Prognostic factors to succeed in surgical treatment of chronic acromioclavicular dislocations

AbstractIntroductionTreatment of chronic acromioclavicular joint dislocation (ACJD) remains a poorly known and controversial subject. Given the many surgical options, it is not always easy to determine which steps are indispensable.MethodsThis article reports a multicenter prospective study. The clinical and radiological follow-up involved a comparative analysis of the preoperative and postoperative data at 1 year, including pain (visual analogue scale), subjective functional incapacity (QuickDASH), and the objective Constant score, as well as a comparative analysis of vertical and horizontal movements measured on simple x-rays.ResultsBased on a series of 140 operated ACJDs, we included 24 chronic ACJDs. The mean time to surgery was 46 weeks (range, 1 month to 4 years). The patients’ mean age was 41 years, with a majority of males (75%), 72% of whom participated in recreational sports. Professionally, 40% of the subjects had jobs involving manual labor. We noted 40% grade III, 24% grade IV, and 36% grade V injury according to the Rockwood classification. In 92% of cases, coracoclavicular stabilization was provided by a double button implant, reinforced with a biological graft in 88% of the cases. In 29%, millimeters to centimeters of the distal clavicle were resected and acromioclavicular stabilization was associated in 54%. We observed complications in 33% of the cases. At 1 year postoperative, 21 patients underwent clinical and radiological follow-up (87.5%). Only 35% of the patients were satisfied or very satisfied, whereas 100% of them would recommend the operation. Full-time work was resumed in 91% of the cases and all sports could be resumed in 86%. The pre- and postoperative values at 1 year changed as follows: the mean Constant score improved from 61 to 87 (p=0.00002); the subjective QuickDASH score decreased from 41 to 9 (p=0.00002); and radiologically significant reduction of the initial displacement was observed in the vertical plane (p<10−3) and the horizontal plane (p=0.022).ConclusionIn this study, the favorable prognostic factors found were: time to surgery less than 3 months (p=0.02), associated acromioclavicular stabilization, and postoperative immobilization with a sling extended to 6 weeks. However, resection of the distal clavicle did not influence the final result.Level of proofLevel II prospective non-randomized comparative study

Anomalous J/ψJ/\psi suppression in Pb-Pb interactions at 158 GeV per nucleon

The Drell-Yan and J/psi cross-sections measured in Pb-Pb collisions are compared with the values extrapolated from the results obtained in proton and light ion induced reactions. While the Drell-Yan production exhibits the normal expected behaviour, the yield of J/psi in Pb-Pb interactions is abnormally low, as it lies 9 standard deviations below the expected value. Moreover, the departure from the expected behaviour increases significantly from peripheral to central collisions. (C) 1997 Elsevier Science B.V

Low mass dimuon production in proton and ion induced interactions at SPS

The low mass dimuon spectra collected in p-U collisions by the NA38 experiment significantly exceeds the total cross section expected from previous analysis, done by other experiments. The `excess' events have a harder \pt\ distribution than the muon pairs from $\eta$ and $\omega$ Dalitz decays, expected to dominate the mass window 0.4--0.65~GeV/$c^2$. We conjecture that the excess events might be due to \qqbar\ annihilations, negligible at low \pt\ but made visible by the \mt\ cut applied in the NA38 data. Taking this assumption to parametrise the p-U spectra, we proceed with the analysis of the S-Cu, S-U and Pb-Pb data, collected by the NA38 and NA50 experiments, where we find that the measured mass spectra does not seem to exceed the expected low mass `cocktail' by more than 20\,\%

Intermediate mass dimuons in NA38/NA50

The NA38/NA50 experiments have measured, at the CERN SPS, the dimuon production in proton-nucleus and nucleus-nucleus collisions. In this paper it is shown that the mass continuum between the $\phi$ and the $J/{\psi}$ can be satisfactorily described, after having removed the combinatorial background due to uncorrelated $\pi$ and $K$ decays, as a sum of two contributions, namely the Drell-Yan process and the semi-leptonic decay of pairs of charmed mesons, whose mass shape in the acceptance of the experiment has been evaluated using PYTHIA. However, in order to describe the A - B (namely S - U and Pb - Pb) mass spectra, the dimuon yield from open charm decays, which in $p$ - A collisions is found to be consistent with direct open charm measurements from other CERN and FNAL experiments, has to be enhanced with respect to a linear extrapolation of $p$ - A results. The size of the enhancement smoothly increases from peripheral S - U to central Pb - Pb interactions, reaching a factor $\sim$ 3 in central Pb - Pb collisions. The $P_{T}$ distributions of the events in the mass continuum are also compatible with the hypothesis of open charm enhancement in A - B collisions

Transverse momentum distributions of J/ψ,ψ′J/\psi,\psi', Drell-Yan and continuum dimuons produced in Pb-Pb interactions at the SPS

NA50Muon pairs produced in Pb-Pb interactions at 158~GeV/$c$ per nucleon are used to study the transverse momentum distributions of the \jpsi, \psip\ and dimuons in the mass continuum. In particular, the dependence of these distributions on the centrality of the Pb-Pb collision is investigated in detail

Low mass dimuon production in proton and ion induced interactions at SPS

The low mass dimuon spectra collected in $p$-U collisions by the NA38 experiment significantly exceeds the total cross section expected from previous analysis, done by other experiments. The 'excess' events have a harder $p_{T}$ distribution than the muon pairs from $\eta$ and $\omega$ Dalitz decays, expected to dominate the mass window 0.4—0.65~GeV/$c^2$. We conjecture that the excess events might be due to $q\bar{q}$ annihilations, negligible at low $p_{T}$ but made visible by the $m_{T}$ cut applied in the NA38 data. Taking this assumption to parametrise the $p$-U spectra, we proceed with the analysis of the S-Cu, S-U and Pb-Pb data, collected by the NA38 and NA50 experiments, where we find that the measured mass spectra does not seem to exceed the expected low mass `cocktail' by more than 20%

Charmonium production in Pb-Pb collisions

NA50The elaboration of specific media-planning is necessary to communicate with an opinion leader. Opinion leaders in 27 product categories are selected from a 10,000 sample of French representative consumers. Magazine is the favorite media of opinion leaders; the more important is the number of product categories in which a consumer is leaders, the greater the media consumption. Leaders do not systematically prefer the Internet, their preference appears to be category specific. However, a second study conducted among 600 brand website visitors shows that brand sites represent a major information source for the leaders

Strangeness measurements in NA50 experiment with Pb projectiles

NA5