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Hypothenar hammer syndrome is typically described as a chronic repetitive injury to the ulnar artery at the level of hamulus of hamate and shows certain occupational predilection. Our case is an occupationally predisposed patient who had two aneurysm formations from the superficial palmar branch of ulnar artery and the digital branch, respectively, diagnosed and treated surgically. We call it an atypical hypothenar hammer syndrome as the arterial involvement was not typically at the level of hamate bone and only corresponded to the site of recurrent friction. This article also discusses the role of imaging and treatment options.

INTRODUCTION Parasites of the genus Gyrodactylus von Nordmann, 1832, are predominantly parasites of freshwater and marine bony fishes. To date, 40 species of the genus have been described from Africa, with only 6 of these reported from South Africa. This represents only a small fraction of the known diversity of almost 500 species known worldwide. METHODS In total, 43 of Straighhfin barb, Enteromius paludinosus were collected from Barberspan Bird Sanctuary, North West Province, South Africa. Monogenean parasites were isolated from the fins and fixed on microscope slides in ammonium picrate glycerine. Morphometric evaluation of opisthaptoral hard parts confirmed the identity of these specimens as a new species. RESULTS The description of Gyrodactylus paludinosus sp. nov. is presented. The new species has well-developed, slightly curved superficial inner roots and well-developed rectangular-like ventral bar membrane. Despite the small differences between the hamuli size, it can be distinguished from its congeners, G. kyogae and G. ivindoensis, the only species known from small African barbs, by the shape of ventral bars and marginal hook sickle propers. CONCLUSION The description of Gyrodactylus paludinosus n. sp. increases the total number of Gyrodactylus spp. known from African cyprinid fish to three. Undoubtedly, more attention should be given to studies on small barbs as potential hosts for new species.

Objective Palatoplasty would involve the structures around the pterygoid hamulus. However, clinicians hold different opinions on the optimal approach for the muscles and palatine aponeurosis around the pterygoid hamulus. The absence of a consensus regarding this point can be attributed to the lack of investigations on the exact anatomy of this region. Therefore, we used micro-computed tomography to examine the anatomical structure of the region surrounding the pterygoid hamulus. Design Cadaveric specimens were stained with iodine–potassium iodide and scanned by micro-computed tomography to study the structures of the tissues, particularly the muscle fibers. We imported Digital Imaging and Communications in Medicine images to Mimics to reconstruct a 3-dimensional model and simplified the model. Results Three muscles were present around the pterygoid hamulus, namely the palatopharyngeus (PP), superior constrictor (SC), and tensor veli palatini (TVP). The hamulus connects these muscles as a key pivot. The TVP extended to the palatine aponeurosis, which bypassed the pterygoid hamulus, and linked the PP and SC. Some muscle fibers of the SC originated from the hamulus, the aponeurosis of which was wrapped around the hamulus. There was a distinct gap between the pterygoid hamulus and the palatine aponeurosis. This formed a pulley-like structure around the pterygoid hamulus. Conclusions Transection or fracture of the palatine aponeurosis or pterygoid hamulus, respectively, may have detrimental effects on the muscles around the pterygoid hamulus, which play essential roles in the velopharyngeal function and middle ear ventilation. Currently, cleft palate repair has limited treatment options with proven successful outcomes.

Gyrodactylus molweni sp. n. is described from the body surface and fins of the South African mullet, Chelon richardsonii (Smith, 1846) collected from Table Bay Harbour, Cape Town and is compared to five other Gyrodactylus species described from grey mullets globally namely G. zhukovi Ling, 1963 and G. mugili Zhukov, 1970 from Planiliza haematocheila (Temminck and Schlegel, 1845); G. mugelus Rawson, 1973 from Mugil cephalus L.; G. curemae Conroy and Conroy, 1985 from Mugil curema Valenciennes, 1836 and G. xiamenensis Zang,Yang and Liu, 2001 from Planiliza macrolepis (Smith, 1846). Morphologically, G. molweni sp. n. has prominent ventral bar processes that near cover the hamulus roots, marginal sickles with large rhomboid heels, slender shafts and fine points that extend beyond the sickle toes. Gyrodactylus molweni sp. n. can, however, be readily differentiated: G. mugili and G. xiamenensis have ventral bars with small ventral processes; G. zhukovi has marginal hooks sickles with slender shafts and proportionately short points and open-faced blades; G. mugelus possesses marginal hook sickles with deep, rounded heels, forward slanting shafts and an angular, square line to the inner face of the blades. Although the length of the marginal hooks of G. curemae are similar to G. molweni sp. n., their hamuli are double the size. A GenBank BlastN search with the 931 bp sequence covering ITS1, 5.8S and ITS2 gave no close hits; the nearest species for which sequences are available is G. nipponensis Ogawa and Egusa, 1978 (identity 96.56%, 899/931 bp). The proposal of G. molweni sp. n. as a new species, therefore, is well supported by both the molecular and morphological analyses presented herein. This Gyrodactylus species is the first to be described from C. richardsonii and only the second Gyrodactylus species to be described from the marine environment off the African continent.

The hamulus pterygoid consists in a relevant anatomical structure, important for fixation of several tendons and muscles, keeping the integrity of soft palate and pharynx. A literature review was conducted in order to investigate the morphology and effect of hamulus pterygoid fracture in clinical manifestation and its relationships with other orofacial components. A literature search was conducted, using Pubmed and Bireme data bases, and covering the time period 1970 to 2019. The Key words for the research were hamulus pterygoid, pterygoid fracture and hamulus pterygoid fracture, resulting in 440 articles, being 41 initials selected. Among them, just 31 were included in the analysis and 08 of the articles were not available through our library system or were in volumes before our holdings began. The remaining were excluded when they weren’t in English idiom, or when didn’t talk about morphological, functional or damages in the hamulus pterygoid. In this context, it may be observed a scarce number of works about the hamulus pterygoid, with doubts in relation to its morphology and functional aspects and how diagnostic its lesions and consequences.

Although Madagascar has more than 350 frog species of which all but two are endemic to the island, the known polystome (Monogenea: Polystomatidae) diversity parasitizing Malagasy frogs is low, encompassing five species of Madapolystoma, one species of Kankana and one Metapolystoma. Investigating the parasite diversity of frog parasites at selected Malagasy localities led to the discovery of undescribed polystomes. Five treefrogs, Boophis albilabris, Boophis doulioti, Boophis luteus, Boophis madagascariensis and Boophis occidentalis were found to be infected and are reported here as hosts for new Metapolystoma species. Morphological investigation, combining examination of body length, haptor length, genital bulb width, genital crown diameter, genital spine number, genital spine length, ovary length, egg length, hamulus length, hamulus guard length and hamulus hook length, revealed five distinct morphotypes. Phylogenetic analysis and genetic divergences obtained for three of the five morphotypes, support the distinction of new species. Metapolystoma ansuanum n. sp. is described from B. luteus, Metapolystoma falcatum n. sp. from B. doulioti, Metapolystoma multiova n. sp. from B. occidentalis, Metapolystoma theroni n. sp. from B. madagascareniensis and Metapolystoma vencesi n. sp. from B. albilabris. Finally, although the validity of Metapolystoma as taxon is not fully resolved yet, the phylogenetic position of the described species and their morphology provide clear evidence for new metapolystome taxa., Graphical abstract Image 1

Highlights • Pterygoid hamulus elongation syndrome is an extremely rare condition, existed around in 1% of humanity. • Pain in the soft palate and pharynx can originate from numerous related pathological or anatomical structures. • The diagnosis of hamular elongation should be based on the detailed history, clinical examination, and correlation with radiographic imaging. • Management of hamular elongation is preferably to be done with surgical resection, and the conservative solution should be used in limited circumstances., Introduction Pain in the soft palate and pharynx can originate from numerous related anatomical structures. Therefore, the diagnosis of patients who complain of pain in these areas is also difficult and challenging. One of the anatomic disorders that causes pain and discomfort in this region is pterygoid hamulus elongation syndrome. Presentation of case We report a rare case of pterygoid hamulus elongation with persistent sharp localized pain in the hamular region radiating to the temporal area for four years that was treated successfully by surgical resection of elongated hamulus. Discussion Pterygoid Hamulus elongation syndrome is a unique disease presenting many symptoms in the palatal and pharyngeal areas. May caused by injury, infection, or a pre-existing condition. The diagnosis of hamular elongation should be based on detailed history, clinical examination, and correlation with radiographic imaging. Conclusion Due to the rarity, PHE syndrome should be diagnosed accurately. Management of hamular elongation is either surgical or conservative but resection of the pterygoid hamulus is usually preferred.

Polystoma chaochiaoensis from the urinary bladder of the chaochiao frog Rana chaochiaoensis Liu was briefly described in a symposium abstract and presented at the Third Symposium on Parasitology of China in 1990. Types were not assigned and the original specimens collected are no longer available. The morphological description was incomplete and no illustrations were provided. We consider Polystoma chaochiaoensis a nomen nudum and provide a full description for the species and assign types. Based on morphological characteristics and molecular data of partial 18S rDNA sequences, we describe this species as Polystoma luohetong n. sp. Out of 578 frogs examined, 16 male and 38 female frogs were infected (prevalence 9.3%; mean intensity 1.02). Polystoma luohetong n. sp. is distinguished from all other Polystoma species by the presense of a prominent crest on the hamulus as well as by the shape and size of marginal hooklets and the intestinal arrangement. Furthermore, the phylogentic analysis based on the 18S rRNA gene shows Polystoma luohetong n. sp. well nested within the Ploystoma clade and as a sister taxon to Polystoma integerrimum.

Introduction - Monogeneans of the genus Gyrodactylus were found on the gills of specimens of the bigeye sculpin Triglops nybelini Jensen, 1944 caught by trawl in the Barents Sea in January–February 2016. Methods - Morphological preparations of the parasites were examined and photographed under a microscope at magnifcations of×100–1000 and morphometric analyses were carried out on 22 specimens using ImageJ2 software. Eight of the specimens used for the morphological comparisons were also subjected to molecular analyses by sequencing a region of the ribosomal DNA spanning partial 18S, the internal transcribed spacers 1 and 2 (ITS1 and 2), 5.8S and partial 28S and comparing this with other species through a BlastN-search in GenBank and through phylogenetic analyses. Results - The morphology of the species from T. nybelini was markedly diferent to that of any of other species of Gyrodactylus. It is characterized by having relatively long hamulus roots, a character that it shares with two other species described from marine sculpins (Cottidae); G. armatus and G. maculosi. It also has a narrow rectangular ventral bar membrane with a posterior notch which it shares with G. maculosi only. Compared with all the seven species from marine Cottidae described so far, it has the smallest opisthaptoral hard parts. A comparison of the internal transcribed spacer (ITS) rDNA sequence with available sequences in GenBank and a phylogenetic analyses also showed it to be highly divergent from other sequences. Therefore, a new species is proposed, Gyrodactylus triglopsi n. sp. Conclusion - Both the morphological and molecular analyses support the status of G. triglopsi as a new species. This is to our knowledge the frst species of Gyrodactylus described from Triglops nybelini and the description extends the list of Gyrodactylus species found on fsh in the Barents Sea to 17.

Objective There have been few studies on the anatomy of palatine aponeurosis (PA). Herein, we elucidated the relationship between the PA and soft palate muscles and pharyngeal muscles. Design Two cadaveric specimens were dissected to observe the gross anatomy of the PA. Six cadaveric specimens were processed and scanned by micro-computed tomography to determine the elaborate anatomy. Images were exported to Mimics software to reconstruct a three-dimensional model. Results The PA covered the anterior (32.1%-38.8%) of the soft palate, extending from the tensor veli palatini (TVP) and connecting to 3 muscles: palatopharyngeus (PP), uvula muscle, and superior pharyngeal constrictor (SC). The SC and PP are attached to the PA on the medial side of the pterygoid hamulus. SC muscle fibers were attached to the hamulus, forming a distinct gap between the hamulus. Some muscle fibers of the PP and uvula originated from the PA. The PA extended from the TVP to the midline and the posterior edge of the hard palate. The PA was not uniformly distributed, which was complementary to the attached muscles in thickness. Conclusions PA, as a flexible fibrous membrane, maintains the shape of the soft palate. It extends from the TVP and covers anteriorly about one-third of the soft palate. The PA provides a platform for the soft palate muscles and pharyngeal muscles, connecting to the PP, uvula muscle, and SC. These muscles are important for palatopharyngeal closure and middle-ear function. It is necessary to minimize the damage to the PA during surgical interventions.

The African continent has a rich diversity of fish and amphibians in its inland water systems that serve as hosts for monogeneans of seven genera of the Gyrodactylidae van Beneden et Hesse, 1832. In August 2011, eight gyrodactylid parasites were collected from the gills of two specimens of bulldog, Marcusenius macrolepidotus (Peters), from Lake Kariba, Zimbabwe. Morphometric evaluation and sequencing of 18S rDNA confirmed that the specimens represented a species of a new viviparous genus, Tresuncinidactylus wilmienae gen. et sp. n. The attachment apparatus consists of a single pair of large slender hamuli with prominently flattened roots that are connected by a simple, narrow dorsal bar. The ventral bar is small and possesses a thin lingulate membrane but no evident anterolateral processes. There are 16 marginal hooks of one morphological type, but of three different sizes, with large falculate sickles that are proportionaly equal in length to the length of their handles. The two largest pairs of marginal hooks are positioned closest to the opisthaptoral peduncle, the neighbouring two pairs of medium-sized marginal hook sickles are situated along the lateral margins of the opisthaptor. Four pairs of smallest marginal hooks are positioned along the posterior margin of the opisthaptor. The male copulatory organ consists of a muscular pouch armed with approximately 30 gracile spines. Phylogenetic analyses of partial sequences of the 18S rDNA using Maximum Likelihood and Bayesian Inference placed the new genus within the lineage of solely African genera and suggests Afrogyrodactylus Paperna, 1968, Citharodactylus Přikrylová, Shinn et Paladini, 2017 and Mormyrogyrodactylus Luus-Powell, Mashego et Khalil, 2003 as genera most closely related to the new genus.

Many anatomical factors are known to cause obstructive sleep apnea syndrome (OSAS), but only few studies have examined the relationship between the morphology of pterygoid hamulus (PH), upper airway, and OSAS severity. This study aimed to investigate the relationship between the severity of OSAS and PH morphology and other anatomical variations of the upper airway. The data of the patients who underwent polysomnography and diagnosed with OSAS were retrospectively reviewed, and those who underwent paranasal sinus computed tomography were determined. The patients were divided into three groups according to the apnea–hypopnea index (AHI) scores obtained from the polysomnography (mild, moderate, and severe). The relationship between PH thickness, length and interpterygoid distance, and the severity of AHI was investigated. Seventy-four patients were included in the study. In patients with severe OSAS (1.83 ± 0.29 mm), the PH bone thickness was significantly thicker compared to those with mild OSAS (1.59 ± 0.36 mm) (p = 0.03). When the interpterygoid distance and its ratio to the velopharyngeal length were examined, it was found significantly shorter in patients with severe OSAS than mild cases (p

The gills of Red River Pupfish (Cyprinodon rubrofluviatilis) collected from Kansas and Texas, U.S.A., were found to be infected with three monogenoideans, Fundulotrema prolongis, Gyrodactylus rubrofluviatilae n. sp., and a species of Salsuginus. Gyrodactylus rubrofluviatilae n. sp. appears to be a member of a group of six closely related species possessing hamuli with mesially folded roots and a linguiform ventral bar shield, and parasitizing closely related species of Cyprinodon of the North American Gulf Coast and inland waters of the Southwestern United States and northern Mexico. Gyrodactylus rubrofluviatilae n. sp. differs from its close congeners in the morphology of the hamuli, ventral bar, ventral bar shield, and marginal hooks. Because the morphology of the male copulatory complex was not determined of what we believe will eventually be a new species of Salsuginus, a species description is deferred. This is the first report of any parasite from this host. Many North American species currently recognized within the Cyprinodontiformes have not yet been surveyed for species of Fundulotrema, Gyrodactylus, or Salsuginus. This, coupled with the high host specificity generally recognized for these monogeneans, portends there are likely additional new species yet to be discovered. When possible, to help augment morphological data, further studies should employ comprehensive intra- and interspecies molecular analyses to help resolve host–parasite phylogenies.

Monogenea is a class constituting the ectoparasitic flukes mainly on skin and gills of fish, with greater diversity of species worldwide. In the present study, four different species of monogenean parasites were recorded; they were isolated from gills of four freshwater fish species captured from locations along the River Nile, Qena governorate, Egypt. These were Cichlidogyrus aegypticus from Oreochromis niloticus (93.33, 28/30); Protoancylodiscoides malapteruri from Malapterurus electricus (90%, 18/ 20). Quadricanthus bagrae from Bagrus bajad (30%, 15/ 50), and Ancyrocephalus sp. from Mormyrus kannume (75%, 30/ 40). The recovered parasites were described by light microscopy, where the different sclerotized parts of the haptor and copulatory organs were used as key of identification of each species. C. aegypticus can be differentiated by the presence of haptor with two pairs of strongly developed anchors, two long projections of the complex bar and a narrow copulatory tube with a wide basal funnel. P. malapteruri was characterized by the presence of broad haptor with two large dorsal and two small ventral hamuli. Ancyrocephalus sp. was characterized by a haptor which was not clearly demarcated from the anterior body with ventral and dorsal anchors similar in shape. Quadriacanthus bagrae was discriminated by possessing a complex bar with long projection at the center and two long ends, the dorsal and ventral anchors were without distinct roots. The present study represented new locality records for these species off the River Nile, Qena governorate, Egypt.

Monogeneans rely on firm attachment to often flexible and uneven surfaces and are renowned for their effective posterior attachment structures in the form of adhesives, clamps, hamuli and suckers. Polystomatids do not secrete adhesives and do not have clamps. While only some have hamuli, all have suckers in the adult form. Three different types of haptoral suckers have been described based on basic morphology but have never been studied in depth. Using enzyme digestion and light (differential interference contrast), confocal and scanning electron microscopy, we examined representatives and propose four sucker types. Haptoral sucker Type I are symmetrical soft, flexible, cup- to disk-shaped suckers and are found in all polystomes infecting frogs and salamanders. Type II suckers are symmetrical soft, flexible, cup-shaped suckers with a hollow continuous skeletal ring and no other skeletal elements. They are found in species of Nanopolystoma Du Preez, Wilkinson et Huyse, 2008 infecting caecilians. Type III suckers are symmetrical firm, cup-shaped suckers with elaborate skeletal elements that contribute to a secure grip on the host tissue. This type of sucker is found in all polystomes infecting freshwater turtles and the common hippopotamus. Type IV suckers are asymmetrical with an elaborate series of long, thin sclerites with terminal spines or hooks. This type of sucker is only known from Concinnocotyla australensis (Reichenbach-Klinke, 1966) infecting the Australian lungfish. These different sucker types are crucial for the survival of polystomatid flatworms within their respective microhabitats.

SENCAN, Ziya/0000-0002-0936-5108; Comert, Ayhan/0000-0002-9309-838X WOS: 000523104000003 PubMed: 32242262 Purpose The purpose of this study is to evaluate the effect of the different surgical techniques of expansion sphincter pharyngoplasty (ESP) on the dimensions of the oropharyngeal airway. Methods The techniques that were evaluated included the preservation and transection of the palatopharyngeus (PP) and superior pharyngeal constrictor (SPC) muscle attachment and transposition of the PP muscle to the hamulus of the medial pterygoid plate and the palatal musculature. Surgical techniques were applied in twenty half heads. Results The preservation of the PP-SPC attachment inhibited the transposition of the PP muscle to the hamulus and resulted in comparable enlargement in the medial-lateral dimension in the oropharyngeal airway when the PP muscle was transposed to the palatal musculature. After transection of the PP-SPC attachment, significant enlargement was observed in anterior-posterior and medial-lateral directions in the oropharyngeal airway when the PP muscle was transposed both to the hamulus and the palatal musculature. The distances measured after both the transposition techniques were similar. Conclusion The present study is a basic study demonstrating how different techniques of ESP affect the position of the soft palate. The PP-SPC attachment can be transected in the patients with anterior-posterior palatal and lateral wall collapse to pull the soft palate anteriorly in addition to prevent the lateral wall collapse. The PP-SPC attachment can be preserved in the patients with only lateral wall collapse. Nevertheless, the clinical consequences of these static changes need to be evaluated in clinical studies.

Hymenoptera are characterised by the presence of one forewing pair and one hindwing pair. The two wings of each body side are coupled to each other during flight making the morphologically four-winged insects functionally two-winged. This coupling is formed by a row of hook-like structures, called hamuli, that are located at the leading edge of the hindwing and interlock with a thickened and recurved margin present at the trailing edge of the forewing. In this study, autofluorescence analyses performed with confocal laser scanning microscopy revealed differences in the exoskeleton material composition of the interlocking structures. While the wing veins and the recurved margin are strongly sclerotised and chitinous, the wing membranes mainly contain the elastomeric protein resilin. The hamuli are composed of sclerotised chitinous material, and each hamulus base is surrounded by and embedded in material that features large proportions of resilin and is located in strongly sclerotised socket-like wing vein structures. This exoskeleton organisation likely allows movements of the hamuli and, in combination with the exoskeleton material gradients visualized in the other interlocking structures, is assumed to guarantee an effective wing coupling and to simultaneously decrease the risk of wear and damage under mechanical loads occurring in flight, coupling and decoupling situations.

Background. A straightforward clinical reasoning is always difficult in patients with persistent orofacial pain with vague symptoms. Craniofacial pain or orofacial pain can have a mixture of causes ranging from neurogenic, myogenic, and psychogenic factors intertwined amidst the intricate anatomy with a high vascular network. This plethora of uncertainty blurs the judgment for such patients to whom we provide care. We hereby present a case of a 17 year old female with vague pain on talking, chewing and even swallowing when initially examined; this chronic orofacial pain often worsened her quality of life. The aim of this manuscript is to present a case of Pterygoid Hamulus syndrome that was misdiagnosed as glossopharyngeal and myofascial neuralgia. Methods. The condition was managed by surgical excision of the elongated pterygoid hamulus, following a recurrence of her symptoms. Results. The patient was relieved of pain only after the surgical excision of the elongated hamulus. Conclusions. The surgery was decided upon only after conservative management had not provided much relief and the manuscript also discusses the ambiguous composite pain referral pattern in Pterygoid Hamulus syndrome.

The present study represents the first detailed description of the haptoral sclerites of Macrogyrodactylus clarii Gussev 1961. Light microscopy reveals outgrowths of the hamuli roots; two lateral spine-like extensions of the hood-like accessory sclerites; a ridged, fan-shaped distal end of an accessory sclerite; and two thread-like accessory sclerites with biforked ends associated with the pointed hooked region of each hamulus. Transmission electron microscopy (TEM) reveals the presence of parallel tubules in the root of the hamuli and structural differences along the length of the hamulus including the root, shaft, and pointed hooked region. The root consists of two layers, the shaft four layers and pointed hooked region only one layer with dense outer serrations. Characteristic features of the hamulus root are the presence of longitudinally orientated parallel tubules in its central core and parallel electron-dense ridges in the outer layer of its middle region; features not observed in either the shaft or the pointed hooked region. Each hamulus blade of M. clarii is associated with haptoral gland cells producing electron-dense secretory bodies. The 16 marginal hooklets each consist of a blade (sickle) articulating with a handle at the guard region and a domus. TEM revealed structural differences between the handle, the blade at the articulation region, and the distal hooked region. The domus, a filamentous thread-like sclerite at the light microscope level, consists of two electron-dense, fibrous thickenings connected to each other by a cytoplasmic process. Each marginal hooklet is associated with a small cavity and a large reservoir of homogeneous particles and secretory bodies. The possible functions of these structures are discussed in relation to equivalent features in other monogeneans.

Insects thrived soon after they acquired the ability to fly. Beyond the reach of the non-flying competitors, flying insects colonized a wide variety of habitats. Although flight is an efficient way to disperse and escape predators, it is energetically costly. Hence, various strategies are served to enhance flight efficiency as much as possible. A striking example is the development of wing-to-wing coupling mechanisms in many neopterous insects to minimize the aerodynamic interference of fore and hind wings. However, it remains unclear how the seemingly delicate coupling mechanisms can withstand excessive mechanical stresses encountered during flight. Here we studied the complicated coupling mechanism of drone honey bees, which consists of a set of tiny hooks and a thickened membrane. We found that the durability of the coupling mechanism results from two complementary strategies. First, the angles at which hooks and membrane are coupled and uncoupled may be adjusted, so that the resulting stresses are minimized. Second, the out-of-plane structure, soft base and pronounced tip reduce the stress developed in the hooks, yet maintaining the coupling strength. We anticipate our study, which presents the first numerical model of insect wing coupling mechanisms, to be a starting point for the development of more sophisticated models in the future. Such models are particularly useful for comparative analysis of the influence of different morphological features on the functionality of complex coupling mechanisms. Statement of Significance Hamuli, or ‘tiny hooks’, is the Greek term for hook-like structures on the anterior margin of honey bee hind wings. By fitting into the fold posterior margin of fore wings, the hooks couple the two wings to each other. Despite their seemingly fragile structure, the hooks withstand substantial mechanical stresses. We show that the out-of-plane structure, soft base and pronounced tip are morphological features that enhance the durability of the hooks, without compromising their function.

Ligophorus satunensis n. sp. was collected from the bluetail mullet, Crenimugil buchanani (Bleeker, 1853), caught off Satun, Thailand, representing the first report of the Ligophorus species in Thailand. The new species is most similar to Ligophorus fenestrum Soo & Lim, 2012 in its fenestrated dorsal hamuli, a ventral bar with a long, bifurcated anteromedian protuberance (AMP) without lateral pieces, and a non-sclerotized vagina. However, it differs from the latter in its dorsal hamuli (up to two layers of fenestrations of the dorsal hamuli in L. satunensis n. sp. vs six layers in L. fenestrum), ventral hamuli (nonfenestrated vs fenestrated), penis (turning a full circle before reaching the genital pore vs turning less than half a circle), and its accessory piece (non-grooved basally and grooved distally vs simply grooved along its entire length). A single specimen, very similar to L. satunensis n. sp., obtained from the same host fish, which can be differentiated from the latter by a considerably shorter AMP of the ventral bar and a smaller and slender dorsal hamuli, is tentatively designated here as Ligophorus sp. Moreover, the phylogenetic trees constructed from the concatenated sequences of partial large-subunit nuclear ribosomal DNA (28S) and nuclear ribosomal internal transcribed spacer 1 (ITS1) regions support that L. satunensis n. sp. is a new species closely related to L. fenestrum.

The aim of this study was to measure the curvature radii of the finger flexor tendons on CT acquired using tendon conditions to examine whether the hamulus of the hamate functions as a pulley of the flexor tendon. The subjects were 20 healthy volunteers (40 hands) (14 males and 6 females, mean age: 27.5 years old). Their hands were imaged in extension and flexion of the fingers on CT. The curvature radii of the little and middle finger flexor tendons at the hamulus of the hamate were calculated. The curvature radii of the little and middle finger flexor tendons were 24.8 ± 7.3 and 327.1 ± 343.9 mm in finger extension, respectively, and 21.3 ± 5.3 and 265.1 ± 202.9 mm in finger flexion, respectively. The curvature radius of the little finger flexor tendon was significantly smaller than that of the middle finger flexor tendon in both finger extension and flexion (P

The aim of this study was to measure the curvature radii of the finger flexor tendons on CT acquired using tendon conditions to examine whether the hamulus of the hamate functions as a pulley of the flexor tendon. The subjects were 20 healthy volunteers (40 hands) (14 males and 6 females, mean age: 27.5 years old). Their hands were imaged in extension and flexion of the fingers on CT. The curvature radii of the little and middle finger flexor tendons at the hamulus of the hamate were calculated. The curvature radii of the little and middle finger flexor tendons were 24.8 ± 7.3 and 327.1 ± 343.9 mm in finger extension, respectively, and 21.3 ± 5.3 and 265.1 ± 202.9 mm in finger flexion, respectively. The curvature radius of the little finger flexor tendon was significantly smaller than that of the middle finger flexor tendon in both finger extension and flexion (P

We herein redescribe Allobenedenia dischizosepta (Suriano, 1975) n. comb. (Monogenoidea: Capsalidae) based on light microscopic analysis of the holotype and 18 paratypes from the gill of Acanthistius brasilianus (Cuvier, 1828) (Perciformes: Serranidae) along with light and scanning electron microscopy of 25 newly collected specimens from the gill of Acanthistius patachonicus (Jenyns, 1842) (new host record) in the southwestern Atlantic Ocean off Argentina. Contradicting the original description of this species and its generic diagnosis, all specimens had 5 loculi (2 anterior plus 3 posterior loculi) plus 5 corresponding haptoral septa only (central loculus absent). The original description of this species erroneously specified 6 loculi, including 2 small anterolateral loculi. Because A. dischizosepta was the type species for Tetrasepta Suriano, 1975 and because it fits the diagnosis of Allobenedenia Yamaguti, 1963, the genus therefore is regarded a junior synonym of Allobenedenia. Allobenedenia dischizosepta differs from its congeners by lacking a haptoral peduncle as well as by having 5 haptoral loculi, accessory sclerites that lack a conspicuous dorsal protuberance and that are weakly bifid, by posssesing robust anterior hamuli that are strongly recurved for half of their total length, by having a male accessory gland reservoir in the extreme posterior portion of the penis sac and lateral to the vitelline reservoir abutting the ovary, and by the presence of a straight (not coiled) proximal portion of the ejaculatory duct within the penis sac. Fil: Bagnato, Estefanía. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Instituto de Biología de Organismos Marinos; Argentina Fil: Bullard, Stephen A.. Auburn University; Estados Unidos Fil: Cremonte, Florencia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Centro Nacional Patagónico. Instituto de Biología de Organismos Marinos; Argentina

A description is given of Gobioecetes biwaensis n. g., n. sp. (Monogenea: Dactylogyridae) on the gills of a freshwater gobiid fish, Rhinogobius sp. BW Takahashi & Okazaki, 2002 from Lake Biwa, Shiga Prefecture and Rhinogobius sp. from Sento Imperial Palace, Kyoto Prefecture, Japan. This monogenean is most similar to Parancyrocephaloides rhinogobius Ling, 1973, proposed here as Gobioecetes rhinogobius n. comb., collected from the gills of Rhinogobius giurinus (Rutter, 1897) in Hupei Province, China, but can be differentiated from it in that ventral hamuli of G. biwaensis are larger than those of G. rhinogobius and in that in G. biwaensis, ventral hamuli are larger than dorsal ones, but in G. rhinogobius, ventral and dorsal hamuli are almost equal in size. The new genus is characterized by the absence of a bar supporting dorsal hamuli. Parancyrocephaloides daicoci Yamaguti, 1938, the type species of the genus, is redescribed based on newly collected specimens from a marine dactylopterid, Dactyloptena peterseni (Nystrom, 1887) and the type specimens, revealing that it has a pair of vestigial bars supporting dorsal hamuli. The generic diagnoses of Gobioecetes n. g. and Parancyrocephaloides are given and systematic position of these genera in Dactylogyridae is discussed in this paper.

In orbital floor reconstruction, the need for the orbital implant to reach the exact position of the posteromedial ledge is essential, but owing to the complex anatomy of the region, visualisation of the ledge may be difficult. Several morphometric studies, both radiographic and cadaveric, have calculated a mean length from the orbital rim to the ledge. However, those linear measurements are unreliable and possess a higher margin of error for intraoperative guidance. This study attempts to triangulate the position of the posterior ledge from three easily accessible and reproducible points on the orbit and tries to provide a better guideline. A total of 50 patients (25 male and 25 female) with no history of orbital trauma or orbital surgery were selected randomly for this study. Computed tomography (CT) of both orbits, was done from three anatomically consistent and reproducible points: the infraorbital rim just above the infraorbital foramen (point A), hamulus lacrimalis (point B), and the most anterior point of the inferior orbital fissure (point C). The distance from these landmarks to the posterior ledge was measured using DICOM imaging software. A polygonal template was fabricated using the data obtained, which was used for intraoperative guidance. The mean (SD) distance to the posterior ledge from point A was 32.99 (1.35) mm, from point B was 31.36 (1.31) mm, and from point C was 20.19 (1.40) mm. There were no significant differences between left and right orbit or between male and female subjects. The template guides the shape, size, and direction of the orbital implant, reducing the risk of undersized or misplaced implants.

Microgomphus alani Kosterin, 2016 was described from two teneral males from the Cardamom Mts. in SW Cambodia; it turned out that the description was based on the holotype with the anal appendages not fully expanded. Further specimens of M. alani (all mature) are reported: a male and two females from the Phnom Kulen Mts, NW Cambodia and five males and one female from Mondulkiri Province, E Cambodia. The appendage shape in mature males is illustrated and discussed and the female is described for the first time. The specimens from E Cambodia are ca 15-20% larger than those from SW and NW Cambodia and exhibit some differences in the shapes of the male epiproct and anterior hamulus and face maculation, however evaluated as insufficient to erect a new taxon. A hitherto neglected manifestation of sexual dimorphism in probably most Microgomphus spp. and at least some Heliogomphus spp. is pointed out. It concerns the mid- and metafemur, in males armed with numerous, dense and small spinulets but with two rows of long, sparse spines in females. An earlier report of Microgomphus jurzitzai Karube, 2000 for Cambodia was based on a misidentified M. alani specimen and is cancelled. A female specimen earlier identified and described from Thailand as Heliogomphus selysi Fraser, 1925 most probably was M. alani as well.

В статье представлено исследование, посвященное малоизученной на сегодняшний момент проблеме гипертрофии нижних носовых раковин (ННР) у детей. Эта патология является одной из причин хронической назальной обструкции и оказывает значительное негативное влияние на функциональное состояние носослезного канала. Гипертрофия ННР часто сочетается с искривлением носовой перегородки (НП) и может протекать с преобладанием как мягкотканого компонента, так и костного. Цель исследования заключалась в изучении анатомических особенностей гипертрофированных ННР у детей с наличием или отсутствием сопутствующего искривления НП. Материал и методы. В ходе исследования была проведена ретроспективная оценка результатов компьютерной томографии околоносовых пазух 112 детей в возрасте от 9 до 17 лет. Пациенты были разделены на две группы: первая группа 68 (60,7) детей с гипертрофией ННР и перегородкой носа по средней линии вторая группа 44 (39,3) ребенка с гипертрофией ННР и искривленной перегородкой носа. Оценивались морфометрические параметры ННР (объем передней, средней и задней третей раковины, площадь поперечного сечения мягкой и костной тканей раковины в мм2 ). Результаты были статистически обработаны. Пациенты динамически наблюдались в течение двух лет, оториноларингологический осмотр проводился каждые три месяца. Результаты. В 97,3 случаев у детей отмечалась гипертрофия именно мягкотканого компонента ННР, что прослеживалось в большей части в ее среднем, а также переднем и заднем сегментах. Односторонне увеличение объема ННР было выявлено в основном у детей с искривлением НП и на контралатеральной искривлению стороне. Заключение. В ходе настоящей работы у всех пациентов была выявлена гипертрофия в основном мягких тканей ННР, одностороннее увеличение объема ННР отмечалось у детей с сопутствующим искривлением НП. Приведенные результаты морфометрических измерений свидетельствуют о том, что гипертрофия ННР развивается с возрастом по компенсаторному типу, а не по врожденному. В связи с тем что компенсационный механизм у детей затрагивает в основном мягкую ткань ННР, можно утверждать, что оптимальный хирургический подход к уменьшению объема ННР при наличии искривления НП должен основываться на деструкции мягких тканей (различная турбинопластика: подслизистая шейверная, лазерная и др.), костная резекция нецелесообразна., Background: The article presents a study concerning the inferior nasal concha (INC) hypertrophy in children, which is currently a poorly studied problem. This pathology is one of the chronic nasal obstruction causes having a significant negative effect on the nasolacrimal duct functional state. Hypertrophy of INC is often combined with the nasal septum (NS) deformation and can occur with the predominance of soft tissue or bone components. Purpose: to study the anatomical features of hypertrophied INC in children with or without concomitant deformation of NS. Material and methods: a retrospective assessment of the paranasal sinuses computed tomography results was performed for 112 children aged 9 to 17 years. Patients were divided into two groups: the first group consisted of 68 (60.7) children with INC hypertrophy and even nasal septum the second group 44 (39.3) children with INC hypertrophy and deformed nasal septum. The morphometric parameters of the INC were defined (the volume of the anterior, middle, and posterior thirds of concha, the crosssectional area of the soft and bony concha tissues in mm2). The results were statistically analyzed. Patients were followed up for two years, with otorhinolaryngological examination carried out every three months. Results. In 97.3 of cases hypertrophy of the softtissue component of the INC was seen, which was mostly observed in its middle part, but also in the anterior and posterior segments. A onesided increase in the INC volume was detected mainly in children with NS deformation and mostly on the side contralateral to it. Conclusion: This work revealed the hypertrophy of INC soft tissues in all patients, a onesided increase in the INC volume observed in children with concomitant NS deformations. The results of morphometric measurements indicate that INC hypertrophy is not congenital it develops with age being compensated. Because the compensation mechanism in children mainly affects the soft tissue of the INC, the optimal surgical approach for reducing the volume of the INC should be based on the destruction of soft tissues (submucosal shaver or laser turbine plastics, etc.) while bone resection is not reasonable., №3 (2019)

Worker honeybees (Apis mellifera) are morphologically four-winged, but are functionally dipterous insects. During flight, their fore- and hindwings are coupled by means of the forewing posterior rolled margin (PRM) and hindwing hamuli. Morphological analysis shows that the PRM can be connected to the hamuli, so that the fore- and hindwing are firmly hinged, and can rotate with respect to each other. In the present study, using a combination of scanning electron microscopy (SEM) and confocal laser scanning microscopy (CLSM), we investigate the micromorphology and material composition of the coupling structures on both fore- and hindwings. High-speed filming is utilized to determine the angle variation between the fore- and hindwings in tethered flight. Using sets of two-dimensional (2D) computation fluid dynamic analyses, we further aim to understand the influence of the angle variation on the aerodynamic performance of the coupled wings. The results of the morphological investigations show that both PRM and hamuli are made up of a strongly sclerotized cuticle. The sclerotized hinge-like connection of the coupling structure allows a large angle variation between the wings (135°–235°), so that a change is made from an obtuse angle during the pronation and downstroke to a reflex angle during the supination and upstroke. Our computational results show that in comparison to a model with a rigid coupling hinge, the angle variation of a model having a flexible hinge results in both increased lift and drag with a higher rate of drag increase. This study deepens our understanding of the wing-coupling mechanism and functioning of coupled insect wings.

Incomplete hook of the hamate fractures are difficult to diagnose and should be promptly removed to expedite return to sport. From January 2000 to November 2016, 143 excisions of the hook of the hamate were performed following fracture of the hamulus. Of these 143 excisions, 17 were performed because of a preoperative diagnosis of incomplete fracture. The inclusion criteria for diagnosis were as follows: (1) history of ulnar-sided wrist pain; (2) positive result on hook of the hamate pull test on physical examination; and (3) evidence on computed tomography or magnetic resonance imaging of an incomplete fracture of the hook of the hamate. Time to diagnosis and treatment, return to sport, postoperative complications, preoperative treatment, and effectiveness were recorded. Seventeen diagnoses of partially united hook of the hamate fractures had been made since January 2000. All of these patients underwent excision of the hamulus. The mean time to diagnosis was 11.1 weeks. The mean delay in surgical treatment was 6.2 weeks. All 17 patients were able to return to sport at a mean of 6.8 weeks. Patients initially seen by 1 of the senior authors had a 7.9-week earlier return to sport. Eight patients received preoperative treatment. Preoperative treatment failed for all 8, and they underwent subsequent hamulus excision. The diagnosis of an incomplete hook of the hamate fracture is difficult and often delayed. These fractures should be managed with early excision, as they do well with early return to sport and are prone to fail nonoperative treatment. Delay in diagnosis and treatment prolongs return to sport. [ Orthopedics . 2019; 42(2):e232–e235.]

Introduction: Hamulus fractures are uncommon injuries constituting 2-4% of carpal fractures and are usually reported in athletes. Stress fractures of hamulus are even rarer and very few cases have been reported till date. In this case report, we present the first documented case of stress fracture of hamulus in a cricket batsman and review the existing literature on hamulus fractures, both acute and stress fractures, in sportspersons in general. Case Report: A 23-year-old, right-handed, cricket batsman presented with pain in the hypothenar region of his left hand of 7 weeks duration. The pain typically worsened during batting, and he had difficulty in gripping the bat. Plain radiographs were largely inconclusive; magnetic resonance images, however, demonstrated a stress fracture of the hamate hook. The patient was put on conservative management, and his bat grip was modified. He recovered completely within 12 weeks and went back to playing professional cricket. Conclusions: Hamulus stress fractures should be considered in cricketers presenting with chronic, non-traumatic, and ulnar-sided hand pain. The nonleading hand is more likely to be involved in a batter, as seen in other sports with a double haSnd grip. Nonoperative treatment, change of grip and adequate rehabilitation give good outcomes in most cases.

Though rare, hook of hamate (hamulus) fractures and pisiform fractures are serious injuries in the athlete that should not be missed or underestimated. Failure to promptly diagnose and treat these fractures may lead to serious complications including avascular necrosis, nonunion, tendon rupture, carpal instability, neurovascular compression, and arthritis. Hamulus fractures should be suspected in the athlete with persistent hypothenar hand, particularly those who use a bat, racket, or club. Complete hamulus excision after fracture has been shown to provide consistent pain relief and return to sport. Pisiform fractures are uncommon. Excision may provide benefit in the setting of a displaced fracture. Return to sport after any carpal fracture should focus primarily on the future health of the athlete, with future play only as a secondary aim.

The present study uses scanning and transmission electron microscopical observations to examine the haptoral features of the hexabothriid polyopisthocotylean monogenean Rajonchocotyle emarginata from the gills of the elasmobranch Amblyraja radiata. The haptor possesses six equal, pedunculate suckers, each armed with a large, curved, hooked sclerite, and an appendix bearing two small, terminal suckers and a pair of minute hamuli. The outer side of the distal region of the hooked sclerite forms a large bulge along the antero-lateral side of each sucker and the proximal region forms a small bulge on the opposite postero-lateral side; part of the large bulge, which covers the small sclerite hook, surmounts the sucker rim. The sucker sclerite is situated outside the main sucker muscle complex of the sucker wall and is surrounded by its own muscular envelope; close to the sclerite itself, long, tightly packed lamella-like processes of sarcoplasm are present. A muscular sphincter surrounds the distal region of the sclerite shaft. The sclerite consists of three heterogeneous layers, but its hook region is distinguished from the shaft by the presence of an additional homogeneous layer. Hamuli within the appendix consist of three distinct layers loosely surrounded by sarcoplasmic lamellae. The luminal surface of the appendicular suckers is covered with unusual, long, thin, interconnected surface protrusions. In all other regions of the haptor, the tegumental surface is smooth, with numerous shallow pores penetrating the "terminal web" of the syncytial cytoplasm. Unicellular gland cells are localized close to the base of the appendix, with their ducts, containing non-homogenous secretory bodies, opening onto the anterior haptoral surface. Two types of sense receptors are visible on the haptoral surface. The ultrastructural features of the haptor are discussed in relation to our understanding of their function and the evolutionary relationships of the basal polyopisthocotylean monogenean groups Hexabothriidae and Chimaericolidae.

A new species of Gyrodactylus von Nordmann, 1832 is described from the gills of Alcolapia grahami, a tilapian fish endemic to Lake Magadi. This alkaline soda lake in the Rift Valley in Kenya is an extreme environment with pH as high as 11, temperatures up to 42 °C, and diurnal fluctuation between hyperoxia and virtual anoxia. Nevertheless, gyrodactylid monogeneans able to survive these hostile conditions were detected from the gills the Magadi tilapia. The worms were studied using light microscopy, isolated sclerites observed using scanning electron microscopy, and molecular techniques used to genetically characterize the specimens. The gyrodactylid was described as Gyrodactylus magadiensis n. sp. and could be distinguished from other Gyrodactylus species infecting African cichlid fish based on the comparatively long and narrow hamuli, a ventral bar with small rounded anterolateral processes and a tongue-shaped posterior membrane, and marginal hooks with slender sickles which are angled forward, a trapezoid to square toe, rounded heel, a long bridge prior to reaching marginal sickle shaft, and a long lateral edge of the toe. The species is also distinct from all other Gyrodactylus taxa based on the ITS region of rDNA (ITS1-5.8s-ITS2), strongly supporting the designation of a new species. These findings represent the second record of Gyrodactylus from Kenya, with the description of G. magadiensis bringing the total number of Gyrodactylus species described from African cichlids to 18.Gyrodactylus magadiensis n. sp. (Monogenea, Gyrodactylidae), parasite des branchies d’Alcolapia grahami (Perciformes, Cichlidae), un poisson habitant l’environnement extrême du lac Magadi au Kenya.Une nouvelle espèce de Gyrodactylus von Nordmann, 1832 est décrite à partir des branchies d’Alcolapia grahami, un tilapia endémique du lac Magadi. Ce lac de soude alcaline dans la vallée du Rift au Kenya est un environnement extrême avec un pH allant jusqu’à 11, des températures allant jusqu’à 42 °C et des fluctuations diurnes entre l’hyperoxie et l’anoxie virtuelle. Néanmoins, des Monogènes Gyrodactylidae capables de survivre dans ces conditions hostiles ont été détectés sur les branchies du tilapia de Magadi. Les vers ont été étudiés par microscopie optique, les sclérites isolés ont été observés au microscope électronique à balayage et des techniques moléculaires ont été utilisées pour caractériser génétiquement les spécimens. Le gyrodactylidé est décrit comme étant Gyrodactylus magadiensis n. sp. et se distingue des autres espèces de Gyrodactylus infectant les cichlidés d’Afrique grâce à ses hamuli relativement longs et étroits, à une barre ventrale avec de petits processus antérolatéraux arrondis et à une membrane postérieure en forme de langue, ainsi qu’à des crochets marginaux à faucilles minces inclinées vers l’avant, un trapèze à bout carré, un talon arrondi, un long pont avant d’atteindre la faucille marginale et un long bord latéral de l’extrémité. L’espèce est également distincte de tous les autres taxons de Gyrodactylus sur la base sur la région ITS de l’ADNr (ITS1–5.8s–ITS2), ce qui soutient fortement la désignation d’une nouvelle espèce. Ces découvertes représentent la seconde mention d’un Gyrodactylus au Kenya, et la description de G. magadiensis amène à 18 le nombre total d’espèces de Gyrodactylus décrites parmi les cichlidés d’Afrique.

Objectives To assess the influence of complete nasopharyngeal occlusion on respiratory signs in brachycephalic dogs. To determine the cranio-caudal position of rostral nasopharyngeal occlusion in relation to the hamuli pterygoidei in brachycephalic dogs. To determine whether using the hamuli pterygoidei as anatomical landmarks for palatoplasty results in clinical respiratory improvement. Materials and methods Prospective study of dogs diagnosed with brachycephalic obstructive airway syndrome. The dogs were scored according to the severity of their clinical respiratory signs and the nasopharynx was CT scanned. The site of most rostral nasopharyngeal occlusion was measured in relation to the hamuli pterygoidei. Measurements were compared between brachycephalic obstructive airway syndrome group, completely occluded and partially occluded groups. The hamuli pterygoidei were used as the most cranial landmarks for the palatoplasty incision, such that the incision was made at the point of maximal nasopharyngeal occlusion. Owners were interviewed through telephone for the medium-term follow-up. Results Thirty-five dogs were included. There was no significant association between the severity of respiratory clinical signs and extent of nasopharyngeal occlusion. Maximal nasopharyngeal occlusion was always located directly caudal to the hamuli pterygoidei (mean ±sd value of 9∙4 ±6∙5 mm). hamuli pterygoidei were easily palpable perioperatively in all cases. There was a significant improvement of clinical grades postoperatively. Clinical significance The hamuli pterygoidei are a reliable landmark for soft palate incision for palatoplasty in these cases but the distance between them and the site of maximal nasopharyngeal occlusion varied greatly.

Three new species of leafhoppers: Siniassus hamulus sp. nov., Decliviassus sagittatus sp. nov., Krisna quadrimaculosus sp. nov. are described and illustrated from China. An updated checklist and key to 22 of the 24 known Chinese species of these three genera (Siniassus, Decliviassus, Krisna) are provided.

To study variations in the anatomical relationships of the branches of the ulnar nerve in Guyon’s canal relative to the hamulus of hamate (HH) in a grip encountered among cyclists. Forty-seven wrist examinations were performed on a 3-T MRI (soft antenna, 16 channels) in propeller sequence in the plane perpendicular to the carpus in 28 healthy volunteers in three cycling positions (neutral, hyperextension and ulnar deviation). The positions and distance between the superficial (SB) and deep (DB) branches of the ulnar nerve with respect to the HH were determined on the section passing through the HH. The mean distances between the SB (d s) and DP (d p) and HH were 2.4 and 0.6 mm, respectively. The d s in hyperextension and ulnar deviation were 2.2 mm (P = 0.3) and 3 mm (P = 0.07), respectively. The d p in hyperextension and ulnar deviation were 0.3 mm (P = 0.02) and 0.5 mm (P = 0.15), respectively. Hyperextended, 60 % of SB and 40 % of DB were close to the HH, and 26 % of DB came directly in contact with it. In ulnar deviation, 30 % of SB and 29 % of DB approached HH, and 47 % of DB were in contact with it. This study shows that SB and DB positions of the ulnar nerve vary with respect to the HH depending on the position of the wrist, and such differences may promote Guyon’s canal syndrome in cyclists.

The Hymenoptera are the third largest order of insects, comprising the sawflies, wasps, bees and ants. Worldwide, over 150,000 species are recognized, with many more remaining to be described. The name refers to the wings of the insects, but the original derivation is ambiguous. The Ancient Greek υμην (hymen) for membrane provides a pLusible etymology for the term because these insects have membranous wings. However, a key characteristic of this order is that the hind wings are connected to the fore wings by a series of hooks called hamuli. Thus, another plausible etymology involves, Hymen, the Ancient Greek god of marriage, as these insects have "married wings" in flight. Stinging insects and the medical risk associated with their venoms are complex topics, and presentation of information pertaining to them requires the use of technical terms. The most common reactions to these stings are transient pain and redness at the site lasting a few hours (local reaction), and exaggerated swelling lasting a few days (large local reaction). The most dangerous immediate reaction is anaphylaxis, which is potentially fatal.

Lernaeascus kabuto sp. nov. (Cyclopoida: Philichthyidae) is described based on specimens of both sexes collected from two species of angelfish (Actinopterygii: Pomacanthidae), the purplemask angelfish Centropyge venusta (Yasuda and Tominaga, 1969) and the yellow angelfish C. heraldi Woods and Schultz, 1953, caught in the East China Sea near Kumejima Island, Japan. Lernaeascus kabuto sp. nov. is easily distinguished from its congener, L. nematoxys Claus, 1886 , by the following characters: the male has a pair of elongate, distomedially notched dorsal plates on the second pedigerous somite, four abdominal somites, a pair of dorsal hamuli on the third abdominal somite, a non-bifurcate genital operculum, a curved proximal antennulary segment, a naked maxillule, a maxilla without a posteriorly-directed process on the syncoxa, and the endopod of leg 1 modified into a simple spine; and the female has a triangular antenna, a styliform process on the labrum, and three setae on the exopods of legs 1 and 2.

Burmagomphus chiangmaiensis sp. nov. (holotype: Ban Luang, Chom Thong, Chiang Mai province, Thailand, 890-900 m, 14 v 2012) is described and illustrated. It can be differentiated from its most similar congener, B. apricus from China, by shape of posterior hamulus, yellow trapezoid band on occiput, and larger size.

Twenty-nine carpal bones of Homo neanderthalensis have been recovered from the site of El Sidrón (Asturias, Spain) during excavations between 1994 and 2009, alongside ∼2500 other Neandertal skeletal elements dated to ∼49,000 years ago. All bones of the wrist are represented, including adult scaphoids (n = 6), lunates (n = 2), triquetra (n = 4), pisiforms (n = 2), trapezia (n = 2), trapezoids (n = 5), capitates (n = 5), and hamates (n = 2), as well as one fragmentary and possibly juvenile scaphoid. Several of these carpals appear to belong to the complete right wrist of a single individual. Here we provide qualitative and quantitative morphological descriptions of these carpals, within a comparative context of other European and Near Eastern Neandertals, early and recent Homo sapiens, and other fossil hominins, including Homo antecessor, Homo naledi, and australopiths. Overall, the El Sidrón carpals show characteristics that typically distinguish Neandertals from H. sapiens, such as a relatively flat first metacarpal facet on the trapezium and a more laterally oriented second metacarpal facet on the capitate. However, there are some distinctive features of the El Sidrón carpals compared with most other Neandertals. For example, the tubercle of the trapezium is small with limited projection, while the scaphoid tubercle and hamate hamulus are among the largest seen in other Neandertals. Furthermore, three of the six adult scaphoids show a distinctive os-centrale portion, while another is a bipartite scaphoid with a truncated tubercle. The high frequency of rare carpal morphologies supports other evidence of a close genetic relationship among the Neandertals found at El Sidrón., This research was supported by the European Research Council Starting Grant 336301 and the Max Planck Society (TLK), and the Ministerio de Economía y Competitividad of Spain CGL2016-75109-P.

Introduction: Pterygoid hamulus syndrome (PHS) is a little-known differential diagnosis of orofacial pain. It is characterized by oropharyngeal pain, secondary to inflammatory bursitis of the tensor veli muscle of post-traumatic origin, frequently fostered by an associated hypertrophy of the hamular process. Observation: A 64-year-old female patient, type 2 diabetic, consulted for constant posterior palatal pain located near to 17, lasting for 10 years. The inspection did not reveal any mucosal lesions. Right hamulus palpation increased the pain and revealed hamulus hypertrophy. A diagnosis of PHS was evoked. Comment: A review of the literature is proposed. The treatment of PHS is initially conservative, but a surgical treatment can be proposed in case of morphological anomalies. Conclusion: PHS is a little-known syndrome whose diagnosis must be mentioned by the oral surgeon faced with chronic oropharyngeal pain. The diagnosis is clinical and radiological, the treatment is medical and/or surgical.

Newly collected graptolites from the Co To Formation, Co To archipelago, NE Vietnam, comprise assemblages indicative of two biostratigraphical levels within the lower Silurian, Llandovery Series, Telychian Stage: the co-occurrence of Spirograptus turriculatus and Torquigraptus proteus? suggests an interval most likely within the upper part of the Spirograptus turriculatus Biozone or ‘Monograptus’ crispus Biozone, whilst Oktavites spiralis and Monoclimacis cf. subgeinitzi identify the Oktavites spiralis Biozone. The graptolites provide important biostratigraphical evidence for the age of the upper part of the lower Co To Formation, biostratigraphical ties between the NE Vietnamese succession of the Bac Bo Region and graptolite assemblages of the Long Dai Formation in the Viet-Lao Region of central Vietnam, and include the new species Monograptus hamulus sp. nov. co-occurring with S. turriculatus, which is perhaps an ancestral form to the later Telychian species Monograptus drepanoformis. We also report the first chitinozoans, including Belonechitina, from the Co To Formation.

[Extract] Capsalid monogeneans are harmful ectoparasites of ornamental and farmed fishes in tropical/subtropical marine environments (Thoney & Hargis 1991; Hirazawa et al. 2011; Whittington 2012). Neobenedenia spp. have low host specificity, a direct life cycle, high fecundity and robust eggs, which contribute to their ability to inflict mass mortalities in aquaculture (Ogawa et al. 1995; Deveney, Chisholm & Whittington 2001; Ruckert, Palm & Klimpel 2008; Whittington 2012). Neobenedenia spp. attach to external surfaces of their host using two attachment organs located anteriorly and one larger posterior attachment organ called the haptor. The haptor is believed to act as the principal anchoring organ of the parasite to the host (Whittington 2012). This organ has chitinous structures that provide mechanical attachment including paired anterior hamuli, accessory sclerites, posterior hamuli and peripheral hooklets (Whittington & Horton 1996). A marginal valve on the haptor allows the organ to create suction on the host. The anterior attachment organs lack accessory chitinous structures and are located directly above the pharynx, which is used to graze on epidermal and mucous cells of the fish (Whittington 2012).