data revealed several evolutionary changes within vertebrates. In the gnathostome ancestor, the two tracts are represented by evenly distributed epicentral fibres (ECFs) and posterior oblique fibres (POFs). ECFs are condensed to distinct epicentral tendons (ECTs) in the actinopteran ancestor. POFs independently evolved to distinct posterior oblique tendons (POTs) at least two times within teleosts. Within basal teleostomes, POFs as well as ECFs or ECTs were lost two times independently. POTs were lost at least three times independently within teleosts. This view of a homoplastic HS remains stable regardless of the competing phylogenies used for analysis. Our data make problematic any generalization of biomechanical models on fish swimming that include the HS. They indicate that the pathfinding role of the HS in zebrafish may be extended to gnathostome fishes, but not to agnathans, sarcopterygian fishes and tetrapods.

Growth in bone strength, body size, and muscle size in a juvenile longitudinal sample

A longitudinal sample of 20 subjects, measured an average of 34 to 35 times each at approximately 6-month intervals from near birth through late adolescence, was used to investigate relationships between body size, muscle size, and bone structural development. The section modulus, an index of bone strength, was calculated from humeral and femoral diaphyseal breadth measurements obtained from serial radiographs. Muscle breadths of the forearm and thigh, also measured radiographically, were used to estimate muscle cross-sectional areas. Body size was assessed as the product of body weight and bone length (humeral or femoral). Stature was also investigated as a surrogate body size measure. Growth velocity in femoral strength was strongly correlated with growth velocity in body weight. femoral length (r2=0.65-0.80), very poorly correlated with growth velocity in stature (r2<0.06), and weakly but significantly correlated with growth velocity in thigh muscle size (r2=0.10-.25). Growth velocity in humeral strength was moderately correlated with that for body weight x humeral length (r2=0.40-0.73), very poorly correlated with that for stature (r2<0.05), and showed a marked sex difference with forearm muscle area velocity, with males having a stronger correlation (r2 approximately 0.65) and females a much weaker correlation (r2 approximately 0.15). Ages at peak adolescent growth velocity were nonsignificantly different between bone strength, body weight x bone length, and muscle area, but significantly earlier for stature. Thus, while there was an early adolescent "lag" between stature and bone strength, there was no such "lag" between a more mechanically appropriate measure of body size and bone strength. "Infancy peaks" in bone strength velocities, earlier in the humerus than in the femur and not paralleled by similar changes in body size, may be the result of the initiation of walking, when mechanical loads relative to body size are changing in both the upper and lower limbs. These results argue strongly for the importance of mechanical factors in the development of the preadult skeleton. Body size is the most important element in the weight-bearing lower limb skeleton, while both body size and muscle strength are important in the upper limb, especially in males.

[Organization and innervation of striated muscle fibers of the striated sphincter in the rat]

OBJECTIVES

To determine the organization of striated muscle fibre (FMS) of the rat striated sphincter (SS) and to characterize the motor endplates (MEP).

MATERIAL AND METHODS

The urethras of 30 male and female rats were studied. Two thousand hematein-eosin stained serial sections and 800 sections simultaneously stained for MEPs and nerve endings were studied.

RESULTS

The SMFs of the SS are organized in the urethral wall in four symmetrical bands. MEPs are predominantly found in the cranial third of the SS (22 MEPs per section). Sixty sixteen per cent of MEPs were situated in the lateral regions. Motor units were composed of a maximum of five SMFs.

CONCLUSION

The SMFs of the SS are organized in four symmetrical bands. Myoconnective insertions of SMFs emphasize the importance of the connective tissue in their contractile action. They are innervated by a single MEP, in the same way as skeletal striated muscle fibres. In the SS, MEPs are predominantly located laterally to the right and to the left. The specific organization of motor units suggests an original mechanism of reinforcement of muscle contraction of the SS.

Behavior of human muscle fascicles during shortening and lengthening contractions in vivo

The aim of the present study was to investigate the behavior of human muscle fascicles during dynamic contractions. Eight subjects performed maximal isometric dorsiflexion contractions at six ankle joint angles and maximal isokinetic concentric and eccentric contractions at five angular velocities. Tibialis anterior muscle architecture was measured in vivo by use of B-mode ultrasonography. During maximal isometric contraction, fascicle length was shorter and pennation angle larger compared with values at rest (P < 0.01). During isokinetic concentric contractions from 0 to 4.36 rad/s, fascicle length measured at a constant ankle joint angle increased curvilinearly from 49.5 to 69.7 mm (41%; P < 0.01), whereas pennation angle decreased curvilinearly from 14.8 to 9.8 degrees (34%; P < 0.01). During eccentric muscle actions, fascicles contracted quasi-isometrically, independent of angular velocity. The behavior of muscle fascicles during shortening contractions was believed to reflect the degree of stretch applied to the series elastic component, which decreases with increasing contraction velocity. The quasi-isometric behavior of fascicles during eccentric muscle actions suggests that the series elastic component acts as a mechanical buffer during active lengthening.

The effect of inspired oxygen fraction on peak oxygen uptake during arm exercise

It has been shown that peak oxygen uptake (O(2)peak) during leg exercise is enhanced by an increased inspiratory oxygen fraction ( FiO(2)), indicating that oxygen supply is the limiting factor. Whether oxygen supply is a limiting factor in arm exercise performance is unknown. The purpose of this study, therefore, was to examine the effect of different levels of FiO(2 )on O(2)peak during arm exercise in healthy individuals. Nine men successfully performed three incremental arm-cranking exercise tests with FiO(2)15%, FiO(2)21% and FiO(2)50% applied in counterbalanced order. A significant FiO(2 )dependency was observed for O(2)peak ( p=0.02) and power output ( p=0.03) and post hoc tests revealed a significant difference in O(2)peak between 15 and 50% FiO(2 )( p=0.02), but not between 15 and 21% FiO(2), and 21 and 50% FiO(2). The results of this study show that O(2)peak is enhanced with increasing FiO(2), and suggest that O(2)peak during arm exercise is limited by oxygen supply rather than by the metabolic machinery within the muscle itself.

Chronic exertional compartment syndrome: the controversial "fifth" compartment of the leg

BACKGROUND

The existence of a "fifth" compartment in the leg capable of developing distinct chronic exertional compartment syndrome remains a subject of controversy.

HYPOTHESIS

Specific pressure recordings and dissection will confirm or disprove the existence of a fifth compartment.

STUDY DESIGN

Empirical anatomic study.

METHODS

Radiopaque dye was injected directly into the tibialis posterior muscle of 25 embalmed cadaveric legs while intracompartmental pressure was monitored. Radiographs demonstrated dye distribution, and dissection-documented fascial and epimysial layers.

RESULTS

Evidence was found that the fibular origin of the flexor digitorum longus muscle, when present, could create subcompartments within the deep posterior compartment. The nature of this attachment varied from being absent, to small (<8 cm), to extensive (>8 cm). The attachment partially covered the tibialis posterior muscle in the majority of the 14 legs that developed high pressures, and it was limited or absent in the 11 legs that did not. Radiographs demonstrated that the dye was confined to the tibialis posterior muscle in four legs.

CONCLUSIONS

No consistent fifth compartment exists in the leg; however, subcompartments within the deep posterior compartment created by the fibular origin of the flexor digitorum longus muscle may develop pressures congruent with chronic exertional compartment syndrome.

CLINICAL RELEVANCE

Potential deep posterior subcompartments demand accurate pressure investigation. A modified technique to decompress the entire deep posterior compartment, including the tibialis posterior muscle, is necessary for successful treatment of chronic exertional compartment syndrome.

Adeno-associated virus-mediated bone morphogenetic protein-4 gene therapy for in vivo bone formation

Adeno-associated virus (AAV) is so far the most valuable vehicle for gene therapy because it has no association with immune response and human disease. The present study was conducted to investigate the feasibility of AAV-mediated BMP4 gene transfer for bone formation. In vitro study suggested that AAV-BMP4 vectors could transduce myoblast C2C12 cells and produce osteogenic BMP4. In vivo study demonstrated that new bone formation could be induced by direct injection of AAV-BMP4 into the skeletal muscle of immunocompetent rats. Histological analysis revealed that the newly formed bone was induced through endochondral mechanism. Immunohistochemical staining further demonstrated that AAV-BMP4 gene delivery could mediate long-term transduction, and the involvement of BMP4 expression was responsible for the endochondral ossification. This study is, to our knowledge, the first report in the field of AAV-based BMP gene transfer and should be promising for clinical orthopaedic applications.

The role of mechanical forces on the patterning of the avian feather-bearing skin: A biomechanical analysis of the integumentary musculature in birds

The integumentary musculature of birds consists of three distinct components. The smooth musculature comprises feather and apterial muscles, which form a continuous musculo-elastic layer within the dermis. The feather muscles, which consistently include at least erectors and depressors, interconnect contour feathers within pterylae (i.e., feather tracts) along gridlines that are oriented diagonally to the longitudinal and transverse axes of the body. The apterial muscles interconnect pterylae by attaching to the contour feathers along their peripheries. The striated musculature is composed of individual subcutaneous muscles, most of which attach to contour feathers along the caudal periphery of pterylae A new integrative functional analysis of the integumentary musculature proposes how apterial muscles stabilize the pterylae and modulate the tension of the musculo-elastic layer, and how subcutaneous muscles provide the initial stimulus for erector muscles being able to ruffle the contour feathers within pterylae. It also shows how the arrangement of the contour feathers and integumentary muscles reflects the stresses and strains that act on the avian skin. These mechanical forces are in effect not only in the adult, especially during flight, but may also be active during feather morphogenesis. The avian integument with its complex structural organization may, therefore, represent an excellent model for analyzing the nature of interactions between the environment and genetic material. The predictions of our model are testable, and our study demonstrates the relevance of integrated analyses of complex organs as mechanically coherent systems for evolutionary and developmental biology.

Strong mothers bear more sons in rural Ethiopia

In humans, there is evidence that the physiological cost to the mother of bearing sons is greater than of bearing daughters. Parents should manipulate the sex of offspring born in response to resource availability to maximize their reproductive success. Here, we demonstrate that, within a rural food-stressed community in southern Ethiopia, there is a strong association between the sex of the most recent birth and maternal nutritional status, measured either by body mass index or mid-upper arm muscle area (AMA) (measures of fat and muscle mass). The effect of muscle mass is very marked: those women in the upper 25th percentile of AMA were more than twice as likely to have had a recent male birth than those in the lowest 25th percentile.

[Functional morphology of the elbow joint]

The distribution of the thickness of cartilage as well as of the subchondral mineralization reflects the various stresses on the joint compartments. Both long bones of the lower arm participate in load bearing. The humeroradial and humeroulnar parts of the joint are incongruent. The capitulum humeri is slightly smaller than the corresponding fovea, whereas the radius of the trochlea is bigger than that of the incisura trochlearis. Therefore, the medial compartment can be seen as a dynamic pressure-transmitting system. The collateral ligaments limit the degree of flexion and extension together with the olecranon and coronoid process. In the extreme flexed position the insertion regions of the ligaments at the humeral crests are twisted. This may explain why the corresponding entheses consist of fibrocartilage. Some molecular components of these regions can become targets of autoimmune reactions. The rotational movements are restricted by soft tissues and muscles.

Anatomical characteristics of the upper serratus anterior: cadaver dissection

STUDY DESIGN

A descriptive study of the anatomical characteristics of the upper serratus anterior.

OBJECTIVES

To delineate the upper serratus anterior with comparison to classical descriptions of the anatomy of the muscle as a whole.

BACKGROUND

Although the serratus anterior has a major role in scapulothoracic stability, description of the separate function and anatomy of the upper, middle, and lower portions of the muscle has been limited.

METHODS AND MEASURES

Bilateral anatomical dissection of 8 cadavers (3 female and 5 male) exposed 13 serratus anterior and surrounding structures for review. The number of serrations, attachment sites, length, and girth of the upper serratus anterior were measured.

RESULTS

The upper serratus anterior presented with dual serrations and single serrations in 7 (54%) and 6 (46%) of 13 observations, respectively. Attachments to both first and second ribs were noted in 6 (46%) of the 13 observations. The remaining proximal attachments were to the second rib only, the first rib only, and dual attachments to the second and third ribs. In all cases, cranial attachments were to the superior scapular angle blending with the levator scapulae attachment. Length ranged from 4.8 to 9.0 cm (mean +/- SD, 6.9 +/- 1.2 cm). The girth ranged from 3.0 to 8.5 cm (mean +/- SD, 6.1 +/- 1.5 cm). One or more branches of the long thoracic nerve were observed to consistently innervate the upper serratus anterior fibers.

CONCLUSION

The upper serratus anterior demonstrated wide variation in anatomy and was noted to be distinct in appearance and peripheral innervation from the middle and lower serratus anterior.

Macroscopic study of the functional significance of the forearm muscles in the giant panda

The extensor and flexor group muscles and their related muscles were functional-morphologically observed in the dead body of the giant panda to clarify the action of the forearm and the palm in the manipulation of the species. The Musculus flexor carpi ulnaris had two developed heads, however, we can conclude that the contraction of this muscle slightly changes the angle of the accessory carpal bone to the ulna. The data pointed out that the accessory carpal bone acts as a supporting post, when the giant panda seizes the object. The M. abductor digiti I longus possessed the well-developed origin in both ulna and radius. These findings suggest that this muscle may function as a supinator of the forearm. We also suggest that the well-developed M. pronator quadratus and M. pronator teres, and the proximal part of the M. abductor digiti I longus and the M. supinator may efficiently contribute to the pronator-spinator action of the forearm, when the giant panda brings the food to its mouth using the manipulation system equipped in the palm region.

Accuracy and repeatability of beef carcass longissimus muscle area measurements

This study was conducted to determine the accuracy and repeatability of beef carcass longissimus muscle area (LMA) measurements obtained by three different methods. Longissimus muscle area for beef carcass sides (n = 100) randomly selected in a commercial packing plant was determined: 1) independently by three USDA grading supervisor "experts" using the grid method to obtain triplicate measurements of the same longissimus muscle (LM); 2) by three different Colorado State University personnel tracing the LMA on acetate paper and subsequently measuring the area via a polar planimeter three different times (total of 3 x 3 = 9 observations/LM); and 3) by use of two identical video image analysis (VIA) instruments making triplicate measurements for each LM using three different procedures. Video image analysis Procedure 1 required that LMA be measured by placing the camera head unit over the LM and collecting three sequential images without moving the camera head unit while carcasses were in a stationary position; Procedure 2 required measurement of LMA by placing the camera head unit over the LM and collecting three images, but removing and repositioning the camera head unit between collection of each image while carcasses were in a stationary position; and Procedure 3 required that LMA be measured by placing the camera head unit over the LM and obtaining an image while carcasses were in continuous motion (chain speed of 360 carcasses/ h) during three different circulations past the grading stand. Overall, VIA-derived LMA measurements were highly accurate for all three procedures compared with expert-gridded (R2 = 0.92, 0.90, and 0.84 for Procedures 1, 2, and 3, respectively) and acetate/planimeter-traced (R2 = 0.94, 0.93, and 0.86 for Procedures 1, 2, and 3, respectively) LMA measurements. Instrument LMA repeatability also was comparable to expert-gridded and acetate/planimeter-traced LMA repeatability, as the means of the absolute differences between individual measurements and the average of those same measurements per LM were 1.29, 1.35, 0.52, 0.84, and 1.87 cm2 for expert-gridded, acetate/planimeter-traced, and VIA Procedures 1, 2, and 3, respectively. Therefore, VIA instrumentation can be used to assess beef carcass LMA in both a stationary and operational scenario with high levels of accuracy and repeatability.

Regional variations in fibre growth dynamics of myotomal and caudal fin muscles in relation to body size of a freshwater teleost, Barbus sarana (Cuv. & Val.)

The growth of red fibres in anterior and middle myotomal regions of B. sarana was mainly by hyperplasia in smaller size classes. In higher size classes, growth by hyperplasia was greater in posterior myotomal region compared to the other two myotomal regions. The growth of pink fibres in anterior myotomal regions was mainly by hypertrophy. The middle and posterior myotomal regions showed fibre growth by hyperplasia. The growth dynamics of white fibres revealed more or less similar pattern in all three myotomal regions against the somatic development. White fibres grew by hyperplasia up to 8 cm F.L. size classes and thereafter by hypertrophy. However, in > 12 cm F.L. size classes, the mean diameter of white fibres did not increase significantly. Similar pattern of growth was found in the white fibres of caudal fin muscle. It is interesting to note that the hyperplasia was mostly completed in the white fibres of the smallest fish studies, whereas, it continued to quite larger fish size in red and pink fibres. Thus, hyperplasia and hypertrophy may be responsible for growth in all fibre types in all myotomal regions in relation to somatic development in this small and medium growing species.

Femoral muscle attachment locations in children and adults, and their prediction from clinical measurement

Accurate representation of children's musculo-skeletal anatomy is becoming increasingly important to biomechanical techniques such as gait analysis. This study used magnetic resonance imaging to examine the locations of the femoral insertions of the psoas, vastus medialis and gastrocnemius muscles in five adults and 17 children (including 7 children with cerebral palsy). The relationship of muscle attachment locations with age and bone geometry was then determined. Scaling techniques and external measurements of parameters such as femoral anteversion/antetorsion were shown to have potential for prediction of the locations of femoral muscle attachment points. It was shown that femoral anteversion can be modelled geometrically as occurring proximal to the lesser trochanter.

Body composition changes in stable-weight elderly subjects: the effect of sex

BACKGROUND AND AIMS

Although cross-sectional and longitudinal studies have shown age-related changes in body composition and fat distribution, they may be related to body weight changes. The aim of this study was to evaluate yearly age-related changes in body composition and fat distribution, over a two-year period, in 101 women and 60 men (age range: 68 to 78 years at baseline).

METHODS

Body composition was evaluated by dual energy X-ray absorptiometry (DXA), and fat distribution by waist and hip circumferences and waist-to-hip circumference ratio. Baseline free testosterone, IGF-1 and serum albumin were evaluated in all subjects, as well as physical activity. Clinical evaluation was performed at baseline and yearly in order to exclude subjects with any condition inducing pathological changes in body composition or fat distribution. Subjects with a weight change > 5% of their baseline body weight during the study period, were excluded.

RESULTS

Significant increases occurred in Body Mass Index (BMI) (1.18% in women, 1.13% in men), waist (1.75% in women, 1.39% in men), and hip circumference (1.06% in women, 1.31% in men), whereas height decreased significantly in both men (0.42%) and women (0.55%). Significant increases in total body fat (1.31%) and percent body fat (1.27%) were observed in women but not in men. Lean body mass did not change significantly throughout the study in either sex. Significant losses in leg muscle mass and appendicular skeletal muscle mass (ASM), calculated as the sum of arm and leg fat-free soft tissue, were observed in men (respectively 3.56 and 2.77%) and women (respectively 2.41 and 1.59%). A significant decrease in ASM adjusted by stature (ASM/height2), a proposed proxy for sarcopenia, was found in men only (1.97%). The rates of loss in leg muscle mass and appendicular muscle mass were significantly higher in men than in women, even after adjusting for free testosterone, IGF-1, physical activity and serum albumin.

CONCLUSIONS

These data demonstrate significant changes in body composition and fat distribution in independently living, weight-stable elderly men and women. These changes are dependent on sex and independent of physical activity, hormones or serum albumin.

Morphogenesis of blood vessels in the head muscles of avian embryo: spatial, temporal, and VEGF expression analyses

Adult skeletal muscle is a highly vascularized tissue, but the development of intramuscular endothelial networks has not been well studied. In quail embryos, QH1-positive angioblasts are present and moving throughout myogenic head mesoderm before the onset of primary myotube formation. On day 5 of incubation, concurrent with early myotube formation and aggregation, angioblasts establish a transient vascular plexus surrounding the myogenic condensations. Between days 5 and 9, the intramuscular vessels form an irregular network of endothelial cords and patent channels and only later are the parallel arrays of capillaries characteristic of adult muscles established. Microinjections using India ink, QH1, and Mercox resin reveal that these intramuscular capillaries are typically not connected to systemic vessels of the head until day 10, which is near the end of primary myogenesis and corresponds to the onset of muscular function. Morphometric analyses performed during primary myogenesis stages show a decrease in muscle cell density but no significant changes in intramuscular vascular density between days 5 and 9. This finding was surprising, as it is generally assumed that muscle growth requires elevated oxygen and nutrient levels. Moreover, there are no significant morphometric differences in vascular supply to embryonic fast and slow muscles. Endothelial tissue density is similar in slow muscles (oculorotatory, e.g., lateral rectus), fast muscles (mandibular depressor), and mixed muscles, in which the fiber types can be interspersed (jaw adductors) or segregated (branchiomandibular). Vascular endothelial growth factor (VEGF) protein is abundant in myotubes but not endothelial cells within both fast and slow head muscles at days 7 and 9. However, in some mixed muscles, only a minority of myotubes, which do not correspond to one specific fiber type, express VEGF. These results document a dynamic set of intramuscular and perimuscular angiogenic reorganizations during avian head myogenesis. Thus far, no vasculogenic distinctions between fast and slow muscles have been observed, although muscle heterogeneity in VEGF expression is evident.

The distal semimembranosus complex: normal MR anatomy, variants, biomechanics and pathology

OBJECTIVE

To describe the normal MR anatomy and variations of the distal semimembranosus tendinous arms and the posterior oblique ligament as seen in the three orthogonal planes, to review the biomechanics of this complex and to illustrate pathologic examples.

RESULTS AND CONCLUSION

The distal semimembranosus tendon divides into five tendinous arms named the anterior, direct, capsular, inferior and the oblique popliteal ligament. These arms intertwine with the branches of the posterior oblique ligament in the posterior medial aspect of the knee, providing stability. This tendon-ligamentous complex also acts synergistically with the popliteus muscle and actively pulls the posterior horn of the medial meniscus during knee flexion. Pathologic conditions involving this complex include complete and partial tears, insertional tendinosis, avulsion fractures and bursitis.

The free deltoid flap: microscopic anatomy studies and clinical application to oral cavity reconstruction

The deltoid free flap is a fasciocutaneous flap that should be thin, hairless, of an adequate size, and capable of sensory reinnervation. Because of its excellent color-matching and texture-matching characteristics, it has recently been widely used for the reconstruction of soft-tissue defects during oral and maxillofacial surgery. Furthermore, a characteristic of oral and maxillofacial soft-tissue defects is that they are not large; therefore, flap size will be small, allowing the donor site to be directly closed. Because of natural variation in parts of the anatomy, there has sometimes been great difficulty in clinical application. The authors decided to study this by performing anatomical studies of the deltoid region on 21 cadavers. The result indicates that the pedicle of the deltoid free flap penetrates the "quadrangular space" in 90 percent of cases but passes and does not penetrate the quadrangular space in the remaining cases. The authors also confirmed that the skin has a vascular network comprising five layers and, furthermore, that the vascular network of the deep fascia is dense. The authors also report six cases of its clinical use complicated by anatomic variation and local infection in which the deltoid flap showed a completely successful outcome.

Familial resemblance for muscle phenotypes in the HERITAGE Family Study

INTRODUCTION/PURPOSE

We hypothesized that skeletal muscle histological and biochemical phenotypes aggregate within families.

METHODS

Nineteen families (78 Caucasians) from the HERITAGE Family Study participated in the study. Proportions and areas of Type I, IIA, and IIX muscle fibers, capillary density, and maximal enzyme activities were determined in biopsy samples from the vastus lateralis obtained in the sedentary state and after a 20-wk endurance-training program.

RESULTS

In the sedentary state, there was evidence for familial resemblance for Type I fiber area (P = 0.007), number of capillaries around Type I and Type IIA fibers (P = 0.04), and Type I and IIA fiber areas per capillary (P = 0.01 and P = 0.04, respectively). Significant familial aggregation (0.05>P > 0.0001) was observed for maximal activities of enzymes of the energy production pathways. With regard to the training response, significant familial aggregation (0.05 > P < 0.0001) was observed for maximal activities of enzymes of the energy production pathways.

CONCLUSION

These data provide evidence of familial aggregation for enzyme activities of the main energy metabolism pathways of the skeletal muscle in the sedentary state and in response to regular exercise.

Heritability of body length and measures of body density and their relationship to backfat thickness and loin muscle area in swine

The objective of this study was to estimate heritability for body length (LEN) at the end of performance testing and to estimate genetic correlations with backfat (BF) thickness and loin muscle area (LMA) in Landrace, Yorkshire, Duroc, and Hampshire breeds of swine. Also examined were two measures of body density involving body length and weight and their relationships to backfat and loin muscle area. Data consisted of performance test records collected in a commercial swine operation from 1992 to 1999. Boars from 60% of the litters were culled at weaning based on a maternal breeding value of the dam. Remaining boars and all females were grown to 100 d of age (15,594, 55,497, 12,267, and 9,782 Landrace, Yorkshire, Duroc, and Hampshire pigs, respectively). At this time, all pigs were weighed (WT100) and selected for performance testing based on a combination of maternal and performance indexes, which differed by breed. All pigs were weighed at the end of the 77 d performance test (WT177) when BF, LMA, and LEN were measured. Two measures of body density involving length were calculated: Body mass index (BMI) = WT177/LEN2 and body density (DENSITY) = WT177/LEN. For each breed, genetic parameters were estimated using an animal model with random litter effects and multiple-trait REML procedures. A series of three-trait models including WT100 and combinations of two other traits in each analysis was conducted. Fixed effects included contemporary group and age as a covariate. Average estimates of heritability were 0.16 to 0.32 for LEN (unadjusted for WT177), 0.12 to 0.26 for LEN (adjusted for WT177), 0.23 to 0.33 for DENSITY, and 0.16 to 0.25 for BMI. Genetic correlations between LEN and LMA were low. Genetic correlations between LEN (unadjusted for WT177) and BF were 0.10 to 0.41. Adjusting LEN for WT177 gave correlations of 0.11 for Landrace and Hampshire and negative correlations (-0.06 and -0.19, respectively) for Yorkshire and Duroc. Genetic correlations between LMA and DENSITY and between LMA and BMI were comparable and ranged from 0.44 to 0.54. Genetic correlations between BF and DENSITY were slightly higher (0.53 to 0.68) than those between BF and BMI (0.37 to 0.67). In these data, not much relationship between BF and body length at a constant weight and age was found. There was a negative relationship between LMA and LEN at a constant weight and age, implying that longer pigs had smaller LMA.