13 research outputs found

    Late Missed Monteggia Lesions—Reconstruction of the Humeroradial Joint

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    Objective:: Reconstruction of the humeroradial joint resulting in immediate functional stability. Indications:: Missed traumatic dislocation of the radial head. Congenital dislocation of the radial head. Contraindications:: Secondary dislocation of the radial head in instances of dysplasia or aplasia of the capitellum. Relative: deformation of the radial head in adults. Surgical Technique:: Open reduction of the radial head without reconstruction of the annular ligament. Osteotomy of the shaft of the proximal ulna and installation of an external fixator with open clamps. Three-dimensional correction of the ulna under visual control of the humeroradial joint until the radial head is relocated in its anatomic position. Results:: Between 01/1998 and 05/2001, we performed an osteotomy of the proximal ulna, external fixation, and open reduction of the radial head in 14 patients presenting with a late missed Monteggia lesion (Bado type I). The average age of the seven girls and seven boys at the time of reconstruction was 9 (5-15) years, the mean interval between index trauma and reconstruction amounted to 21 months (2 weeks to 7 years). Removal of the external fixator after an average of 12 (7-16) weeks. In twelve patients the reduction was maintained, and in two patients the radial head redislocated postoperatively. In one of these patients a closed reduction was successful, whereas in the other patient an open reduction was done and the external fixation modified. In both patients the joint position was maintained. Preoperatively seven out of 14 patients showed a decreased range of motion; it improved postoperatively in most. A clinical and radiologic follow-up averaging 14 (3-44) months was possible in 13 patients. No complications were recorde

    Development and validation of a paediatric long-bone fracture classification. A prospective multicentre study in 13 European paediatric trauma centres

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    Background: The aim of this study was to develop a child-specific classification system for long bone fractures and to examine its reliability and validity on the basis of a prospective multicentre study. Methods: Using the sequentially developed classification system, three samples of between 30 and 185 paediatric limb fractures from a pool of 2308 fractures documented in two multicenter studies were analysed in a blinded fashion by eight orthopaedic surgeons, on a total of 5 occasions. Intra- and interobserver reliability and accuracy were calculated. Results: The reliability improved with successive simplification of the classification. The final version resulted in an overall interobserver agreement of kappa=0.71 with no significant difference between experienced and less experienced raters. Conclusions: In conclusion, the evaluation of the newly proposed classification system resulted in a reliable and routinely applicable system, for which training in its proper use may further improve the reliability. It can be recommended as a useful tool for clinical practice and offers the option for developing treatment recommendations and outcome predictions in the future

    Search for CPCP violation in D0^0\to KS0^0_\mathrm{S}KS0^0_\mathrm{S} decays in proton-proton collisions at s\sqrt{s} = 13 TeV

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    International audienceA search is reported for charge-parity D0^0\to KS0^0_\mathrm{S}KS0^0_\mathrm{S}CPCP violation in D0^0\to KS0^0_\mathrm{S}KS0^0_\mathrm{S} decays, using data collected in proton-proton collisions at s\sqrt{s} = 13 TeV recorded by the CMS experiment in 2018. The analysis uses a dedicated data set that corresponds to an integrated luminosity of 41.6 fb1^{-1}, which consists of about 10 billion events containing a pair of ẖadrons, nearly all of which decay to charm hadrons. The flavor of the neutral D meson is determined by the pion charge in the reconstructed decays D+^{*+}\to D0π+^0\pi^+ and D^{*-}\to D0π^0\pi^-. The D0^0\to KS0^0_\mathrm{S}KS0^0_\mathrm{S}CPCP asymmetry in D0^0\to KS0^0_\mathrm{S}KS0^0_\mathrm{S} is measured to be ACPA_{CP}( KS0^0_\mathrm{S}KS0^0_\mathrm{S}) = (6.2 ±\pm 3.0 ±\pm 0.2 ±\pm 0.8)%, where the three uncertainties represent the statistical uncertainty, the systematic uncertainty, and the uncertainty in the measurement of the D0^0 \to KS0^0_\mathrm{S}KS0^0_\mathrm{S} CPCP asymmetry in the D0^0 \to KS0π+π^0_\mathrm{S}\pi^+\pi^- decay. This is the first D0^0 \to KS0^0_\mathrm{S}KS0^0_\mathrm{S} CPCP asymmetry measurement by CMS in the charm sector as well as the first to utilize a fully hadronic final state

    Measurement of inclusive and differential cross sections for W+^{+}W^{-} production in proton-proton collisions at s= \sqrt{s} = 13.6 TeV

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    Measurements at s= \sqrt{s}= 13.6 TeV of the opposite-sign W boson pair production cross section in proton-proton collisions are presented. The data used in this study were collected with the CMS detector at the CERN LHC in 2022, and correspond to an integrated luminosity of 34.8 fb1 ^{-1} . Events are selected by requiring one electron and one muon of opposite charge. A maximum likelihood fit is performed on signal- and background-enriched data categories defined by the flavour and charge of the leptons, the number of jets, and number of jets originating from b quarks. An inclusive W+^{+}W^{-} production cross section of 125.7 ± \pm 5.6 pb is measured, in agreement with standard model predictions. Cross sections are also reported in a fiducial region close to that of the detector acceptance, both inclusively and differentially, as a function of the jet multiplicity in the event. For first time in proton-proton collisions, WW events with at least two reconstructed jets are studied and compared with recent theoretical predictions.Measurements at s\sqrt{s} = 13.6 TeV of the opposite-sign W boson pair production cross section in proton-proton collisions are presented. The data used in this study were collected with the CMS detector at the CERN LHC in 2022, and correspond to an integrated luminosity of 34.8 fb1^{-1}. Events are selected by requiring one electron and one muon of opposite charge. A maximum likelihood fit is performed on signal- and background-enriched data categories defined by the flavour and charge of the leptons, the number of jets, and number of jets originating from b quarks. An inclusive W+^+W^- production cross section of 125.7 ±\pm 5.6 pb is measured, in agreement with standard model predictions. Cross sections are also reported in a fiducial region close to that of the detector acceptance, both inclusively and differentially, as a function of the jet multiplicity in the event. For first time in proton-proton collisions, WW events with at least two reconstructed jets are studied and compared with recent theoretical predictions

    Search for a resonance decaying to a W boson and a photon in proton-proton collisions at s= \sqrt{s} = 13 TeV using leptonic W boson decays

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    A search for a new charged particle X with mass between 0.3 and 2.0 TeV decaying to a W boson and a photon is presented, using proton-proton collision data at a center-of-mass energy of 13 TeV, collected by the CMS experiment and corresponding to an integrated luminosity of 138 fb1 ^{-1} . Particle X has electric charge ± \pm 1 and is assumed to have spin 0. The search is performed using the electron and muon decays of the W boson. No significant excess above the predicted background is observed. The upper limit at 95% confidence level on the product of the production cross section of the X and its branching fraction to a W boson and a photon is found to be 94 (137) fb for a 0.3 TeV resonance and 0.75 (0.81) fb for a 2.0 TeV resonance, for an X width-to-mass ratio of 0.01% (5%). This search presents the most stringent constraints to date on the existence of such resonances across the probed mass range. A statistical combination with an earlier study based on the hadronic decay mode of the W boson is also performed, and the upper limit at 95% confidence level for a 2.0 TeV resonance is reduced to 0.50 (0.63) fb for an X width-to-mass ratio of 0.01% (5%).A search for a new charged particle X with mass between 0.3 and 2.0 TeV decaying to a W boson and a photon is presented, using proton-proton collision data at a center-of-mass energy of 13 TeV, collected by the CMS experiment and corresponding to an integrated luminosity of 138 fb1^{-1}. Particle X has electric charge ±\pm1 and is assumed to have spin 0. The search is performed using the electron and muon decays of the W boson. No significant excess above the predicted background is observed. The upper limit at 95% confidence level on the product of the production cross section of the X and its branching fraction to a W boson and a photon is found to be 94 (137) fb for a 0.3 TeV resonance and 0.75 (0.81) fb for a 2.0 TeV resonance, for an X width-to-mass ratio of 0.01% (5%). This search presents the most stringent constraints to date on the existence of such resonances across the probed mass range. A statistical combination with an earlier study based on the hadronic decay mode of the W boson is also performed, and the upper limit at 95% confidence level for a 2.0 TeV resonance is reduced to 0.50 (0.63) fb for an X width-to-mass ratio of 0.01% (5%)

    Search for CP violation in D0KS0KS0 \mathrm{D^0}\to\mathrm{K^0_S}\mathrm{K^0_S} decays in proton-proton collisions at s= \sqrt{s} = 13 TeV

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    A search is reported for charge-parity CP violation in D0KS0KS0 \mathrm{D^0}\to\mathrm{K^0_S}\mathrm{K^0_S} decays, using data collected in proton-proton collisions at s= \sqrt{s} = 13 TeV recorded by the CMS experiment in 2018. The analysis uses a dedicated data set that corresponds to an integrated luminosity of 41.6 fb1 ^{-1} , which consists of about 10 billion events containing a pair of b hadrons, nearly all of which decay to charm hadrons. The flavor of the neutral D \mathrm{D} meson is determined by the pion charge in the reconstructed decays D+D0π+ \mathrm{D}^{*+}\to\mathrm{D^0}\pi^{+} and DD0π \mathrm{D}^{*-}\to\overline{\mathrm{D}}^{0}\pi^{-} . The CP asymmetry in D0KS0KS0 \mathrm{D^0}\to\mathrm{K^0_S}\mathrm{K^0_S} is measured to be ACP(KS0KS0)= A_{CP}(\mathrm{K^0_S}\mathrm{K^0_S}) = (6.2 ± \pm 3.0 ± \pm 0.2 ± \pm 0.8)%, where the three uncertainties represent the statistical uncertainty, the systematic uncertainty, and the uncertainty in the measurement of the CP asymmetry in the D0KS0π+π \mathrm{D^0}\to\mathrm{K^0_S}\pi^{+}\pi^{-} decay. This is the first CP asymmetry measurement by CMS in the charm sector as well as the first to utilize a fully hadronic final state.A search is reported for charge-parity D0^0\to KS0^0_\mathrm{S}KS0^0_\mathrm{S}CPCP violation in D0^0\to KS0^0_\mathrm{S}KS0^0_\mathrm{S} decays, using data collected in proton-proton collisions at s\sqrt{s} = 13 TeV recorded by the CMS experiment in 2018. The analysis uses a dedicated data set that corresponds to an integrated luminosity of 41.6 fb1^{-1}, which consists of about 10 billion events containing a pair of ẖadrons, nearly all of which decay to charm hadrons. The flavor of the neutral D meson is determined by the pion charge in the reconstructed decays D+^{*+}\to D0π+^0\pi^+ and D^{*-}\to D0π^0\pi^-. The D0^0\to KS0^0_\mathrm{S}KS0^0_\mathrm{S}CPCP asymmetry in D0^0\to KS0^0_\mathrm{S}KS0^0_\mathrm{S} is measured to be ACPA_{CP}( KS0^0_\mathrm{S}KS0^0_\mathrm{S}) = (6.2 ±\pm 3.0 ±\pm 0.2 ±\pm 0.8)%, where the three uncertainties represent the statistical uncertainty, the systematic uncertainty, and the uncertainty in the measurement of the D0^0 \to KS0^0_\mathrm{S}KS0^0_\mathrm{S} CPCP asymmetry in the D0^0 \to KS0π+π^0_\mathrm{S}\pi^+\pi^- decay. This is the first D0^0 \to KS0^0_\mathrm{S}KS0^0_\mathrm{S} CPCP asymmetry measurement by CMS in the charm sector as well as the first to utilize a fully hadronic final state

    Search for new physics in high-mass diphoton events from proton-proton collisions at s\sqrt{s} = 13 TeV

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    International audienceResults are presented from a search for new physics in high-mass diphoton events from proton-proton collisions at s\sqrt{s} = 13 TeV. The data set was collected in 2016-2018 with the CMS detector at the LHC and corresponds to an integrated luminosity of 138 fb1^{-1}. Events with a diphoton invariant mass greater than 500\GeV are considered. Two different techniques are used to predict the standard model backgrounds: parametric fits to the smoothly-falling background and a first-principles calculation of the standard model diphoton spectrum at next-to-next-to-leading order in perturbative quantum chromodynamics calculations. The first technique is sensitive to resonant excesses while the second technique can identify broad differences in the invariant mass shape. The data are used to constrain the production of heavy Higgs bosons, Randall-Sundrum gravitons, the large extra dimensions model of Arkani-Hamed, Dimopoulos, and Dvali (ADD), and the continuum clockwork mechanism. No statistically significant excess is observed. The present results are the strongest limits to date on ADD extra dimensions and RS gravitons with a coupling parameter greater than 0.1

    Search for new physics in high-mass diphoton events from proton-proton collisions at s\sqrt{s} = 13 TeV

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    International audienceResults are presented from a search for new physics in high-mass diphoton events from proton-proton collisions at s\sqrt{s} = 13 TeV. The data set was collected in 2016-2018 with the CMS detector at the LHC and corresponds to an integrated luminosity of 138 fb1^{-1}. Events with a diphoton invariant mass greater than 500\GeV are considered. Two different techniques are used to predict the standard model backgrounds: parametric fits to the smoothly-falling background and a first-principles calculation of the standard model diphoton spectrum at next-to-next-to-leading order in perturbative quantum chromodynamics calculations. The first technique is sensitive to resonant excesses while the second technique can identify broad differences in the invariant mass shape. The data are used to constrain the production of heavy Higgs bosons, Randall-Sundrum gravitons, the large extra dimensions model of Arkani-Hamed, Dimopoulos, and Dvali (ADD), and the continuum clockwork mechanism. No statistically significant excess is observed. The present results are the strongest limits to date on ADD extra dimensions and RS gravitons with a coupling parameter greater than 0.1
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