Magnetic resonance imaging findings in 46 elbows with a radial head fracture

Radial head fractures are common, and may be associated with other injuries of clinical importance. We present the results of a standard additional MRI scan for patients with a radial head fracture. PATIENTS AND METhods: 44 patients (mean age 47 years) with 46 radial head fractures underwent MRI. 17 elbows had a Mason type-I fracture, 23 a Mason type-II fracture, and 6 elbows had a Mason type-III fracture. Associated injuries were found in 35 elbows: 28 elbows had a lateral collateral ligament lesion, 18 had capitellar injury, 1 had a coronoid fracture, and 1 elbow had medial collateral ligament injury. The incidence of associated injuries with radial head fractures found with MRI was high. The clinical relevance should be investigate

The FEBEX benchmark test: case definition and comparison of modelling approaches

The FEBEX (Full-scale Engineered Barriers Experiment in Crystalline Host Rock) ‘‘in situ’’ test was installed at the Grimsel Test Site underground laboratory (Switzerland) and is a near-to-real scale simulation of the Spanish reference concept of deep geological storage in crystalline host rock. A modelling exercise, aimed at predicting field behaviour, was divided in three parts. In Part A, predictions for both the total water inflow to the tunnel as well as the water pressure changes induced by the boring of the tunnel were required. In Part B, predictions for local field variables, such as temperature, relative humidity, stresses and displacements at selected points in the bentonite barrier, and global variables, such as the total input power to the heaters were required. In Part C, predictions for temperature, stresses, water pressures and displacements in selected points of the host rock were required. Ten Modelling Teams from Europe, North America and Japan were involved in the analysis of the test. Differences among approaches may be found in the constitutive models used, in the simplifications made to the balance equations and in the geometric symmetries considered. Several aspects are addressed in the paper: the basic THM physical phenomena which dominate the test response are discussed, a comparison of different modelling results with actual measurements is presented and a discussion is given to explain the performance of the various predictions.Peer Reviewe

A radiographic study of proximal radius anatomy with implications in radial head replacement

Anteroposterior (AP) and lateral radiographs of 20 healthy volunteers' forearms were taken in three views (full supination, neutral rotation, and full pronation). Radial head maximum diameter and angular measurements between the axis of forearm rotation (AFR) and the radial neck axis (RNA) were made with digital calipers. Repeated-measures analysis of variance revealed a statistically significant difference between the three AP groups, with supination having the smallest values (P < .0001), but not for the lateral groups (P=128). Comparison of the AFR-RNA angle between the AP supinated position and the three lateral views revealed a statistically significant difference among all of the pairs, with the AP supinated Position having the smallest values. The RNA most closely approximated the AFR with the forearm in the supinated position. For best approximating the native AFR during radial head replacement, the Cut should be made perpendicular to the neck axis with the elbow extended and the forearm in the supinated position

Radial head fractures: MRI evaluation of associated injuries

The purpose of this study was to evaluate the incidence of combined osteochondral and ligamentous injuries by magnetic resonance imaging (MRI) in 24 patients with an acute radial head fracture (Mason type II and III) without documented dislocation or tenderness at the distal radioulnar joint. Elbow radiographs (anteroposterior and lateral views) were obtained on all patients as well as magnetic resonance images in the sagittal, coronal, axial, axial oblique, and coronal oblique planes with the injured elbow in a splint. The incidence of associated injuries revealed by MRI was medial collateral ligament not intact in 13 of 24 (54.16%), lateral ulnar collateral ligament not intact in 18 of 24 (80.1%), both collateral ligaments not intact in 12 of 24 (50%), capitellar osteochondral defects in 7 of 24 (29.1%), capitellar bone bruises in 23 of 24 (95.83%), and loose bodies in 22 of 24 (91.67%). A high level of suspicion should be used when one is treating displaced or comminuted radial head fractures, because concurrent osteochondral injuries and/or ligamentous injuries may be present

Review of Chemical Sensors for In-Situ Monitoring of Volatile Contaminants

Sandia National Laboratories has sponsored an LDRD (Laboratory Directed Research and Development) project to investigate and develop micro-chemical sensors for in-situ monitoring of subsurface contaminants. As part of this project, a literature search has been conducted to survey available technologies and identify the most promising methods for sensing and monitoring subsurface contaminants of interest. Specific sensor technologies are categorized into several broad groups, and these groups are then evaluated for use in subsurface, long-term applications. This report introduces the background and specific scope of the problem being addressed by this LDRD project, and it provides a summary of the advantages and disadvantages of each sensor technology identified from the literature search