Shoulder biomechanics in normal and selected pathological conditions

The stability of the glenohumeral joint depends on soft tissue stabilizers, bone morphology and dynamic stabilizers such as the rotator cuff and long head of the biceps tendon. Shoulder stabilization techniques include anatomic procedures such as repair of the labrum or restoration of bone loss, but also non-anatomic options such as remplissage or tendon transfers.Rotator cuff repair should restore the cuff anatomy, reattach the rotator cable and respect the coracoacromial arch whenever possible. Tendon transfer, superior capsular reconstruction or balloon implantation have been proposed for irreparable lesions.Shoulder rehabilitation should focus on restoring balanced glenohumeral and scapular force couples in order to avoid an upward migration of the humeral head and secondary cuff impingement. The primary goal of cuff repair is to be as anatomic as possible and to create a biomechanically favourable environment for tendon healing

Evaluation of the subscapularis split created with passive rotation during arthroscopic dynamic anterior stabilization (DAS): A cadaveric study.

Abstract Introduction The purpose of the present study was to analyze the ability to create a subscapularis split by passive rotation of the arm during dynamic anterior stabilization (DAS) and to analyze the new geometry of the long head of the biceps LHB. Hypothesis The hypothesis was that this passive simple technique can create subscapularis split without additional dissection giving rise to new position of LHB with a new stabilization function. Material and methods A technique of subscapularis split using the LHB was used in 12 fresh-frozen human cadaveric shoulders. A subscapularis split was created by passive rotation of the arm after the LHB is shuttled into the joint during DAS. The length of the subscapularis split, post-DAS position and length of the LHB, and the angulation of the LHB relative to bicipital groove were measured after DAS and if this new geometry can give a new dynamic effect on subscapularis muscle. Results The mean length of the subscapular split after maximal rotation was 20.4 ± 6.0 mm (range: 10–32 mm). The mean elongation of the LHB was 0.6 ± 1.4 mm (range: −1 to +3 mm). The final angle of the LHB relative to the bicipital groove was 45 ± 5 degrees (range: 41 to 55 degrees). Discussion There is no need to create a distinct split prior to DAS. Additionally, DAS maintains the length-tension relationship of the LHB. The post-procedure medial angulation of the LHB relative to the bicipital groove may provide a lowering of the subscapularis, helping explain the anterior reinforcement of this technique. Level of evidence Basic science study, cadaver study

Measuring and Controlling the Energy Spread in CEBAF

As compared to electron storage rings, one advantage of recirculating linear accelerators is that the beam properties at target are no longer dominated by the equilibrium between quantum radiative diffusion and radiation damping because new beam is continually injected into the accelerator. This allows the energy spread from a CEBAF-type machine to be relatively small; the measured energy spread from CEBAF at 4 GeV is less than 100 parts per million accumulated over times of order several days. In this paper, the various subsystems contributing to the energy spread of a CEBAF-type accelerator are reviewed, as well as the machine diagnostics and controls that are used in CEBAF to ensure that a small energy spread is provided during routine running. Examples of relevant developments are (1) stable short bunches emerging from the injector, (2) precision timing and phasing of the linacs with respect to the centroid of the beam bunches on all passes, (3) implementing 2 kHz sampling rate feedback systems for final energy stabilization, and (4) continuous beam energy spread monitoring with optical transition radiation devices. We present measurement results showing that small energy spreads are achieved over extended periods.Comment: 5 pages, 5 figures, Invited Paper TH205 at 2000 International Linac Conferenc

Experience with confirmatory measurements at the Savannah River Plant

Confirmatory measurements are performed on all category I and II plutonium shipments to the Savannah River Plant (SRP). The primary technique employed has been neutron coincidence counting using three instruments; two slab counters, and a well counter. These measurements have provided the required safeguards features to support the physical security measures already in place for inter-site shipments of special nuclear material (SNM). Similar confirmatory measurements have also been performed on a variety of scrap mixed-oxide materials stored at SRP for later processing. The data handling and results for several categories of material will be examined in addition to planned uses of the Rocky Flats Plant (RFP)/SRP Confirmatory Measurements Counter (CMC). 2 refs., 4 figs

A Compact Ring for Thom X-Ray Source

International audienceThe goal of X-ray sources based on Compton back scattering processes is to develop a compact device, which could produce an intense flux of monochromatic X-rays. Compton back-scattering resuls from collisions between laser pulses and relativistic electron bunches. Due to the relative low value of the Compton cross section, a high charge electron beam, a low emittance and a high focusing at the interaction point are required for the electron beam. In addition, the X-ray flux is related to the characteristics of the electron beam, which are themselves dynamically affected by the Compton interaction. One possible configuration is to inject frequently into a storage ring with a low emittance linear accelerator without waiting for the synchrotron equilibrium. As a consequence, the optics should be designed taking into account the characteristics of the electron beam from the linear accelerator. The accelerator ring design for a 50 MeV electron beam, aiming at producing a flux higher than 1013 ph/s, will be presented

LUNEX5 : A FEL PROJECT TOWARDS THE FIFTH GENERATION IN FRANCE

ISBN978-3-95450-117-5 - http://accelconf.web.cern.ch/AccelConf/FEL2011/papers/tupa09.pdfInternational audienc

Real-time transverse-emittance and phase-space monitor

A real-time multislit [1] transverse-emittance monitor has been developed for diagnosing the space-charge-dominated beam in the 10MeV injection line of the FEL at Thomas Jefferson National Accelerator Facility (formerly CEBAF). It gives emittance, Twiss parameters, and phase-space contours (without any symmetry assumptions) at the update rate of 1Hz. It reduces measurement noise in real-time, and incorporates a special algorithm for constructing the phase-space matrix, which yields more accurate results by sweeping the beam across the slits. In this paper we will discuss issues relevant to the software design and implementation. Experimental results obtained from a 250keV photocathode gun will also be presented and compared with other methods and with PARMELA simulations