Experimental increases in temperature mean and variance alter reproductive behaviours in the dung beetle .

Temperature profoundly impacts insect development, but plasticity of reproductive behaviours may mediate the impacts of temperature change on earlier life stages. Few studies have examined the potential for adult behavioural plasticity to buffer offspring from the warmer, more variable temperatures associated with climate change. We used a field manipulation to examine whether the dung beetle alters breeding behaviours in response to temperature changes and whether behavioural shifts protect offspring from temperature changes.

Reliability of Metacarpal Subsidence Measurements after Thumb Carpometacarpal Joint Arthroplasty.

Background: Thumb metacarpal subsidence after trapeziectomy can affect clinical function over time. Methods for measuring subsidence after trapeziectomy have been described, and they rely on an intact thumb metacarpal or proximal phalanx for measurement. The authors evaluated the reliability and reproducibility of measuring the trapezial space ratio, using previously described methods.

Thumb Basal Joint Arthroplasty: Prospective Comparison of Perioperative Analgesia and Opioid Consumption.

Trapeziectomy alone or in combination with a suspensionplasty technique is a common surgical treatment for symptomatic thumb basal joint arthritis. The authors undertook a prospective comparative study to test the hypothesis that peripheral nerve blocks would provide better pain control than local anesthesia with bupivacaine or liposomal bupivacaine regarding pain scores and opioid pill consumption. Patients who elected to undergo basal joint arthroplasty were allocated to 1 of 3 postoperative pain management groups: (1) peripheral nerve block, (2) local anesthesia with bupivacaine, or (3) local anesthesia with liposomal bupivacaine.

Hand Surgery and Fluoroscopic Eye Radiation Dosage: A Prospective Pilot Comparison of Large Versus Mini C-Arm Fluoroscopy Use.

The purpose of this study is to (1) perform a prospective pilot comparison of the impact of large versus mini C-arm fluoroscopy on resultant eye radiation exposure and (2) test the hypothesis that the use of either modality during routine hand surgery does not exceed the current recommended limits to critical eye radiation dosage. Over a 12-month period, eye radiation exposure was prospectively measured by a board-certified hand surgeon using both large and mini C-arm fluoroscopy. For each modality, accumulated eye radiation dosage was measured monthly, while fluoroscopic radiation output was recorded, including total exposure time and dose rate.

Low-Intensity Pulsed Ultrasound Bone Stimulator Treatment for Symptomatic Distal Phalangeal Shaft Fracture Nonunion.

Case: Two cases of symptomatic distal phalangeal fracture nonunion that were treated with a course of digital splinting and daily external low-intensity pulsed ultrasound (LIPUS) treatment are presented. Osseous union, symptom resolution, and full range of motion were successfully achieved in both cases without surgery.

Conclusion: Digital splinting and daily LIPUS should be considered as a treatment option for symptomatic nonunion of the distal phalanx in cases that do not require correction of bone deformity.