Injuries to the Coronoid Process of the Ulna with Involvement of the Lesser Sigmoid Notch

2020 ◽  
Author(s):  
Valentin Rausch ◽  
Sina Neugebauer ◽  
Tim Leschinger ◽  
Lars Müller ◽  
Kilian Wegmann ◽  
...  
Keyword(s):  
Fragment Size ◽  
Coronoid Process ◽  
Annular Ligament ◽  
Concomitant Injuries ◽  
Proximal Ulna ◽  
Sigmoid Notch ◽  
Coronoid Fractures ◽  
The Mean ◽  
The Stability ◽  
Arthritic Changes

Abstract Introduction This study aimed to describe the involvement of the lesser sigmoid notch in fractures to the coronoid process. We hypothesized that injuries to the lateral aspect of the coronoid process regularly involve the annular ligament insertion at the anterior lesser sigmoid notch. Material and Methods Patients treated for a coronoid process fracture at our institution between 06/2011 and 07/2018 were included. We excluded patients < 18 years, patients with arthritic changes or previous operative treatment to the elbow, and patients with concomitant injuries to the proximal ulna. In patients with involvement of the lesser sigmoid notch, the coronoid height and fragment size (anteroposterior, mediolateral, and craniocaudal) were measured. Results Seventy-two patients (mean age: 47 years ± 17.6) could be included in the study. Twenty-one patients (29.2%) had a fracture involving the lateral sigmoid notch. The mean anteroposterior fragment length was 7 ± 1.6 mm. The fragment affected a mean of 43 ± 10.8% of the coronoid height. The mean mediolateral size of the fragment was 10 ± 5.0 mm, and the mean cranio-caudal size was 7 ± 2.7 mm. Conclusion Coronoid fractures regularly include the lesser sigmoid notch. These injuries possibly affect the anterior annular ligament insertion which is important for the stability of the proximal radioulnar joint and varus stability of the elbow.

scholarly journals Novel Radiographic Indexes for Elbow Stability Assessment: Part A—Cadaveric Validation

2021 ◽  
Author(s):  
Francesco Luceri ◽  
Davide Cucchi ◽  
Enrico Rosagrata ◽  
Carlo Eugenio Zaolino ◽  
Marco Viganò ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Pathological Condition ◽  
High Sensitivity ◽  
Elbow Instability ◽  
Level Of Evidence ◽  
Coronoid Fracture ◽  
Proximal Ulna ◽  
Sigmoid Notch ◽  
Fresh Frozen ◽  
Coronoid Fractures

Abstract Introduction Elbow bony stability relies primarily on the high anatomic congruency between the humeral trochlea and the ulnar greater sigmoid notch. No practical tools are available to distinguish different morphotypes of the proximal ulna and herewith predict elbow stability. The aim of this study was to assess inter-observer reproducibility, evaluate diagnostic performance and determine responsiveness to change after simulated coronoid process fracture for three novel elbow radiographic indexes. Methods Ten fresh-frozen cadaver specimens of upper limbs from human donors were available for this study. Three primary indexes were defined, as well as two derived angles: Trochlear Depth Index (TDI); Posterior Coverage Index (PCI); Anterior Coverage Index (ACI); radiographic coverage angle (RCA); olecranon–diaphisary angle (ODA). Each index was first measured on standardized lateral radiographs and subsequently by direct measurement after open dissection. Finally, a type II coronoid fracture (Regan and Morrey classification) was created on each specimen and both radiographic and open measurements were repeated. All measurements were conducted by two orthopaedic surgeons and two dedicated musculoskeletal radiologists. Results All three indexes showed good or moderate inter-observer reliability and moderate accuracy and precision when compared to the gold standard (open measurement). A significant change between the radiographic TDI and ACI before and after simulated coronoid fracture was observed [TDI: decrease from 0.45 ± 0.03 to 0.39 ± 0.08 (p = 0.035); ACI: decrease from 1.90 ± 0.17 to 1.58 ± 0.21 (p = 0.001)]. As expected, no significant changes were documented for the PCI. Based on these data, a predictive model was generated, able to identify coronoid fractures with a sensitivity of 80% and a specificity of 100%. Conclusion New, simple and easily reproducible radiological indexes to describe the congruency of the greater sigmoid notch have been proposed. TDI and ACI change significantly after a simulated coronoid fracture, indicating a good responsiveness of these parameters to a pathological condition. Furthermore, combining TDI and ACI in a regression model equation allowed to identify simulated fractures with high sensitivity and specificity. The newly proposed indexes are, therefore, promising tools to improve diagnostic accuracy of coronoid fractures and show potential to enhance perioperative diagnostic also in cases of elbow instability and stiffness. Level of evidence Basic science study. Clinical relevance The newly proposed indexes are promising tools to improve diagnostic accuracy of coronoid fractures as well as to enhance perioperative diagnostic for elbow instability and stiffness.

Instant 99mTc-Labelled Glucoheptonate Kit for Kidney Imaging

1983 ◽  
Vol 22 (05) ◽  
pp. 246-250 ◽  
Author(s):  
M. Al-Hilli ◽  
H. M. A. Karim ◽  
M. H. S. Al-Hissoni ◽  
M. N. Jassim ◽  
N. H. Agha
Keyword(s):  
Sodium Hydroxide Solution ◽  
Normal Subjects ◽  
Organ Distribution ◽  
Stable Complex ◽  
Scintillation Camera ◽  
Ph Adjustment ◽  
The Mean ◽  
The Stability ◽  
Kidney Imaging ◽  
Mean Concentration

Gelchromatography column scanning has been used to study the fractions of reduced hydrolyzed 99mTc, 99mTc-pertechnetate and 99mTc-chelate in a 99mTc-glucoheptonate (GH) preparation. A stable high labelling yield of 99mTc-GH complex in the radiopharmaceutical has been obtained with a concentration of 40-50 mg of glucoheptonic acid-calcium salt and not less than 0.45 mg of SnCl2 2 H2O at an optimal pH between 6.5 and 7.0. The stability of the complex has been found significantly affected when sodium hydroxide solution was used for the pH adjustment. However, an alternative procedure for final pH adjustment of the preparation has been investigated providing a stable complex for the usual period of time prior to the injection. The organ distribution and the blood clearance data of 99mTc-GH in rabbits were relatively similar to those reported earlier. The mean concentration of the radiopharmaceutical in both kidneys has been studied in normal subjects for one hour with a scintillation camera and the results were satisfactory.

scholarly journals The force effects of two types of polyethylene terephthalate glyc-olmodified clear aligners immersed in artificial saliva

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Biao Xiang ◽  
Xingxing Wang ◽  
Gang Wu ◽  
Yichen Xu ◽  
Menghan Wang ◽  
...  
Keyword(s):  
Electron Microscopy ◽  
Scanning Electron Microscopy ◽  
Polyethylene Terephthalate ◽  
Artificial Saliva ◽  
Orthodontic Force ◽  
The Mean ◽  
The Stability ◽  
Scanning Electron

AbstractNumerous factors can influence the force exerted by clear aligners on teeth. This study aimed to investigate the stability of the force delivered by two different material appliances. 90 clear aligners with 2 materials and three different activations were designed and fabricated. Then, a device was employed to measure the force generated by the two types of PET-G material appliances immersed in artificial saliva for 0, 3, 7, 10, 14 days. Scanning electron microscopy was applied to observe the morphologic alterations on the aligner surfaces, respectively. The forces generated by different activation appliance exhibited differently, 0.0 mm < 0.1 mm < 0.2 mm. In addition, increasing the immersion times and the orthodontic force also decreased, but the forces decreased differently. Compared with the forces of conventional PETG appliances with 0.20 mm activation, the modified PETG appliances with the same activation exhibited significantly higher mean force. When comparing the mean force for modified PETG appliances after 10 and 14 days with conventional PETG appliances, the delivery forces exhibited significant differences (P < 0.05). The force delivered by both materials decreased obviously following artificial saliva immersion, and the force generated by modified aligners exhibited better stability than conventional aligners.

scholarly journals The Mean Stability Criteria in terms of Two Measures for Stochastic Differential Equations with Coefficient’s Uncertainty

2015 ◽  
Vol 2015 ◽  
pp. 1-7
Author(s):  
Rui Zhang ◽  
Yinjing Guo ◽  
Xiangrong Wang ◽  
Xueqing Zhang
Keyword(s):  
Optimal Control ◽  
Differential Equations ◽  
Stochastic Differential Equations ◽  
Stochastic Stability ◽  
Stochastic Systems ◽  
Stability Criteria ◽  
Two Measures ◽  
The Mean ◽  
The Stability

This paper extends the stochastic stability criteria of two measures to the mean stability and proves the stability criteria for a kind of stochastic Itô’s systems. Moreover, by applying optimal control approaches, the mean stability criteria in terms of two measures are also obtained for the stochastic systems with coefficient’s uncertainty.

Effects of finite-rate chemistry and detailed transport on the instability of jet diffusion flames

2014 ◽  
Vol 745 ◽  
pp. 647-681 ◽  
Author(s):  
Yee Chee See ◽  
Matthias Ihme
Keyword(s):  
Transport Properties ◽  
Diffusion Flames ◽  
Diffusive Transport ◽  
Mean Flow ◽  
Stability Behaviour ◽  
Jet Diffusion Flames ◽  
One Step ◽  
The Mean ◽  
Modelling Assumptions ◽  
The Stability

AbstractLocal linear stability analysis has been shown to provide valuable information about the response of jet diffusion flames to flow-field perturbations. However, this analysis commonly relies on several modelling assumptions about the mean flow prescription, the thermo-viscous-diffusive transport properties, and the complexity and representation of the chemical reaction mechanisms. In this work, the effects of these modelling assumptions on the stability behaviour of a jet diffusion flame are systematically investigated. A flamelet formulation is combined with linear stability theory to fully account for the effects of complex transport properties and the detailed reaction chemistry on the perturbation dynamics. The model is applied to a methane–air jet diffusion flame that was experimentally investigated by Füriet al.(Proc. Combust. Inst., vol. 29, 2002, pp. 1653–1661). Detailed simulations are performed to obtain mean flow quantities, about which the stability analysis is performed. Simulation results show that the growth rate of the inviscid instability mode is insensitive to the representation of the transport properties at low frequencies, and exhibits a stronger dependence on the mean flow representation. The effects of the complexity of the reaction chemistry on the stability behaviour are investigated in the context of an adiabatic jet flame configuration. Comparisons with a detailed chemical-kinetics model show that the use of a one-step chemistry representation in combination with a simplified viscous-diffusive transport model can affect the mean flow representation and heat release location, thereby modifying the instability behaviour. This is attributed to the shift in the flame structure predicted by the one-step chemistry model, and is further exacerbated by the representation of the transport properties. A pinch-point analysis is performed to investigate the stability behaviour; it is shown that the shear-layer instability is convectively unstable, while the outer buoyancy-driven instability mode transitions from absolutely to convectively unstable in the nozzle near field, and this transition point is dependent on the Froude number.

scholarly journals On strongly nonlinear gravity waves in a vertically sheared atmosphere

2020 ◽  
Vol 6 (1) ◽  
pp. 63-74
Author(s):  
Mark Schlutow ◽  
Georg S. Voelker
Keyword(s):  
Gravity Waves ◽  
Lower Layer ◽  
Vertical Shear ◽  
Horizontal Wind ◽  
Necessary Condition ◽  
Mean Flow ◽  
Individual Layer ◽  
Strongly Nonlinear ◽  
The Mean ◽  
The Stability

Abstract We investigate strongly nonlinear stationary gravity waves which experience refraction due to a thin vertical shear layer of horizontal background wind. The velocity amplitude of the waves is of the same order of magnitude as the background flow and hence the self-induced mean flow alters the modulation properties to leading order. In this theoretical study, we show that the stability of such a refracted wave depends on the classical modulation stability criterion for each individual layer, above and below the shearing. Additionally, the stability is conditioned by novel instability criteria providing bounds on the mean-flow horizontal wind and the amplitude of the wave. A necessary condition for instability is that the mean-flow horizontal wind in the upper layer is stronger than the wind in the lower layer.

scholarly journals Biological and physicochemical stability of ceftazidime and aminophylline on glucose parenteral solution

2012 ◽  
Vol 48 (4) ◽  
pp. 691-698
Author(s):  
Carolina Alves dos Santos ◽  
Laura Oliveira-Nascimento ◽  
Marcos Camargo Knirsch ◽  
Marco Antônio Stephano ◽  
Adalberto Pessoa Júnior ◽  
...  
Keyword(s):  
Pseudomonas Aeruginosa ◽  
High Performance ◽  
Inhibitory Concentration ◽  
Serum Levels ◽  
High Loss ◽  
Physicochemical Stability ◽  
Physicochemical Evaluation ◽  
The Mean ◽  
The Stability

Ceftazidime is a broad spectrum antibiotic administered mainly by the parenteral route, and it is especially effective against Pseudomonas aeruginosa. The period of time in which serum levels exceed the Minimum Inhibitory Concentration (MIC) is an important pharmacodynamic parameter for its efficacy. One of the forms to extend this period is to administer the antibiotic by continuous infusion, after prior dilution in a Parenteral Solution (PS). The present work assessed the stability of ceftazidime in 5% glucose PS for 24 hours, combined or not with aminophylline, through High Performance Liquid Chromatography (HPLC). The physicochemical evaluation was accompanied by in vitro antimicrobial activity compared MIC test in the 24-hour period. Escherichia coli and Pseudomonas aeruginosa were the microorganisms chosen for the MIC comparison. The HPLC analysis confirmed ceftazidime and aminophylline individual stability on PS, while the MIC values were slightly higher than the mean described in the literature. When both drugs were associated in the same PS, the ceftazidime concentration by HPLC decreased 25% after 24 hours. Not only did the MIC values show high loss of antibiotic activity within the same period, but also altered MIC values immediately after the preparation, which was not detected by HPLC. Our results indicate that this drug combination is not compatible, even if used right away, and that PS might not be the best vehicle for ceftazidime, emphasizing the importance of the MIC evaluation for drug interactions.

scholarly journals Fishing effects on elasmobranchs from the Pacific Coast of Colombia

2016 ◽  
Vol 21 (1) ◽  
pp. 9 ◽  
Author(s):  
Andrés Felipe Navia ◽  
Paola Andrea Mejía-Falla
Keyword(s):  
Species Composition ◽  
Pacific Coast ◽  
Trophic Levels ◽  
Functional Level ◽  
The Pacific ◽  
The Mean ◽  
The Stability ◽  
Large Predators ◽  
Average Catch ◽  
Index Of Diversity

<p>During 1995, 2001, 2003, 2004 and 2007; we studied the temporal variation in the structure of the elasmobranch assemblage along the Colombian Pacific coast using: the community index of diversity, heterogeneity, equitability, species composition, average catch sizes, and mean trophic levels. A total of 1 711 specimens from 19 species<br />(7 sharks and 12 rays) were collected during the 90 trawling operations. The number of species captured varied between 7 (1995) and 12 (2007) demonstrating a trend towards an imbalance in the assemblage attributes. In 1995, the mean trophic level (TLm) of the assemblage was 3.60, but in 2007 it decreased to 3.55 when the functional level of large predators was absent (TL ≥ 4). These results suggest changes in species composition, structural attributes, and a reduction of the highest functional level. Alterations to the catch proportions were also found: i.e. a greater abundance of rays of lower trophic levels. This study suggests an effect of trawling on the stability of this tropical coastal ecosystem.</p>

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