The purpose of this study was to assess the inter-observer and intra-observer reproducibility of the interpretation of CT arthrography and plain X-rays for scapholunate advanced collapse (SLAC), scaphoid non-union advanced collapse (SNAC) and scaphoid chondrocalcinosis advanced collapse (SCAC) wrist conditions, as well as the clinical relevance of these imaging modalities. The CT and X-rays images were reviewed twice in a blinded and randomized manner by two experienced orthopedic surgeons specialized in hand surgery, two orthopedic surgery residents and two experienced radiologists specialized in bone and joint imaging. Cohen's kappa and Fleiss' kappa coefficients were used to analyze the reproducibility of interpretation of the radiological examinations. With CT arthrography, the overall diagnosis was often a problem, in terms of both inter- or intra-observer reproducibility. The assessment of the joint line appeared to be fairly reproducible for each observer but was poorly reproducible between different observers. Plain X-rays are not sufficient to assess cartilage quality in degenerative wrist disease. CT arthrography is a reliable examination, but its interpretation is not always standardized. Diagnostic arthroscopy may be justified in doubtful cases.

Haintestinum amplum n. g., n. sp. is described from the scrawled cowfish, Acanthostracion quadricornis, collected in the Eastern Gulf of Mexico off Florida, USA. The new species is relatively large and shares characters of the Apocreadiidae and Megaperidae but conforms to the diagnosis of neither. It belongs in a new genus possessing a pharynx with lobed anterior margin and intestine terminating in paired ani, like in megaperids, and, when compared with apocreadiids, it shares important anatomical features, including an I-shaped excretory vesicle, canicular seminal vesicle, eye-spot remnants, and pretesticular uterus and lacks a cirrus and cirrus sac. The H-shaped intestine and large funnel-shaped oral sucker without a U-shaped sphincter encircling half the anterior aperture are the most notable diagnostic characters of the new monotypic genus. Additionally, the phylogenetic position of the Megaperidae is investigated for the first time, using analysis of partial 28S rDNA gene sequences from H. amplum, two species in the Megapera, Thysanopharynx elongatus, and previously published 28S sequences of species from members of the Apocreadiata, Haploporoidae, Lepocreadiata, and Opisthorchiata. The resulting analysis demonstrated a close relationship among the new genus and the three species of megaperids, and the megaperids were most closely allied with Schistorchis zancli of the apocreadiids. Moreover, we now consider Megaperidae as the subfamily Megaperinae within the Apocreadiidae.

Anatomical variants of the sinonasal cavities are common. About 15 major variants are described (nasal septal deviation is present in up to 62% of the population). Because the may lead to complications at the time of endovascular procedures or endoscopic sinonasal surgery (vascular, nervous, or osseous injury), there detection has medicolegal implications. Knowledge of anatomical variants by radiologists and ENT surgeons is thus required. We will describe these variants, their imaging features, frequency, implications and associated risk of potential complication.

Anatomical variants of the sinonasal cavities are common. About 15 major variants are described (nasal septal deviation is present in up to 62% of the population). Because the may lead to complications at the time of endovascular procedures or endoscopic sinonasal surgery (vascular, nervous, or osseous injury), there detection has medicolegal implications. Knowledge of anatomical variants by radiologists and ENT surgeons is thus required. We will describe these variants, their imaging features, frequency, implications and associated risk of potential complication.