16 research outputs found
Is the outer Solar System chaotic?
The existence of chaos in the system of Jovian planets has been in question
for the past 15 years. Various investigators have found Lyapunov times ranging
from about 5 millions years upwards to infinity, with no clear reason for the
discrepancy. In this paper, we resolve the issue. The position of the outer
planets is known to only a few parts in 10 million. We show that, within that
observational uncertainty, there exist Lyapunov timescales in the full range
listed above. Thus, the ``true'' Lyapunov timescale of the outer Solar System
cannot be resolved using current observations.Comment: 8 pages, 2 figure
Current concepts in the diagnosis and management of extra-articular hip impingement syndromes
Purpose
Extra-articular hip impingement syndromes encompass a group of conditions that have previously been an unrecognised source of pain in the hip and on occasion been associated with intra-articular hip impingement as well. As arthroscopic techniques for the hip continue to evolve, the importance of these conditions has been recognised recently and now form an important part of the differential of an individual presenting with hip pain. The aim of this article, therefore, is to provide the reader with an evidence-based and comprehensive update of these syndromes.
Methods
By reviewing past literature, the anatomy, pathophysiology, clinical features and the management of the five common extra-articular hip impingement syndromes were described.
Results
The common extra-articular impingement syndromes are: 1) Ischiofemoral impingement: quadratus femoris muscle becomes compressed between the lesser trochanter and the ischial tuberosity. 2) Subspine impingement: mechanical conflict occurs between an enlarged or malorientated anterior inferior iliac spine and the distal anterior femoral neck. 3) Iliopsoas impingement: mechanical conflict occurs between the iliopsoas muscle and the labrum, resulting in distinct anterior labral pathology. 4) Deep gluteal syndrome: pain occurs in the buttock due to the entrapment of the sciatic nerve in the deep gluteal space. 5) Pectineofoveal impingement: pain occurs when the medial synovial fold impinges against overlying soft tissue, primarily the zona orbicularis. Knowledge for these syndromes still remains limited for reasons mostly relating to their low prevalence and their co-existence with typical femoro-acetabular impingement.
Conclusions
The knowledge of extra-articular hip impingement syndromes is essential and should form a part of the differential diagnoses alongside intra-articular pathology including femoro-acetabular impingement particularly in the younger patient with a non-arthritic hip