Biomechanical Evaluation of the Medial Stabilizers of the Patella

2018 ◽  
Vol 46 (7) ◽  
pp. 1575-1582 ◽  
Author(s):  
Matthew D. LaPrade ◽  
Samantha L. Kallenbach ◽  
Zachary S. Aman ◽  
Gilbert Moatshe ◽  
Hunter W. Storaci ◽  
...  
Keyword(s):  
Ultimate Load ◽  
Testing Machine ◽  
Biomechanical Properties ◽  
Patellar Ligament ◽  
Anatomic Reconstruction ◽  
Bony Avulsion ◽  
Significant Difference ◽  
The Mean ◽  
Mechanism Of Failure ◽  
Selection Of

Background: Quantification of the biomechanical properties of each individual medial patellar ligament will facilitate an understanding of injury patterns and enhance anatomic reconstruction techniques by improving the selection of grafts possessing appropriate biomechanical properties for each ligament. Purpose: To determine the ultimate failure load, stiffness, and mechanism of failure of the medial patellofemoral ligament (MPFL), medial patellotibial ligament (MPTL), and medial patellomeniscal ligament (MPML) to assist with selection of graft tissue for anatomic reconstructions. Study Design: Descriptive laboratory study. Methods: Twenty-two nonpaired, fresh-frozen cadaveric knees were dissected free of all soft tissue structures except for the MPFL, MPTL, and MPML. Two specimens were ultimately excluded because their medial structure fibers were lacerated during dissection. The patella was obliquely cut to test the MPFL and the MPTL-MPML complex separately. To ensure that the common patellar insertion of the MPTL and MPML was not compromised during testing, only one each of the MPML and MPTL were tested per specimen (n = 10 each). Specimens were secured in a dynamic tensile testing machine, and the ultimate load, stiffness, and mechanism of failure of each ligament (MPFL = 20, MPML = 10, and MPTL = 10) were recorded. Results: The mean ± SD ultimate load of the MPFL (178 ± 46 N) was not significantly greater than that of the MPTL (147 ± 80 N; P = .706) but was significantly greater than that of the MPML (105 ± 62 N; P = .001). The mean ultimate load of the MPTL was not significantly different from that of the MPML ( P = .210). Of the 20 MPFLs tested, 16 failed by midsubstance rupture and 4 by bony avulsion on the femur. Of the 10 MPTLs tested, 9 failed by midsubstance rupture and 1 by bony avulsion on the patella. Finally, of the 10 MPMLs tested, all 10 failed by midsubstance rupture. No significant difference was found in mean stiffness between the MPFL (23 ± 6 N/mm2) and the MPTL (31 ± 21 N/mm2; P = .169), but a significant difference was found between the MPFL and the MPML (14 ± 8 N/mm2; P = .003) and between the MPTL and MPML ( P = .028). Conclusion: The MPFL and MPTL had comparable ultimate loads and stiffness, while the MPML had lower failure loads and stiffness. Midsubstance failure was the most common type of failure; therefore, reconstruction grafts should meet or exceed the values reported herein. Clinical Relevance: For an anatomic medial-sided knee reconstruction, the individual biomechanical contributions of the medial patellar ligamentous structures (MPFL, MPTL, and MPML) need to be characterized to facilitate an optimal reconstruction design.

Caracterização da Peneira Média em Clones de Coffea canephora

REVISTA FIMCA ◽  
2018 ◽  
Vol 5 (2) ◽  
pp. 28-31
Author(s):  
Darlan Darlan Sanches Barbosa Alves ◽  
Victor Mouzinho Spinelli ◽  
Marcos Santana Moraes ◽  
Carolina Augusto De Souza ◽  
Rodrigo da Silva Ribeiro ◽  
...  
Keyword(s):  
Genetic Improvement ◽  
Block Design ◽  
Coffea Canephora ◽  
Coffee Production ◽  
Randomized Block Design ◽  
Significant Difference ◽  
The Mean ◽  
Four Blocks ◽  
Selection Of

Introdução: O estado de Rondônia se destaca como tradicional produtor de café, sendo o segundo maior produtor brasileiro de C. canephora. No melhoramento genético de C. canephora, a seleção de plantas de elevada peneira média está associada à bebida de qualidade superior. Objetivos: O objetivo desse estudo foi avaliar a variabilidade genética de clones de C. canephora para o tamanho dos grãos, mensurado a partir da avaliação da peneira média (PM). Materiais e Métodos: Para isso, foi conduzido ao longo de dois anos agrícolas experimento no campo experimental da Embrapa no município de Ouro Preto do Oeste-RO, para a avaliação da peneira média de 130 genótipos (clones) com características das variedades botânicas Conilon, Robusta e híbridos intervarietais. O delineamento experimental utilizado foi de blocos ao acaso, com quatro repetições de quatro plantas por parcela. Resultados: Não houve resultados significativos para a interação clones X anos, indicando uma maior consistência no comportamento das plantas ao longo do tempo. Porém foram observadas diferenças significativas para o tamanho dos grãos entre os genótipos avaliados, possibilitando selecionar genótipos superiores. Conclusão: Os genótipos agruparam-se em cinco classes de acordo com o teste de média, subsidiando a caracterização de um gradiente de variabilidade da característica avaliada ABSTRACTIntroduction: Coffea canephora accounts for approximately 35% of the world's coffee production. The state of Rondônia stands out as a traditional coffee producer, being the second largest Brazilian producer of C. canephora. In the classical genetic improvement of C. anephora, the selection of plants of high average sieve is associated with a drink of superior quality. Objectives: The objective of this udy was to evaluate the genetic variability of Coffea canephora clones for the agronomic medium sieve (PM). Materials and Methods: The experiment was conducted in the experimental field of Embrapa, municipality of OuroPreto do Oeste-RO, located at coordinates 10º44'53 "S and 62º12'57". One hundred thirty genotypes (clones) of botanical characteristics Conilon, Robusta and intervarietal hybrids were evaluated in the agricultural years 2013-2014 and 2014-2015. The experimental design was a randomized block design with four blocks and four plants per plot, spacing 3.5 x 1.5 meters between plants. Results: Significant difference was found for the grain size. According to the F test, at 5% probability, the genotypes were grouped into five classes according to the mean test. Conclusion: The results obtained subsidized the characterization of a variability gradient of the evaluated trait.

scholarly journals Compressive and diametral tensile strength of glass ionomer cements

2004 ◽  
Vol 12 (4) ◽  
pp. 344-348 ◽  
Author(s):  
Eduardo Bresciani ◽  
Terezinha de Jesus Esteves Barata ◽  
Ticiane Cestari Fagundes ◽  
Akimi Adachi ◽  
Marina Martins Terrin ◽  
...  
Keyword(s):  
Tensile Strength ◽  
Testing Machine ◽  
Glass Ionomer Cement ◽  
Mean Value ◽  
Atraumatic Restorative Treatment ◽  
Glass Ionomer ◽  
Restorative Treatment ◽  
Significant Difference ◽  
The Mean ◽  
Diametral Tensile Strength

The aim of this study was to compare, in different periods of time, the compressive and diametral tensile strength of a traditional high viscous glass ionomer cement: Fuji IX (GC Corporation), with two new Brazilian GIC's: Vitro-Molar (DFL) and Bioglass R (Biodinamica), all indicated for the Atraumatic Restorative Treatment (ART) technique. Fifteen disk specimens (6.0mm diameter x 3.0mm height) for the diametral tensile strength (DTS) test and fifteen cylindrical specimens (6.0mm diameter x 12.0mm height) for the compressive strength (CS) test were made of each GIC. Specimens were stored in deionized water at 37º C and 100% of humidity in a stove until testing. Five specimens of each GIC were submitted to CS and DTS test in each period, namely 1 hour, 24 hours and 7 days. The specimens were tested in a testing machine (Emic) at a crosshead speed of 1.0mm/min for CS and 0.5mm/min for the DTS test until failure occurred. The data were submitted to two-way ANOVA and Tukey tests (alpha=0.05). The mean CS values ranged from 42.03 to 155.47MPa and means DTS from 5.54 to 13.72 MPa, with test periods from 1h to 7 days. The CS and DTS tests showed no statistically significant difference between Fuji IX and Vitro Molar, except for CS test at 1-hour period. Bioglass R had lowest mean value for CS of the cements tested. In DTS test Bioglass R presented no statistically significant differences when compared with all others tested GICs at 1-hour period and Bioglass R presented no difference at 24-hour and 7-day periods when compared to Vitro-Molar. Further studies to investigate other physical properties such as fracture toughness and wear resistance, as well as chemical composition and biocompatibility, are now needed to better understand the properties of these new Brazilian GIC's.

The Effect of Thermoforming on Tear Strength of Ethylene Vinyl Acetate Mouthguard Material in Various Thicknesses

2017 ◽  
Vol 751 ◽  
pp. 657-662
Author(s):  
Phakphum Srinuan ◽  
Jeerapatr O. Baiyokvichit ◽  
Rasana Boonpeng ◽  
Tanapol Wongwisatekit ◽  
Pacharaporn Pattanasukwasan ◽  
...  
Keyword(s):  
Vinyl Acetate ◽  
Testing Machine ◽  
Ethylene Vinyl Acetate ◽  
Strength Test ◽  
Tear Strength ◽  
Universal Testing ◽  
Significant Difference ◽  
The Mean ◽  
Thermoforming Process ◽  
One Way Anova

The effect of thermoforming on the tear strength of ethylene vinyl acetate (EVA) mouthguard material (Bioplast®) has not been widely investigated. The present study compared the tear strengths of non-processed and processed EVA specimens in various thicknesses. Two groups of EVA sheet (non-processed and processed) in three different thicknesses of 3, 4 and 5 mm were used in specimen fabrication. The processed EVA sheets were achieved by forming the EVA sheet on the cylindrical stone model with the pressure-molding device (Biostar®). Twelve of tear strength specimens of non-processed and processed group in each thickness were prepared following the modified ASTM D 624-00 guideline. The tear strength test was conducted using universal testing machine (Lloyd® 1K series) with the speed of 500 mm/min. The mean thickness and tear strength of the non-processed and processed specimens in each thickness were compared using independent T-test. The differences in the mean tear strength for each thickness of non-processed and process specimens were determined using one-way ANOVA. The mean tear strength and mean thickness of processed EVA specimens was significantly lower than the non-processed EVA specimens for every thickness (P ≤ 0.05). There was no significant difference in the mean tear strength of EVA specimens among each thickness in both non-processed and processed groups. It can be concluded that the thermoforming process has the significant effect on the tear strength of the EVA mouthguard material formed by pressure molding device in every thicknesses. The tear strength of processed specimens were significant lower than the non-processed. Thus, it is more relevant for testing properties of the processed mouthguard material that the mouthguard material before processing.

Biomechanical Evaluation of Minimally Invasive Repairs for Complete Acromioclavicular Joint Dislocation

2007 ◽  
Vol 35 (6) ◽  
pp. 955-961 ◽  
Author(s):  
Mathias Wellmann ◽  
Thore Zantop ◽  
Andre Weimann ◽  
Michael J. Raschke ◽  
Wolf Petersen
Keyword(s):  
Minimally Invasive ◽  
Ultimate Load ◽  
Suture Anchor ◽  
Biomechanical Properties ◽  
Fixation Strength ◽  
Acromioclavicular Joint Dislocation ◽  
Coracoclavicular Ligament ◽  
Invasive Approach ◽  
Significant Difference ◽  
Permanent Elongation

Background The conventional coracoclavicular ligament augmentation with a single polydioxanone loop has been shown to have some pivotal disadvantages. Hypothesis A minimally invasive flip button/polydioxanone repair provides similar biomechanical properties to the conventional polydioxanone cerclage around the coracoid. However, the authors expected a difference in linear stiffness, ultimate load, and permanent elongation between suture anchor repairs and polydioxanone repairs. Study Design Controlled laboratory study. Methods The tensile fixation strength of 4 different minimally invasive repairs was tested in a porcine metatarsal model: (1) 1.3-mm single polydioxanone cerclage with a subcoracoidal flip button fixation, (2) 1.3-mm single polydioxanone cerclage, (3) Twinfix Ti 3.5-mm/Ultrabraid 2-suture anchor, and (4) Twinfix Ti 5.0-mm/Ultrabraid 2-suture anchor. The testing protocol included cyclic superoinferior loading and a subsequent load to failure trial. Results The flip button repair (646 N) and the conventional polydioxanone banding (663 N) revealed significant higher ultimate loads than did the suture anchor repairs (295 and 331 N, respectively; P < .001), whereas no significant differences were found for the elongation behavior under cyclic loading. Conclusion There was no significant difference between the 2 polydioxanone repairs. The ultimate load of the flip button procedure reaches the level of the native coracoclavicular ligament complex as it has been quantified in the literature. Clinical Relevance Although the biomechanical results comparing a minimally invasive flip button procedure versus a conventional polydioxanone cerclage are similar, the authors recommend the flip button procedure because of its minimally invasive approach and the secure subcoracoidal fixation technique with a minimized risk of anterior loop dislocation and neurovascular damage.

Accuracy of the London School of Hygiene and Remler M2000 sphygmomanometers

1981 ◽  
Vol 61 (s7) ◽  
pp. 399s-401s ◽  
Author(s):  
D. J. Fitzgerald ◽  
W. G. O'Callaghan ◽  
K. O'Malley ◽  
E. T. O'Brien
Keyword(s):  
Blood Pressure ◽  
Pressure Measurement ◽  
Blood Pressure Measurement ◽  
Calibration Error ◽  
London School ◽  
Lower Blood ◽  
Significant Difference ◽  
Blood Pressures ◽  
The Mean ◽  
Selection Of

1. The accuracy of the Remler M2000, a semiautomatic portable blood pressure recorder, was assessed with the London School of Hygiene (LSH) and Hawkesley random-zero sphygmomanometers used as reference standards. 2. The Remler gave higher recordings than the LSH sphygmomanometer, the mean systolic and diastolic differences being 5.9 mmHg (P &lt; 0.001) and 4.7 mmHg (P &lt; 0.001) respectively. No significant difference was demonstrated between paired Remler and Hawkesley recordings. 3. When simultaneous paired LSH and Hawkesley sphygmomanometer recordings were compared, the LSH gave lower blood pressures: 7.1 mmHg (P &lt; 0.001) for systolic and 3.6 mmHg (P &lt; 0.001) for diastolic recordings. 4. The LSH sphygmomanometer underestimates blood pressure, partly due to a calibration error but also because the selection of end points for this device differs from other methods of blood pressure measurement.

scholarly journals Dosimetry of Critical Organs in Maxillofacial Imaging with Cone-beam Computed Tomography

2019 ◽  
Vol 9 (1Feb) ◽  
Author(s):  
R Ghanbarnezhad Farshi ◽  
A Mesbahi ◽  
M Johari ◽  
Ü Kara ◽  
N Gharehaghaji
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cone Beam ◽  
Radiation Doses ◽  
Parotid Glands ◽  
Thermoluminescent Dosimeters ◽  
Wide Range ◽  
Significant Difference ◽  
The Mean ◽  
Selection Of

Background: While the benefits of cone-beam computed tomography (CBCT) are well known in maxillofacial imaging, the use of this modality is not risk-free.Objective: The aim of this study was to evaluate the exposure doses received by patients during maxillofacial imaging with CBCT.Methods: Entrance surface dose (ESD) was measured by using thermoluminescent dosimeters (TLDs) attached to the eyes lids, parotid glands and thyroid of 64 patients in two imaging centers (A and B). Phantom dosimetry was performed by a cylindrical poly-methyl methacrylate (PMMA) head-size phantom and an ionization chamber for different exposure parameters. NewTom VGi and Planmeca Promax 3D CBCT scanners were used at centers A and B, respectively.Results: The mean ESD of the eyes, parotid glands and thyroid were 2.57, 2.33 and 0.28 mGy in center A, 0.35, 2.11 and 0.37 mGy in center B, respectively. ESD of the eyes revealed a significant difference in two centers; in center B, it was 86.4% lower than center A. In the phantom dosimetry, the measured doses of NewTom VGi were 2.63 and 2.08 mGy, respectively by changing field of view (FOV) size from 8×8 cm2 (height × diameter) to 6×6 cm2. For Planmeca Promax 3D, it ranged from 0.98 to 3.24 mGy depending on exposure parameters.Conclusion: There is a wide range of radiation doses dependent on the units, patients and selected scan parameters. Inappropriate selection of exposure settings, especially FOV size, can seriously increase patient dose.

scholarly journals Biaxial Flexural Strength of High-Translucence Monolithic Ceramics upon Various Thicknesses

2021 ◽  
Vol 2021 ◽  
pp. 1-10
Author(s):  
Niwut Juntavee ◽  
Apa Juntavee ◽  
Sirintana Phetpanompond
Keyword(s):  
Flexural Strength ◽  
Testing Machine ◽  
Lithium Silicate ◽  
Stabilized Zirconia ◽  
Varying Thickness ◽  
Significant Difference ◽  
Biaxial Flexural Strength ◽  
Yttria Partially Stabilized Zirconia ◽  
The Mean ◽  
Monolithic Ceramics

Introduction. High-translucence ceramics have been used increasingly. This study evaluated the biaxial flexural strength of different ceramics as a result of varying thicknesses. Materials and Methods. Circular discs with varied thickness of 0.4, 0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8, and 2.0 mm were prepared from high-translucence yttria-partially stabilized zirconia (HTY-PSZ); Bruxzir® Anterior (Bc), and zirconia-reinforced lithium silicate (ZLS) including Celtra® DUO (Cc) and VITA Suprinity® (Vc) (n = 15 discs/group). Biaxial flexural strength (σ) was evaluated utilizing piston-on-three-balls in a testing machine at a speed of 0.5 mm/min. A scanning electron microscope (SEM) was used to determine the microscopic structure. ANOVA and multiple comparisons were analyzed for significant differences (a = 0.05). Results. The mean ± sd value of σ (MPa) for thickness 0.4, 0.6, 0.8, 1.0, 1.2, 1.4, 1.6, 1.8, and 2.0 mm was 672.66 ± 107.54, 655.93 ± 93.98, 589.01 ± 63.63, 624.89 ± 87.08, 618.82 ± 83.36, 672.64 ± 84.61, 659.81 ± 122.89, 632.79 ± 92.54, and 657.86 ± 73.17, for Bc; 477.64 ± 88.23, 496.39 ± 86.36, 461.56 ± 57.00, 450.26 ± 86.60, 468.28 ± 83.65, 472.45 ± 53.63, 453.05 ± 72.50, 462.67 ± 47.57, and 535.28 ± 84.33, for Cc; and 500.97 ± 76.36, 506.70 ± 87.76, 557.82 ± 62.78, 543.76 ± 87.29, 507.53 ± 86.09, 502.46 ± 64.75, 557.70 ± 80.91, 527.04 ± 80.78, and 499.88 ± 57.35, for Vc. A significant difference in flexural strength was indicated among groups ( p < 0.05 ). Bc was significantly stronger than Cc and Vc ( p < 0.05 ). Varying thickness did not have a significant influence on strength ( p > 0.05 ). SEM revealed a tight arrangement of crystals for Bc and needle-like crystals diffusing in glass for Vc and Cc. Conclusion. Flexural strength of ceramics varied among types, but each retained strength equitably with varying thickness. HTY-PSZ was stronger than ZLS, but each was equally strong for thickness in the range of 0.4–2.0 mm.

scholarly journals Similar biomechanical properties of four tripled tendon graft models for ACL reconstruction

2021 ◽  
Author(s):  
Davide Pavan ◽  
Federica Morello ◽  
Francesco Monachino ◽  
Giuseppe Rovere ◽  
Lawrence Camarda ◽  
...  
Keyword(s):  
Acl Reconstruction ◽  
Testing Machine ◽  
Thermoelastic Stress ◽  
Fatigue Loading ◽  
Biomechanical Properties ◽  
Simultaneous Increase ◽  
Full Field ◽  
Biomechanical Behavior ◽  
Significant Difference ◽  
Group 2

Abstract Purpose The present study tested and compared the biomechanical properties of four different triplicate graft tendon techniques. Methods 32 tripled tendons from the common extensor muscle of bovine fingers were tested on a material testing machine, passing the end loop over a metal rod of a clevis connected to the load cell on the upper side, and fixing the lower end to a clamp. The samples were divided into four groups: (A) tripled with a free end sutured only to one of the two fixed bundles (B) tripled with a free end positioned between the two fixed strands and sutured to both (C) tripled with an S-shape and all the three strands sutured together at the upper and lower extremities of the graft (D) partially quadrupled with the free end sutured together with the other three bundles at the upper extremity. Each sample was pretensioned at 50 N for 10 min and then subjected to 1000 load control cycles between 50 and 250 N. Finally, each sample was subjected to a load to failure test. Authors also present some preliminary results on the feasibility of a non-contact and full-field Thermoelastic Stress Analysis technique, based on Infrared Thermography, to evaluate the level of stress on the whole graft, and hence on each strand, during fatigue loading. Results Eighty five percent of the samples failed at the level of the clamp. The cyclical elongation progressively decreased in all the samples and there was a simultaneous increase in stiffness. An increased stiffness was noted between Group 2 vs Group 3 and Group 2 vs Group 4 at the 500th and 1000th cycle. The failure loads were as follows: (a) 569.10 N, (b) 632.28 N, (c) 571.68 N, (d) 616.95 N. None of the parameters showed a statistically significant difference between the four groups. Conclusion This study reported similar biomechanical behavior of four different models of tripled grafts suitable for ACL reconstruction. In addition, the biomechanics of overall tripled tendon grafts seems more affected by the viscoelastic property of the tendon itself rather than the preparation method.

scholarly journals Fracture Resistance of a Bulk-Fill and a Conventional Composite and a Combination of Both for Coronal Restoration of Severely Damaged Primary Anterior Teeth

2019 ◽  
Author(s):  
Shahram Mosharrafian ◽  
Maryam Shafizadeh ◽  
Zeinab Sharifi
Keyword(s):  
Fracture Resistance ◽  
Treatment Time ◽  
Testing Machine ◽  
Anterior Teeth ◽  
Significant Difference ◽  
Group 3 ◽  
The Mean ◽  
Group 2 ◽  
One Way Anova

Objectives: This study aimed to compare the fracture resistance of a bulk-fill and a conventional composite and a combination of both for coronal restoration of severely damaged primary anterior teeth. Materials and Methods: In this in vitro experimental study, 45 primary anterior teeth were randomly divided into three groups. After root canal preparation, the canals were filled with Metapex paste such that after the application of 1 mm of light-cure liner, 3 mm of the coronal third of the canal remained empty for composite post fabrication. Filtek Z250 conventional composite was used in group 1, Sonic-Fill bulk-fill composite was used in group 2 and Sonic-Fill with one layer of Filtek Z250 as the veneering were used in group 3. Adper Single Bond 2 was used in all groups. The teeth were thermocycled, and fracture resistance was measured by a universal testing machine. The mode of fracture was categorized as repairable or irreparable. Data were analyzed using one-way ANOVA. Results: The mean fracture resistance was 307.00±74.72, 323.31±84.28 and 333.30±63.96 N in groups 1 to 3, respectively (P=0.55). The mean fracture strength was 14.53±2.98, 15.08±2.82 and 15.26±3.02 MPa in groups 1 to 3, respectively (P=0.77). The frequency of repairable mode of failure was 80% for the conventional, 73.6% for the bulk-fill and 80% for the bulk-fill plus conventional group, with no significant difference (P>0.05). Conclusions: Bulk-fill composites can be used for coronal reconstruction of severely damaged primary anterior teeth similar to conventional composites to decrease the treatment time in pediatric patients.

Stiffness Comparison of Coracoclavicular Ligament and Anatomic Reconstruction Complexes: Overall and Individual Complex Components

2003 ◽  
Author(s):  
Ryan S. Costic ◽  
Joanne E. Labriola ◽  
Mark W. Rodosky ◽  
Richard E. Debski
Keyword(s):  
Tendon Graft ◽  
Coracoid Process ◽  
Anatomic Reconstruction ◽  
Coracoclavicular Ligament ◽  
Mechanism Of Injury ◽  
Coracoclavicular Ligaments ◽  
Repair Materials ◽  
Mechanism Of Failure ◽  
Selection Of ◽  
Complex Components

The stiffness of the coracoclavicular ligaments and their surgical replacments have previously been reported; however, the mechanism of failure and procedures for repair include both the clavicle and coracoid process which have not been investigated. Therfore, this study utilized a physiolgogic mechanism of injury to compare the stiffness of the coracoclavicluar ligament and anatomic reconstruction complexes, both overall and individual complex components. After dislocation of the coracoclavicular ligament complex, a 40% decrease of the clavicle stiffness was observed along with a more comparable stiffness of the reconstruction tendon graft to the intact coracoclavicular ligaments compared to current repair materials. These findings suggest all components of the coracoclavicluar complex following dislocation should be considered in selection of rehablilation protocols or surgical procedures.

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