A case report of bilateral synovial chondromatosis of the ankle

<p>Abstract</p> <p>Background</p> <p>Synovial chondromatosis is a rare, generally benign condition which affects synovial membranes. It most commonly involves large joints such as the knee, hip, and elbow, but its presence in smaller joints has also been reported. The diagnosis of synovial chondromatosis is commonly made following a thorough history, physical examination, and radiographic examination. Patients may report pain and swelling within a joint which is often aggravated with physical activity.</p> <p>Case presentation</p> <p>A rare case of bilateral synovial chondromatosis of the ankle is reviewed. A 26 year-old male presented with chronic bilateral ankle pain. Physical examination suggested and imaging confirmed multiple synovial chondromatoses bilaterally, likely secondary to previous trauma.</p> <p>Conclusion</p> <p>The clinical and imaging findings, along with potential differential diagnoses, are described. Since this condition tends to be progressive but self-limiting, indications for surgery depend on the level of symptomatic presentation in addition to the functional demands of the patient. Following a surgical consultation, it was decided that it was not appropriate to pursue surgery at the present time.</p

Multi-physics coupling in thermoacoustic devices: a review

Latest developments in thermoacoustic devices have demonstrated comparable power output and efficiency, but higher reliability and lower cost when compared to conventional low-grade heat recovery technologies. A good coupling between multiple physical fields plays a pivotal role in realizing these potentials. This article provides a comprehensive review of the multi-physics coupling effects, namely, thermal-acoustic coupling, acoustic-mechanical coupling and mechanical-electric coupling, inside thermoacoustic devices including thermoacoustic engines, thermoacoustic electric generators, thermoacoustically-driven refrigerators, etc. The basic principles, operating characteristics, design strategies and future prospects are discussed individually for each coupling effect. System-level design techniques and synthetic optimization methodologies in consideration of the multi-physics coupling effects are presented. This review work gives insights into the underlying mechanisms of various coupling effects in thermoacoustic devices and provides guidelines for improvements of modern thermoacoustic technologies for low-grade thermal energy recovery, refrigeration and electric power generation purposes