MAORY for ELT: preliminary design overview

MAORY is one of the approved instruments for the European Extremely Large Telescope. It is an adaptive optics module, enabling high-angular resolution observations in the near infrared by real-time compensation of the wavefront distortions due to atmospheric turbulence and other disturbances such as wind action on the telescope. An overview of the instrument design is given in this paper

Estimation de la fonction ventriculaire droite en angioscannographie thoracique chez les fumeurs explorés pour bronchopneumopathie chronique obstructive (BPCO)

LILLE2-BU Santé-Recherche (593502101) / SudocPARIS-BIUM (751062103) / SudocSudocFranceF

Soft Tissue Masses of the Knee Related to a Focal Defect of the Lateral Patellar Retinaculum.

Place: EnglandWe report on the imaging features of 6 soft tissue masses in the anterolateral aspect of the knee related to a focal defect of the lateral patellar retinaculum. In 4 patients (3 female and 1 male; 6-65 years) presenting with nontender palpable soft tissue masses in the anterolateral aspect of their knees, ultrasonography showed a focal defect of the lateral patellar retinaculum with herniation of the Hoffa fat pad, which was only visible in flexion. A magnetic resonance imaging examination performed in 1 case confirmed the defect in the lateral patellar retinaculum but did not show a mass, as the knee was examined only at 10° of flexion. The 2 remaining patients (one male and 1 female; 62 and 55 years) presented with soft tissue masses in their anterolateral knees in both flexion and extension. These masses were related respectively to a lipoma of the Hoffa fat pad and to a ganglion cyst, both herniated through a defect of the lateral patellar retinaculum. Our cases suggest that a focal defect of the lateral patellar retinaculum may be a route for Hoffa fat pad herniation as well as a route for superficial extension of infrapatellar fat lesions such as lipomas and ganglion cysts

Anterolateral knee pain related to thrombosed lateral patellar retinaculum veins: Unusual anterolateral pain of the knee.

Place: United StatesWe describe the ultrasound (US) features of venous thrombosis involving the lateral patellar retinaculum (LPR) veins presenting as anterolateral knee pain. Four male patients, aged 16 to 35 years, were referred for lateropatellar pain with focal tenderness. In two cases, physical examination also demonstrated soft tissue swelling at the anterolateral aspect of the knee. In all four cases, US showed subcutaneous fat edema surrounding a thrombosis involving the LPR veins. Magnetic resonance imaging performed before US in one patient revealed only nonspecific subcutaneous fat edema and was therefore unable to make the correct diagnosis of LPR venous thrombosis

Anterolateral knee pain related to thrombosed lateral patellar retinaculum veins: Unusual anterolateral pain of the knee

Place: United StatesWe describe the ultrasound (US) features of venous thrombosis involving the lateral patellar retinaculum (LPR) veins presenting as anterolateral knee pain. Four male patients, aged 16 to 35 years, were referred for lateropatellar pain with focal tenderness. In two cases, physical examination also demonstrated soft tissue swelling at the anterolateral aspect of the knee. In all four cases, US showed subcutaneous fat edema surrounding a thrombosis involving the LPR veins. Magnetic resonance imaging performed before US in one patient revealed only nonspecific subcutaneous fat edema and was therefore unable to make the correct diagnosis of LPR venous thrombosis

Relationship Between Spinal-Pelvic Sagittal Balance and Pelvic-Femoral Injuries in Professional Soccer Players.

Pelvic-femoral injuries are a common problem in football (soccer) players. However, the risk factors for these injuries are unclear. Our knowledge of spinal-pelvic sagittal balance has increased considerably over the past few years, notably as a result of new radiographic techniques such the EOS radiographic imaging system. To investigate the link between spinal-pelvic sagittal balance on EOS imaging and the incidence of pelvic-femoral injuries. Cohort study; Level of evidence, 2. Players in a League 1 professional soccer team were observed for 5 consecutive seasons. All players included in the study underwent EOS radiographic imaging. All acute and microtraumatic injuries to the pelvic-femoral complex were recorded prospectively: hamstrings, psoas, quadriceps, adductors, obturators, and pubic symphysis. We analyzed the relationship between injury incidence and key radiographic parameters involved in pelvic balance. A total of 61 players were included (mean age, 24.5 years; n = 149 injuries; mean pelvic tilt, 9.08° ± 5.6°). A significant link was observed between the incidence of pelvic-femoral injuries and pelvic tilt ( = .02). A significant link was also observed between the incidence of acute pelvic-femoral injuries and pelvic tilt ( = .05). In both cases, a high pelvic tilt was associated with a low incidence of injuries. In professional soccer players, a low pelvic tilt was associated with a high incidence of all pelvic-femoral injuries as well as acute pelvic-femoral injuries. These results could lead to new preventive methods for these musculotendinous injuries through physical therapy

Stenosing tenosynovitis of the extensor digitorum tendons of the hand: clinical and sonographic features.

Place: GermanyInternational audienceOBJECTIVE: To describe the ultrasound (US) features of 18 patients with extensor digitorum communis stenosing tenosynovitis (EDCST). MATERIALS AND METHODS: A retrospective search in the radiologic information systems of two separate Institutions was performed to identify all patients presenting EDCST between January 2010 and September 2019. A total of 18 patients (ten males and eight females; mean age, 57.4 years) were identified and included. Sonographic examinations were retrospectively reviewed by two senior radiologists to assess morphologic changes and power Doppler activity of the extensor retinaculum (ER) and of the extensor digitorum communis (EDC) tendons and sheath. The presence of dynamic impingement between the EDC and the ER was evaluated using video clip records. RESULTS: At the ultrasound, all patients (18/18; 100%) presented thickening of both the ER and EDC tendons associated with EDC tendon sheath effusion. Power Doppler hyperemia of the ER was inconstant and observed in 11 cases (11/18; 61.1%) as tendon sheath effusion observed in 16 cases (16/18; 88.9%). A cyst located inside the EDC of the index finger was observed in three of these patients (3/18; 17%). Dynamic examination showed impingement of the EDC against the ER during active tendon extension in all patients (18/18; 100%). Four of these patients (4/18; 22%) underwent surgery allowing diagnosis confirmation and release of EDCST, while the remaining fourteen patients (14/18; 78%) were either treated conservatively or using US-guided steroid injection. CONCLUSION: US findings of EDCST include thickening of the ER and EDC tendons, EDC tendon sheath effusion, and in some cases presence of an EDC intratendinous cyst. Impingement of the EDC tendons against the ER is well demonstrated using dynamic US

Correction to: Stenosing tenosynovitis of the extensor digitorum tendons of the hand: clinical and sonographic features.

Place: German

The lateral patellar retinaculum defect: anatomical study using ultrasound

International audienceObjective: The purpose of this study was to evaluate whether ultrasound allows precise assessment of a focal defect at the lateral patellar retinaculum (LPR) and to determine its anatomical significance.Materials and methods: This work was initially undertaken in four cadaveric specimens and followed by high-resolution ultrasound study in 48 healthy adult volunteers (96 knees) by two musculoskeletal radiologists. Dimension and location of the LPR defect and its relations to adjacent anatomical structures were analyzed.Results: A focal defect of the LPR through which vessels penetrated was constantly identified by ultrasound in our population. The mean transverse diameter of the defect was 2.4 mm (range, 1–6 mm). The defect was located a mean of 23.7 mm (range, 18–30 mm) proximal to the lateral tibial plateau and 6.6 mm (range, 4–9 mm) lateral to the patellar tendon. Anatomical dissection demonstrated that the LPR defect is related to perforating vessels that originate from the peripatellar anastomotic ring.Conclusions: The focal defect of the LPR can be depicted by ultrasonography. Reproducible anatomical landmarks for its detection could be defined. Our data suggest the LPR defect may be considered a normal variant rather than a pathologic chan