Lateral Opening-wedge Distal Femoral Osteotomy: Pain Relief, Functional Improvement, and Survivorship at 5 Years.

PubMed

Cameron, James I; McCauley, Julie C; Kermanshahi, Arash Y; Bugbee, William D

2015-06-01

Distal femoral varus osteotomy may be used to treat valgus knee malalignment or to protect a knee compartment in which cartilage restoration surgery (such as osteochondral or meniscus allografting) has been performed. Medial closing-wedge osteotomy has demonstrated good success in treatment of osteoarthritis in published series, but few studies have evaluated distal femoral lateral opening-wedge osteotomy in terms of correction of deformity, pain and function, and survivorship. (1) Does lateral opening-wedge osteotomy lead to accurate correction? (2) What pain and function levels do patients experience after lateral opening-wedge osteotomy? (3) What are the nonunion, complication, and reoperation rates after lateral opening-wedge osteotomy? Between 2000 and 2010, we performed 40 distal femoral osteotomies. Two knees (two patients) underwent a medial closing-wedge osteotomy and were excluded from the present study. Thirty-eight knees (97%) in 36 patients were lateral opening-wedge varus-producing osteotomies; of those, 31 knees (82%) in 30 patients had followup at a minimum of 2 years (mean, 5 years; SD, 2; range, 2-12 years) and comprised the study population. The indications for osteotomy included symptomatic lateral compartment arthritis with clinical valgus deformity or a cartilage or meniscal defect in the lateral compartment with clinical valgus alignment. The study population was stratified into two groups based on reason for osteotomy: patients with isolated symptomatic lateral compartment arthritis (arthritis group; 19 knees [61%]) and patients who underwent joint preservation procedures including osteochondral allograft transplantation or meniscal allograft transplantation (joint preservation group; 12 knees [39%]). Data collection from our institution's osteotomy database included patient demographics, lower extremity coronal alignment, and operative details. Pain and function were measured preoperatively and postoperatively using the International

Opening-wedge high tibial osteotomy with a locked low-profile plate: surgical technique.

PubMed

Kolb, Werner; Guhlmann, Hanno; Windisch, Christoph; Koller, Heiko; Grützner, Paul; Kolb, Klaus

2010-09-01

High tibial osteotomy has been recognized as a beneficial treatment for osteoarthritis of the medial compartment of the knee. The purpose of this prospective study was to assess the short-term results of opening-wedge high tibial osteotomies with locked plate fixation. From September 2002 to November 2005, fifty-one consecutive medial opening-wedge high tibial osteotomies were performed. The mean age of the patients at the time of the index operation was forty-nine years. The preoperative and postoperative factors analyzed included the grade of arthritis of the tibiofemoral compartment (the Ahlbäck radiographic grade), the anatomic tibiofemoral angle, patellar height, the Hospital for Special Surgery rating system score, and the Lysholm and Gillquist knee score. Postoperatively, one superficial wound infection occurred. Fifty of the fifty-one osteotomies healed after an average period of 12.9 weeks (range, eight to sixteen weeks) without bone grafts. A nonunion developed in a sixty-two-year-old patient who was a cigarette smoker. The average postoperative tibiofemoral angle was 9° of valgus. Forty-nine patients were followed for a mean of fifty-two months. The average score on the Hospital for Special Surgery rating system was 86 points at the time of the most recent follow-up. The rating was excellent in twenty-eight patients (57%), good in twelve (24%), fair in four (8%), and poor in five (10%). The average score on the Lysholm and Gillquist knee-scoring scale was 83 points. According to these scores, the outcome was excellent in nine patients (18%), good in thirty-one (63%), fair in three (6%), and poor in six (12%). Four knees failed after an average of thirty-six months. Our results suggest that an opening-wedge high tibial osteotomy with locked plate fixation allows a correct valgus angle to be achieved with good short-term results.

Is a synthetic augmentation in medial open wedge high tibial osteotomies superior to no augmentation in terms of bone-healing?

PubMed

Ferner, Felix; Dickschas, Joerg; Ostertag, Helmut; Poske, Ulrich; Schwitulla, Judith; Harrer, Joerg; Strecker, Wolf

2016-01-01

Medial open-wedge high tibial osteotomy (MOWHTO) is an established method to treat unicompartimental osteoarthritis of the knee joint. However, augmentation of the created tibial gap after osteotomy is controversially discussed. We performed a prospective investigation of 49 consecutive cases of MOWHTO at our department. Patients were divided into two groups: group A consisted of 19 patients while group B consisted of 30 patients. In group A, the augmentation of the opening gap after osteotomy was filled with a synthetic bone graft, whereas group B received no augmentation. As an indicator for bone healing we investigated the non-union rate in our study population and compared the non-union-rate between the two groups. The non-union rate was 28% in group A (five of 19 patients had to undergo revision) which received synthetic augmentation, while it was 3.3% in group B (one of 30 patients had to undergo revision) which received no augmentation. The difference between the groups was statistically significant (p-value 0.027). With regard to bone healing after MOWHTO, synthetic augmentation was not superior to no augmentation in terms of non-union rates after surgery. In fact, we registered a significantly higher rate of non-union after augmentation with synthetic bone graft. III. Copyright © 2015 Elsevier B.V. All rights reserved.

Adverse event rates and classifications in medial opening wedge high tibial osteotomy.

PubMed

Martin, Robin; Birmingham, Trevor B; Willits, Kevin; Litchfield, Robert; Lebel, Marie-Eve; Giffin, J Robert

2014-05-01

Previously reported complications in medial opening wedge (MOW) high tibial osteotomy (HTO) vary considerably in both rate and severity. (1) To determine the rates of adverse events in MOW HTO classified into different grades of severity based on the treatments required and (2) to compare patient-reported outcomes between the different adverse event classifications. Case series; Level of evidence, 4. All patients receiving MOW HTO at a single medical center from 2005 to 2009 were included. Internal fixation was used in all cases, with either a nonlocking (Puddu) or locking (Tomofix) plate. Patients were evaluated at 2, 6, and 12 weeks; 6 and 12 months; and annually thereafter. Types of potential surgical and postoperative adverse events, categorized into 3 classes of severity based on the subsequent treatments, were defined a priori. Medical records and radiographs were then reviewed by an independent observer. The Western Ontario and McMaster Universities Arthritis Index (WOMAC) scores were compared in subgroups of patients based on the categories of adverse events observed. A total of 323 consecutive procedures (242 males) were evaluated (age, mean ± standard deviation, 46 ± 9 years; body mass index, mean ± standard deviation, 30 ± 5 kg/m(2)). Adverse events requiring no additional treatment (class 1) were undisplaced lateral cortical breaches (20%), displaced (>2 mm) lateral hinge fracture (6%), delayed wound healing (6%), undisplaced lateral tibial plateau fracture (3%), hematoma (3%), and increased tibial slope ≥10° (1%). Adverse events requiring additional or extended nonoperative management (class 2) were delayed union (12%), cellulitis (10%), limited hardware failure (1 broken screw; 4%), postoperative stiffness (1%), deep vein thrombosis (1%), and complex regional pain syndrome (CRPS) type 1 (1%). Adverse events requiring additional or revision surgery and/or long-term medical care (class 3) were aseptic nonunion (3%), deep infection (2%), CRPS type

Effect of open wedge high tibial osteotomy on the lateral compartment in sheep. Part I: Analysis of the lateral meniscus.

PubMed

Madry, Henning; Ziegler, Raphaela; Orth, Patrick; Goebel, Lars; Ong, Mei Fang; Kohn, Dieter; Cucchiarini, Magali; Pape, Dietrich

2013-01-01

To evaluate whether medial open wedge high tibial osteotomy (HTO) results in structural and biochemical changes in the lateral meniscus in adult sheep. Three experimental groups with biplanar osteotomies of the right proximal tibiae were tested: (a) closing wedge HTO resulting in 4.5° of tibial varus, (b) open wedge HTO resulting in 4.5° of tibial valgus (standard correction) and (c) open wedge HTO resulting in 9.5° of valgus (overcorrection), each of which was compared to the contralateral knees with normal limb axes. After 6 months, the lateral menisci were macroscopically and microscopically evaluated. The proteoglycan and DNA contents of the red-red and white-white zones of the anterior, middle and posterior third were determined. Semiquantitative macroscopic and microscopic grading revealed no structural differences between groups. The red-red zone of the middle third of the lateral menisci of animals that underwent overcorrection exhibited a significant 0.7-fold decrease in mean DNA contents compared with the control knee without HTO (P = 0.012). Comparative estimation of the DNA and proteoglycan contents and proteoglycan/DNA ratios of all other parts and zones of the lateral menisci did not reveal significant differences between groups. Open wedge HTO does not lead to significant macroscopic and microscopic structural changes in the lateral meniscus after 6 months in vivo. Overcorrection significantly decreases the proliferative activity of the cells in the red-red zone of the middle third in the sheep model.

[Open-wedge osteotomy of the glenoid for treatment of posterior shoulder instability with increased glenoid retroversion].

PubMed

Pogorzelski, J; Braun, S; Imhoff, A B; Beitzel, K

2016-12-01

Treatment of posterior shoulder instability with increased retroversion of the glenoid using open-wedge osteotomy of the glenoid neck stabilized with an autologous bone block. Symptomatic, atraumatic posterior shoulder instability with increased retroversion (>20°) of the glenoid and previously failed conservative or surgical treatment. General contraindications against surgery. Relative contraindications: osteoporosis, nicotine abuse, or suspected patient noncompliance. Posterior approach with a 7 cm long incision starting medial of the posterolateral corner of the acromion heading to the posterior axillary fold and subsequent preparation of the deltoid muscle and the infraspinatus muscle. The posterior glenohumeral capsule is incised by performing a capsular T‑shift. The osteotomy is performed intracapsulary medial to the genoid rim. The wedge bone graft, harvested from spina scapulae or iliac spine, is placed "press fit" in position. Additional fixation of the graft is not necessary if the anterior cortex is intact. For reinforcing the posterior capsule, a posterior capsule shift should be performed. Insertion of extracapsular wound drainage. Successive wound closure. Postoperative immobilization in a 0° shoulder orthesis for 6 weeks; avoidance of horizontal abduction for 8 weeks. After removing the wound drainage, start of limited active-assisted range of motion. Over-head sports after 6 months. From 2009-2015, 6 posterior open wedge glenoid osteotomies were performed. Postoperative retroversion of the glenoid was 11.2 ± 9.4° compared to 26.0 ± 8.6° before surgery. Of 6 shoulders, 2 showed postoperative signs of persistent posterior instability; the other 4 shoulders were free of complaints. No revision surgery was needed.

Effect of soft tissue laxity of the knee joint on limb alignment correction in open-wedge high tibial osteotomy.

PubMed

Lee, Dae-Hee; Park, Sung-Chul; Park, Hyung-Joon; Han, Seung-Beom

2016-12-01

Open-wedge high tibial osteotomy (HTO) cannot always accurately correct limb alignment, resulting in under- or over-correction. This study assessed the relationship between soft tissue laxity of the knee joint and alignment correction in open-wedge HTO. This prospective study involved 85 patients (86 knees) undergoing open-wedge HTO for primary medial osteoarthritis. The mechanical axis (MA), weight-bearing line (WBL) ratio, and joint line convergence angle (JLCA) were measured on radiographs preoperatively and after 6 months, and the differences between the pre- and post-surgery values were calculated. Post-operative WBL ratios of 57-67 % were classified as acceptable correction. WBL ratios <57 and >67 % were classified as under- and over-corrections, respectively. Preoperative JLCA correlated positively with differences in MA (r = 0.358, P = 0.001) and WBL ratio (P = 0.003). Difference in JLCA showed a stronger correlation than preoperative JLCA with differences in MA (P < 0.001) and WBL ratio (P < 0.001). Difference in JLCA was the only predictor of both difference in MA (P < 0.001) and difference in WBL ratio (P < 0.001). The difference between pre- and post-operative JLCA differed significantly between the under-correction, acceptable-correction, and over-correction groups (P = 0.033). Preoperative JLCA, however, did not differ significantly between the three groups. Neither preoperative JLCA nor difference in JLCA correlated with change in posterior slope. Preoperative degree of soft tissue laxity in the knee joint was related to the degree of alignment correction, but not to alignment correction error, in open-wedge HTO. Change in soft tissue laxity around the knee from before to after open-wedge HTO correlated with both correction amount and correction error. Therefore, a too large change in JLCA from before to after open-wedge osteotomy may be due to an overly large reduction in JLCA following osteotomy, suggesting alignment over

Second-look arthroscopic findings after open-wedge high tibia osteotomy focusing on the posterior root tears of the medial meniscus.

PubMed

Nha, Kyung-Wook; Lee, Yong Seuk; Hwang, Dae-Hee; Kwon, Jae Ho; Chae, Dong Ju; Park, Young Jee; Kim, Jong In

2013-02-01

This study examined, at second-look arthroscopy, the results of open-wedge high tibial osteotomy (HTO) focusing on root tear of the medial meniscus posterior horn (RTMMP). Among 31 consecutive patients who underwent HTO without a meniscectomy or pullout repair for RTMMP, 20 patients were available for second-look arthroscopic evaluation. All patients had medial unicompartmental arthritis. The healing status of the RTMMP was classified as complete, incomplete, and no healing. The difference in the weight bearing line from presurgery to the last follow-up was evaluated. Osteoarthritis and chondral lesions were evaluated, as were clinical results. Correlations between healing status and other variables (weight bearing line, cartilage status, and clinical scores) were assessed. The healed (10 patients) and nonhealed (incomplete 6 patients + no healing 4 patients) groups were also evaluated with respect to other variables. There were 10 (50%) cases with complete healing, 6 (30%) with incomplete healing, and 4 (20%) with no healing. Kellgren-Lawrence grade did not improve according to the standing plain radiograph (P = .09). Progression of chondral lesions was not observed at second-look arthroscopy; some improvement was even observed (P = .002). The median Lysholm score improved from 58 preoperatively to 88.5 at the last follow-up. The median Hospital for Special Surgery (HSS) score also increased significantly from 62.4 (range, 50 to 76) to 87.2 (range, 80 to 92; P = .003). The comparison between healed and nonhealed groups revealed no statistical differences in all variables. This study revealed a high rate of healing of RTMMP after HTO without attempted repair. Healing of the meniscus was not associated with an improved clinical outcome. Level IV, therapeutic case series. Copyright © 2013 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

Clinical and radiographic outcomes of medial open-wedge high tibial osteotomy with Anthony-K plate: prospective minimum five year follow-up data.

PubMed

Altay, Mehmet Akif; Ertürk, Cemil; Altay, Nuray; Mercan, Ahmet Şükrü; Sipahioğlu, Serkan; Kalender, Ali Murat; Işıkan, Uğur Erdem

2016-07-01

The purpose of this study was to prospectively evaluate the clinical and radiographic outcomes, and complication rates, after a minimum of five years of follow-up after medial open wedge high tibial osteotomy (MOWHTO) using an Anthony-K plate. MOWHTO was performed on 35 knees of 34 consecutive patients. A visual analogue scale (VAS), and Western Ontario and McMaster University Osteoarthritis (WOMAC) and Lysholm scores, were used in clinical evaluation. Upon radiographic assessment, alignment was expressed as the femorotibial angle (FTA). The posterior tibial slope (PTS) and the Insall-Salvati Index (ISI) were also measured. VAS, WOMAC, and Lysholm scores improved significantly upon follow-up (p < 0.001 for all). The overall mean FTA was 4.68 ± 4.39° varus pre-operatively; at the last post-operative follow-up, the value was 8.43 ± 2.02° valgus. The mean correction angle was 13.1 ± 2.7°. A significant increase in PTS was evident (p < 0.01), as was a significant decrease in the ISI (p < 0.01). The overall complication rate was 8.6 %. The Anthony-K plate affords accurate correction, initially stabilises the osteotomy after surgery, and maintains such stability until the osteotomy gap is completely healed, without correction loss. The plate survival rate was 97.2 % after a minimum of five years of follow-up. The plate increased the PTS, as do other medial osteotomy fixation plates.

Early full weight-bearing versus 6-week partial weight-bearing after open wedge high tibial osteotomy leads to earlier improvement of the clinical results: a prospective, randomised evaluation.

PubMed

Schröter, S; Ateschrang, A; Löwe, W; Nakayama, H; Stöckle, U; Ihle, C

2017-01-01

Open wedge high tibial osteotomy is a widespread treatment option in patients with varus malalignment and medial compartment osteoarthritis. There is no standardised protocol for post-operative rehabilitation available. The purpose of this study was to compare two post-operative rehabilitation protocols and to evaluate the clinical outcome of early full weight-bearing after open wedge HTO. One hundred and twenty consecutive patients with varus malalignment and medial compartment osteoarthritis received an open wedge HTO using an angular locking plate fixation between December 2008 and December 2011. All patients were assigned randomly into one of two groups with different post-operative rehabilitation protocols (11-day vs. 6-week 20-kg partial weight-bearing). Clinical outcome was evaluated using established instruments (Lequesne, Lysholm, HSS and IKDC scores) preoperatively, 6, 12 and 18 months post-operatively. Deformity analysis was performed preoperatively and during follow-up. All clinical scores showed a significant pre- to post-operative improvement. After 6 months, there was a higher improvement in the group of early full weight-bearing. The difference between preoperative and 6-month follow-up for the group with early full weight-bearing and for the group with 20-kg PWB for 6 weeks was 28 ± 26 and 18 ± 22, respectively, for the Lysholm score and -5.0 ± 5.1 and -3.0 ± 3.6, respectively, for the Lequesne score. Early full weight-bearing (11-day 20-kg partial weight-bearing) after open wedge HTO without bone graft leads to earlier improvement of the clinical results and can be recommended for post-operative rehabilitation after open wedge HTO and fixation with an angular locking plate. Therapeutic study, Level I.

Effect of open wedge high tibial osteotomy on the lateral tibiofemoral compartment in sheep. Part II: standard and overcorrection do not cause articular cartilage degeneration.

PubMed

Ziegler, Raphaela; Goebel, Lars; Cucchiarini, Magali; Pape, Dietrich; Madry, Henning

2014-07-01

To evaluate whether medial open wedge high tibial osteotomy (HTO) results in structural changes in the articular cartilage in the lateral tibiofemoral compartment of adult sheep. Three experimental groups received biplanar osteotomies of the right proximal tibiae: (a) closing wedge HTO (4.5° of tibial varus), (b) opening wedge HTO (4.5° tibial valgus; standard correction), and (c) opening wedge HTO (9.5° of valgus; overcorrection), each of which was compared to the contralateral knees that only received an arthrotomy. After 6 months, the macroscopic and microscopic characteristics of the articular cartilage of the lateral tibiofemoral compartment were assessed. The articular cartilage in the central region of the lateral tibial plateau in sheep had a higher safranin O staining intensity and was 4.6-fold thicker than in the periphery (covered by the lateral meniscus). No topographical variation in the type-II collagen immunoreactivity was seen. All lateral tibial plateaus showed osteoarthritic changes in regions not covered by the lateral meniscus. No osteoarthritis was seen in the peripheral submeniscal regions of the lateral tibial plateau and the lateral femoral condyle. Opening wedge HTO resulting in both standard and overcorrection was not associated with significant macroscopic and microscopic structural changes between groups in the articular cartilage of the lateral tibial plateau and femoral condyle after 6 months in vivo. Opening wedge HTO resulting in both standard and overcorrection is a safe procedure for the articular cartilage in an intact lateral tibiofemoral compartment of adult sheep at 6 months postoperatively.

High tibial closing wedge osteotomy for medial compartment osteoarthrosis of knee

PubMed Central

Tuli, SM; Kapoor, Varun

2008-01-01

Background: Most patients of symptomatic osteoarthrosis of knee are associated with varus malalignment that is causative or contributory to painful arthrosis. It is rational to correct the malalignment to transfer the functional load to the unaffected or less affected compartment of the knee to relieve symptoms. We report the outcome of a simple technique of high tibial osteotomy in the medial compartment osteoarthrosis of the knee. Materials and Methods: Between 1996 and 2004 we performed closing wedge osteotomy in 78 knees in 65 patients. The patients selected for osteotomy were symptomatic essentially due to medial compartment osteoarthrosis associated with moderate genu varum. Of the 19 patients who had bilateral symptomatic disease 11 opted for high tibial osteotomy of their second knee 1-3 years after the first operation. Preoperative grading of osteoarthrosis and postoperative function was assessed using Japanese Orthopaedic Association (JOA) rating scale. Results: At a minimum follow-up of 2 years (range 2-9 years) 6-10° of valgus correction at the site of osteotomy was maintained, there was significant relief of pain while walking, negotiating stairs, squatting and sitting cross-legged. Walking distance in all patients improved by two to four times their preoperative distance of 200-400 m. No patient lost any preoperative knee function. The mean JOA scoring improved from preoperative 54 (40-65) to 77 (55-85) at final follow-up. Conclusion: Closing wedge high tibial osteotomy performed by our technique can be undertaken in any setup with moderate facilities. Operation related complications are minimal and avoidable. Kirschner wire fixation is least likely to interfere with replacement surgery if it becomes necessary. PMID:19823659

Open-wedge high tibial osteotomy: incidence of lateral cortex fractures and influence of fixation device on osteotomy healing.

PubMed

Dexel, Julian; Fritzsche, Hagen; Beyer, Franziska; Harman, Melinda K; Lützner, Jörg

2017-03-01

Open-wedge high tibial osteotomy (HTO) is an established treatment for young and middle-aged patients with medial compartment knee osteoarthritis and varus malalignment. Although not intended, a lateral cortex fracture might occur during this procedure. Different fixation devices are available to repair such fractures. This study was performed to evaluate osteotomy healing after fixation with two different locking plates. Sixty-nine medial open-wedge HTO without bone grafting were followed until osteotomy healing. In patients with an intact lateral hinge, no problems were noted with either locking plate. A fracture of the lateral cortex occurred in 21 patients (30.4 %). In ten patients, the fracture was not recognized during surgery but was visible on the radiographs at the 6-week follow-up. Lateral cortex fracture resulted in non-union with the need for surgical treatment in three out of eight (37.5 %) patients using the newly introduced locking plate (Position HTO Maxi Plate), while this did not occur with a well-established locking plate (TomoFix) (0 out of 13, p = 0.023). With regard to other adverse events, no differences between both implants were observed. In cases of lateral cortex fracture, fixation with a smaller locking plate resulted in a relevant number of non-unions. Therefore, it is recommended that bone grafting, another fixation system, or an additional lateral fixation should be used in cases with lateral cortex fracture. III.

Vertebral Osteotomies in Ankylosing Spondylitis—Comparison of Outcomes Following Closing Wedge Osteotomy versus Opening Wedge Osteotomy: A Systematic Review

PubMed Central

Ravinsky, Robert A.; Ouellet, Jean-Albert; Brodt, Erika D.; Dettori, Joseph R.

2013-01-01

Study Design Systematic review. Study Rationale To seek out and assess the best quality evidence available comparing opening wedge osteotomy (OWO) and closing wedge osteotomy (CWO) in patients with ankylosing spondylitis to determine whether their results differ with regard to several different subjective and objective outcome measures. Objective The aim of this study is to determine whether there is a difference in subjective and objective outcomes when comparing CWO and OWO in patients with ankylosing spondylitis suffering from clinically significant thoracolumbar kyphosis with respect to quality-of-life assessments, complication risks, and the amount of correction of the spine achieved at follow-up. Methods A systematic review was undertaken of articles published up to July 2012. Electronic databases and reference lists of key articles were searched to identify studies comparing effectiveness and safety outcomes between adult patients with ankylosing spondylitis who received closing wedge versus opening wedge osteotomies. Studies that included pediatric patients, polysegmental osteotomies, or revision procedures were excluded. Two independent reviewers assessed the strength of evidence using the GRADE criteria and disagreements were resolved by consensus. Results From a total of 67 possible citations, 4 retrospective cohorts (class of evidence III) met our inclusion criteria and form the basis for this report. No differences in Oswestry Disability Index, visual analog scale for pain, Scoliosis Research Society (SRS)-24 score, SRS-22 score, and patient satisfaction were reported between the closing and opening wedge groups across two studies. Regarding radiological outcomes following closing versus opening osteotomies, mean change in sagittal vertical axis ranged from 8.9 to 10.8 cm and 8.0 to 10.9 cm, respectively, across three studies; mean change in lumbar lordosis ranged from 36 to 47 degrees and 19 to 41 degrees across four studies; and mean change

Proximal opening wedge osteotomy with wedge-plate fixation compared with proximal chevron osteotomy for the treatment of hallux valgus: a prospective, randomized study.

PubMed

Glazebrook, Mark; Copithorne, Peter; Boyd, Gordon; Daniels, Timothy; Lalonde, Karl-André; Francis, Patricia; Hickey, Michael

2014-10-01

Hallux valgus with an increased intermetatarsal angle is usually treated with a proximal metatarsal osteotomy. The proximal chevron osteotomy is commonly used but is technically difficult. This study compares the proximal opening wedge osteotomy of the first metatarsal with the proximal chevron osteotomy for the treatment of hallux valgus with an increased intermetatarsal angle. This prospective, randomized multicenter (three-center) study was based on the clinical outcome scores of the Short Form-36, the American Orthopaedic Foot & Ankle Society forefoot questionnaire, and the visual analog scale for pain, activity, and patient satisfaction. Subjects were assessed prior to surgery and at three, six, and twelve months postoperatively. Surgeon preference was evaluated based on questionnaires and the operative times required for each procedure. No significant differences were found for any of the patients' clinical outcome measurements between the two procedures. The proximal opening wedge osteotomy was found to lengthen, and the proximal chevron osteotomy was found to shorten, the first metatarsal. The intermetatarsal angles improved (decreased) significantly, from 14.8° ± 3.2° to 9.1° ± 2.9 (mean and standard deviation) after a proximal opening wedge osteotomy and from 14.6° ± 3.9° to 11.3° ± 4.0° after a proximal chevron osteotomy (p < 0.05 for both). Operative time required for performing a proximal opening wedge osteotomy is similar to that required for performing a proximal chevron osteotomy (mean and standard deviation, 67.1 ± 16.5 minutes compared with 69.9 ± 18.6 minutes; p = 0.510). Opening wedge and proximal chevron osteotomies have comparable radiographic outcomes and comparable clinical outcomes for pain, satisfaction, and function. The proximal opening wedge osteotomy lengthens, and the proximal chevron osteotomy shortens, the first metatarsal. The proximal opening wedge osteotomy was subjectively less technically demanding and was

Effect of open wedge high tibial osteotomy on the lateral tibiofemoral compartment in sheep. Part III: analysis of the microstructure of the subchondral bone and correlations with the articular cartilage and meniscus.

PubMed

Ziegler, Raphaela; Goebel, Lars; Seidel, Roland; Cucchiarini, Magali; Pape, Dietrich; Madry, Henning

2015-09-01

First, to evaluate whether medial open wedge high tibial osteotomy (HTO) induces alterations of the microstructure of the lateral tibial subchondral bone plate of sheep. Second, to test the hypothesis that specific correlations exist between topographical structural alterations of the subchondral bone, the cartilage and the lateral meniscus. Three experimental groups received biplanar osteotomies of the right proximal tibiae: (a) closing wedge HTO (4.5° of tibial varus), (b) opening wedge HTO (4.5° tibial valgus; standard correction) and (c) opening wedge HTO (9.5° of valgus; overcorrection), each of which was compared to the non-osteotomised contralateral proximal tibiae. After 6 months, subchondral bone structure indices were measured by computed tomography. Correlations between the subchondral bone, the articular cartilage and the lateral meniscus were determined. Increased loading by valgus overcorrection led to an enlarged specific bone surface (BS/BV) in the subarticular spongiosa compared with unloading by varisation. The subchondral bone plate was 3.9-fold thicker in the central region of the lateral tibial plateau than in the submeniscal periphery. Its thickness in the central region significantly correlated with the thickness of the articular cartilage. In the submeniscal region, such correlation did not exist. In general, a higher degree of osteoarthritis (OA) correlated with alterations of the subchondral bone plate microstructure. OA of the submeniscal articular cartilage also correlated with worse matrix staining of the lateral meniscus. Osteoarthritis changes are associated with alterations of the subchondral bone plate microstructure. Specific topographical relationships exist in the central region between the articular cartilage and subchondral bone plate thickness, and in the submeniscal periphery between and the articular cartilage and lateral meniscus. From a clinical perspective, the combined follow-up data from this and the previous two

Effects of laterally wedged insoles on symptoms and disease progression in medial knee osteoarthritis: a protocol for a randomised, double-blind, placebo controlled trial

PubMed Central

Bennell, Kim; Bowles, Kelly-Ann; Payne, Craig; Cicuttini, Flavia; Osborne, Richard; Harris, Anthony; Hinman, Rana

2007-01-01

Background Whilst laterally wedged insoles, worn inside the shoes, are advocated as a simple, inexpensive, non-toxic self-administered intervention for knee osteoarthritis (OA), there is currently limited evidence to support their use. The aim of this randomised, double-blind controlled trial is to determine whether laterally wedges insoles lead to greater improvements in knee pain, physical function and health-related quality of life, and slower structural disease progression as well as being more cost-effective, than control flat insoles in people with medial knee OA. Methods/Design Two hundred participants with painful radiographic medial knee OA and varus malalignment will be recruited from the community and randomly allocated to lateral wedge or control insole groups using concealed allocation. Participants will be blinded as to which insole is considered therapeutic. Blinded follow up assessment will be conducted at 12 months after randomisation. The outcome measures are valid and reliable measures recommended for OA clinical trials. Questionnaires will assess changes in pain, physical function and health-related quality-of-life. Magnetic resonance imaging will measure changes in tibial cartilage volume. To evaluate cost-effectiveness, participants will record the use of all health-related treatments in a log-book returned to the assessor on a monthly basis. To test the effect of the intervention using an intention-to-treat analysis, linear regression modelling will be applied adjusting for baseline outcome values and other demographic characteristics. Discussion Results from this trial will contribute to the evidence regarding the effectiveness of laterally wedged insoles for the management of medial knee OA. Trial registration ACTR12605000503628; NCT00415259. PMID:17892539

Proximal Opening Wedge Osteotomy Provides Satisfactory Midterm Results With a Low Complication Rate.

PubMed

Oravakangas, Rami; Leppilahti, Juhana; Laine, Vesa; Niinimäki, Tuukka

2016-01-01

Hallux valgus is one of the most common foot deformities. Proximal opening wedge osteotomy is used for the treatment of moderate and severe hallux valgus with metatarsus primus varus. However, hypermobility of the first tarsometatarsal joint can compromise the results of the operation, and a paucity of midterm results are available regarding proximal open wedge osteotomy surgery. The aim of the present study was to assess the midterm results of proximal open wedge osteotomy in a consecutive series of patients with severe hallux valgus. Thirty-one consecutive adult patients (35 feet) with severe hallux valgus underwent proximal open wedge osteotomy. Twenty patients (35.5%) and 23 feet (34.3%) were available for the final follow-up examination. The mean follow-up duration was 5.8 (range 4.6 to 7.0) years. The radiologic measurements and American Orthopaedic Foot and Ankle Society hallux-metatarsophalangeal-interphalangeal scores were recorded pre- and postoperatively, and subjective questionnaires were completed and foot scan analyses performed at the end of the follow-up period. The mean hallux valgus angle decreased from 38° to 23°, and the mean intermetatarsal angle correction decreased from 17° to 10°. The mean improvement in the American Orthopaedic Foot and Ankle Society hallux metatarsophalangeal-interphalangeal score increased from 52 to 84. Two feet (5.7%) required repeat surgery because of recurrent hallux valgus. No nonunions were identified. Proximal open wedge osteotomy provided satisfactory midterm results in the treatment of severe hallux valgus, with a low complication rate. The potential instability of the first tarsometatarsal joint does not seem to jeopardize the midterm results of the operation. Copyright © 2016 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Appropriate hinge position for prevention of unstable lateral hinge fracture in open wedge high tibial osteotomy.

PubMed

Nakamura, R; Komatsu, N; Fujita, K; Kuroda, K; Takahashi, M; Omi, R; Katsuki, Y; Tsuchiya, H

2017-10-01

Open wedge high tibial osteotomy (OWHTO) for medial-compartment osteoarthritis of the knee can be complicated by intra-operative lateral hinge fracture (LHF). We aimed to establish the relationship between hinge position and fracture types, and suggest an appropriate hinge position to reduce the risk of this complication. Consecutive patients undergoing OWHTO were evaluated on coronal multiplanar reconstruction CT images. Hinge positions were divided into five zones in our new classification, by their relationship to the proximal tibiofibular joint (PTFJ). Fractures were classified into types I, II, and III according to the Takeuchi classification. Among 111 patients undergoing OWHTOs, 22 sustained lateral hinge fractures. Of the 89 patients without fractures, 70 had hinges in the zone within the PTFJ and lateral to the medial margin of the PTFJ (zone WL), just above the PTFJ. Among the five zones, the relative risk of unstable fracture was significantly lower in zone WL (relative risk 0.24, confidence interval 0.17 to 0.34). Zone WL appears to offer the safest position for the placement of the osteotomy hinge when trying to avoid a fracture at the osteotomy site. Cite this article: Bone Joint J 2017;99B10:1313-18. ©2017 The British Editorial Society of Bone & Joint Surgery.

A pilot hole does not reduce the strains or risk of fracture to the lateral cortex during and following a medial opening wedge high tibial osteotomy in cadaveric specimens.

PubMed

Bujnowski, K; Getgood, A; Leitch, K; Farr, J; Dunning, C; Burkhart, T A

2018-02-01

It has been suggested that the use of a pilot-hole may reduce the risk of fracture to the lateral cortex. Therefore the purpose of this study was to determine the effect of a pilot hole on the strains and occurrence of fractures at the lateral cortex during the opening of a high tibial osteotomy (HTO) and post-surgery loading. A total of 14 cadaveric tibias were randomized to either a pilot hole (n = 7) or a no-hole (n = 7) condition. Lateral cortex strains were measured while the osteotomy was opened 9 mm and secured in place with a locking plate. The tibias were then subjected to an initial 800 N load that increased by 200 N every 5000 cycles, until failure or a maximum load of 2500 N. There was no significant difference in the strains on the lateral cortex during HTO opening between the pilot hole and no-hole conditions. Similarly, the lateral cortex and fixation plate strains were not significantly different during cyclic loading between the two conditions. Using a pilot hole did not significantly decrease the strains experienced at the lateral cortex, nor did it reduce the risk of fracture. The nonsignificant differences found here most likely occurred because the pilot hole merely translated the stress concentration laterally to a parallel point on the surface of the hole. Cite this article : K. Bujnowski, A. Getgood, K. Leitch, J. Farr, C. Dunning, T. A. Burkhart. A pilot hole does not reduce the strains or risk of fracture to the lateral cortex during and following a medial opening wedge high tibial osteotomy in cadaveric specimens. Bone Joint Res 2018;7:166-172. DOI: 10.1302/2046-3758.72.BJR-2017-0337.R1.

Reduced knee joint loading with lateral and medial wedge insoles for management of knee osteoarthritis: a protocol for a randomized controlled trial.

PubMed

Lewinson, Ryan T; Collins, Kelsey H; Vallerand, Isabelle A; Wiley, J Preston; Woodhouse, Linda J; Reimer, Raylene A; Worobets, Jay T; Herzog, Walter; Stefanyshyn, Darren J

2014-12-03

Knee osteoarthritis (OA) progression has been linked to increased peak external knee adduction moments (KAMs). Although some trials have attempted to reduce pain and improve function in OA by reducing KAMs with a wedged footwear insole intervention, KAM reduction has not been specifically controlled for in trial designs, potentially explaining the mixed results seen in the literature. Therefore, the primary purpose of this trial is to identify the effects of reduced KAMs on knee OA pain and function. Forty-six patients with radiographically confirmed diagnosis medial knee OA will be recruited for this 3 month randomized controlled trial. Recruitment will be from Alberta and surrounding areas. Eligibility criteria include being between the ages of 40 and 85 years, have knee OA primarily localized to the medial tibiofemoral compartment, based on the American College of Rheumatology diagnostic criteria and be classified as having a Kellgren-Lawrence grade of 1 to 3. Patients will visit the laboratory at baseline for testing that includes dual x-ray absorptiometry, biomechanical testing, and surveys (KOOS, PASE activity scale, UCLA activity scale, comfort visual analog scale). At baseline, patients will be randomized to either a wedged insole group to reduce KAMs, or a waitlist control group where no intervention is provided. The survey tests will be repeated at 3 months, and response to wedged insoles over 3 months will be evaluated. This study represents the first step in systematically evaluating the effects of reduced KAMs on knee OA management by using a patient-specific wedged insole prescription procedure rather than providing the same insole to all patients. The results of this trial will provide indications as to whether reduced KAMs are an effective strategy for knee OA management, and whether a personalized approach to footwear insole prescription is warranted. NCT02067208.

Redistribution of knee stress using laterally wedged insole intervention: Finite element analysis of knee-ankle-foot complex.

PubMed

Liu, Xuan; Zhang, Ming

2013-01-01

Laterally wedged insoles are widely applied in the conservative treatment for medial knee osteoarthritis. Experimental studies have been conducted to understand the effectiveness of such an orthotic intervention. However, the information was limited to the joint external loading such as knee adduction moment. The internal stress distribution is difficult to be obtained from in vivo experiment alone. Thus, a three-dimensional finite element model of the human knee-ankle-foot complex, together with orthosis, was developed in this study and used to investigate the redistribution of knee stress using laterally wedged insole intervention. Laterally wedged insoles with wedge angles of 0, 5, and 10° were fabricated for intervention. The subject-specific geometry of the lower extremity with details was characterized in the reconstruction of MR images. Motion analysis data and muscle forces were input to drive the model. The established finite element model was employed to investigate the loading responses of tibiofemoral articulation in three wedge angle conditions during simulated walking stance phase. With either of the 5° or 10° laterally wedged insole, significant decreases in von Mises stress and contact force at the medial femur cartilage region and the medial meniscus were predicted comparing with the 0° insole. The diminished stress and contact force at the medial compartment of the knee joint demonstrate the immediate effect of the laterally wedged insoles. The intervention may contribute to medial knee osteoarthritis rehabilitation. Copyright © 2012 Elsevier Ltd. All rights reserved.

[Closing wedge osteotomy of the tibial head in treatment of single compartment arthrosis].

PubMed

Jakob, R P; Jacobi, M

2004-02-01

Closing wedge high tibial osteotomy is an efficient method for the treatment of medial osteoarthritis of the knee. Prerequisites of successful surgery are proper indication and planning as well as the understanding of biomechanics and pathophysiology. The technique of osteotomy to choose (opening or closing wedge) depends on the type of malalignment and on additional pathologies. The surgical technique demands high precision to realize the planned correction and to avoid complications. Implants with angular stability provide advantages compared to traditional implants. Correct indication and surgical technique results in a desirable follow-up, which often lasts for at least 10 years. The effect on the prognosis of the young patient with cartilage damage is still unclear.

Opening the medial tibiofemoral compartment by pie-crusting the superficial medial collateral ligament at its tibial insertion: a cadaver study.

PubMed

Roussignol, X; Gauthe, R; Rahali, S; Mandereau, C; Courage, O; Duparc, F

2015-09-01

Arthroscopic treatment of tears in the middle and posterior parts of the medial meniscus can be difficult when the medial tibiofemoral compartment is tight. Passage of the instruments may damage the cartilage. The primary objective of this cadaver study was to perform an arthroscopic evaluation of medial tibiofemoral compartment opening after pie-crusting release (PCR) of the superficial medial collateral ligament (sMCL) at its distal insertion on the tibia. The secondary objective was to describe the anatomic relationships at the site of PCR (saphenous nerve, medial saphenous vein). We studied 10 cadaver knees with no history of invasive procedures. The femur was held in a vise with the knee flexed at 45°, and the medial aspect of the knee was dissected. PCR of the sMCL was performed under arthroscopic vision, in the anteroposterior direction, at the distal tibial insertion of the sMCL, along the lower edge of the tibial insertion of the semi-tendinosus tendon. Continuous 300-N valgus stress was applied to the ankle. Opening of the medial tibiofemoral compartment was measured arthroscopically using graduated palpation hooks after sequential PCR of the sMCL. The compartment opened by 1mm after release of the anterior third, 2.3mm after release of the anterior two-thirds, and 3.9mm after subtotal release. A femoral fracture occurred in 1 case, after completion of all measurements. Both the saphenous nerve and the medial saphenous vein were located at a distance from the PCR site in all 10 knees. PCR of the sMCL is chiefly described as a ligament-balancing method during total knee arthroplasty. This procedure is usually performed at the joint line, where it opens the compartment by 4-6mm at the most, with some degree of unpredictability. PCR of the sMCL at its distal tibial insertion provides gradual opening of the compartment, to a maximum value similar to that obtained with PCR at the joint space. The lower edge of the semi-tendinosus tendon is a valuable landmark

50 CFR Figure 17 to Part 223 - Boone Wedge Cut Escape Opening

Code of Federal Regulations, 2012 CFR

2012-10-01

... 50 Wildlife and Fisheries 10 2012-10-01 2012-10-01 false Boone Wedge Cut Escape Opening 17 Figure 17 to Part 223 Wildlife and Fisheries NATIONAL MARINE FISHERIES SERVICE, NATIONAL OCEANIC AND ATMOSPHERIC ADMINISTRATION, DEPARTMENT OF COMMERCE MARINE MAMMALS THREATENED MARINE AND ANADROMOUS SPECIES Pt...

Flow rate limitation in open wedge channel under microgravity

NASA Astrophysics Data System (ADS)

Wei, YueXing; Chen, XiaoQian; Huang, YiYong

2013-08-01

A study of flow rate limitation in an open wedge channel is reported in this paper. Under microgravity condition, the flow is controlled by the convection and the viscosity in the channel as well as the curvature of the liquid free surface. A maximum flow rate is achieved when the curvature cannot balance the pressure difference leading to a collapse of the free surface. A 1-dimensional theoretical model is used to predict the critical flow rate and calculate the shape of the free surface. Computational Fluid Dynamics tool is also used to simulate the phenomenon. Results show that the 1-dimensional model overestimates the critical flow rate because extra pressure loss is not included in the governing equation. Good agreement is found in 3-dimensional simulation results. Parametric study with different wedge angles and channel lengths show that the critical flow rate increases with increasing the cross section area; and decreases with increasing the channel length. The work in this paper can help understand the surface collapsing without gravity and for the design in propellant management devices in satellite tanks.

Changes in patellofemoral alignment do not cause clinical impact after open-wedge high tibial osteotomy.

PubMed

Lee, Yong Seuk; Lee, Sang Bok; Oh, Won Seok; Kwon, Yong Eok; Lee, Beom Koo

2016-01-01

The objectives of this study were (1) to evaluate the clinical and radiologic outcomes of open-wedge high tibial osteotomy focusing on patellofemoral alignment and (2) to search for correlation between variables and patellofemoral malalignment. A total of 46 knees (46 patients) from 32 females and 14 males who underwent open-wedge high tibial osteotomy were included in this retrospective case series. Outcomes were evaluated using clinical scales and radiologic parameters at the last follow-up. Pre-operative and final follow-up values were compared for the outcome analysis. For the focused analysis of the patellofemoral joint, correlation analyses between patellofemoral variables and pre- and post-operative weight-bearing line (WBL), clinical score, posterior slope, Blackburn Peel ratio, lateral patellar tilt, lateral patellar shift, and congruence angle were performed. The minimum follow-up period was 2 years and median follow-up period was 44 months (range 24-88 months). The percentage of weight-bearing line was shifted from 17.2 ± 11.1 to 56.7 ± 12.7%, and it was statistically significant (p < 0.01). Regarding the clinical results, statistical significance was observed using all scores (p < 0.01). In the radiologic evaluation, patellar descent was observed with statistical significance (p < 0.01). Last follow-up lateral patellar tilt was decreased with statistical significance (p < 0.01). In correlation analysis between variables of patellofemoral malalignment, the pre-operative weight-bearing line showed an association with the change in lateral patellar tilt and lateral patellar shift (correlation coefficient: 0.3). After open-wedge high tibial osteotomy, clinical results showed improvement, compared to pre-operative values. The patellar tilt and lateral patellar shift were not changed; however, descent of the patella was observed. Therefore, mild patellofemoral problems should not be a contraindication of the open-wedge high tibial osteotomy. Case series

Effect of unilateral and bilateral use of laterally wedged insoles with arch supports on impact loading in medial knee osteoarthritis.

PubMed

Abd El Megeid Abdallah, Amira Abdallah

2016-04-01

Increased impact loading is implicated in knee osteoarthritis development and progression. This study examined the impact ground reaction force (GRF) peak, its loading rate, its relative timing to stance phase timing, and walking speed during unilateral and bilateral use of laterally wedged insoles with arch supports. Within-subject design. Thirty-three female patients with medial knee osteoarthritis were examined with (unilateral 6° and 11°, and bilateral 0°, 6°, and 11°) and without insole use. Repeated measures MANOVA revealed that the impact force increased significantly in bilateral 11° versus unilateral 6° and without-insole conditions. The loading rate decreased significantly in unilateral 11° versus bilateral 6° insoles. The relative timing increased significantly in each of bilateral 6°, bilateral 11°, and unilateral 11° versus bilateral 0° insoles and in each of bilateral 11° and unilateral 11° versus without-insole condition. There were significant positive correlations between the walking speed and each of the force and loading rate. The Chi-square test revealed insignificant association between the insole condition and the presence of impact forces. Unilateral 11° insoles are capable of reducing impact loading possibly through increasing foot pronation. Walking slowly is another possible strategy to reduce loading. Unilaterally applied 11° laterally wedged insoles are capable of reducing and delaying the initial impact ground reaction forces and reducing their loading rates during walking in patients with medial knee osteoarthritis, thus reducing osteoarthritis progression. Walking slowly could also be used as a strategy to reduce impact loading. © The International Society for Prosthetics and Orthotics 2015.

[Combined closing-wedge high tibial osteotomy with arthroscopy for varus knee and medial compartment osteoarthritis: clinical results at a minimum follow-up for five years].

PubMed

Liu, Jin-Song; Li, Zhi-Yao

2013-09-01

To study the results of closing-wedge high tibial osteotomy and arthroscopy for the treatment of medial compartment osteoarthritis of the knee. From October 2005 to June 2007, 25 patients met with our inclusion criteria. All the patients with medial compartment knee osteoarthritis were treated with arthroscopy and closing-wedge high tibial osteotomy. There were 11 males and 14 females,with a mean age of 53 years old. The pre-operative HSS knee score was 67.6 +/- 2.8, FTA was (185.54 +/- 1.11) degrees, and aLPTA was (96.54 +/- 0.52) degrees in average. The patients were followed up and evaluated according to HSS knee score. The efficacy of the osteotomy was evaluated by FTA and aLPTA. All surgeries were successful without serious complication. All the patients were followed up, and the duration ranged from 5 to 7 years. The HSS was 85.5 +/- 3.7 at the 1st year and 80.3 +/- 5.4 at the latest follow-up. There was significant difference between every two scores of before operation and the two after operation (t = -33.135, P = 0.000; t = -13.215, P = 0.000). The FTA was (173.65 +/- 0.92) degrees at the 1st year and (174.34 +/- 0.53) degrees at the latest follow-up. There was significant difference between every two angles of before operation and after operation (t = 28.739, P = 0.000; t = 2.331, P = 0.048). The aLPTA was (87.32 +/- 0.33) degrees at the 1st year and (87.67 +/- 2.82) degrees at the latest follow-up. There was significant difference between every two angles of before operation and after operation (t = 37.264, P = 0.000; t = 2.469, P = 0.039). Indication is important and good surgical technique is critical for good clinical outcome. A detailed plan before operation is essential for the operation. Arthroscopy is helpful for treating the intra-articular pathology. The osteoarthritis is still in progress but in a slow mode. The combined method of arthroscopy and closing-wedge high tibial osteotomy is a reliable way for medial compartment osteoarthritis of the

Diving wedges

NASA Astrophysics Data System (ADS)

Vincent, Lionel; Kanso, Eva

2017-11-01

Diving induces large pressures during water entry, accompanied by the creation of cavity behind the diver and water splash ejected from the free water surface. To minimize impact forces, divers streamline their shape at impact. Here, we investigate the impact forces and splash evolution of diving wedges as a function of the wedge opening angle. A gradual transition from impactful to smooth entry is observed as the wedge angle decreases. After submersion, diving wedges experience significantly smaller drag forces (two-fold smaller) than immersed wedges. We characterize the shapes of the cavity and splash created by the wedge and find that they are independent of the entry velocity at short times, but that the splash exhibits distinct variations in shape at later times. Combining experimental approach and a discrete fluid particle model, we show that the splash shape is governed by a destabilizing Venturi-suction force due to air rushing between the splash and the water surface and a stabilizing force due to surface tension. These findings may have implications in a wide range of water entry problems, with applications in engineering and bio-related problems, including naval engineering, disease spreading and platform diving. This work was funded by the National Science Foundation.

Open-wedge high tibial osteotomy: comparison between manual and computer-assisted techniques.

PubMed

Iorio, R; Pagnottelli, M; Vadalà, A; Giannetti, S; Di Sette, P; Papandrea, P; Conteduca, F; Ferretti, A

2013-01-01

The purpose of our study was to compare clinical and radiological results of two groups of patients treated for medial compartment osteoarthritis of the knee with either conventional or computer-assisted open-wedge high tibial osteotomy (HTO). Goals of surgical treatment were a correction of the mechanical axis between 2° and 6° of valgus and a modification of posterior tibial slope between -2° and +2°. Twenty-four patients (27 knees) affected by varus knee deformity and operated with HTO were prospectively followed-up. They were randomly divided in two groups, A (11 patients, conventional treatment) and B (13 patients, navigated treatment). The American Knee Society Score and the Modified Cincinnati Rating System Questionnaire were used for clinical assessment. All patients were radiologically evaluated with a comparative lower limb weight-bearing digital radiograph, a standard digital anteroposterior, a latero-lateral radiograph of the knee, and a Rosenberg view. Patients were followed-up at a mean of 39 months. Clinical evaluation showed no statistical difference (n.s.) between the two groups. Radiological results showed an 86% reproducibility in achieving a mechanical axis of 182°-186° in group B compared to a 23% in group A (p = 0.0392); furthermore, in group B, we achieved a modification of posterior tibial slope between -2° and +2° in 100% of patients, while in group A, this goal was achieved only in 24% of cases (p = 0.0021). High tibial osteotomy with navigator is more accurate and reproducible in the correction of the deformity compared to standard technique. Therapeutic study, Level II.

Role of an anatomically contoured plate and metal block for balanced stability between the implant and lateral hinge in open-wedge high-tibial osteotomy.

PubMed

Jang, Young Woong; Lim, DoHyung; Seo, Hansol; Lee, Myung Chul; Lee, O-Sung; Lee, Yong Seuk

2018-07-01

Open-wedge high tibial osteotomy (OWHTO) is a well-established surgical option for medial compartment osteoarthritis of the varus knee. The initial strength of the fixation plate is critical for successful correction maintenance and healing of the osteotomy site. This study was conducted to verify if a newly designed anatomical plate (LCfit) improves the stability of both the medial implant and lateral hinge area, as well as to evaluate how the metal block contributes to both medial and lateral stability. A finite element (FE) tibial model was combined with TomoFix plate, a LCfit plate with and without a metal block. Data analysis was conducted to evaluate the balanced stability, which refers to the enforced lateral stability resulting from redistribution of overall stress. We assessed the balanced stability of the medial implant and lateral hinge area in three cases using the same Sawbones and loads using the tibia FE model. The LCfit plate reduced stress by 23.1% at the lateral hinge compared to the TomoFix plate (TomoFix vs. LCfit: 34.2 ± 23.3 MPa vs. 26.3 ± 17.5 MPa). The LCfit plate with a metal block reduced stress by 40.1% at the medial plate (210.1 ± 64.2 MPa vs. 125.8 ± 65.7 MPa) and by 31.2% (26.3 ± 17.5 MPa vs. 18.1 ± 12.1 MPa) at the lateral hinge area compared to the reduction using the LCfit plate without a metal block. The newly designed fixation system for OWHTO balanced the overall stress distribution and reduced stress at the lateral hinge area compared to that using a conventional fixation system. The addition of the metal block showed additional benefits for balanced stability between the medial implant and lateral hinge area. However, this conclusion could only be drawn using the FE model in this study. Therefore, further clinical studies are necessary to reveal the clinical effect of reduced lateral stress on the occurrence of the lateral hinge fracture and the biologic effect of the metal block on the

Outcome of opening wedge high tibial osteotomy augmented with a Biosorb® wedge and fixed with a plate and screws in 124 patients with a mean of ten years follow-up.

PubMed

Saragaglia, Dominique; Blaysat, Marc; Inman, Dominic; Mercier, Numa

2011-08-01

The objective of this work was firstly to evaluate the long-term results of medial opening wedge high tibial osteotomy (HTO) and secondly to evaluate the tolerance and integration of a Biosorb® wedge (β Tricalcium Phosphate, SBM Company, Lourdes, France). The series consisted of 124 knees in 110 patients, 74 men and 36 women, with mean age of 53.23±10.68 years (range 32-74) and treated between June 1995 and November 2000 for medial compartment knee osteoarthritis by the senior author. The mean preoperative Lysholm and Tegner functional score was 65.44±13.32 (range 27-80) and the preoperative HKA angle was 172.51°±3.8° (range 162-179°). According to the modified Ahlbäck classification there were 27 stage I, 42 stage II, 44 stage III and 11 stage IV knees. All patients were reviewed clinically and radiologically with a mean follow-up of 10.39±1.98 years (range 8-14 years). Immediate postoperative complications consisted of nine undisplaced lateral tibial plateau fractures of no clinical significance, two deep vein thromboses and three pulmonary emboli which resolved with appropriate treatment. At a later stage, there were seven delayed unions without development of pseudarthrosis, and three screw breakages when the AO T-plate was used, leading to a secondary angulation in one case, requiring revision by femoral osteotomy. Postoperative mean weightbearing HKA angle was 182°±1.8° (range 178-186°) and 73.4% of axes were 184°±2°. Fifteen knees (12.1%) underwent total knee arthroplasty (TKA) after a mean delay of 8.87±3.04 years and were excluded from the final analysis. Concerning the long-term results (n = 107 knees), the mean Lysholm-Tegner score was 88±12.7 points (51-100) and the KOOS score was 86±14.6 points (25-100) with 94 patients satisfied or very satisfied (87.85%). In terms of the HTO survivorship curve, with failure consisting of revision to TKA or another operation, survival was 88.8% at five years and 74% at ten years. Concerning

Open wedge high tibial osteotomies: Calcium-phosphate ceramic spacer versus autologous bonegraft.

PubMed

Gouin, F; Yaouanc, F; Waast, D; Melchior, B; Delecrin, J; Passuti, N

2010-10-01

Valgus tibial osteotomy (VTO) is a well-known procedure for the treatment of medial compartment femoro-tibial osteoarthritis. Good and very good results have been reported with calcium phosphate wedges, which avoid the inconveniences of autologous grafts use. The hypothesis of this study is that with equivalent results in the treatment of osteoarthritis of the knee, the use of calcium phosphate wedges (BMCaPh) to fill the bone defect created by osteotomy would result in fewer specific complications and less pain associated with autologous grafts (AUTO) harvesting. This prospective, controlled, randomised study included one arm that received a macroporous, biphasic calcium phosphate wedge (BMCaPh group) and one arm that received an autologous tricortical graft (AUTO group) for filling. The same plate with locked screws was used for fixation in all cases. All patients underwent at least two years of clinical and radiographic post-operative follow-up. Forty patients were included. Loss of correction occurred in six of the twenty-two patients in the BMCaPh group (27%), resulting in three early surgical revisions, compared to one loss of correction in the AUTO group. Lateral cortical hinge tears were a risk factor for loss of correction for the entire cohort and in the BMCaPh group. (relative risk 13.3 [1.9-92]. Moreover, union took significantly longer and pain lasted significantly longer in the BMCaPh group, although results were comparable at 6 months. A significant number of undesirable events (loss of correction) occurred in this study, limiting the number of included patients. Nevertheless, the results show that although there was no difference in the two groups for overall complications, number of revisions all causes combined, or clinical results, filling with BMCaPh was less tolerated and increased the risk of loss of correction when local mechanical conditions of the knee were unfavourable (lateral cortical hinge tears). Moreover, although it is not possible

Assessing the local mechanical environment in medial opening wedge high tibial osteotomy using finite element analysis.

PubMed

Pauchard, Yves; Ivanov, Todor G; McErlain, David D; Milner, Jaques S; Giffin, J Robert; Birmingham, Trevor B; Holdsworth, David W

2015-03-01

High-tibial osteotomy (HTO) is a surgical technique aimed at shifting load away from one tibiofemoral compartment, in order the reduce pain and progression of osteoarthritis (OA). Various implants have been designed to stabilize the osteotomy and previous studies have been focused on determining primary stability (a global measure) that these designs provide. It has been shown that the local mechanical environment, characterized by bone strains and segment micromotion, is important in understanding healing and these data are not currently available. Finite element (FE) modeling was utilized to assess the local mechanical environment provided by three different fixation plate designs: short plate with spacer, long plate with spacer and long plate without spacer. Image-based FE models of the knee were constructed from healthy individuals (N = 5) with normal knee alignment. An HTO gap was virtually added without changing the knee alignment and HTO implants were inserted. Subsequently, the local mechanical environment, defined by bone compressive strain and wedge micromotion, was assessed. Furthermore, implant stresses were calculated. Values were computed under vertical compression in zero-degree knee extension with loads set at 1 and 2 times the subject-specific body weight (1 BW, 2 BW). All studied HTO implant designs provide an environment for successful healing at 1 BW and 2 BW loading. Implant von Mises stresses (99th percentile) were below 60 MPa in all experiments, below the material yield strength and significantly lower in long spacer plates. Volume fraction of high compressive strain ( > 3000 microstrain) was below 5% in all experiments and no significant difference between implants was detected. Maximum vertical micromotion between bone segments was below 200 μm in all experiments and significantly larger in the implant without a tooth. Differences between plate designs generally became apparent only at 2 BW loading. Results suggest that

Computer assisted alignment of opening wedge high tibial osteotomy provides limited improvement of radiographic outcomes compared to flouroscopic alignment.

PubMed

Stanley, Jeremy C; Robinson, Kerian G; Devitt, Brian M; Richmond, Anneka K; Webster, Kate E; Whitehead, Timothy S; Feller, Julian A

2016-03-01

There are numerous methods available to assist surgeons in the accurate correction of varus alignment during medial opening wedge high tibial osteotomy (MOWHTO). Preoperative planning performed with radiographs or more recently intraoperative computer navigation software has been used. The aim of the study was to compare the accuracy of computer navigated versus non-navigated techniques to correct varus alignment of the knee. The preoperative and postoperative radiographs of 117 knees that underwent MOWHTO were investigated to assess radiographic limb alignment 12-months postoperatively. The desired correction was defined as a weight bearing line (Mikulicz point {MP}) 58% of the width of the tibial plateau from the medial tibial margin. Sixty-five knees were corrected using a conventional technique and 52 knees were corrected using computer navigation. The mean MP percentage was 59% in the navigated group, compared with 56% in the fluoroscopic group (p=0.183). 51.9% of the navigation knees were corrected to within five percent of the desired correction, in contrast to 38.5% of the fluoroscopically corrected knees (p=0.15). 71.2% of the navigated knees were corrected to within 10% of the desired correction, compared with 63.1% of the fluoroscopically corrected knees (p=0.36). Large preoperative deformities were more accurately corrected with navigation assistance (57% vs 49%, p=0.049). No statistically significant difference was found in the radiographic correction of varus alignment twelve months postoperatively between navigated and fluoroscopic techniques of MOWHTO. However, a subgroup analysis demonstrated that larger preoperative varus deformities may be more accurately corrected using computer navigation. Copyright © 2016 Elsevier B.V. All rights reserved.

Mechanical strength assessment of a drilled hole in the contralateral cortex at the end of the open wedge for high tibial osteotomy.

PubMed

Diffo Kaze, Arnaud; Maas, Stefan; Hoffmann, Alexander; Pape, Dietrich

2017-12-01

This study aimed to investigate, by means of finite element analysis, the effect of a drill hole at the end of a horizontal osteotomy to reduce the risk of lateral cortex fracture while performing an opening wedge high tibial osteotomy (OWHTO). The question was whether drilling a hole relieves stress and increases the maximum correction angle without fracture of the lateral cortex depending on the ductility of the cortical bone. Two different types of osteotomy cuts were considered; one with a drill hole (diameter 5 mm) and the other without the hole. The drill holes were located about 20 mm distally to the tibial plateau and 6 mm medially to the lateral cortex, such that the minimal thickness of the contralateral cortical bone was 5 mm. Based on finite element calculations, two approaches were used to compare the two types of osteotomy cuts considered: (1) Assessing the static strength using local stresses following the idea of the FKM-guideline, subsequently referred to as the "FKM approach" and (2) limiting the total strain during the opening of the osteotomy wedge, subsequently referred to as "strain approach". A critical opening angle leading to crack initiation in the opposite lateral cortex was determined for each approach and was defined as comparative parameter. The relation to bone aging was investigated by considering the material parameters of cortical bones from young and old subjects. The maximum equivalent (von-Mises) stress was smaller for the cases with a drill hole at the end of the osteotomy cut. The critical angle was approximately 1.5 times higher for the specimens with a drill hole compared to those without. This corresponds to an average increase of 50%. The calculated critical angle for all approaches is below 5°. The critical angle depends on the used approach, on patient's age and assumed ductility of the cortical bone. Drilling a hole at the end of the osteotomy reduces the stresses in the lateral cortex and increases the critical

Surgical anatomy of medial open-wedge high tibial osteotomy: crucial steps and pitfalls.

PubMed

Madry, Henning; Goebel, Lars; Hoffmann, Alexander; Dück, Klaus; Gerich, Torsten; Seil, Romain; Tschernig, Thomas; Pape, Dietrich

2017-12-01

To give an overview of the basic knowledge of the functional surgical anatomy of the proximal lower leg and the popliteal region relevant to medial high tibial osteotomy (HTO) as key anatomical structures in spatial relation to the popliteal region and the proximal tibiofibular joint are usually not directly visible and thus escape a direct inspection. The surgical anatomy of the human proximal lower leg and its relevance for HTO are illustrated with a special emphasis on the individual steps of the operation involving creation of the osteotomy planes and plate fixation. The posteriorly located popliteal neurovascular bundle, but also lateral structures such as the peroneal nerve, the head of the fibula and the lateral collateral ligament must be protected from the instruments used for osteotomy. Neither positioning the knee joint in flexion, nor the posterior thin muscle layer of the popliteal muscle offers adequate protection of the popliteal neurovascular bundle when performing the osteotomy. Tactile feedback through a loss-of-resistance when the opposite cortex is perforated is only possible when sawing and drilling is performed in a pounding fashion. Kirschner wires with a proximal thread, therefore, always need to be introduced under fluoroscopic control. Due to anatomy of the tibial head, the tibial slope may increase inadvertently. Enhanced surgical knowledge of anatomical structures that are at a potential risk during the different steps of osteotomy or plate fixation will help to avoid possible injuries. Expert opinion, Level V.

Satisfactory functional and radiological outcomes can be expected in young patients under 45 years old after open wedge high tibial osteotomy in a long-term follow-up.

PubMed

Hantes, Michael E; Natsaridis, Prodromos; Koutalos, Antonios A; Ono, Yohei; Doxariotis, Nikolaos; Malizos, Konstantinos N

2017-11-30

To report the long-term outcomes of medial open wedge high tibial osteotomy (MOWHTO) for the treatment of medial compartment knee osteoarthritis in patients younger than 45 years old. It was hypothesized that the correction of knee alignment would result in preservation of knee function in a long-term follow-up. Patients under 45 years old, who underwent MOWHTO for symptomatic medial compartment knee osteoarthritis between 2001 and 2005 were retrospectively reviewed after a minimum of 10 years. The osteotomy was performed utilizing a locking plate without the use of bone graft. Patients were evaluated pre- and postoperatively using the International Knee Documentation Committee Score, the Oxford Knee Score, the Knee injury Osteoarthritis Outcome Score and the Short Form-12 Score. Standardized standing whole-limb radiographs were also obtained to assess mechanical tibiofemoral angle (mTFA) and the grade of osteoarthritis. A total of 20 patients (18 males, 2 females, mean age 35.4 years) with a mean follow-up of 12.3 years were included in the study. During the follow-up period, one patient required conversion to total knee replacement (95% survival rate). All clinical outcome scores (IKDC, KOOS, OKS, and SF-12) significantly improved postoperatively (p < 0.05), with no significant deterioration over time. Preoperative varus alignment with an mTFA of - 5.8 ± 2.4° was corrected to 2.5 ± 1.9° immediately after surgery (p < 0.05), and remained 2.2 ± 1.7° at the last follow-up. Furthermore, no significant radiographic progression of osteoarthritis was observed. MWOHTO with a locking plate is an effective joint preservation method to treat medial compartment OA in active patients less than 45 years. Clinical and radiological results are satisfactory and the survival rate is 95%, 12 years after the procedure. Level IV therapeutic, retrospective, cohort study.

Management of combined knee medial compartmental and patellofemoral osteoarthritis with lateral closing wedge osteotomy with anterior translation of the distal tibial fragment: Does the degree of anteriorization affect the functional outcome and posterior tibial slope?

PubMed

Sadek, Ahmed F; Osman, Mohammed K; Laklok, Mohamed A

2016-10-01

The aim of this study was to assess the effect of degree of anterior translation of the distal tibial fragment after lateral closing wedge high tibial osteotomy in patients having combined knee medial compartmental and patellofemoral osteoarthritis. A retrospective study was conducted on 64 patients who were operated on for combined knee medial compartmental and patellofemoral osteoarthritis, by lateral closing wedge high tibial osteotomy with anterior translation of the distal tibial fragment. They were divided into two groups; Group I comprising 32 patients (34 knees, mean age of 51.4±7years) whose degree of anterior translation was <1cm and Group II comprising 32 patients (33 knees, mean age of 52.2±8.3years) whose degree of anterior translation was >1.5cm. The final assessment was performed via: visual analog scale, postoperative Knee Society clinical rating system function score, active range of motion, time to union, degree of correction of mechanical axis, posterior tibial slope, and Insall-Salvati ratio. Group II patients exhibited statistically superior mean postoperative score and better return to their work than Group I (P=0.013, 0.076, respectively). Both groups showed statistically significant differences between the preoperative and postoperative evaluation parameters (P<0.001). The posterior tibial slope was decreased in both groups but with no significant difference (P=0.527). Lateral closing wedge high tibial osteotomy combined with anterior translation of the distal tibial fragment more than 1.5cm achieved significantly better postoperative functional knee score. Both groups exhibited comparatively decreased posterior tibial slope. Copyright © 2016 Elsevier B.V. All rights reserved.

Opening wedge trapezial osteotomy as possible treatment for early trapeziometacarpal osteoarthritis: a biomechanical investigation of radial subluxation, contact area, and contact pressure.

PubMed

Cheema, Tahseen; Salas, Christina; Morrell, Nathan; Lansing, Letitia; Reda Taha, Mahmoud M; Mercer, Deana

2012-04-01

Radial subluxation and cartilage thinning have been associated with initiation and accelerated development of osteoarthritis of the trapeziometacarpal joint. Few investigators have reported on the benefits of opening wedge trapezial osteotomy for altering the contact mechanics of the trapeziometacarpal joint as a possible deterrent to the initiation or progression of osteoarthritis. We used cadaveric specimens to determine whether opening wedge osteotomy of the trapezium was successful in reducing radial subluxation of the metacarpal base and to quantify the contact area and pressure on the trapezial surface during simulated lateral pinch. We used 8 fresh-frozen specimens in this study. The flexor pollicis longus, abductor pollicis longus, adductor pollicis, abductor pollicis brevis, and flexor pollicis brevis/opponens pollicis tendons were each loaded to simulate the thumb in lateral pinch position. We measured radial subluxation from anteroposterior radiographs before and after placement of a 15° wedge. We used real-time sensors to analyze contact pressure and contact area distribution on the trapezium. Center of force in the normal joint under lateral pinch loading was primarily located in the dorsal region of the trapezium. After wedge placement, contact pressure increased in the ulnar-dorsal region by 76%. Mean contact area increased in the ulnar-dorsal region from 0.05 to 0.07 cm(2), and in the ulnar-volar region from 0.003 to 0.024 cm(2). The average reduction in joint subluxation was 64%. The 15° opening wedge osteotomy of the trapezium reduced radial subluxation of the metacarpal on the trapezium and increased contact pressure and contact area away from the diseased compartments of the trapezial surface. Trapezial osteotomy addresses the 2 preeminent theories about the initiation and progression of osteoarthritis. By reducing radial subluxation and altering contact pressure and contact area, trapezial osteotomy may prove an alternative to first

Medial elbow pain

PubMed Central

Barco, Raul; Antuña, Samuel A.

2017-01-01

Medial elbow pain is uncommon when compared with lateral elbow pain. Medial epicondylitis is an uncommon diagnosis and can be confused with other sources of pain. Overhead throwers and workers lifting heavy objects are at increased risk of medial elbow pain. Differential diagnosis includes ulnar nerve disorders, cervical radiculopathy, injured ulnar collateral ligament, altered distal triceps anatomy or joint disorders. Children with medial elbow pain have to be assessed for ‘Little League elbow’ and fractures of the medial epicondyle following a traumatic event. This paper is primarily focused on the differential diagnosis of medial elbow pain with basic recommendations on treatment strategies. Cite this article: EFORT Open Rev 2017;2:362-371. DOI: 10.1302/2058-5241.2.160006 PMID:28932488

Ligamentum teres tenodesis in medial approach open reduction for developmental dislocation of the hip.

PubMed

Bache, Christopher Edward; Graham, H Kerr; Dickens, D Robert V; Donnan, Leo; Johnson, Michael B; Nattrass, Gary; O'Sullivan, Mark; Torode, Ian P

2008-09-01

When closed reduction of a developmental dislocation of the hip fails, some form of open reduction is required. In recent years, the many advantages of the medial approach open reduction have been emphasized. However, there have been suggestions that the rate of growth disturbance in the proximal femur and the requirement for secondary surgical procedures may be higher with this route than with others. The purpose of this study was to investigate the efficacy and safety of a modified medial approach open reduction, in which the stability of the reduction is enhanced by resection of the redundant ligamentum teres and suturing of the stump of the tendon to the anteromedial capsule. The hospital records and radiographs of 92 infants and children with 109 dislocated hips were reviewed retrospectively. Key demographic and pretreatment data were collected by the first author and compared with the outcome at the most recent follow-up. In addition, 69 children returned for a clinical evaluation by the first author. The outcome at the most recent follow-up was graded according to Severin, and associations were sought between pretreatment grade of dislocation according to Tonnis, the presence of ossific nucleus, changes in the acetabular index, the requirements for secondary surgery, associations with previous treatment, and the position of abduction in the postoperative cast. At a mean follow-up of 9 years, 89% of hips were classified as Severin grade 1 or 2. Avascular necrosis (AVN) was classified according to the system of Kalamchi and MacEwen. The incidence of AVN was 41%, but two thirds of these were grade 1 (temporary irregular ossification), and the Severin grading in these hips was not compromised. The presence of ossification in the capital epiphysis and a range of abduction of less than 60 degrees in the hip spica were noted to be protective against the development of AVN. Three hips redislocated and required additional treatment. Thirty-eight hips required a total

Intramedullary nailing in opening wedge high tibial osteotomy-in vitro test for validation of a method of fixation.

PubMed

Burchard, Rene; Katerla, Denise; Hammer, Marina; Pahlkötter, Anke; Soost, Christian; Dietrich, Gerhard; Ohrndorf, Arne; Richter, Wolfgang; Lengsfeld, Markus; Christ, Hans-Jürgen; Graw, Jan Adriaan; Fritzen, Claus-Peter

2018-02-01

Opening wedge high tibial osteotomy (HTO) as a treatment in unicompartimental osteoarthritis of the knee can significantly relieve pain and prevent or at least delay an early joint replacement. The fixation of the osteotomy has undergone development and refinements during the last years. The angle-stable plate fixator is currently one of the most commonly used plates in HTOs. The angular stable fixation between screws and the plate offers a high primary stability to retain the correction with early weight-bearing protocols. This surgical technique is performed as a standard of care and generally well tolerated by the patients. Nevertheless, some studies observed that many patients complained about discomfort related to the implant. Therefore, the stability of two different intramedullary nails, a short implant used in humeral fractures and a long device used in tibial fractures for stabilization in valgus HTOs, was investigated as an alternative fixation technique. The plate fixator was defined as reference standard. Nine synthetic tibia models were standardly osteotomized and stabilized by one of the fixation devices. Axial compression was realized using a special testing machine and two protocols were performed: a multi-step fatigue test and a load-to-failure test. Overall motion, medial, and lateral displacements were documented. Fractures always occurred at the lateral cortex. Axial cyclic loading up to 800 N was tolerated by all implants without failure. The tibia nail provided highest fatigue strength under the load-to-failure conditions. The results suggest that intramedullary nailing might be used as an alternative concept in HTO.

Ultrasonic fluid densitometer having liquid/wedge and gas/wedge interfaces

DOEpatents

Greenwood, Margaret S.

2000-01-01

The present invention is an ultrasonic liquid densitometer that uses a material wedge having two sections, one with a liquid/wedge interface and another with a gas/wedge interface. It is preferred that the wedge have an acoustic impedance that is near the acoustic impedance of the liquid, specifically less than a factor of 11 greater than the acoustic impedance of the liquid. Ultrasonic signals are internally reflected within the material wedge. Density of a liquid is determined by immersing the wedge into the liquid and measuring reflections of ultrasound at the liquid/wedge interface and at the gas/wedge interface.

Outside-In Deep Medial Collateral Ligament Release During Arthroscopic Medial Meniscus Surgery.

PubMed

Todor, Adrian; Caterev, Sergiu; Nistor, Dan Viorel

2016-08-01

Arthroscopic partial medial meniscectomy is a very common orthopaedic procedure performed for symptomatic, irreparable meniscus tears. It is usually associated with a very good outcome and minimal complications. In some patients with tight medial compartment, the posterior horn of the medial meniscus can be difficult to visualize, and access in this area with instruments may be challenging. To increase the opening of the medial compartment, after valgus-extension stress position of the knee, different techniques of deep medial collateral ligament release have been described. The outside-in pie-crusting technique shown in this technical note has documented effectiveness and good outcomes with minimal or no morbidity.

Open-Wedge High Tibial Osteotomy: RCT 2 Years RSA Follow-Up.

PubMed

Lind-Hansen, Thomas Bruno; Lind, Martin Carøe; Nielsen, Poul Torben; Laursen, Mogens Berg

2016-11-01

We investigated the influence of three different bone grafting materials on stability and clinical outcome of the healing open-wedge high tibial osteotomy (OW-HTO) with immediate partial weight bearing. A total of 45 (3 × 15) patients were randomized to injectable calcium phosphate cement (Calcibon; Biomet-Merck Biomaterials GmbH, Darmstadt, Germany), local bone autograft, or iliac crest autograft. Stability of the bony healing was evaluated with radiostereometric analysis (RSA) up to 24 months postoperatively. Clinical outcome was evaluated with the knee injury and osteoarthritis outcome score (KOOS). RSA revealed translations and rotations close to zero regardless of bone grafting material, with no statistically significant differences between the groups. Clinically, the Calcibon group had lower quality of life KOOS subscore at 2 years follow-up. We conclude that with a stable implant and 6 weeks of partial weight bearing, local autografting is sufficient to achieve solid bone consolidation following OW-HTO. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Primary stability of different plate positions and the role of bone substitute in open wedge high tibial osteotomy.

PubMed

Takeuchi, Ryohei; Woon-Hwa, Jung; Ishikawa, Hiroyuki; Yamaguchi, Yuichiro; Osawa, Katsunari; Akamatsu, Yasushi; Kuroda, Koichi

2017-12-01

The purpose of this study was to compare the mechanical fixation strengths of anteromedial and medial plate positions in osteotomy, and clarify the effects of bone substitute placement into the osteotomy site. Twenty-eight sawbone tibia models were used. Four different models were prepared: Group A, the osteotomy site was open and the plate position was anteromedial; Group B, bone substitutes were inserted into the osteotomy site and the plate position was anteromedial; Group C, the osteotomy site was open and the plate position was medial; and Group D, bone substitutes were inserted into the osteotomy site and the plate position was medial. The loading condition ranged from 0 to 800N and one hertz cycles were applied. Changes of the tibial posterior slope angle (TPS), stress on the plate and lateral hinge were measured. The changes in the TPS and the stress on the plate were significantly larger in Group A than in Group C. These were significantly larger in Group A than in Group B, and in Group C than in Group D. There was no significant difference between Group B and Group D, and no significant difference between knee flexion angles of 0° and 10°. Stress on the lateral hinge was significantly smaller when bone substitute was used. A medial plate position was biomechanically superior to an anteromedial position if bone substitute was not used. Bone substitute distributed the stress concentration around the osteotomy gap and prevented an increase in TPS angle regardless of the plate position. Copyright © 2017. Published by Elsevier B.V.

A systematic review and meta-analysis into the effect of lateral wedge arch support insoles for reducing knee joint load in patients with medial knee osteoarthritis.

PubMed

Xing, Fei; Lu, Bin; Kuang, Ming-Jie; Wang, Ying; Zhao, Yun-Long; Zhao, Jie; Sun, Lei; Wang, Yan; Ma, Jian-Xiong; Ma, Xin-Long

2017-06-01

The aim of this study was to evaluate the immediate effects of lateral wedge arch support insoles (LWAS) on reducing the knee joint load in patients with medial knee osteoarthritis (OA) compared with an appropriate control. Databases including Medline, EMBASE, Web of Science, Wiley Online Library, Cochrane library, and Google Scholar were searched with no limits on study date or language, from the earliest available date to October 31, 2016. The included studies had to have the aim of reducing knee load and have an appropriate control. The main measured values were the first and second peak external knee adduction moments (EKAM) and the knee adduction angular impulse (KAAI). The random-effects model was used for analyzing the eligible studies. Nine studies met the inclusion criteria with a total of 356 participants of whom 337 received LWAS treatment. The risk of methodological bias scores (quality index) ranged from 21 to 27 of 32. Treatment with LWAS resulted in statistically significant reductions in the first peak EKAM (P = .005), the second peak EKAM (P = .01), and the KAAI (P = .03). However, among trials in which the control treatment was control shoes, the LWAS showed no associations on the first peak EKAM (P = .10) or the KAAI (P =  .06); among trials in which the control treatment was neutral insoles, the LWAS showed no associations on the second peak EKAM (P = .21) or the KAAI (P = .23). At the same time, the LWAS showed no statistically significant reduction on the first peak EKAM (P = .39) when compared with flat insoles. Although meta-analysis outcomes of all studies indicated statistically significant associations between LWAS and reductions of the first peak EKAM, second peak EKAM and KAAI in people with medial knee OA while walking, different results existed in subgroups using various control conditions for comparison. These findings do not support the use of LWAS insoles for reducing knee load. An optimal LWAS

A systematic review and meta-analysis into the effect of lateral wedge arch support insoles for reducing knee joint load in patients with medial knee osteoarthritis

PubMed Central

Xing, Fei; Lu, Bin; Kuang, Ming-jie; Wang, Ying; Zhao, Yun-long; Zhao, Jie; Sun, Lei; Wang, Yan; Ma, Jian-xiong; Ma, Xin-long

2017-01-01

Abstract Objective: The aim of this study was to evaluate the immediate effects of lateral wedge arch support insoles (LWAS) on reducing the knee joint load in patients with medial knee osteoarthritis (OA) compared with an appropriate control. Methods: Databases including Medline, EMBASE, Web of Science, Wiley Online Library, Cochrane library, and Google Scholar were searched with no limits on study date or language, from the earliest available date to October 31, 2016. The included studies had to have the aim of reducing knee load and have an appropriate control. The main measured values were the first and second peak external knee adduction moments (EKAM) and the knee adduction angular impulse (KAAI). The random-effects model was used for analyzing the eligible studies. Results: Nine studies met the inclusion criteria with a total of 356 participants of whom 337 received LWAS treatment. The risk of methodological bias scores (quality index) ranged from 21 to 27 of 32. Treatment with LWAS resulted in statistically significant reductions in the first peak EKAM (P = .005), the second peak EKAM (P = .01), and the KAAI (P = .03). However, among trials in which the control treatment was control shoes, the LWAS showed no associations on the first peak EKAM (P = .10) or the KAAI (P =  .06); among trials in which the control treatment was neutral insoles, the LWAS showed no associations on the second peak EKAM (P = .21) or the KAAI (P = .23). At the same time, the LWAS showed no statistically significant reduction on the first peak EKAM (P = .39) when compared with flat insoles. Conclusion: Although meta-analysis outcomes of all studies indicated statistically significant associations between LWAS and reductions of the first peak EKAM, second peak EKAM and KAAI in people with medial knee OA while walking, different results existed in subgroups using various control conditions for comparison. These findings do not support the use of LWAS

The Substorm Current Wedge Revisited

NASA Astrophysics Data System (ADS)

Kepko, Larry; McPherron, Robert; Apatenkov, Sergey; Baumjohann, Wolfgang; Birn, Joachim; Lester, Mark; Nakamura, Rumi; Pulkkinen, Tuija; Sergeev, Victor

2015-04-01

Almost 40 years ago the concept of the substorm current wedge was developed to explain the magnetic signatures observed on the ground and in geosynchronous orbit during substorm expansion. In the ensuing decades new observations, including radar and low-altitude spacecraft, MHD simulations, and theoretical considerations have tremendously advanced our understanding of this system. The AMPTE/IRM, THEMIS and Cluster missions have added considerable observational knowledge, especially on the important role of fast flows in producing the stresses that generate the substorm current wedge. Recent detailed, multi-spacecraft, multi-instrument observations both in the magnetosphere and in the ionosphere have brought a wealth of new information about the details of the temporal evolution and structure of the current system. In this paper, we briefly review recent in situ and ground-based observations and theoretical work that have demonstrated a need for an update of the original picture. We present a revised, time-dependent picture of the substorm current wedge that follows its evolution from the initial substorm flows through substorm expansion and recovery, and conclude by identifying open questions.

Radial wedge flange clamp

DOEpatents

Smith, Karl H.

2002-01-01

A radial wedge flange clamp comprising a pair of flanges each comprising a plurality of peripheral flat wedge facets having flat wedge surfaces and opposed and mating flat surfaces attached to or otherwise engaged with two elements to be joined and including a series of generally U-shaped wedge clamps each having flat wedge interior surfaces and engaging one pair of said peripheral flat wedge facets. Each of said generally U-shaped wedge clamps has in its opposing extremities apertures for the tangential insertion of bolts to apply uniform radial force to said wedge clamps when assembled about said wedge segments.

Clinical, radiological and histological evaluation of biphasic calcium phosphate bioceramic wedges filling medial high tibial valgisation osteotomies.

PubMed

Rouvillain, J L; Lavallé, F; Pascal-Mousselard, H; Catonné, Y; Daculsi, G

2009-10-01

We report clinical, radiological and histological findings following high tibial valgisation osteotomy (HTVO) using micro-macroporous biphasic calcium phosphate wedges fixed with a plate and locking screws. From 1999 to 2002, 43 knees were operated on and studied prospectively. All underwent clinical and radiological follow-up at days 1, 90, and 365 to evaluate consolidation and bone substitute interfaces. Additionally, biopsies were taken for histology at least 1 year after implantation from 10 patients who requested plate removal. Radiologically, consolidation was observed in 98% of cases. At 1 year, correction was unchanged in 95% of cases. Histological analysis revealed considerable MBCP resorption and bone ingrowth, both into the pores and replacing the bioceramic material. Polarised light microscopy confirmed normal bony architecture with trabecular and/or dense lamellar bone growth at the expense of the wedge implants. X-ray and micro-CT scan revealed a well organised and mineralised structure in the newly-formed bone. This study shows that using MBCP wedges in combination with orientable locking screws and a plate is a simple, safe and fast surgical technique for HTVO. The is the first study to examine the results by histological analysis, which confirmed good outcomes.

Comminuted supracondylar femoral fractures: a biomechanical analysis comparing the stability of medial versus lateral plating in axial loading.

PubMed

Briffa, Nikolai; Karthickeyan, Raju; Jacob, Joshua; Khaleel, Arshad

2016-11-01

The aim of this study was to compare the biomechanical properties of medial and lateral plating of a medially comminuted supracondylar femoral fracture. A supracondylar femoral fracture model comparing two fixation methods was tested cyclically in axial loading. One-centimetre supracondylar gap osteotomies were created in six synthetic femurs approximately 6 cm proximal to the knee joint. There were two constructs investigated: group 1 and group 2 were stabilized with an 8-hole LC-DCP, medially and laterally, respectively. Both construct groups were axially loaded. Global displacement (total length), wedge displacement, bending moment and strain were measured. Medial plating showed a significantly decreased displacement, bending moment and strain at the fracture site in axial loading. Medial plating of a comminuted supracondylar femur fracture is more stable than lateral plating.

Development and verification of a cementless novel tapered wedge stem for total hip arthroplasty.

PubMed

Faizan, Ahmad; Wuestemann, Thies; Nevelos, Jim; Bastian, Adam C; Collopy, Dermot

2015-02-01

Most current tapered wedge hip stems were designed based upon the original Mueller straight stem design introduced in 1977. These stems were designed to have a single medial curvature and grew laterally to accommodate different sizes. In this preclinical study, the design and verification of a tapered wedge stem using computed tomography scans of 556 patients are presented. The computer simulation demonstrated that the novel stem, designed for proximal engagement, allowed for reduced distal fixation, particularly in the 40-60 year male population. Moreover, the physical micromotion testing and finite element analysis demonstrated that the novel stem allowed for reduced micromotion. In summary, preclinical data suggest that the computed tomography based stem design described here may offer enhanced implant fit and reduced micromotion. Copyright © 2014 Elsevier Inc. All rights reserved.

Combined effects of knee brace, laterally wedged insoles and toe-in gait on knee adduction moment and balance in moderate medial knee osteoarthritis patients.

PubMed

Khan, Saad Jawaid; Khan, Soobia Saad; Usman, Juliana; Mokhtar, Abdul Halim; Abu Osman, Noor Azuan

2018-03-01

To test the hypothesis that toe-in gait (TI) will further reduce first peak (Knee Adduction Moment) KAM and decrease balance when combined with a knee brace (KB) and laterally wedged insoles (LWI) in medial knee osteoarthritis (kOA) patients. Twenty patients with bilateral symptomatic medial kOA. 4-point leverage-based KB, full-length LWI with 5° inclination and toe-in gait (TI). First and second peak knee adduction moment (fKAM and sKAM respectively), balance and pain. The fKAM and sKAM were determined from 3-dimensional gait analysis with six randomized conditions: (1) N (without any intervention), (2) KB, (3) KB + TI, (4) LWI, (5) LWI + TI, (6) KB + LWI + TI. Balance was assessed by Biodex Balance System using three stability settings, (i) Static (ii) Moderate dynamic setting for fall risk (FR12) and (iii) High dynamic setting for fall risk (FR8). The reduction in fKAM and sKAM was greatest (19.75% and 12%) when TI was combined with KB and LWI respectively. No change in balance was observed when TI combined with KB, and LWI and when used concurrently with both the orthosis at static and FR12 conditions. Significant balance reduction was found at FR8 for KB + TI (22.22%), and KB + LWI + TI (35.71%). Pain increased significantly for KB (258%), KB + TI (305%), LWI + TI (210%) and KB + LWI + TI (316%). LWI showed no effect on pain. There is a synergistic effect of TI when combined with KB and LWI concurrently in sKAM reduction. However, the concurrent use of TI, KB and LWI decreases balance and pain as assessed on a highly dynamic platform. Copyright © 2018 Elsevier B.V. All rights reserved.

[The Akin procedure as closing wedge osteotomy for the correction of a hallux valgus interphalangeus deformity].

PubMed

Arnold, Heino

2008-12-01

Realignment of the great toe in the case of a hallux valgus interphalangeus by means of a medially based closing wedge osteotomy. Hallux valgus interphalangeus deformity, characterized by an enlarged distal articular surface angle (> 10 degrees). Correction of a hallux valgus interphalangeus deformity as an additional procedure in the case of hallux valgus surgery. Incongruent first metatarsophalangeal joint with lateral subluxation of the proximal phalanx. Isolated procedure to correct hallux valgus deformity. Lack of patient compliance. Neurovascular disturbance of the forefoot. Medially based closing wedge osteotomy of the proximal phalanx to reduce the distal articular surface angle. Fixation with a lag screw, cannulated Herbert screw, memory cramp, threaded Kirschner wire, or interosseous suture. Wound dressing to assure the position of the great toe. Radiographic documentation of the forefoot in two planes. Strict elevation of the operated foot to prevent postoperative swelling. Mobilization of the patient with a forefoot relief orthosis, until consolidation of the osteotomy is verified radiologically (4-5 weeks). Low-molecular-weight heparin for at least 1 week. Hallux valgus bandage or functional taping for 6 weeks postoperatively in patients with additional metatarsal osteotomy. Clinical and radiologic follow-up based on 32 patients showed good results. The postoperative Hallux Score of the American Orthopaedic Foot and Ankle Society improved to 89 points.

The Cosmonaut Sea Wedge

USGS Publications Warehouse

Solli, K.; Kuvaas, B.; Kristoffersen, Y.; Leitchenkov, G.; Guseva, J.; Gandyukhin, V.

2007-01-01

A set of multi-channel seismic profiles (~15000 km) acquired by Russia, Norway and Australia has been used to investigate the depositional evolution of the Cosmonaut Sea margin of East Antarctica. We recognize a regional sediment wedge below the upper part of the continental rise. The wedge, herein termed the Cosmonaut Sea Wedge, is positioned stratigraphically underneath the inferred glaciomarine section and extends for at least 1200 km along the continental margin and from 80 to about 250 km seaward or to the north. Lateral variations in the growth pattern of the wedge indicate several overlapping depocentres, which at their distal northern end are flanked by elongated mounded drifts and contourite sheets. The internal stratification of the mounded drift deposits suggests that westward flowing bottom currents reworked the marginal deposits. The action of these currents together with sea-level changes is considered to have controlled the growth of the wedge. We interpret the Cosmonaut Sea Wedge as a composite feature comprising several bottom current reworked fan systems.

Dosimetric Characteristics of Wedged Fields

DOE Office of Scientific and Technical Information (OSTI.GOV)

Sidhu, N.P.S.; Breitman, Karen

2015-01-15

The beam characteristics of the wedged fields in the nonwedged planes (planes normal to the wedged planes) were studied for 6 MV and 15 MV x-ray beams. A method was proposed for determining the maximum field length of a wedged field that can be used in the nonwedged plane without introducing undesirable alterations in the dose distributions of these fields. The method requires very few measurements. The relative wedge factors of 6 MV and 15 MV X-rays were determined for wedge filters of nominal wedge angles of 15°, 30°, 45°, and 60° as a function of depth and field size.more » For a 6 MV beam the relative wedge factors determined for a field size of 10 × 10 cm{sup 2} for 30°, 45°, and 60° wedge filters can be used for various field sizes ranging from 4 cm{sup 2} to 20 cm{sup 2} (except for the 60° wedge for which the maximum field size that can be used is 15 × 20 cm{sup 2}) without introducing errors in the dosimetric calculations of more than 0.5% for depths up to 20 cm and 1% for depths up to 30 cm. For the 15° wedge filter the relative wedge factor for a field size of 10 × 10 cm{sup 2} can be used over the same range of field sizes by introducing slightly higher error, 0.5% for depths up to 10 cm and 1% for depths up to 30 cm. For a 15 MV beam the maximum magnitude of the relative wedge factors for 45° and 60° lead wedges is of the order of 1%, and it is not important clinically to apply a correction of that magnitude. For a 15 MV beam the relative wedge factors determined for a field size of 6 × 6 cm{sup 2} for the 15° and 30° steel wedges can be used over a range of field sizes from 4 cm{sup 2} to 20 cm{sup 2} without causing dosimetric errors greater than 0.5% for depths up to 10 cm.« less

[Treatment of calcaneal fractures using the medial approach for open reduction].

PubMed

Vanĕcek, L; Malkus, T; Dungl, P

2003-01-01

infection in two, thromboembolic disease in one, and hypesthesia on the medial side of the leg in two patients. The optimal mode of treatment in dislocated intra-articular fractures of the calcaneus still remains open to discussion. Should conservative or surgical therapy be used? In agreement with others, the authors preferred early surgical intervention. This facilitated a better congruence of the dorsal articular surface. The average remaining dislocation of the articular surface was 1.1 mm in surgically treated as against the average of 4.7 mm in conservatively treated patients. It was possible to restore the length, height and width, and the correct axial position of the calcaneus by this surgery from the medial approach. However, in indicated cases, the procedure required an additional intervention from the lateral approach through a mini-incision. As reported in the literature, other authors have achieved comparable, or even better results but on the basis of either the lateral or the plantar approach. The application of primary spongioplasty or primary arthrodesis of the subtalar joint is discussed. The advantages of preoperative examination by computer-assisted tomography are emphasized. Good outcomes of the treatment of intra-articular, dislocated calcaneal fractures depend on a correct shape and position of the dorsal articular surface of the calcaneus. The open reduction procedure from the medial approach based on the principles of McReynold's technique allowed us to accomplish both these criteria.

Contralateral Breast Dose After Whole-Breast Irradiation: An Analysis by Treatment Technique

DOE Office of Scientific and Technical Information (OSTI.GOV)

Williams, Terence M.; Moran, Jean M., E-mail: jmmoran@med.umich.edu; Hsu, Shu-Hui

2012-04-01

Purpose: To investigate the contralateral breast dose (CBD) across a continuum of breast-conservation therapy techniques. Methods and Materials: An anthropomorphic phantom was CT-simulated, and six treatment plans were generated: open tangents, tangents with an external wedge on the lateral beam, tangents with lateral and medial external wedges, a simple segment plan (three segments per tangent), a complex segmental intensity-modulated radiotherapy (IMRT) plan (five segments per tangent), and a beamlet IMRT plan (>100 segments). For all techniques, the breast on the phantom was irradiated to 5000 cGy. Contralateral breast dose was measured at a uniform depth at the center and eachmore » quadrant using thermoluminescent detectors. Results: Contralateral breast dose varied with position and was 50 {+-} 7.3 cGy in the inner half, 24 {+-} 4.1 cGy at the center, and 16 {+-} 2.2 cGy in the outer half for the open tangential plan. Compared with an average dose of 31 cGy across all points for the open field, the average doses were simple segment 32 cGy (range, 99-105% compared with open technique), complex segment 34 cGy (range, 103-117% compared with open technique), beamlet IMRT 34 cGy (range, 103-124% compared with open technique), lateral wedge only 46 cGy (range, 133-175% compared with open technique), and medial and lateral wedge 96 cGy (range, 282-370% compared with open technique). Conclusions: Single or dual wedge techniques resulted in the highest CBD increases compared with open tangents. To obtain the desired homogeneity to the treated breast while minimizing CBD, segmental and IMRT techniques should be encouraged over external physical compensators.« less

Thermally actuated wedge block

DOEpatents

Queen, Jr., Charles C.

1980-01-01

This invention relates to an automatically-operating wedge block for maintaining intimate structural contact over wide temperature ranges, including cryogenic use. The wedging action depends on the relative thermal expansion of two materials having very different coefficients of thermal expansion. The wedge block expands in thickness when cooled to cryogenic temperatures and contracts in thickness when returned to room temperature.

Differences between opening versus closing high tibial osteotomy on clinical outcomes and gait analysis.

PubMed

Deie, Masataka; Hoso, Takayuki; Shimada, Noboru; Iwaki, Daisuke; Nakamae, Atsuo; Adachi, Nobuo; Ochi, Mitsuo

2014-12-01

High tibial osteotomy (HTO) for medial knee osteoarthritis (OA) is mainly performed via two procedures: closing wedge HTO (CW) and opening wedge HTO (OW). In this study, differences between these procedures were assessed by serial clinical evaluation and gait analysis before and after surgery. Twenty-one patients underwent HTO for medial knee OA in 2011 and 2012, with 12 patients undergoing CW and nine undergoing OW. The severity of OA was classified according to the Kellgren-Lawrence classification. The Japanese Orthopedic Association score for assessment of knee OA (JOA score), the Numeric Rating Scale (NRS), and the femoral tibial angle (FTA) on X-ray were evaluated. For gait analysis, gait speed, varus moment, varus angle and lateral thrust were calculated. The JOA score and NRS were improved significantly one year postoperatively in both groups. The FTA was maintained in both groups at one year. Varus angle and varus moment were significantly improved in both groups at each postoperative follow-up, when compared preoperatively. Lateral thrust was significantly improved at three months postoperatively in both groups. However, the significant improvement in lateral thrust had disappeared in the CW group six months postoperatively, whereas it was maintained for at least one year in the OW group. This study found that clinical outcomes were well maintained after HTO. OW reduced knee varus moment and lateral thrust, whereas CW had little effect on reducing lateral thrust. Level IV. Copyright © 2014 Elsevier B.V. All rights reserved.

Sojourner APXS & Wedge

NASA Image and Video Library

1997-08-27

This image of the rock "Wedge" was taken from the Sojourner rover's rear color camera on Sol 37. The position of the rover relative to Wedge is seen in MRPS 83349. The segmented rod visible in the middle of the frame is the deployment arm for the Alpha Proton X-Ray Spectrometer (APXS). The APXS, the bright, cylindrical object at the end of the arm, is positioned against Wedge and is designed to measure the rock's chemical composition. This was done successfully on the night of Sol 37. http://photojournal.jpl.nasa.gov/catalog/PIA00906

Observation of the dispersion of wedge waves propagating along cylinder wedge with different truncations by laser ultrasound technique

NASA Astrophysics Data System (ADS)

Jia, Jing; Zhang, Yu; Han, Qingbang; Jing, Xueping

2017-10-01

The research focuses on study the influence of truncations on the dispersion of wedge waves propagating along cylinder wedge with different truncations by using the laser ultrasound technique. The wedge waveguide models with different truncations were built by using finite element method (FEM). The dispersion curves were obtained by using 2D Fourier transformation method. Multiple mode wedge waves were observed, which was well agreed with the results estimated from Lagasse's empirical formula. We established cylinder wedge with radius of 3mm, 20° and 60°angle, with 0μm, 5μm, 10μm, 20μm, 30μm, 40μm, and 50μm truncations, respectively. It was found that non-ideal wedge tip caused abnormal dispersion of the mode of cylinder wedge, the modes of 20° cylinder wedge presents the characteristics of guide waves which propagating along hollow cylinder as the truncation increasing. Meanwhile, the modes of 60° cylinder wedge with truncations appears the characteristics of guide waves propagating along hollow cylinder, and its mode are observed clearly. The study can be used to evaluate and detect wedge structure.

Rethinking wedges

NASA Astrophysics Data System (ADS)

Davis, Steven J.; Cao, Long; Caldeira, Ken; Hoffert, Martin I.

2013-03-01

Abstract Stabilizing CO2 emissions at current levels for fifty years is not consistent with either an atmospheric CO2 concentration below 500 ppm or global temperature increases below 2 °C. Accepting these targets, solving the climate problem requires that emissions peak and decline in the next few decades, and ultimately fall to near zero. Phasing out emissions over 50 years could be achieved by deploying on the order of 19 'wedges', each of which ramps up linearly over a period of 50 years to ultimately avoid 1 GtC y-1 of CO2 emissions. But this level of mitigation will require affordable carbon-free energy systems to be deployed at the scale of tens of terawatts. Any hope for such fundamental and disruptive transformation of the global energy system depends upon coordinated efforts to innovate, plan, and deploy new transportation and energy systems that can provide affordable energy at this scale without emitting CO2 to the atmosphere. 1. Introduction In 2004, Pacala and Socolow published a study in Science arguing that '[h]umanity can solve the carbon and climate problem in the first half of this century simply by scaling up what we already know how to do' [1]. Specifically, they presented 15 options for 'stabilization wedges' that would grow linearly from zero to 1 Gt of carbon emissions avoided per year (GtC y-1 1 Gt = 1012 kg) over 50 years. The solution to the carbon and climate problem, they asserted, was 'to deploy the technologies and/or lifestyle changes necessary to fill all seven wedges of the stabilization triangle'. They claimed this would offset the growth of emissions and put us on a trajectory to stabilize atmospheric CO2 concentration at 500 ppm if emissions decreased sharply in the second half of the 21st century. The wedge concept has proven popular as an analytical tool for considering the potential of different technologies to reduce CO2 emissions. In the years since the paper was published, it has been cited more than 400 times, and

Inverted distal clavicle anatomic locking plate for displaced medial clavicle fracture.

PubMed

Wang, Yong; Jiang, Jiannong; Dou, Bin; Zhang, Panjun

2015-09-01

Fractures of the medial clavicle are rare injuries. Recently, open reduction and internal fixation has been recommended for displaced medial clavicle fractures in order to prevent non-union and dysfunction. Because of the rarity of this injury, the optimal fixation device has not yet been established. In this report, we describe a case of a 40-year-old male patient who sustained a significantly displaced medial clavicle fracture treated by open reduction and internal fixation using an inverted distal clavicle anatomic locking plate. At the 12 months follow-up, the patient recovered well, had returned to pre-injury job, and was quite satisfied with the outcome. Internal fixation of medial clavicle fracture using an inverted distal clavicle anatomic locking plate of the ipsilateral side appears to be a good treatment option.

[Utilization of a porous alumina ceramic spacer in tibial valgus open-wedge osteotomy: fifty cases at 16 months mean follow-up].

PubMed

Bové, J C

2002-09-01

The aim of this work was to study the behavior of an inert porous alumina ceramic spacer used with a plate fixation for open-wedge tibial valgus osteotomy in patients with osteoarthritis of the knee and genu varum. The population included 50 patients who underwent surgery between October 1994 and December 2000. There were 31 women and 19 men, mean age 55 years at surgery (26 right knees and 24 left knees). Patients were reviewed at 3 weeks, 6 weeks, 3 months, 6 months, and one year, then every 2 years. Clinical and radiological data were available for all patients. Mean follow-up was 16 months. Two patients were lost to follow-up at 5 and 6 months. The results of the open-wedge tibial osteotomy were in agreement with the usual outcome reported in the literature concerning pain relief, functional recovery, joint motion, angle correction, and good preservation of the clinical and radiological result. Three fracture lines were observed on the lateral tibial plateau but did not affect final outcome or angle correction. There was however one case with loss of correction due to fracture of the screws. Radiographically, at 6 months, there were 9 thin lucent lines around the spacer (24%) which did not affect final outcome. Bone healing was achieved at 3 months on the average in all cases except 2 (4%) where healing was achieved at 8 and 13 months. The porous alumine spacer is a reliable biocompatible and mechanically stable element helpful for achieving bone healing. Integration into bone tissue was radiographically satisfactory. There were no specific complications related to use of the spacer.

Knee joint kinetics in response to multiple three-dimensional printed, customised foot orthoses for the treatment of medial compartment knee osteoarthritis.

PubMed

Allan, Richard; Woodburn, James; Telfer, Scott; Abbott, Mandy; Steultjens, Martijn Pm

2017-06-01

The knee adduction moment is consistently used as a surrogate measure of medial compartment loading. Foot orthoses are designed to reduce knee adduction moment via lateral wedging. The 'dose' of wedging required to optimally unload the affected compartment is unknown and variable between individuals. This study explores a personalised approach via three-dimensional printed foot orthotics to assess the biomechanical response when two design variables are altered: orthotic length and lateral wedging. Foot orthoses were created for 10 individuals with symptomatic medial knee osteoarthritis and 10 controls. Computer-aided design software was used to design four full and four three-quarter-length foot orthoses per participant each with lateral posting of 0° 'neutral', 5° rearfoot, 10° rearfoot and 5° forefoot/10° rearfoot. Three-dimensional printers were used to manufacture all foot orthoses. Three-dimensional gait analyses were performed and selected knee kinetics were analysed: first peak knee adduction moment, second peak knee adduction moment, first knee flexion moment and knee adduction moment impulse. Full-length foot orthoses provided greater reductions in first peak knee adduction moment (p = 0.038), second peak knee adduction moment (p = 0.018) and knee adduction moment impulse (p = 0.022) compared to three-quarter-length foot orthoses. Dose effect of lateral wedging was found for first peak knee adduction moment (p < 0.001), second peak knee adduction moment (p < 0.001) and knee adduction moment impulse (p < 0.001) indicating greater unloading for higher wedging angles. Significant interaction effects were found for foot orthosis length and participant group in second peak knee adduction moment (p = 0.028) and knee adduction moment impulse (p = 0.036). Significant interaction effects were found between orthotic length and wedging condition for second peak knee adduction moment (p = 0.002). No significant changes in first knee flexion moment were found

Minimizing Alteration of Posterior Tibial Slope During Opening Wedge High Tibial Osteotomy: a Protocol with Experimental Validation in Paired Cadaveric Knees

PubMed Central

Westermann, Robert W; DeBerardino, Thomas; Amendola, Annunziato

2014-01-01

Introduction The High Tibial Osteotomy (HTO) is a reliable procedure in addressing uni- compartmental arthritis with associated coronal deformities. With osteotomy of the proximal tibia, there is a risk of altering the tibial slope in the sagittal plane. Surgical techniques continue to evolve with trends towards procedure reproducibility and simplification. We evaluated a modification of the Arthrex iBalance technique in 18 paired cadaveric knees with the goals of maintaining sagittal slope, increasing procedure efficiency, and decreasing use of intraoperative fluoroscopy. Methods Nine paired cadaveric knees (18 legs) underwent iBalance medial opening wedge high tibial osteotomies. In each pair, the right knee underwent an HTO using the modified technique, while all left knees underwent the traditional technique. Independent observers evaluated postoperative factors including tibial slope, placement of hinge pin, and implant placement. Specimens were then dissected to evaluate for any gross muscle, nerve or vessel injury. Results Changes to posterior tibial slope were similar using each technique. The change in slope in traditional iBalance technique was -0.3° ±2.3° and change in tibial slope using the modified iBalance technique was -0.4° ±2.3° (p=0.29). Furthermore, we detected no differences in posterior tibial slope between preoperative and postoperative specimens (p=0.74 traditional, p=0.75 modified). No differences in implant placement were detected between traditional and modified techniques. (p=0.85). No intraoperative iatrogenic complications (i.e. lateral cortex fracture, blood vessel or nerve injury) were observed in either group after gross dissection. Discussion & Conclusions Alterations in posterior tibial slope are associated with HTOs. Both traditional and modified iBalance techniques appear reliable in coronal plane corrections without changing posterior tibial slope. The present modification of the Arthrex iBalance technique may increase the

Wedge Shock and Nozzle Exhaust Plume Interaction in a Supersonic Jet Flow

NASA Technical Reports Server (NTRS)

Castner, Raymond; Zaman, Khairul; Fagan, Amy; Heath, Christopher

2014-01-01

Fundamental research for sonic boom reduction is needed to quantify the interaction of shock waves generated from the aircraft wing or tail surfaces with the nozzle exhaust plume. Aft body shock waves that interact with the exhaust plume contribute to the near-field pressure signature of a vehicle. The plume and shock interaction was studied using computational fluid dynamics and compared with experimental data from a coaxial convergent-divergent nozzle flow in an open jet facility. A simple diamond-shaped wedge was used to generate the shock in the outer flow to study its impact on the inner jet flow. Results show that the compression from the wedge deflects the nozzle plume and shocks form on the opposite plume boundary. The sonic boom pressure signature of the nozzle exhaust plume was modified by the presence of the wedge. Both the experimental results and computational predictions show changes in plume deflection.

Phase Space Exchange in Thick Wedge Absorbers

DOE Office of Scientific and Technical Information (OSTI.GOV)

Neuffer, David

The problem of phase space exchange in wedge absorbers with ionization cooling is discussed. The wedge absorber exchanges transverse and longitudinal phase space by introducing a position-dependent energy loss. In this paper we note that the wedges used with ionization cooling are relatively thick, so that single wedges cause relatively large changes in beam phase space. Calculation methods adapted to such “thick wedge” cases are presented, and beam phase-space transformations through such wedges are discussed.

[Examination and treatment of a loose medial coronoid process in dogs].

PubMed

Hazewinkel, H A; Voorhout, G

1986-12-15

An ununited medial coronoid process (MCP) is the most common developmental disturbance in the elbow joint of young dogs of large and medium-sized breeds. The clinical and radiological symptoms of ununited medial coronoid processes in thirty-nine dogs are reported, the presence of an ununited medial coronoid process being established by arthrotomy in these cases. Lameness was observed for the first time in these dogs, mainly Rottweilers, Retrievers and Berner Sennenhunde, and more often male dogs than bitches, when they were from four to six months of age. They showed lameness ranging from slight to severe, and the leg was frequently held in a position of abduction and outward rotation. The elbow joints involved often showed abnormal accumulations of fluid, hyperflexion and/or hyperextension being painful. Osteophytes, only occurring along the proximal border of the anconeal process, could be well assessed on the mediolateral radiographs. The appearance of the MCP, varying from normal to ununited, could best be evaluated in the mediolateral and anteroposterior medial oblique radiographs. These two radiographs were also of value in diagnosing an ununited anconeal process which was present at the same time as osteochondrosis of the medial condyle of the humerus in two dogs. The clinical symptoms were not associated with radiologically perceptible changes in some cases. Arthrotomy of the elbows showed that the entire apex or otherwise one or several fragments of the MCP, which are often wedged between the radius and ulna in these cases, may break off. Rapid post-operative improvement of locomotion is frequently reported. Preventive and diagnostic procedures carried out to make possible early institution of surgical treatment are discussed.

Opening wedge and anatomic-specific plates in foot and ankle applications.

PubMed

Kluesner, Andrew J; Morris, Jason B

2011-08-01

As surgeons continually push to improve techniques and outcomes, anatomic-specific and procedure-specific fixation options are becoming increasingly available. The unique size, shape, and function of the foot provide an ideal framework for the use of anatomic-specific plates. These distinctive plate characteristics range from anatomic contouring and screw placements to incorporated step-offs and wedges. By optimizing support, compression, and stabilization, patients may return to weight bearing and activity sooner, improving outcomes. This article discusses anatomic-specific plates and their use in forefoot and rearfoot surgical procedures. Copyright © 2011 Elsevier Inc. All rights reserved.

Inclined indentation of smooth wedge in rock mass

NASA Astrophysics Data System (ADS)

Chanyshev, AI; Podyminogin, GM; Lukyashko, OA

2018-03-01

The article focuses on the inclined rigid wedge indentation into a rigid-plastic half-plane of rocks with the Mohr–Coulomb-Mohr plasticity. The limiting loads on different sides of the wedge are determined versus the internal friction angle, cohesion and wedge angle. It is shown that when the force is applied along the symmetry axis of the wedge, the zone of plasticity is formed only on one wedge side. In order to form the plasticity zone on both sides of the wedge, it is necessary to apply the force asymmetrically relative to the wedge symmetry axis. An engineering solution for the asymmetrical case implementation is suggested.

Europa Wedge Region

NASA Technical Reports Server (NTRS)

1998-01-01

This image shows an area of crustal separation on Jupiter's moon, Europa. Lower resolution pictures taken earlier in the tour of NASA's Galileo spacecraft revealed that dark wedge-shaped bands in this region are areas where the icy crust has completely pulled apart. Dark material has filled up from below and filled the void created by this separation.

In the lower left corner of this image, taken by Galileo's onboard camera on December 16, 1997, a portion of one dark wedge area is visible, revealing a linear texture along the trend of the wedge. The lines of the texture change orientation slightly and reflect the fact that we are looking at a bend in the wedge. The older, bright background, visible on the right half of the image, is criss-crossed with ridges. A large, bright ridge runs east-west through the upper part of the image, cutting across both the older background plains and the wedge. This ridge is rough in texture, with numerous small terraces and troughs containing dark material.

North is to the top of the picture and the sun illuminates the surface from the northwest. This image, centered at approximately 16.5 degrees south latitude and 196.5 degrees west longitude, covers an area approximately 10 kilometers square (about 6.5 miles square). The resolution of this image is about 26 meters per picture element. This image was taken by the solid state imaging system from a distance of 1250 kilometers (750 miles).

The Jet Propulsion Laboratory, Pasadena, CA manages the Galileo mission for NASA's Office of Space Science, Washington, DC. JPL is an operating division of California Institute of Technology (Caltech).

This image and other images and data received from Galileo are posted on the World Wide Web, on the Galileo mission home page at URL http://www.jpl.nasa.gov/ galileo.

Associated lateral/medial knee instability and its relevant factors in anterior cruciate ligament-injured knees.

PubMed

Yuuki, Arata; Muneta, Takeshi; Ohara, Toshiyuki; Sekiya, Ichiro; Koga, Hideyuki

2017-03-01

Associations of lateral/medial knee instability with anterior cruciate ligament (ACL) injury have not been thoroughly investigated. The purposes of this study were to investigate whether lateral/medial knee instability is associated with ACL injury, and to clarify relevant factors for lateral/medial knee instability in ACL-injured knees. One hundred and nineteen patients with unilateral ACL-injured knees were included. Lateral/medial knee instability was assessed with varus/valgus stress X-ray examination for both injured and uninjured knees by measuring varus/valgus angle, lateral/medial joint opening, and lateral/medial joint opening index. Manual knee instability tests for ACL were evaluated to investigate associations between lateral/medial knee instability and anterior and/or rotational instabilities. Patients' backgrounds were evaluated to identify relevant factors for lateral/medial knee instability. Damage on the lateral collateral ligament (LCL) on MRI was also evaluated. All parameters regarding lateral knee instability in injured knees were significantly greater than in uninjured knees. There were significant correlations between lateral knee instability and the Lachman test as well as the pivot shift test. Patients with LCL damage had significantly greater lateral joint opening than those without LCL damage on MRI. Sensitivity of LCL damage on MRI to lateral joint opening was 100%, while its specificity was 36%. No other relevant factors were identified. In medial knee instability, there were also correlations between medial knee instability and the Lachman test/pivot shift test. However, the correlations were weak and other parameters were not significant. Lateral knee instability was greater in ACL-deficient knees than in uninjured knees. Lateral knee instability was associated with ACL-related instabilities as well as LCL damage on MRI, whereas MRI had low specificity to lateral knee instability. On the other hand, the association of medial knee

Predicting translational deformity following opening-wedge osteotomy for lower limb realignment.

PubMed

Barksfield, Richard C; Monsell, Fergal P

2015-11-01

An opening-wedge osteotomy is well recognised for the management of limb deformity and requires an understanding of the principles of geometry. Translation at the osteotomy is needed when the osteotomy is performed away from the centre of rotation of angulation (CORA), but the amount of translation varies with the distance from the CORA. This translation enables proximal and distal axes on either side of the proposed osteotomy to realign. We have developed two experimental models to establish whether the amount of translation required (based on the translation deformity created) can be predicted based upon simple trigonometry. A predictive algorithm was derived where translational deformity was predicted as 2(tan α × d), where α represents 50 % of the desired angular correction, and d is the distance of the desired osteotomy site from the CORA. A simulated model was developed using TraumaCad online digital software suite (Brainlab AG, Germany). Osteotomies were simulated in the distal femur, proximal tibia and distal tibia for nine sets of lower limb scanograms at incremental distances from the CORA and the resulting translational deformity recorded. There was strong correlation between the distance of the osteotomy from the CORA and simulated translation deformity for distal femoral deformities (correlation coefficient 0.99, p < 0.0001), proximal tibial deformities (correlation coefficient 0.93-0.99, p < 0.0001) and distal tibial deformities (correlation coefficient 0.99, p < 0.0001). There was excellent agreement between the predictive algorithm and simulated translational deformity for all nine simulations (correlation coefficient 0.93-0.99, p < 0.0001). Translational deformity following corrective osteotomy for lower limb deformity can be anticipated and predicted based upon the angular correction and the distance between the planned osteotomy site and the CORA.

Dose to the contralateral breast: a comparison of two techniques using the enhanced dynamic wedge versus a standard wedge.

PubMed

Warlick, W B; O'Rear, J H; Earley, L; Moeller, J H; Gaffney, D K; Leavitt, D D

1997-01-01

The dose to the contralateral breast has been associated with an increased risk of developing a second breast malignancy. Varying techniques have been devised and described in the literature to minimize this dose. Metal beam modifiers such as standard wedges are used to improve the dose distribution in the treated breast, but unfortunately introduce an increased scatter dose outside the treatment field, in particular to the contralateral breast. The enhanced dynamic wedge is a means of remote wedging created by independently moving one collimator jaw through the treatment field during dose delivery. This study is an analysis of differing doses to the contralateral breast using two common clinical set-up techniques with the enhanced dynamic wedge versus the standard metal wedge. A tissue equivalent block (solid water), modeled to represent a typical breast outline, was designed as an insert in a Rando phantom to simulate a standard patient being treated for breast conservation. Tissue equivalent material was then used to complete the natural contour of the breast and to reproduce appropriate build-up and internal scatter. Thermoluminescent dosimeter (TLD) rods were placed at predetermined distances from the geometric beam's edge to measure the dose to the contralateral breast. A total of 35 locations were used with five TLDs in each location to verify the accuracy of the measured dose. The radiation techniques used were an isocentric set-up with co-planar, non divergent posterior borders and an isocentric set-up with a half beam block technique utilizing the asymmetric collimator jaw. Each technique used compensating wedges to optimize the dose distribution. A comparison of the dose to the contralateral breast was then made with the enhanced dynamic wedge vs. the standard metal wedge. The measurements revealed a significant reduction in the contralateral breast dose with the enhanced dynamic wedge compared to the standard metal wedge in both set-up techniques. The

Total Hip Intraoperative Femur Fracture: Do the Design Enhancements of a Second-Generation Tapered-Wedge Stem Reduce the Incidence?

PubMed

Colacchio, Nicholas D; Robbins, Claire E; Aghazadeh, Mehran S; Talmo, Carl T; Bono, James V

2017-10-01

Intraoperative femur fracture (IFF) is a well-known complication in primary uncemented total hip arthroplasty (THA). Variations in implant instrumentation design and operative technique may influence the risk of IFF. This study investigates IFF between a standard uncemented tapered-wedge femoral stem and its second-generation successor with the following design changes: size-specific medial curvature, proportional incremental stem growth, modest reduction in stem length, and distal lateral relief. A single experienced surgeon's patient database was retrospectively queried for IFF occurring during primary uncemented THA using a standard tapered-wedge femoral stem system or a second-generation stem. All procedures were performed using soft tissue preserving anatomic capsule repair and posterior approach. The primary outcome measure was IFF. A z-test of proportions was performed to determine significant difference between the 2 stems with respect to IFF. Patient demographics, Dorr classification, and implant characteristics were also examined. Forty-one of 1510 patients (2.72%) who received a standard tapered-wedge femoral stem sustained an IFF, whereas 5 of 800 patients (0.63%) using the second-generation stem incurred an IFF. No other significant associations were found. A standard tapered-wedge femoral stem instrumentation system resulted in greater than 4 times higher incidence of IFF than its second-generation successor used for primary uncemented THA. Identifying risk factors for IFF is necessary to facilitate implant system improvements and thus maximize patient outcomes. Copyright © 2017. Published by Elsevier Inc.

Rainfall induced groundwater mound in wedge-shaped promontories: The Strack-Chernyshov model revisited

NASA Astrophysics Data System (ADS)

Kacimov, A. R.; Kayumov, I. R.; Al-Maktoumi, A.

2016-11-01

An analytical solution to the Poisson equation governing Strack's discharge potential (squared thickness of a saturated zone in an unconfined aquifer) is obtained in a wedge-shaped domain with given head boundary conditions on the wedge sides (specified water level in an open water body around a porous promontory). The discharge vector components, maximum elevation of the water table in promontory vertical cross-sections, quantity of groundwater seeping through segments of the wedge sides, the volume of fresh groundwater in the mound are found. For acute angles, the solution to the problem is non-unique and specification of the behaviour at infinity is needed. A ;basic; solution is distinguished, which minimizes the water table height above a horizontal bedrock. MODFLOW simulations are carried out in a finite triangular island and compare solutions with a constant-head, no-flow and ;basic; boundary condition on one side of the triangle. Far from the tip of an infinite-size promontory one has to be cautious with truncation of the simulated flow domains and imposing corresponding boundary conditions. For a right and obtuse wedge angles, there are no positive solutions for the case of constant accretion on the water table. In a particular case of a confined rigid wedge-shaped aquifer and incompressible fluid, from an explicit solution to the Laplace equation for the hydraulic head with arbitrary time-space varying boundary conditions along the promontory rays, essentially 2-D transient Darcian flows within the wedge are computed. They illustrate that surface water waves on the promontory boundaries can generate strong Darcian waves inside the porous wedge. Evaporation from the water table and sea-water intruded interface (rather than a horizontal bed) are straightforward generalizations for the Poissonian Strack potential.

Substorm Current Wedge Revisited

NASA Astrophysics Data System (ADS)

Kepko, L.; McPherron, R. L.; Amm, O.; Apatenkov, S.; Baumjohann, W.; Birn, J.; Lester, M.; Nakamura, R.; Pulkkinen, T. I.; Sergeev, V.

2015-07-01

Almost 40 years ago the concept of the substorm current wedge was developed to explain the magnetic signatures observed on the ground and in geosynchronous orbit during substorm expansion. In the ensuing decades new observations, including radar and low-altitude spacecraft, MHD simulations, and theoretical considerations have tremendously advanced our understanding of this system. The AMPTE/IRM, THEMIS and Cluster missions have added considerable observational knowledge, especially on the important role of fast flows in producing the stresses that generate the substorm current wedge. Recent detailed, multi-spacecraft, multi-instrument observations both in the magnetosphere and in the ionosphere have brought a wealth of new information about the details of the temporal evolution and structure of the current system. While the large-scale picture remains valid, the new details call for revision and an update of the original view. In this paper we briefly review the historical development of the substorm current wedge, review recent in situ and ground-based observations and theoretical work, and discuss the current active research areas. We conclude with a revised, time-dependent picture of the substorm current wedge that follows its evolution from the initial substorm flows through substorm expansion and recovery.

Ice Particle Impacts on a Moving Wedge

NASA Technical Reports Server (NTRS)

Vargas, Mario; Struk, Peter M.; Kreeger, Richard E.; Palacios, Jose; Iyer, Kaushik A.; Gold, Robert E.

2014-01-01

This work presents the results of an experimental study of ice particle impacts on a moving wedge. The experiment was conducted in the Adverse Environment Rotor Test Stand (AERTS) facility located at Penn State University. The wedge was placed at the tip of a rotating blade. Ice particles shot from a pressure gun intercepted the moving wedge and impacted it at a location along its circular path. The upward velocity of the ice particles varied from 7 to 12 meters per second. Wedge velocities were varied from 0 to 120 meters per second. Wedge angles tested were 0 deg, 30 deg, 45 deg, and 60 deg. High speed imaging combined with backlighting captured the impact allowing observation of the effect of velocity and wedge angle on the impact and the post-impact fragment behavior. It was found that the pressure gun and the rotating wedge could be synchronized to consistently obtain ice particle impacts on the target wedge. It was observed that the number of fragments increase with the normal component of the impact velocity. Particle fragments ejected immediately after impact showed velocities higher than the impact velocity. The results followed the major qualitative features observed by other researchers for hailstone impacts, even though the reduced scale size of the particles used in the present experiment as compared to hailstones was 4:1.

Stem thrust prediction model for W-K-M double wedge parallel expanding gate valves

DOE Office of Scientific and Technical Information (OSTI.GOV)

Eldiwany, B.; Alvarez, P.D.; Wolfe, K.

1996-12-01

An analytical model for determining the required valve stem thrust during opening and closing strokes of W-K-M parallel expanding gate valves was developed as part of the EPRI Motor-Operated Valve Performance Prediction Methodology (EPRI MOV PPM) Program. The model was validated against measured stem thrust data obtained from in-situ testing of three W-K-M valves. Model predictions show favorable, bounding agreement with the measured data for valves with Stellite 6 hardfacing on the disks and seat rings for water flow in the preferred flow direction (gate downstream). The maximum required thrust to open and to close the valve (excluding wedging andmore » unwedging forces) occurs at a slightly open position and not at the fully closed position. In the nonpreferred flow direction, the model shows that premature wedging can occur during {Delta}P closure strokes even when the coefficients of friction at different sliding surfaces are within the typical range. This paper summarizes the model description and comparison against test data.« less

Impingement of water droplets on wedges and double-wedge airfoils at supersonic speeds

NASA Technical Reports Server (NTRS)

Serafini, John S

1954-01-01

An analytical solution has been obtained for the equations of motion of water droplets impinging on a wedge in a two-dimensional supersonic flow field with a shock wave attached to the wedge. The closed-form solution yields analytical expressions for the equation of the droplet trajectory, the local rate of impingement and the impingement velocity at any point on the wedge surface, and the total rate of impingement. The analytical expressions are utilized to determine the impingement on the forward surfaces of diamond airfoils in supersonic flow fields with attached shock waves. The results presented include the following conditions: droplet diameters from 2 to 100 microns, pressure altitudes from sea level to 30,000 feet, free-stream static temperatures from 420 degrees r, free stream Mach numbers from 1.1 to 2.0, semiapex angles for the wedge from 1.14 degrees to 7.97 degrees, thickness-to-chord ratios for the diamond airfoil from 0.02 to 0.14, chord lengths from 1 to 20 feet, and angles of attack from zero to the inverse tangent of the airfoil thickness-to-chord ratio.

Aerodynamic Analysis Over Double Wedge Airfoil

NASA Astrophysics Data System (ADS)

Prasad, U. S.; Ajay, V. S.; Rajat, R. H.; Samanyu, S.

2017-05-01

Aeronautical studies are being focused more towards supersonic flights and methods to attain a better and safer flight with highest possible performance. Aerodynamic analysis is part of the whole procedure, which includes focusing on airfoil shapes which will permit sustained flight of aircraft at these speeds. Airfoil shapes differ based on the applications, hence the airfoil shapes considered for supersonic speeds are different from the ones considered for Subsonic. The present work is based on the effects of change in physical parameter for the Double wedge airfoil. Mach number range taken is for transonic and supersonic. Physical parameters considered for the Double wedge case with wedge angle (ranging from 5 degree to 15 degree. Available Computational tools are utilized for analysis. Double wedge airfoil is analysed at different Angles of attack (AOA) based on the wedge angle. Analysis is carried out using fluent at standard conditions with specific heat ratio taken as 1.4. Manual calculations for oblique shock properties are calculated with the help of Microsoft excel. MATLAB is used to form a code for obtaining shock angle with Mach number and wedge angle at the given parameters. Results obtained from manual calculations and fluent analysis are cross checked.

SU-E-T-562: Scanned Percent Depth Dose Curve Discrepancy for Photon Beams with Physical Wedge in Place (Varian IX) Using Different Sensitive Volume Ion Chambers

DOE Office of Scientific and Technical Information (OSTI.GOV)

Zhao, H; Sarkar, V; Rassiah-Szegedi, P

2014-06-01

Purpose: To investigate and report the discrepancy of scanned percent depth dose (PDD) for photon beams with physical wedge in place when using ion chambers with different sensitive volumes. Methods/Materials: PDD curves of open fields and physical wedged fields (15, 30, 45, and 60 degree wedge) were scanned for photon beams (6MV and 10MV, Varian iX) with field size of 5x5 and 10x10 cm using three common scanning chambers with different sensitive volumes - PTW30013 (0.6cm3), PTW23323 (0.1cm3) and Exradin A16 (0.007cm3). The scanning system software used was OmniPro version 6.2, and the scanning water tank was the Scanditronix Wellhoffermore » RFA 300.The PDD curves from the three chambers were compared. Results: Scanned PDD curves of the same energy beams for open fields were almost identical between three chambers, but the wedged fields showed non-trivial differences. The largest differences were observed between chamber PTW30013 and Exradin A16. The differences increased as physical wedge angle increased. The differences also increased with depth, and were more pronounced for 6MV beam. Similar patterns were shown for both 5x5 and 10x10 cm field sizes. For open fields, all PDD values agreed with each other within 1% at 10cm depth and within 1.62% at 20 cm depth. For wedged fields, the difference of PDD values between PTW30013 and A16 reached 4.09% at 10cm depth, and 5.97% at 20 cm depth for 6MV with 60 degree physical wedge. Conclusion: We observed a significant difference in scanned PDD curves of photon beams with physical wedge in place obtained when using different sensitive volume ion chambers. The PDD curves scanned with the smallest sensitive volume ion chamber showed significant difference from larger chamber results, beyond 10cm depth. We believe this to be caused by varying response to beam hardening by the wedges.« less

Pressure Distributions About Finite Wedges in Bounded and Unbounded Subsonic Streams

NASA Technical Reports Server (NTRS)

Donoughe, Patrick L; Prasse, Ernst I

1953-01-01

An analytical investigation of incompressible flow about wedges was made to determine effects of tunnel-wedge ratio and wedge angle on the wedge pressure distributions. The region of applicability of infinite wedge-type velocity distribution was examined for finite wedges. Theoretical and experimental pressure coefficients for various tunnel-wedge ratios, wedge angles, and subsonic Mach numbers were compared.

Assessment of Neutron Contamination Originating from the Presence of Wedge and Block in Photon Beam Radiotherapy.

PubMed

Bahreyni Toossi, M T; Khajetash, B; Ghorbani, M

2018-03-01

One of the main causes of induction of secondary cancer in radiation therapy is neutron contamination received by patients during treatment. Objective: In the present study the impact of wedge and block on neutron contamination production is investigated. The evaluations are conducted for a 15 MV Siemens Primus linear accelerator. Simulations were performed using MCNPX Monte Carlo code. 30˚, 45˚ and 60˚ wedges and a cerrobend block with dimensions of 1.5 × 1.5 × 7 cm 3 were simulated. The investigation were performed in the 10 × 10 cm 2 field size at source to surface distance of 100 cm for depth of 0.5, 2, 3 and 4 cm in a water phantom. Neutron dose was calculated using F4 tally with flux to dose conversion factors and F6 tally. Results showed that the presence of wedge increases the neutron contamination when the wedge factor was considered. In addition, 45˚ wedge produced the most amount of neutron contamination. If the block is in the center of the field, the cerrobend block caused less neutron contamination than the open field due to absorption of neutrons and photon attenuation. The results showed that neutron contamination is less in steeper depths. The results for two tallies showed practically equivalent results. Wedge causes neutron contamination hence should be considered in therapeutic protocols in which wedge is used. In terms of clinical aspects, the results of this study show that superficial tissues such as skin will tolerate more neutron contamination than the deep tissues.

Ipsilateral Medial and Lateral Discoid Meniscus with Medial Meniscus Tear

PubMed Central

Shimozaki, Kengo; Nakase, Junsuke; Ohashi, Yoshinori; Numata, Hitoaki; Oshima, Takeshi; Takata, Yasushi; Tsuchiya, Hiroyuki

2016-01-01

Introduction: Discoid meniscus is a well-documented knee pathology, and there are many cases of medial or lateral discoid meniscus reported in the literature. However, ipsilateral concurrent medial and lateral discoid meniscus is very rare, and only a few cases have been reported. Herein, we report a case of concurrent medial and lateral discoid meniscus. Case Report: A 27-year-old Japanese man complained of pain on medial joint space in his right knee that was diagnosed as a complete medial and lateral discoid meniscus. In magnetic resonance imaging, although the lateral discoid meniscus had no tear, the medial discoid meniscus had a horizontal tear. Arthroscopic examination of his right knee similarly revealed that the medial discoid meniscus had a horizontal tear. In addition, the discoid medial meniscus also had an anomalous insertion to the anterior cruciate ligament, and there was also mild fibrillation of the medial tibial cartilage surface. We performed arthroscopic partial meniscectomy for the torn medial discoid meniscus but not for the asymptomatic lateral discoid meniscus. The latest follow-up at 18 months indicated satisfactory results. Conclusion: We report a rare case of ipsilateral medial and lateral discoid meniscus with medial meniscus tear. The medial discoid meniscus with tear was treated with partial meniscectomy, whereas the lateral discoid meniscus without tear was only followed up. PMID:28164045

Use of Wedge Absorbers in MICE

DOE Office of Scientific and Technical Information (OSTI.GOV)

Neuffer, D.; Summers, D.; Mohayai, T.

2017-03-01

Wedge absorbers are needed to obtain longitudinal cooling in ionization cooling. They also can be used to obtain emittance exchanges between longitudinal and transverse phase space. There can be large exchanges in emittance, even with single wedges. In the present note we explore the use of wedge absorbers in the MICE experiment to obtain transverse–longitudinal emittance exchanges within present and future operational conditions. The same wedge can be used to explore “direct” and “reverse” emittance exchange dynamics, where direct indicates a configuration that reduces momentum spread and reverse is a configuration that increases momentum spread. Analytical estimated and ICOOL andmore » G4BeamLine simulations of the exchanges at MICE parameters are presented. Large exchanges can be obtained in both reverse and direct configurations.« less

Wedges for ultrasonic inspection

DOEpatents

Gavin, Donald A.

1982-01-01

An ultrasonic transducer device is provided which is used in ultrasonic inspection of the material surrounding a threaded hole and which comprises a wedge of plastic or the like including a curved threaded surface adapted to be screwed into the threaded hole and a generally planar surface on which a conventional ultrasonic transducer is mounted. The plastic wedge can be rotated within the threaded hole to inspect for flaws in the material surrounding the threaded hole.

Ultrasonic transducer with laminated coupling wedge

DOEpatents

Karplus, Henry H. B.

1976-08-03

An ultrasonic transducer capable of use in a high-temperature environment incorporates a laminated metal coupling wedge including a reflecting edge shaped as a double sloping roof and a transducer crystal backed by a laminated metal sound absorber disposed so as to direct sound waves through the coupling wedge and into a work piece, reflections from the interface between the coupling wedge and the work piece passing to the reflecting edge. Preferably the angle of inclination of the two halves of the reflecting edge are different.

Capillary Rise in a Wedge

ERIC Educational Resources Information Center

Piva, M.

2009-01-01

In introductory-level physics courses, the concept of surface tension is often illustrated using the example of capillary rise in thin tubes. In this paper the author describes experiments conducted using a planar geometry created with two small plates forming a thin wedge. The distribution of the fluid entering the wedge can be studied as a…

Radiosurgery for Medial Temporal Lobe Epilepsy Resulting from Mesial Temporal Sclerosis.

PubMed

Gianaris, Thomas; Witt, Thomas; Barbaro, Nicholas M

2016-01-01

Medial temporal lobe epilepsy associated with mesial temporal sclerosis (MTS) is perhaps the most well-defined epilepsy syndrome that is responsive to structural interventions such as surgery. Several minimally invasive techniques have arisen that provide additional options for the treatment of MTS while potentially avoiding many of open surgery's associated risks. By evading these risks, they also open up treatment options to patients who otherwise are poor surgical candidates. Radiosurgery is one of the most intensively studied of these alternatives and has found a growing role in the treatment of medial temporal lobe epilepsy. Copyright © 2016 Elsevier Inc. All rights reserved.

Medial meniscus posterior root tear induces pathological posterior extrusion of the meniscus in the knee-flexed position: An open magnetic resonance imaging analysis.

PubMed

Masuda, S; Furumatsu, T; Okazaki, Y; Kodama, Y; Hino, T; Kamatsuki, Y; Miyazawa, S; Ozaki, T

2018-04-10

A medial meniscus posterior root tear (MMPRT) is defined as an injury to the posterior meniscal insertion on the tibia. In MMPRT, the medial meniscus (MM) hoop function is damaged, and the MM undergoes a medial extrusion into the interior from the superior articular surface of the tibia. However, the details of MM position and movement during knee joint movement are unclear in MMPRT cases. The present study aims to evaluate MM position and movement via magnetic resonance imaging (MRI) examination of the MM posterior extrusion (MMPE) at knee flexion angles of 10° and 90°. We hypothesized that, during knee flexion, the MM will shift to the posterior and the posterior extrusion will increase compared to that when the knee is extended. Twenty-four patients were diagnosed with symptomatic MMPRT on open MRI examination. Preoperative MMPE, anteroposterior interval (API) of the MM, and MM medial extrusion (MMME) at knee flexion angles of 10° and 90° were measured. For patients with MMPRT, the MMPE increased from -4.77±1.43mm to 3.79±1.17mm (p<0.001) when the knee flexion angle increased from 10° to 90°. Further, flexing the knee from 10° to 90° decreased the API of the MM from 20.19±4.22mm to 16.41±5.14mm (p<0.001). MMME showed no significant change between knee flexion angles of 10° and 90°. This study demonstrated that, in cases of MMPRT, the MMPE clearly increases when the knee is flexed to 90°, while MMME does not change. Our results suggest that open MRI examination can be used to evaluate the dynamic position of the posterior MM by scanning the knee as it flexes to 90°. IV: retrospective cohort study. Copyright © 2018 Elsevier Masson SAS. All rights reserved.

Scattering of In-Plane Waves by Elastic Wedges

NASA Astrophysics Data System (ADS)

Mohammadi, K.; Asimaki, D.; Fradkin, L.

2014-12-01

The scattering of seismic waves by elastic wedges has been a topic of interest in seismology and geophysics for many decades. Analytical, semi-analytical, experimental and numerical studies on idealized wedges have provided insight into the seismic behavior of continental margins, mountain roots and crustal discontinuities. Published results, however, have almost exclusively focused on incident Rayleigh waves and out-of-plane body (SH) waves. Complementing the existing body of work, we here present results from our study on the res­ponse of elastic wedges to incident P or SV waves, an idealized pro­blem that can provide valuable insight to the understanding and parameterization of topographic ampli­fication of seismic ground mo­tion. We first show our earlier work on explicit finite difference simulations of SV-wave scattering by elastic wedges over a wide range of internal angles. We next present a semi-analytical solution that we developed using the approach proposed by Gautesen, to describe the scattered wavefield in the immediate vicinity of the wedge's tip (near-field). We use the semi-analytical solution to validate the numerical analyses, and improve resolution of the amplification factor at the wedge vertex that spikes when the internal wedge angle approaches the critical angle of incidence.

Chevron closing base wedge bunionectomy.

PubMed

Bruyn, J M

1993-01-01

The Chevron-base wedge Association for Osteosynthesis fixated bunionectomy provides a stable, aggressive correction of the severe hallux abducto valgus deformity. It is intended for the bunion requiring a double osteotomy in order to adequately reduce both intermetatarsal and proximal articular facet angle with minimal shortening and elevation. This article presents the rationale for the procedure, technique, and a 4-year follow-up of six patients with eight Chevron-base wedge bunionectomies.

Neoproterozoic sand wedges: crack formation in frozen soils under diurnal forcing during a snowball Earth

NASA Astrophysics Data System (ADS)

Maloof, Adam C.; Kellogg, James B.; Anders, Alison M.

2002-11-01

Thermal contraction cracking of permafrost produced sand-wedge polygons at sea level on the paleo-equator during late Neoproterozoic glacial episodes. These sand wedges have been used as evidence for high (≥54°) paleo-obliquity of the Earth's ecliptic, because cracks that form wedges are hypothesized to require deep seasonal cooling so the depth of the stressed layer in the ground reaches ≥1 m, similar to the measured depths of cracks that form wedges. To test the counter hypothesis that equatorial cracks opened under a climate characterized by a strong diurnal cycle and low mean annual temperature (snowball Earth conditions), we examine crack formation in frozen ground subject to periodic temperature variations. We derive analytical expressions relating the Newtonian viscosity to the potential crack depth, concluding that cracks will form only in frozen soils with viscosities greater than ˜10 14 Pa s. We also show numerical calculations of crack growth in frozen soils with stress- and temperature-dependent rheologies and find that fractures may propagate to depths 3-25 times the depth of the thermally stressed layer in equatorial permafrost during a snowball Earth because the mean annual temperature is low enough to keep the ground cold and brittle to relatively great depths.

Effect of lateral wedge length on ambulatory knee kinetics.

PubMed

Fischer, Arielle G; Ulrich, Baptiste; Hoffmann, Laurent; Jolles, Brigitte M; Favre, Julien

2018-04-27

Lateral wedge insoles (LWI) were proposed to treat medial knee osteoarthritis through reductions of the ambulatory knee adduction moment (KAM). Limited attention was however paid to the LWI length, resulting in unclear understanding of its effect on KAM reductions. The knee flexion moment (KFM) was also shown to be important in knee osteoarthritis, but little is known about the effect of LWI length on it. This study aimed to compare the KAM and KFM of healthy subjects walking with four different lengths of LWI, explicitly without LWI and with LWI below the hindfoot (HF), below the hindfoot and forefoot (HF + FF) and below the hindfoot, forefoot and hallux (HF + FF + HX) segments. Nineteen healthy participants (63% male; 24 ± 3 years old) walked in an instrumented gait lab with LWI of four different lengths. Repeated one-way ANOVAs and post-hoc t-tests were used to compare knee kinetics among LWI lengths. The peak value of the KAM during the first half of stance and the KAM impulse differed with respect to the LWI length (p < 0.001). A length of at least HF + FF, but not necessarily longer, was needed to decrease both KAM parameters compared to walking without LWI. The LWI length had no effect on the peak value of the KFM during the first half of stance (p = 0.86). The results in this study could contribute to better selections of LWI for medial knee osteoarthritis and suggested that the length of the LWI could be a critical factor that should be considered in future research. Copyright © 2018 Elsevier B.V. All rights reserved.

Recirculating wedges for metal-vapor plasma tubes

DOEpatents

Hall, Jerome P.; Sawvel, Robert M.; Draggoo, Vaughn G.

1994-01-01

A metal vapor laser is disclosed that recycles condensed metal located at the terminal ends of a plasma tube back toward the center of the tube. A pair of arcuate wedges are incorporated on the bottom of the plasma tube near the terminal ends. The wedges slope downward toward the center so that condensed metal may be transported under the force of gravity away from the terminal ends. The wedges are curved to fit the plasma tube to thereby avoid forming any gaps within the tube interior.

Measuring Liquid-Level Utilizing Wedge Wave

PubMed Central

Honma, Yudai; Mori, Masayuki; Ihara, Ikuo

2017-01-01

A new technique for measuring liquid-level utilizing wedge wave is presented and demonstrated through FEM simulation and a corresponding experiment. The velocities of wedge waves in the air and the water, and the sensitivities for the measurement, are compared with the simulation and the results obtained in the experiments. Combining the simulation and the measurement theory, it is verified that the foundation framework for the methods is available. The liquid-level sensing is carried out using the aluminum waveguide with a 30° wedge in the water. The liquid-level is proportional to the traveling time of the mode 1 wedge wave. The standard deviations and the uncertainties of the measurement are 0.65 mm and 0.21 mm using interface echo, and 0.39 mm and 0.12 mm utilized by end echo, which are smaller than the industry standard of 1.5 mm. The measurement resolutions are 7.68 μm using the interface echo, which is the smallest among all the guided acoustic wave-based liquid-level sensing. PMID:29267232

In-vivo evaluation of the kinematic behavior of an artificial medial meniscus implant: A pilot study using open-MRI.

PubMed

De Coninck, Tineke; Elsner, Jonathan J; Linder-Ganz, Eran; Cromheecke, Michiel; Shemesh, Maoz; Huysse, Wouter; Verdonk, René; Verstraete, Koenraad; Verdonk, Peter

2014-09-01

In this pilot study we wanted to evaluate the kinematics of a knee implanted with an artificial polycarbonate-urethane meniscus device, designed for medial meniscus replacement. The static kinematic behavior of the implant was compared to the natural medial meniscus of the non-operated knee. A second goal was to evaluate the motion pattern, the radial displacement and the deformation of the meniscal implant. Three patients with a polycarbonate-urethane implant were included in this prospective study. An open-MRI was used to track the location of the implant during static weight-bearing conditions, within a range of motion of 0° to 120° knee flexion. Knee kinematics were evaluated by measuring the tibiofemoral contact points and femoral roll-back. Meniscus measurements (both natural and artificial) included anterior-posterior meniscal movement, radial displacement, and meniscal height. No difference (P>0.05) was demonstrated in femoral roll-back and tibiofemoral contact points during knee flexion between the implanted and the non-operated knees. Meniscal measurements showed no significant difference in radial displacement and meniscal height (P>0.05) at all flexion angles, in both the implanted and non-operated knees. A significant difference (P ≤ 0.05) in anterior-posterior movement during flexion was observed between the two groups. In this pilot study, the artificial polycarbonate-urethane implant, indicated for medial meniscus replacement, had no influence on femoral roll-back and tibiofemoral contact points, thus suggesting that the joint maintains its static kinematic properties after implantation. Radial displacement and meniscal height were not different, but anterior-posterior movement was slightly different between the implant and the normal meniscus. Copyright © 2014 Elsevier Ltd. All rights reserved.

Ultrasonic friction power during Al wire wedge-wedge bonding

NASA Astrophysics Data System (ADS)

Shah, A.; Gaul, H.; Schneider-Ramelow, M.; Reichl, H.; Mayer, M.; Zhou, Y.

2009-07-01

Al wire bonding, also called ultrasonic wedge-wedge bonding, is a microwelding process used extensively in the microelectronics industry for interconnections to integrated circuits. The bonding wire used is a 25μm diameter AlSi1 wire. A friction power model is used to derive the ultrasonic friction power during Al wire bonding. Auxiliary measurements include the current delivered to the ultrasonic transducer, the vibration amplitude of the bonding tool tip in free air, and the ultrasonic force acting on the bonding pad during the bond process. The ultrasonic force measurement is like a signature of the bond as it allows for a detailed insight into mechanisms during various phases of the process. It is measured using piezoresistive force microsensors integrated close to the Al bonding pad (Al-Al process) on a custom made test chip. A clear break-off in the force signal is observed, which is followed by a relatively constant force for a short duration. A large second harmonic content is observed, describing a nonsymmetric deviation of the signal wave form from the sinusoidal shape. This deviation might be due to the reduced geometrical symmetry of the wedge tool. For bonds made with typical process parameters, several characteristic values used in the friction power model are determined. The ultrasonic compliance of the bonding system is 2.66μm/N. A typical maximum value of the relative interfacial amplitude of ultrasonic friction is at least 222nm. The maximum interfacial friction power is at least 11.5mW, which is only about 4.8% of the total electrical power delivered to the ultrasonic generator.

Recirculating wedges for metal-vapor plasma tubes

DOEpatents

Hall, J.P.; Sawvel, R.M.; Draggoo, V.G.

1994-06-28

A metal vapor laser is disclosed that recycles condensed metal located at the terminal ends of a plasma tube back toward the center of the tube. A pair of arcuate wedges are incorporated on the bottom of the plasma tube near the terminal ends. The wedges slope downward toward the center so that condensed metal may be transported under the force of gravity away from the terminal ends. The wedges are curved to fit the plasma tube to thereby avoid forming any gaps within the tube interior. 8 figures.

Seamount subduction underneath an accretionary wedge: modelling mass wasting and wedge collapse

NASA Astrophysics Data System (ADS)

Mannu, Utsav; Ueda, Kosuke; Willett, Sean; Gerya, Taras; Strasser, Michael

2017-04-01

Seamounts (h >1 km) and knolls (h = 500 m-1000 m) cover about one-fifth of the total ocean floor area. These topographical highs of the ocean floor eventually get subducted. Subduction of these topographical features leads to severe deformation of the overriding plate and can cause extensive tectonic erosion and mass wasting of the frontal prism, which can ultimately cause a forearc wedge collapse. Large submarine landslides and the corresponding wedge collapse have previously been reported, for instance, in the northern part of the Hikurangi margin where the landslide is known as the giant Ruatoria debris avalanche, and have also been frequently reported in several seismic sections along the Costa Rica margin. Size and frequency relation of landslides suggest that the average size of submarine landslides in margins with rough subducting plates tends to be larger. However, this observation has not yet been tested or explained by physical models. In numerical subduction models, landslides take place, if at all, on a much larger timescale (in the order of 104-105 years, depending on the time steps of the model) than in natural cases. On the other hand, numerical models simulating mass wasting events such as avalanches and submarine landslides, typically model single events at a much smaller spatio-temporal domain, and do not consider long-term occurrence patterns of freely forming landslides. In this contribution, we present a multi-scale nested numerical approach to emulate short-term landslides within long-term progressive subduction. The numerical approach dynamically produces instantaneous submarine landslides and the resulting debris flow in the spatially and temporally refined inner model. Then we apply these convoluted changes in topography (e.g. due to the submarine landslide etc.) back to an outer larger-scale model instance that addresses wedge evolution. We use this approach to study the evolution of the accretionary wedge during seamount subduction.

Ancient Yedoma carbon loss: primed by ice wedge thaw?

NASA Astrophysics Data System (ADS)

Dowdy, K. L.; Vonk, J. E.; Mann, P. J.; Zimov, N.; Bulygina, E. B.; Davydova, A.; Spencer, R. G.; Holmes, R. M.

2012-12-01

Northeast Siberian permafrost is dominated by frozen Yedoma deposits containing ca. 500 Gt of carbon, nearly a quarter of northern permafrost organic carbon (OC). Yedoma deposits are Pleistocene-age alluvial and/or aeolian accumulations characterized by high ice wedge content (~50%), making them particularly vulnerable to a warming climate and to surface collapse upon thaw. Dissolved OC in streams originating primarily from Yedoma has been shown to be highly biolabile, relative to waters containing more modern OC. The cause of this biolability, however, remains speculative. Here we investigate the influence of ice wedge input upon the bioavailability of Yedoma within streams from as a potential cause of Yedoma carbon biolability upon release into the Kolyma River from the thaw-eroding river exposures of Duvannyi Yar, NE Siberia. We measured biolability on (1) ice wedge, Kolyma, and Yedoma leachate controls; (2) ice wedge and Kolyma plus Yedoma OC (8 g/L); and (3) varying ratios of ice wedge water to Kolyma river water. Biolability assays were conducted using both 5-day BOD (biological oxygen demand) and 11-day BDOC (biodegradable dissolved organic carbon) incubations. We found that ancient DOC in Yedoma soil leachate alone was highly biolabile with losses of 52±0.1% C over a 5-day BOD incubation. Similarly, DOC contained in pure ice wedge water was found to be biolabile, losing 21±0% C during a 5-day BOD incubation. Increased ice wedge contributions led to higher overall C losses in identical Yedoma soil leachates, with 8.9±0.6% losses of Yedoma C with 100% ice wedge water, 7.1±1% (50% ice wedge/ 50% Kolyma) and 5±0.3% with 100% Kolyma River water. We discuss potential mechanisms for the increased loss of ancient C using associated measurements of nutrient availability, carbon quality (CDOM/FDOM) and extracellular enzyme activity rates. Our initial results indicate that ice wedge meltwater forming Yedoma streams makes Yedoma OC more bioavailable than it would

The challenges of numerically simulating analogue brittle thrust wedges

NASA Astrophysics Data System (ADS)

Buiter, Susanne; Ellis, Susan

2017-04-01

Fold-and-thrust belts and accretionary wedges form when sedimentary and crustal rocks are compressed into thrusts and folds in the foreland of an orogen or at a subduction trench. For over a century, analogue models have been used to investigate the deformation characteristics of such brittle wedges. These models predict wedge shapes that agree with analytical critical taper theory and internal deformation structures that well resemble natural observations. In a series of comparison experiments for thrust wedges, called the GeoMod2004 (1,2) and GeoMod2008 (3,4) experiments, it was shown that different numerical solution methods successfully reproduce sandbox thrust wedges. However, the GeoMod2008 benchmark also pointed to the difficulties of representing frictional boundary conditions and sharp velocity discontinuities with continuum numerical methods, in addition to the well-known challenges of numerical plasticity. Here we show how details in the numerical implementation of boundary conditions can substantially impact numerical wedge deformation. We consider experiment 1 of the GeoMod2008 brittle thrust wedge benchmarks. This experiment examines a triangular thrust wedge in the stable field of critical taper theory that should remain stable, that is, without internal deformation, when sliding over a basal frictional surface. The thrust wedge is translated by lateral displacement of a rigid mobile wall. The corner between the mobile wall and the subsurface is a velocity discontinuity. Using our finite-element code SULEC, we show how different approaches to implementing boundary friction (boundary layer or contact elements) and the velocity discontinuity (various smoothing schemes) can cause the wedge to indeed translate in a stable manner or to undergo internal deformation (which is a fail). We recommend that numerical studies of sandbox setups not only report the details of their implementation of boundary conditions, but also document the modelling attempts that

Effect of a trade between boattail angle and wedge size on the performance of a nonaxisymmetric wedge nozzle

NASA Technical Reports Server (NTRS)

Carson, George T., Jr.; Bare, E. Ann; Burley, James R., II

1987-01-01

An investigation was conducted in the Langley 16-Foot Transonic Tunnel to determine the effect of a boattail angle and wedge-size trade on the performance of nonaxisymmetric wedge nozzles installed on a generic twin-engine fighter aircraft model. Test data were obtained at static conditions and at Mach numbers from 0.60 to 1.25. Angle of attack was held constant at 0 deg. High-pressure air was used to simulate jet exhaust, and the nozzle pressure ratio was varied from 1.0 (jet off) to slightly over 15.0. For the configurations studied, the results indicate that wedge size can be reduced without affecting aeropropulsive performance.

Periodic nanostructures from self assembled wedge-type block-copolymers

DOEpatents

Xia, Yan; Sveinbjornsson, Benjamin R.; Grubbs, Robert H.; Weitekamp, Raymond; Miyake, Garret M.; Piunova, Victoria; Daeffler, Christopher Scot

2015-06-02

The invention provides a class of wedge-type block copolymers having a plurality of chemically different blocks, at least a portion of which incorporates a wedge group-containing block providing useful properties. For example, use of one or more wedge group-containing blocks in some block copolymers of the invention significantly inhibits chain entanglement and, thus, the present block copolymers materials provide a class of polymer materials capable of efficient molecular self-assembly to generate a range of structures, such as periodic nanostructures and microstructures. Materials of the present invention include copolymers having one or more wedge group-containing blocks, and optionally for some applications copolymers also incorporating one or more polymer side group-containing blocks. The present invention also provides useful methods of making and using wedge-type block copolymers.

Complex Medial Meniscus Tears Are Associated With a Biconcave Medial Tibial Plateau.

PubMed

Barber, F Alan; Getelman, Mark H; Berry, Kathy L

2017-04-01

To determine whether an association exists between a biconcave medial tibial plateau and complex medial meniscus tears. A consecutive series of stable knees undergoing arthroscopy were evaluated retrospectively with the use of preoperative magnetic resonance imaging (MRI), radiographs, and arthroscopy documented by intraoperative videos. Investigators independently performed blinded reviews of the MRI or videos. Based on the arthroscopy findings, medial tibial plateaus were classified as either biconcave or not biconcave. A transverse coronal plane ridge, separating the front of the tibial plateau from the back near the inner margin of the posterior body of the medial meniscus, was defined as biconcave. The medial plateau slope was calculated with MRI sagittal views. General demographic information, body mass index, and arthroscopically confirmed knee pathology were recorded. A total of 179 consecutive knees were studied from July 2014 through August 2015; 49 (27.2%) biconcave medial tibial plateaus and 130 (72.8%) controls were identified at arthroscopy. Complex medial meniscus tears were found in 103. Patients with a biconcave medial tibial plateau were found to have more complex medial meniscus tears (69.4%) than those without a biconcavity (53.1%) (P = .049) despite having lower body mass index (P = .020). No difference in medial tibial plateau slope was observed for biconcavities involving both cartilage and bone, bone only, or an indeterminate group (P = .47). Biconcave medial tibial plateaus were present in 27.4% of a consecutive series of patients undergoing knee arthroscopy. A biconcave medial tibial plateau was more frequently associated with a complex medial meniscus tear. Level III, case-control study. Copyright © 2016 Arthroscopy Association of North America. All rights reserved.

Group sequential designs for stepped-wedge cluster randomised trials.

PubMed

Grayling, Michael J; Wason, James Ms; Mander, Adrian P

2017-10-01

The stepped-wedge cluster randomised trial design has received substantial attention in recent years. Although various extensions to the original design have been proposed, no guidance is available on the design of stepped-wedge cluster randomised trials with interim analyses. In an individually randomised trial setting, group sequential methods can provide notable efficiency gains and ethical benefits. We address this by discussing how established group sequential methodology can be adapted for stepped-wedge designs. Utilising the error spending approach to group sequential trial design, we detail the assumptions required for the determination of stepped-wedge cluster randomised trials with interim analyses. We consider early stopping for efficacy, futility, or efficacy and futility. We describe first how this can be done for any specified linear mixed model for data analysis. We then focus on one particular commonly utilised model and, using a recently completed stepped-wedge cluster randomised trial, compare the performance of several designs with interim analyses to the classical stepped-wedge design. Finally, the performance of a quantile substitution procedure for dealing with the case of unknown variance is explored. We demonstrate that the incorporation of early stopping in stepped-wedge cluster randomised trial designs could reduce the expected sample size under the null and alternative hypotheses by up to 31% and 22%, respectively, with no cost to the trial's type-I and type-II error rates. The use of restricted error maximum likelihood estimation was found to be more important than quantile substitution for controlling the type-I error rate. The addition of interim analyses into stepped-wedge cluster randomised trials could help guard against time-consuming trials conducted on poor performing treatments and also help expedite the implementation of efficacious treatments. In future, trialists should consider incorporating early stopping of some kind into

P-Wave to Rayleigh-wave conversion coefficients for wedge corners; model experiments

USGS Publications Warehouse

Gangi, A.F.; Wesson, R.L.

1978-01-01

An analytic solution is not available for the diffraction of elastic waves by wedges; however, numerical solutions of finite-difference type are available for selected wedge angles. The P- to Rayleigh-wave conversion coefficients at wedge tips have been measured on two-dimensional seismic models for stress-free wedges with wedge angles, ??0, of 10, 30, 60, 90 and 120??. The conversion coefficients show two broad peaks and a minimum as a function of the angle between the wedge face and the direction of the incident P-wave. The minimum occurs for the P wave incident parallel to the wedge face and one maximum is near an incidence angle of 90?? to the wedge face. The amplitude of this maximum, relative to the other, decreases as the wedge angle increases. The asymmetry of the conversion coefficients, CPR(??; ??0), relative to parallel incidence (?? = 0) increases as the wedge angle increases. The locations of the maxima and the minimum as well as the asymmetry can be explained qualitatively. The conversion coefficients are measured with an accuracy of ??5% in those regions where there are no interfering waves. A comparison of the data for the 10?? wedge with the theoretical results for a half plane (0?? wedge) shows good correlation. ?? 1978.

Ice Wedges as Winter Climate Archives - New Results from the Northeast Siberian Arctic and Discussion of the Paleoclimatic Value of Ice Wedges

NASA Astrophysics Data System (ADS)

Opel, T.; Meyer, H.; Laepple, T.; Rehfeld, K.; Mollenhauer, G.; Alexander, D.; Murton, J.

2017-12-01

Arctic climate has experienced major changes over the past millennia that are yet not fully understood in terms of external and internal controls, spatial, temporal, and seasonal patterns. The interpretation of stable isotope data in permafrost ice wedges provides unique information on past winter climate, not or not sufficiently captured by other Arctic climate archives. Ice wedges grow in polygonal patterns owing to frost cracking of the frozen ground in winter and frost-crack filling mostly by snowmelt in spring. Their oxygen isotope values are indicative of temperatures in the cold period of the year (meteorological winter and spring). Recently, an ice-wedge record from the Lena River Delta suggested for the first time, that Siberian winter temperatures were warming throughout the Holocene, contradicting most other Arctic paleoclimate reconstructions. As this was based on a single record, the representativity and spatial extent of the reconstructed winter warming signal remained unclear. In this two-part contribution, we first present a new ice-wedge δ18O record from the Oyogos Yar mainland coast (Northeast Siberian Arctic) and then discuss more generally the paleoclimatic value of ice wedges. The new Oyogos Yar ice-wedge record is based on paired stable-isotope and radiocarbon-age data and spans the last two millennia. It confirms the long-term winter warming signal as well as the unprecedented temperature rise in the last decades. This demonstrates that winter warming over the last millennia is a coherent feature in the Northeastern Siberian Arctic, supporting the hypothesis of an insolation-driven seasonal Holocene temperature evolution followed by a strong warming most likely related to anthropogenic forcing. Considering additional ice-wedge data from the Siberian Laptev Sea region we discuss the paleoclimatic value of ice wedges as high-quality winter climate archive. We assess potentials and challenges of this so far rather understudied source of

Study on the shock interference in a wedged convergent-divergent channel

NASA Astrophysics Data System (ADS)

Yu, F. M.; Wang, C. Z.

The investigation of shock reflection-to-diffraction phenomena upon a wedged convergent-divergent channel produced by a planar incident shock wave have been done in the shock tube facility of Institute of Aeronautics and Astronautics, National Cheng-Kung University. The experiment proceeds upon seven wedged convergent-divergent channels with the forward and rear wedge angles arrangement of them are (50°, 50°), (35°, 35°), (50°, 35°), (35°, 50°), (50°, 0°), (35°, 0°), and (90°, 0°), respectively. They were tested at Mach numbers of 1.1, 1.2, 1.3, 1.4, 1.5 and 1.6, respectively. On the first wedged channel, following the regular reflection on a 50°- wedged surface by the incident shock wave, shock diffraction with Mach stem has been observed as it moves to the downstream wedge surface. On the apex of the wedge, the secondary reflected shock behaviors as a sector of the blast shock moving toward the centerline of the channel. From the color schlieren pictures it has been observed that there exists a pattern of blast-wave-type high gas density gradient region near the wedge apex. Following the Mach reflection from the 35° -wedged surface on which only the Mach stem diffracted across the apex and following with a small region of disturbed acoustic wave front. The shock interference, which proceeds by the Mach reflection-to-diffraction generates a very complicate vortical flow structure. The measurement of the peak pressure along centerline of the channel downstream of the wedge apex indicates that it is larger near the apex and it decreases downstream. It is larger for larger convergent wedge angle and It is smaller for larger divergent wedge angle.

Microtopographic control on the ground thermal regime in ice wedge polygons

NASA Astrophysics Data System (ADS)

Abolt, Charles J.; Young, Michael H.; Atchley, Adam L.; Harp, Dylan R.

2018-06-01

The goal of this research is to constrain the influence of ice wedge polygon microtopography on near-surface ground temperatures. Ice wedge polygon microtopography is prone to rapid deformation in a changing climate, and cracking in the ice wedge depends on thermal conditions at the top of the permafrost; therefore, feedbacks between microtopography and ground temperature can shed light on the potential for future ice wedge cracking in the Arctic. We first report on a year of sub-daily ground temperature observations at 5 depths and 9 locations throughout a cluster of low-centered polygons near Prudhoe Bay, Alaska, and demonstrate that the rims become the coldest zone of the polygon during winter, due to thinner snowpack. We then calibrate a polygon-scale numerical model of coupled thermal and hydrologic processes against this dataset, achieving an RMSE of less than 1.1 °C between observed and simulated ground temperature. Finally, we conduct a sensitivity analysis of the model by systematically manipulating the height of the rims and the depth of the troughs and tracking the effects on ice wedge temperature. The results indicate that winter temperatures in the ice wedge are sensitive to both rim height and trough depth, but more sensitive to rim height. Rims act as preferential outlets of subsurface heat; increasing rim size decreases winter temperatures in the ice wedge. Deeper troughs lead to increased snow entrapment, promoting insulation of the ice wedge. The potential for ice wedge cracking is therefore reduced if rims are destroyed or if troughs subside, due to warmer conditions in the ice wedge. These findings can help explain the origins of secondary ice wedges in modern and ancient polygons. The findings also imply that the potential for re-establishing rims in modern thermokarst-affected terrain will be limited by reduced cracking activity in the ice wedges, even if regional air temperatures stabilize.

Experimental simulation of frost wedging-induced crack propagation in alpine rockwall

NASA Astrophysics Data System (ADS)

Jia, Hailiang; Leith, Kerry; Krautblatter, Michael

2016-04-01

Frost wedging is widely presumed to be the principal mechanism responsible for shattering jointed low-porosity rocks in high alpine rockwalls. The interaction of ice and rock physics regulates the efficacy of frost wedging. In order to better understand temporal aspects of this interaction, we present results of a series of laboratory experiments monitoring crack widening as a result of ice formation in an artificial crack (4mm wide, 80mm deep) cut 20 mm from the end of a rectangular granite block. Our results indicate that i) freezing direction plays a key role in determining the magnitude of crack widening; in short-term (1 day) experiments, maximum crack widening during top-down freezing (associated with 'autumn' conditions) was around 0.11mm, while inside-out freezing (resulting from 'spring' conditions) produced only 0.02 mm of deformation; ii) neither ice, nor water pressure (direct tension and hydraulic fracturing respectively) caused measurable irreversible crack widening during short-term tests, as the calculated maximum stress intensity at the crack tip was less than the fracture toughness of our granite sample; iii) development of ice pressure is closely related to the mechanical properties of the fracture in which it forms, and as such, the interaction of ice and rock is intrinsically dynamic; iv) irreversible crack widening (about 0.03mm) was only observed following a long-term (53 day) experiment representing a simplified transition from autumn to winter conditions. We suggest this is the result of stress corrosion aided by strong opening during freezing, and to a lesser degree by ice segregation up to one week after the initial freezing period, and downward migration of liquid water during the remainder of the test. Our results suggest the fundamental assumption of frost wedging, that rapid freezing from open ends of cracks can seal water inside the crack and thus cause damage through excessive stresses induced by volumetric expansion seems

Numerical study on dusty shock reflection over a double wedge

NASA Astrophysics Data System (ADS)

Yin, Jingyue; Ding, Juchun; Luo, Xisheng

2018-01-01

The dusty shock reflection over a double wedge with different length scales is systematically studied using an adaptive multi-phase solver. The non-equilibrium effect caused by the particle relaxation is found to significantly influence the shock reflection process. Specifically, it behaves differently for double wedges with different length scales of the first wedge L1. For a double wedge with L1 relatively longer than the particle relaxation length λ, the equilibrium shock dominates the shock reflection and seven typical reflection processes are obtained, which is similar to the pure gas counterpart. For a double wedge with L1 shorter than λ, the non-equilibrium effect manifests more evidently, i.e., three parts of the dusty shock system including the frozen shock, the relaxation zone, and the equilibrium shock together dominate the reflection process. As a result, the shock reflection is far more complicated than the pure gas counterpart and eleven transition processes are found under various wedge angles. These findings give a complete description of all possible processes of dusty shock reflection over a double wedge and may be useful for better understanding the non-equilibrium shock reflection over complex structures.

Experimental investigation of sound absorption of acoustic wedges for anechoic chambers

NASA Astrophysics Data System (ADS)

Belyaev, I. V.; Golubev, A. Yu.; Zverev, A. Ya.; Makashov, S. Yu.; Palchikovskiy, V. V.; Sobolev, A. F.; Chernykh, V. V.

2015-09-01

The results of measuring the sound absorption by acoustic wedges, which were performed in AC-3 and AC-11 reverberation chambers at the Central Aerohydrodynamic Institute (TsAGI), are presented. Wedges of different densities manufactured from superfine basaltic and thin mineral fibers were investigated. The results of tests of these wedges were compared to the sound absorption of wedges of the operating AC-2 anechoic facility at TsAGI. It is shown that basaltic-fiber wedges have better sound-absorption characteristics than the investigated analogs and can be recommended for facing anechoic facilities under construction.

Group sequential designs for stepped-wedge cluster randomised trials

PubMed Central

Grayling, Michael J; Wason, James MS; Mander, Adrian P

2017-01-01

Background/Aims: The stepped-wedge cluster randomised trial design has received substantial attention in recent years. Although various extensions to the original design have been proposed, no guidance is available on the design of stepped-wedge cluster randomised trials with interim analyses. In an individually randomised trial setting, group sequential methods can provide notable efficiency gains and ethical benefits. We address this by discussing how established group sequential methodology can be adapted for stepped-wedge designs. Methods: Utilising the error spending approach to group sequential trial design, we detail the assumptions required for the determination of stepped-wedge cluster randomised trials with interim analyses. We consider early stopping for efficacy, futility, or efficacy and futility. We describe first how this can be done for any specified linear mixed model for data analysis. We then focus on one particular commonly utilised model and, using a recently completed stepped-wedge cluster randomised trial, compare the performance of several designs with interim analyses to the classical stepped-wedge design. Finally, the performance of a quantile substitution procedure for dealing with the case of unknown variance is explored. Results: We demonstrate that the incorporation of early stopping in stepped-wedge cluster randomised trial designs could reduce the expected sample size under the null and alternative hypotheses by up to 31% and 22%, respectively, with no cost to the trial’s type-I and type-II error rates. The use of restricted error maximum likelihood estimation was found to be more important than quantile substitution for controlling the type-I error rate. Conclusion: The addition of interim analyses into stepped-wedge cluster randomised trials could help guard against time-consuming trials conducted on poor performing treatments and also help expedite the implementation of efficacious treatments. In future, trialists should

Isolating active orogenic wedge deformation in the southern Subandes of Bolivia

NASA Astrophysics Data System (ADS)

Weiss, Jonathan R.; Brooks, Benjamin A.; Foster, James H.; Bevis, Michael; Echalar, Arturo; Caccamise, Dana; Heck, Jacob; Kendrick, Eric; Ahlgren, Kevin; Raleigh, David; Smalley, Robert; Vergani, Gustavo

2016-08-01

A new GPS-derived surface velocity field for the central Andean backarc permits an assessment of orogenic wedge deformation across the southern Subandes of Bolivia, where recent studies suggest that great earthquakes (>Mw 8) are possible. We find that the backarc is not isolated from the main plate boundary seismic cycle. Rather, signals from subduction zone earthquakes contaminate the velocity field at distances greater than 800 km from the Chile trench. Two new wedge-crossing velocity profiles, corrected for seasonal and earthquake affects, reveal distinct regions that reflect (1) locking of the main plate boundary across the high Andes, (2) the location of and loading rate at the back of orogenic wedge, and (3) an east flank velocity gradient indicative of décollement locking beneath the Subandes. Modeling of the Subandean portions of the profiles indicates along-strike variations in the décollement locked width (WL) and wedge loading rate; the northern wedge décollement has a WL of ~100 km while accumulating slip at a rate of ~14 mm/yr, whereas the southern wedge has a WL of ~61 km and a slip rate of ~7 mm/yr. When compared to Quaternary estimates of geologic shortening and evidence for Holocene internal wedge deformation, the new GPS-derived wedge loading rates may indicate that the southern wedge is experiencing a phase of thickening via reactivation of preexisting internal structures. In contrast, we suspect that the northern wedge is undergoing an accretion or widening phase primarily via slip on relatively young thrust-front faults.

Evaluation of a Wedge on a Force Balance as a Flow Angle Probe

DTIC Science & Technology

1975-02-01

pitot rake attached to the Captive Trajectory System (CTS), and (3) measurement of flow angles in the same region with a probe attached to the CTS...localized pressures. Although it was the characteristics of supersonic flow which led to this conclusion, and even though the wedge design was based...vary the open area from near zero to 10 percent. Suction through the porous walls is used to maximize flow uniformity and to develop supersonic flow

A Wedge Absorber Experiment at MICE

DOE Office of Scientific and Technical Information (OSTI.GOV)

Neuffer, David; Mohayai, Tanaz; Rogers, Chris

2017-05-01

Emittance exchange mediated by wedge absorbers is required for longitudinal ionization cooling and for final transverse emittance minimization for a muon collider. A wedge absorber within the MICE beam line could serve as a demonstration of the type of emittance exchange needed for 6-D cooling, including the configurations needed for muon colliders, as well as configurations for low-energy muon sources. Parameters for this test are explored in simulation and possible experimental configurations with simulated results are presented.

The incidence of avascular necrosis and the radiographic outcome following medial open reduction in children with developmental dysplasia of the hip: a systematic review.

PubMed

Gardner, R O E; Bradley, C S; Howard, A; Narayanan, U G; Wedge, J H; Kelley, S P

2014-02-01

The incidence of clinically significant avascular necrosis (AVN) following medial open reduction of the dislocated hip in children with developmental dysplasia of the hip (DDH) remains unknown. We performed a systematic review of the literature to identify all clinical studies reporting the results of medial open reduction surgery. A total of 14 papers reporting 734 hips met the inclusion criteria. The mean follow-up was 10.9 years (2 to 28). The rate of clinically significant AVN (types 2 to 4) was 20% (149/734). From these papers 221 hips in 174 children had sufficient information to permit more detailed analysis. The rate of AVN increased with the length of follow-up to 24% at skeletal maturity, with type 2 AVN predominating in hips after five years' follow-up. The presence of AVN resulted in a higher incidence of an unsatisfactory outcome at skeletal maturity (55% vs 20% in hips with no AVN; p < 0.001). A higher rate of AVN was identified when surgery was performed in children aged < 12 months, and when hips were immobilised in ≥ 60° of abduction post-operatively. Multivariate analysis showed that younger age at operation, need for further surgery and post-operative hip abduction of ≥ 60° increased the risk of the development of clinically significant AVN.

Planar shock reflection on a wedged concave reflector

NASA Astrophysics Data System (ADS)

Yu, Fan-Ming; Sheu, Kuen-Dong

2001-04-01

The investigation of shock reflection and shock diffraction phenomena upon a wedged concave reflector produced by a planar incident shock wave has been done in the shock tube facility of Institute of Aeronautics and Astronautics, National Cheng- Kung University. The experiment proceeds upon three wedged concave reflectors models the upper and lower wedge angles arrangement of them are (50 degrees, 50 degrees) - 35 degrees, 35 degrees) and (50 degrees, 35 degrees), respectively. They were tested at Mach numbers of 1.2 - 1.65 and 2.0. On the first reflector, following the regular reflection on the 50 degree-wedged surface by the incident shock wave, a Mach shock diffraction behavior has been observed as shock moves outward from the apex of the reflector. On the apex of the reflector, it behaviors as a sector of the blast shock moving on a diverging channel. On the shadowgraph pictures it has been observed there exists a pattern of gas dynamics focus upon the second reflector. The Mach reflection from the 35 degree- wedged surface as being generated by the planar incident shock wave, on which the overlapping of the two triple points from both wedged surface offers the focusing mechanism. The shock interference, which proceeds by the Mach shock reflection and the regular shock diffraction from the reflector, generates a very complicate rolling-up of slip lines system. On the third reflector, the mixed shock interference behavior has been observed of which two diffraction shocks from concave 50 degree-wedged surface and 35 degree-wedged surface interfere with each other. The measurement of the peak pressure along a ray from the model apex parallel to incident shock direction indicates that the measured maximum pressure rising is larger near the apex of the reflector. Considering the measured maximum pressure increment due to the reflection shocks indicate that the wave strength upon large apex angle reflector is greater than it is upon small apex angle reflector

Medial maxillectomy in recalcitrant sinusitis: when, why and how?

PubMed

Konstantinidis, Iordanis; Constantinidis, Jannis

2014-02-01

We reviewed all journal articles relevant to endoscopic medial maxillectomy in patients with recalcitrant chronic maxillary sinusitis in order to present all indications, the underlying pathophysiology and the developed surgical techniques. Despite the high success rate of middle meatal antrostomy, cases with persistent maxillary sinus disease exist and often need a more extended endoscopic procedure for the better control of the disease. Such surgical option uses gravity for better sinus drainage and offers better saline irrigation, local application of medications and follow-up inspection. An endoscopic medial maxillectomy and its modified forms offer a wider surgical field and access to all 'difficult' areas of the maxillary sinus. Patients with previous limited endoscopic sinus surgery or extended open surgery, cystic fibrosis, extensive mucoceles, allergic fungal sinusitis, odontogenic infections, foreign bodies and so on may suffer from recurrent disease requiring an endoscopic medial maxillectomy. Depending on the disease, various modifications of the procedure can be performed preserving the anterior buttress, nasolacrimal duct and inferior turbinate if possible.

21 CFR 884.5200 - Hemorrhoid prevention pressure wedge.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 21 Food and Drugs 8 2013-04-01 2013-04-01 false Hemorrhoid prevention pressure wedge. 884.5200... Devices § 884.5200 Hemorrhoid prevention pressure wedge. (a) Identification. A hemorrhoid prevention... hemorrhoids associated with vaginal childbirth. (b) Classification. Class II (special controls). The special...

21 CFR 884.5200 - Hemorrhoid prevention pressure wedge.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 21 Food and Drugs 8 2012-04-01 2012-04-01 false Hemorrhoid prevention pressure wedge. 884.5200... Devices § 884.5200 Hemorrhoid prevention pressure wedge. (a) Identification. A hemorrhoid prevention... hemorrhoids associated with vaginal childbirth. (b) Classification. Class II (special controls). The special...

21 CFR 884.5200 - Hemorrhoid prevention pressure wedge.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Hemorrhoid prevention pressure wedge. 884.5200... Devices § 884.5200 Hemorrhoid prevention pressure wedge. (a) Identification. A hemorrhoid prevention... hemorrhoids associated with vaginal childbirth. (b) Classification. Class II (special controls). The special...

Erosion controls transpressional wedge kinematics

NASA Astrophysics Data System (ADS)

Leever, K. A.; Oncken, O.

2012-04-01

High resolution digital image analysis of analogue tectonic models reveals that erosion strongly influences the kinematics of brittle transpressional wedges. In the basally-driven experimental setup with low-angle transpression (convergence angle of 20 degrees) and a homogeneous brittle rheology, a doubly vergent wedge develops above the linear basal velocity discontinuity. In the erosive case, the experiment is interrupted and the wedge topography fully removed at displacement increments of ~3/4 the model thickness. The experiments are observed by a stereo pair of high resolution CCD cameras and the incremental displacement field calculated by Digital Particle Image Velocimetry (DPIV). From this dataset, fault slip on individual fault segments - magnitude and angle on the horizontal plane relative to the fault trace - is extracted using the method of Leever et al. (2011). In the non-erosive case, after an initial stage of strain localization, the wedge experiences two transient stages of (1) oblique slip and (2) localized strain partitioning. In the second stage, the fault slip angle on the pro-shear(s) rotates by some 30 degrees from oblique to near-orthogonal. Kinematic steady state is attained in the third stage when a through-going central strike-slip zone develops above the basal velocity discontinuity. In this stage, strain is localized on two main faults (or fault zones) and fully partitioned between plate boundary-parallel displacement on the central strike-slip zone and near-orthogonal reverse faulting at the front (pro-side) of the wedge. The fault slip angle on newly formed pro-shears in this stage is stable at 60-65 degrees (see also Leever et al., 2011). In contrast, in the erosive case, slip remains more oblique on the pro-shears throughout the experiment and a separate central strike-slip zone does not form, i.e. strain partitioning does not fully develop. In addition, more faults are active simultaneously. Definition of stages is based on slip on

Fracture and contact problems for an elastic wedge

NASA Technical Reports Server (NTRS)

Erdogan, F.; Arin, K.

1974-01-01

The plane elastostatic contact problem for an infinite elastic wedge of arbitrary angle is discussed. The medium is loaded through a frictionless rigid wedge of a given symmetric profile. Using the Mellin transform formulation the mixed boundary value problem is reduced to a singular integral equation with the contact stress as the unknown function. With the application of the results to the fracture of the medium in mind, the main emphasis in the study has been on the investigation of the singular nature of the stress state around the apex of the wedge and on the determination of the contact pressure.

Fracture and contact problems for an elastic wedge

NASA Technical Reports Server (NTRS)

Erdogan, F.; Arin, K.

1976-01-01

The paper deals with the plane elastostatic contact problem for an infinite elastic wedge of arbitrary angle. The medium is loaded through a frictionless rigid wedge of a given symmetric profile. Using the Mellin transform formulation the mixed boundary value problem is reduced to a singular integral equation with the contact stress as the unknown function. With the application of the results to the fracture of the medium in mind, the main emphasis in the study has been on the investigation of the singular nature of the stress state around the apex of the wedge and on the determination of the contact pressure.

Glass Microbeads in Analog Models of Thrust Wedges.

PubMed

D'Angelo, Taynara; Gomes, Caroline J S

2017-01-01

Glass microbeads are frequently used in analog physical modeling to simulate weak detachment zones but have been neglected in models of thrust wedges. Microbeads differ from quartz sand in grain shape and in low angle of internal friction. In this study, we compared the structural characteristics of microbeads and sand wedges. To obtain a better picture of their mechanical behavior, we determined the physical and frictional properties of microbeads using polarizing and scanning electron microscopy and ring-shear tests, respectively. We built shortening experiments with different basal frictions and measured the thickness, slope and length of the wedges and also the fault spacings. All the microbeads experiments revealed wedge geometries that were consistent with previous studies that have been performed with sand. However, the deformation features in the microbeads shortened over low to intermediate basal frictions were slightly different. Microbeads produced different fault geometries than sand as well as a different grain flow. In addition, they produced slip on minor faults, which was associated with distributed deformation and gave the microbeads wedges the appearance of disharmonic folds. We concluded that the glass microbeads may be used to simulate relatively competent rocks, like carbonates, which may be characterized by small-scale deformation features.

Aligning Optical Fibers by Means of Actuated MEMS Wedges

NASA Technical Reports Server (NTRS)

Morgan, Brian; Ghodssi, Reza

2007-01-01

Microelectromechanical systems (MEMS) of a proposed type would be designed and fabricated to effect lateral and vertical alignment of optical fibers with respect to optical, electro-optical, optoelectronic, and/or photonic devices on integrated circuit chips and similar monolithic device structures. A MEMS device of this type would consist of a pair of oppositely sloped alignment wedges attached to linear actuators that would translate the wedges in the plane of a substrate, causing an optical fiber in contact with the sloping wedge surfaces to undergo various displacements parallel and perpendicular to the plane. In making it possible to accurately align optical fibers individually during the packaging stages of fabrication of the affected devices, this MEMS device would also make it possible to relax tolerances in other stages of fabrication, thereby potentially reducing costs and increasing yields. In a typical system according to the proposal (see Figure 1), one or more pair(s) of alignment wedges would be positioned to create a V groove in which an optical fiber would rest. The fiber would be clamped at a suitable distance from the wedges to create a cantilever with a slight bend to push the free end of the fiber gently to the bottom of the V groove. The wedges would be translated in the substrate plane by amounts Dx1 and Dx2, respectively, which would be chosen to move the fiber parallel to the plane by a desired amount Dx and perpendicular to the plane by a desired amount Dy. The actuators used to translate the wedges could be variants of electrostatic or thermal actuators that are common in MEMS.

Effects of the medial or basolateral amygdala upon social anxiety and social recognition in mice.

PubMed

Wang, Yu; Zhao, Shanshan; Liu, Xu; Fu, Qunying

2014-01-01

Though social anxiety and social recognition have been studied extensively, the roles of the medial or basolateral amygdala in the control of social anxiety and social recognition remain to be determined. This study investigated the effects of excitotoxic bilateral medial or basolateral amygdala lesions upon social anxiety and social recognition in-mice. Animals at 9 weeks of age were given bilateral medial or basolateral amygdala lesions via infusion of N-methyl- D-aspartate and then were used for behavioral tests: anxiety-related tests (including open-field test, light-dark test, and elevated-plus maze test), social behavior test in a novel environment, social recognition test, and flavor recognition test. Medial or basolateral amygdala-lesioned mice showed lower levels of anxiety and increased social behaviors in a novel environment. Destruction of the medial or basolateral amygdala neurons impaired social recognition but not flavor recognition. The medial or basolateral amygdala is involved in the control of anxiety-related behavior (social anxiety and social behaviors) in mice. Moreover, both the medial and the basolateral amygdala are essential for social recognition but not flavor recognition in mice.

The crack and wedging problem for an orthotropic strip

NASA Technical Reports Server (NTRS)

Cinar, A.; Erdogan, F.

1982-01-01

The plane elasticity problem for an orthotropic strip containing a crack parallel to its boundaries is considered. The problem is formulated under general mixed mode loading conditions. The stress intensity factors depend on two dimensionless orthotropic constants only. For the crack problem the results are given for a single crack and two collinear cracks. The calculated results show that of the two orthotropic constants the influence of the stiffness ratio on the stress intensity factors is much more significant than that of the shear parameter. The problem of loading the strip by a rigid rectangular lengths continuous contact is maintained along the wedge strip interface; at a certain critical wedge length the separation starts at the midsection of the wedge, and the length of the separation zone increases rapidly with increasing wedge length.

Seasonal Ice Wedge Dynamics in Fosheim Peninsula, Ellesmere Island, Nunavut

NASA Astrophysics Data System (ADS)

Ward, M. K.; Pollard, W. H.

2017-12-01

Areas with ice-rice permafrost are vulnerable to thermokarst (lowering of the land surface from melting ground ice). The Fosheim Peninsula on Ellesmere Island, Nunavut is a high Arctic polar desert system with cold permafrost 500 m thick that is ice-rich in the upper 20 - 30 m. Our team has been monitoring changing permafrost conditions on the Fosheim since 1990. In this area ground ice consists mainly of ice-wedge ice and massive tabular ice bodies. With a mean annual temperature of - 19°C, the area is still sensitive to thermokarst as experienced in 2012; one of the warmest summers on record there was a three-fold increase in thermokarst, with the accelerated deepening of ice wedge troughs and the development of retrogressive thaw slumps. In this study, 7 ice wedges were monitored for 7 weeks in July and August, 2017. Ice wedges were chosen to represent different conditions including varying tough depths (0.36 m to 1.2 m), secondary wedge, varying plant cover (heavily covered to bare soil) and one wedge initially experienced ponding from snow melt that subsequently drained. Data collected included active layer depth measurements, soil moisture, ground temperatures at ice wedge through and polygon centres, dGPS and GPR surveys. Using Worldview 2 satellite imagery from 2008, 2012, 2016, these sites were compared to assess changes in polygons at a landscape scale. Ice wedges are ubiquitous to the arctic but may respond differently within different high Arctic environments. With the majority of studies being focused in the lower arctic, this study provides important field data from a high arctic site.

Influence of the substorm current wedge on the Dst index

NASA Astrophysics Data System (ADS)

Friedrich, Erena; Rostoker, Gordon; Connors, Martin G.; McPherron, R. L.

1999-03-01

One of the major questions confronting researchers studying the nature of the solar-terrestrial interaction centers around whether or not the substorm expansive phase has any causal effect on the growth of the storm time ring current. This question is often addressed by using the Dst index as a proxy for the storm time ring current and inspecting the main phase growth of Dst in the context of the substorm expansive phases which occur in the same time frame as the ring current growth. In the past it has been assumed that the magnetic effects of the substorm current wedge have little influence on the Dst index because the current wedge is an asymmetric current system, while Dst is supposed to reflect changes in the symmetric component of the ring current. In this paper we shall shown that the substorm current wedge can have a significant effect on the present Dst index, primarily as a consequence of the fact that only four stations are presently used to formulate the index. Calculations are made assuming the instantaneous magnitude of the wedge current is constant at 1 MA. Hourly values of Dst may be as much as 50° smaller than those presented here because of variation of the wedge current over the hour. We shall show how the effect of the current wedge depends on the UT of the expansive phase onset, the angular extent of the current wedge, and the locale of the closure current in the magnetosphere. The fact that the substorm current wedge is a conjugate phenomenon has an important influence on the magnitude of the expansive phase effect in the Dst index.

Nonlinear dynamics of ice-wedge networks and resulting sensitivity to severe cooling events.

PubMed

Plug, L J; Werner, B T

2002-06-27

Patterns of subsurface wedges of ice that form along cooling-induced tension fractures, expressed at the ground surface by ridges or troughs spaced 10 30 m apart, are ubiquitous in polar lowlands. Fossilized ice wedges, which are widespread at lower latitudes, have been used to infer the duration and mean temperature of cold periods within Proterozoic and Quaternary climates, and recent climate trends have been inferred from fracture frequency in active ice wedges. Here we present simulations from a numerical model for the evolution of ice-wedge networks over a range of climate scenarios, based on the interactions between thermal tensile stress, fracture and ice wedges. We find that short-lived periods of severe cooling permanently alter the spacing between ice wedges as well as their fracture frequency. This affects the rate at which the widths of ice wedges increase as well as the network's response to subsequent climate change. We conclude that wedge spacing and width in ice-wedge networks mainly reflect infrequent episodes of rapidly falling ground temperatures rather than mean conditions.

Double wedge prism based beam deflector for precise laser beam steering

NASA Astrophysics Data System (ADS)

Tyszka, Krzysztof; Dobosz, Marek; Bilaszewski, Tomasz

2018-02-01

Aiming to increase laser beam pointing stability required in interferometric measurements, we designed a laser beam deflector intended for active laser beam stabilization systems. The design is based on two wedge-prisms: the deflecting wedge driven by a tilting piezo-platform and the fixed wedge to compensate initial beam deflection. Our design allows linear beam steering, independently in the horizontal or vertical direction, with resolution of less than 1 μrad in a range of more than 100 μrad, and no initial deflection of the beam. Moreover, the ratio of the output beam deflection angle and the wedge tilt angle is less than 0.1; therefore, the noise influence is significantly reduced in comparison to standard mirror-based deflectors. The theoretical analyses support the designing process and can serve as a guide to wedge-prism selection. The experimental results are in agreement with theory and confirm the advantages of the presented double wedge system.

Posterior medial meniscus detachment: a unique type of medial meniscal tear.

PubMed

Rubinstein, Richard A; DeHaan, Alex; Baldwin, James L

2009-10-01

Patients with posterior medial meniscal detachment, as determined at knee arthroscopy, were evaluated retrospectively. Mean follow-up was 5.3 years for 8 men and 20 women (30 knees; mean age, 57 years). Most patients had acute onset of pain with a minor specific incident. Seventeen patients were obese, 9 were overweight, and 2 were normal. Eleven of 22 magnetic resonance imaging evaluations detected a tear at the site of the posterior medial meniscus root. Nine of 16 bone scan evaluations showed moderate uptake medially. Arthroscopic treatment included partial medial meniscectomy or meniscal repair. Twelve knees (40%) showed significant progression of arthritis. Of the 7 patients with severe arthritic knees, 5 have subsequently undergone total knee arthroplasty, 1 is considering total knee arthroplasty, and the other has minimal symptoms. Patients should be counseled about the clinical course of posterior medial meniscus detachment and its potential for progressive arthritis in the joint.

Postero-medial approach for complex tibial plateau injuries with a postero-medial or postero-lateral shear fragment.

PubMed

Berber, Reshid; Lewis, Charlotte P; Copas, David; Forward, Daren P; Moran, Christopher G

2014-04-01

This study demonstrates the utility of a modified postero-medial surgical approach to the knee in treating a series of patients with complex tibial plateau injuries with associated postero-medial and postero-lateral shear fractures. Posterior coronal shear fractures are underappreciated and their clinical relevance has recently been characterised. Less-invasive surgery and indirect reduction techniques are inadequate for treating these coronal plane fractures. Our approach includes an inverted 'L'-shaped incision situated within the posterior flexor knee crease, followed by the retraction or incision of the medial head of the gastrocnemius tendon, while protecting the neurovascular structures. This provides a more extensile exposure, as far as the postero-lateral corner, than previously described. Our case series included eight females and eight males. The average age was 53 years. The majority of these injuries were sustained through high-energy trauma. All patients' fractures were classified as Schatzker grade 4, or above, with a postero-medial split depression. Eight patients had associated postero-lateral corner fractures. Two were open, two had vascular compromise and one had neurological injury. The average time to surgery was 6.4 days (range 0-12), operative time 142 min (range 76-300) and length of stay 17 days (range 7-46). A total of 11 patients were treated using the postero-medial approach alone and in five the treatment was combined with an antero-lateral approach. Two patients suffered a reduced range of movement requiring manipulation and physiotherapy, and three patients had a 5-degree fixed flexion deformity. Two patients developed superficial wound infections treated with antibiotics alone. Anatomical reduction and fracture union was achieved in 15 patients. These are complex fractures to treat, and our modified posterior approach allows direct reduction and optimal positioning of plates to act as buttress devices. It can be extended across the

Open reduction and internal fixation of osteoporotic acetabular fractures through the ilio-inguinal approach: use of buttress plates to control medial displacement of the quadrilateral surface.

PubMed

Peter, Robin E

2015-01-01

The number of acetabular fractures in the geriatric population requiring open reduction and internal fixation is increasing. Fractures with medial or anterior displacement are the most frequent types, and via the ilio-inguinal approach buttress plates have proved helpful to maintain the quadrilateral surface or medial acetabular wall. Seven to ten hole 3.5 mm reconstruction plates may be used as buttress plates, placed underneath the usual pelvic brim plate. This retrospective study presents our results with this technique in 13 patients at a minimum follow-up of 12 months (average, 31 months). 85% of the patients had a good result. The early onset of post-traumatic osteoarthritis necessitated total hip arthroplasty in two patients (15%) at 12 and 18 months follow-up, respectively. This treatment option should be considered in the surgeon's armamentarium when fixing these challenging cases. Copyright © 2015 Elsevier Ltd. All rights reserved.

The crack and wedging problem for an orthotropic strip

NASA Technical Reports Server (NTRS)

Cinar, A.; Erdogan, F.

1983-01-01

The plane elasticity problem for an orthotropic strip containing a crack parallel to its boundaries is considered. The problem is formulated under general mixed mode loading conditions. The stress intensity factors depend on two dimensionless orthotropic constants only. For the crack problem the results are given for a single crack and two collinear cracks. The calculated results show that of the two orthotropic constants the influence of the stiffness ratio on the stress intensity factors is much more significant than that of the shear parameter. The problem of loading the strip by a rigid rectangular lengths continuous contact is maintained along the wedge strip interface; at a certain critical wedge length the separation starts at the midsection of the wedge, and the length of the separation zone increases rapidly with increasing wedge length. Previously announced in STAR as N82-26707

Three-Dimensional Vertebral Wedging in Mild and Moderate Adolescent Idiopathic Scoliosis

PubMed Central

Scherrer, Sophie-Anne; Begon, Mickaël; Leardini, Alberto; Coillard, Christine; Rivard, Charles-Hilaire; Allard, Paul

2013-01-01

Background Vertebral wedging is associated with spinal deformity progression in adolescent idiopathic scoliosis. Reporting frontal and sagittal wedging separately could be misleading since these are projected values of a single three-dimensional deformation of the vertebral body. The objectives of this study were to determine if three-dimensional vertebral body wedging is present in mild scoliosis and if there are a preferential vertebral level, position and plane of deformation with increasing scoliotic severity. Methodology Twenty-seven adolescent idiopathic scoliotic girls with mild to moderate Cobb angles (10° to 50°) participated in this study. All subjects had at least one set of bi-planar radiographs taken with the EOS® X-ray imaging system prior to any treatment. Subjects were divided into two groups, separating the mild (under 20°) from the moderate (20° and over) spinal scoliotic deformities. Wedging was calculated in three different geometric planes with respect to the smallest edge of the vertebral body. Results Factorial analyses of variance revealed a main effect for the scoliosis severity but no main effect of vertebral Levels (apex and each of the three vertebrae above and below it) (F = 1.78, p = 0.101). Main effects of vertebral Positions (apex and above or below it) (F = 4.20, p = 0.015) and wedging Planes (F = 34.36, p<0.001) were also noted. Post-hoc analysis demonstrated a greater wedging in the inferior group of vertebrae (3.6°) than the superior group (2.9°, p = 0.019) and a significantly greater wedging (p≤0.03) along the sagittal plane (4.3°). Conclusions Vertebral wedging was present in mild scoliosis and increased as the scoliosis progressed. The greater wedging of the inferior group of vertebrae could be important in estimating the most distal vertebral segment to be restrained by bracing or to be fused in surgery. Largest vertebral body wedging values obtained in the sagittal plane support the claim

The influence of the choice of closing wedge angle on leg length discrepancy after proximal femoral varus osteotomy.

PubMed

Segaren, N; Abdul-Jabar, H B; Hashemi-Nejad, A

2014-08-01

Proximal femoral varus osteotomy improves the biomechanics of the hip and can stimulate normal acetabular development in a dysplastic hip. Medial closing wedge osteotomy remains the most popular technique, but is associated with shortening of the ipsilateral femur. We produced a trigonometric formula which may be used pre-operatively to predict the resultant leg length discrepancy (LLD). We retrospectively examined the influence of the choice of angle in a closing wedge femoral osteotomy on LLD in 120 patients (135 osteotomies, 53% male, mean age six years, (3 to 21), 96% caucasian) over a 15-year period (1998 to 2013). A total of 16 of these patients were excluded due to under or over varus correction. The patients were divided into three age groups: paediatric (< 10 years), adolescent (10 to 16 years) and adult (> 16 years). When using the same saw blades as in this series, the results indicated that for each 10° of angle of resection the resultant LLD equates approximately to multiples of 4 mm, 8 mm and 12 mm in the three age groups, respectively. Statistical testing of the 59 patients who had a complete set of pre- and post-operative standing long leg radiographs, revealed a Pearson's correlation coefficient for predicted versus radiologically observed shortening when using a wedge of either 10° or 20° of 0.93 (p < 0.001). The 95% limits of agreement from the Bland-Altman analysis for this subgroup were -3.5 mm to +3.3 mm. It has been accepted that a 10 mm discrepancy is clinically acceptable. This study identified a geometric model that provided satisfactory accuracy when using specific saw blades of known thicknesses for this formula to be used in clinical practice. ©2014 The British Editorial Society of Bone & Joint Surgery.

Wedge measures parallax separations...on large-scale 70-mm

Treesearch

Steven L. Wert; Richard J. Myhre

1967-01-01

A new parallax wedge (range: 1.5 to 2 inches) has been designed for use with large-scaled 70-mm. aerial photographs. The narrow separation of the wedge allows the user to measure small parallax separations that are characteristic of large-scale photographs.

Regional Landscape Response to Wedge-Top Basin Formation

NASA Astrophysics Data System (ADS)

Ruetenik, G.; Moucha, R.; Hoke, G. D.; Val, P.

2017-12-01

Wedge-top basins are the result of regionally variable uplift along thrust faults downstream of a mountain range and provide an ideal environment to study the regional stream and surface response to local variations in rock uplift. In this study, we simulate the formation and evolution of a wedge-top basin using a landscape evolution model. In line with a previous study, we find that during deformation in the fold-and-thrust belt adjacent to a wedge-top basin, both channel slope and erosion rates are reduced, and these changes propagate as a wave of low erosion into the uplands. For a uniform background uplift rate, this reduced rate of erosion results in a net surface uplift and a decreased slope within and upstream of the wedge-top basin. Following the eventual breach of the basin's bounding thrust belt, a wave of high erosion propagates through the basin and increases the channel slope. We expand upon previous studies by testing our model against a wide range of model parameters, although in general we find that the onset of increased erosion can be delayed by up to several million years. The amount of surface uplift is highly dependent on flexural isostasy and therefore it is heavily influenced by the elastic thickness and erodbility parameters. Observed paleoerosion rates in a paired wedge-top foreland sequence in the Argentine Precordillera reveal similar histories of paleo-erosion, and present day stream profiles show evidence that support model outcomes.

Medial versus anterior open reduction for developmental hip dislocation in age-matched patients.

PubMed

Hoellwarth, Jason S; Kim, Young-Jo; Millis, Michael B; Kasser, James R; Zurakowski, David; Matheney, Travis H

2015-01-01

The difference between medial (MAOR) and anterior (AAOR) approaches for open reduction of developmental hip dysplasia in terms of risk for avascular necrosis (AVN) and need for further corrective surgery (FCS, femoral and/or acetabular osteotomy) is unclear. This study compared age-matched cohorts undergoing either MAOR or AAOR in terms of these 2 primary outcomes. Prognostic impact of presence of ossific nucleus at time of open reduction was also investigated. Institutional review board approval was obtained. Nineteen hips (14 patients) managed by MAOR were matched with 19 hips (18 patients) managed by AAOR based on age at operation (mean 6.0; range, 1.4 to 14.9 mo). Patients with neuromuscular conditions and known connective tissue disorders were excluded. Primary outcomes assessed at minimum 2 years' follow-up included radiographic evidence of AVN (Kalamchi and MacEwen) or requiring FCS. MAOR and AAOR cohorts were similar regarding age at open reduction, sex, laterality, and follow-up duration. One hip in each group had AVN before open reduction thus were excluded from AVN analysis. At minimum 2 years postoperatively (mean 6.2; range, 1.8 to 11.7 y), 4/18 (22%) MAOR and 5/18 (28%) AAOR met the same criteria for AVN (P=1.0). No predictors of AVN could be identified by regression analysis. Presence of an ossific nucleus preoperatively was not a protective factor from AVN (P=0.27). FCS was required in 4/19 (21%) MAOR and 7/19 (37%) AAOR hips (P=0.48). However, 7/12 (54%) hips failing closed reduction required FCS compared with 4/26 (16%) hips without prior failed closed reduction (P=0.024). Cox regression analysis showed that patients who failed closed reduction had an annual risk of requiring FCS approximately 6 times that of patients without a history of failed closed reduction (hazard ratio=6.1; 95% CI, 1.5-24.4; P=0.009), independent of surgical approach (P=0.55) or length of follow-up (P=0.78). In this study of age-matched patients undergoing either MAOR or

Wedge Waveguides and Resonators for Quantum Plasmonics

PubMed Central

2015-01-01

Plasmonic structures can provide deep-subwavelength electromagnetic fields that are useful for enhancing light–matter interactions. However, because these localized modes are also dissipative, structures that offer the best compromise between field confinement and loss have been sought. Metallic wedge waveguides were initially identified as an ideal candidate but have been largely abandoned because to date their experimental performance has been limited. We combine state-of-the-art metallic wedges with integrated reflectors and precisely placed colloidal quantum dots (down to the single-emitter level) and demonstrate quantum-plasmonic waveguides and resonators with performance approaching theoretical limits. By exploiting a nearly 10-fold improvement in wedge-plasmon propagation (19 μm at a vacuum wavelength, λvac, of 630 nm), efficient reflectors (93%), and effective coupling (estimated to be >70%) to highly emissive (∼90%) quantum dots, we obtain Ag plasmonic resonators at visible wavelengths with quality factors approaching 200 (3.3 nm line widths). As our structures offer modal volumes down to ∼0.004λvac3 in an exposed single-mode waveguide–resonator geometry, they provide advantages over both traditional photonic microcavities and localized-plasmonic resonators for enhancing light–matter interactions. Our results confirm the promise of wedges for creating plasmonic devices and for studying coherent quantum-plasmonic effects such as long-distance plasmon-mediated entanglement and strong plasmon–matter coupling. PMID:26284499

Are Pericentric Inversions Reorganizing Wedge Shell Genomes?

PubMed Central

García-Souto, Daniel; Pérez-García, Concepción

2017-01-01

Wedge shells belonging to the Donacidae family are the dominant bivalves in exposed beaches in almost all areas of the world. Typically, two or more sympatric species of wedge shells differentially occupy intertidal, sublittoral, and offshore coastal waters in any given locality. A molecular cytogenetic analysis of two sympatric and closely related wedge shell species, Donax trunculus and Donax vittatus, was performed. Results showed that the karyotypes of these two species were both strikingly different and closely alike; whilst metacentric and submetacentric chromosome pairs were the main components of the karyotype of D. trunculus, 10–11 of the 19 chromosome pairs were telocentric in D. vittatus, most likely as a result of different pericentric inversions. GC-rich heterochromatic bands were present in both species. Furthermore, they showed coincidental 45S ribosomal RNA (rRNA), 5S rRNA and H3 histone gene clusters at conserved chromosomal locations, although D. trunculus had an additional 45S rDNA cluster. Intraspecific pericentric inversions were also detected in both D. trunculus and D. vittatus. The close genetic similarity of these two species together with the high degree of conservation of the 45S rRNA, 5S rRNA and H3 histone gene clusters, and GC-rich heterochromatic bands indicate that pericentric inversions contribute to the karyotype divergence in wedge shells. PMID:29215567

Linear array measurements of enhanced dynamic wedge and treatment planning system (TPS) calculation for 15 MV photon beam and comparison with electronic portal imaging device (EPID) measurements.

PubMed

Petrovic, Borislava; Grzadziel, Aleksandra; Rutonjski, Laza; Slosarek, Krzysztof

2010-09-01

Enhanced dynamic wedges (EDW) are known to increase drastically the radiation therapy treatment efficiency. This paper has the aim to compare linear array measurements of EDW with the calculations of treatment planning system (TPS) and the electronic portal imaging device (EPID) for 15 MV photon energy. The range of different field sizes and wedge angles (for 15 MV photon beam) were measured by the linear chamber array CA 24 in Blue water phantom. The measurement conditions were applied to the calculations of the commercial treatment planning system XIO CMS v.4.2.0 using convolution algorithm. EPID measurements were done on EPID-focus distance of 100 cm, and beam parameters being the same as for CA24 measurements. Both depth doses and profiles were measured. EDW linear array measurements of profiles to XIO CMS TPS calculation differ around 0.5%. Profiles in non-wedged direction and open field profiles practically do not differ. Percentage depth doses (PDDs) for all EDW measurements show the difference of not more than 0.2%, while the open field PDD is almost the same as EDW PDD. Wedge factors for 60 deg wedge angle were also examined, and the difference is up to 4%. EPID to linear array differs up to 5%. The implementation of EDW in radiation therapy treatments provides clinicians with an effective tool for the conformal radiotherapy treatment planning. If modelling of EDW beam in TPS is done correctly, a very good agreement between measurements and calculation is obtained, but EPID cannot be used for reference measurements.

Split-wedge antennas with sub-5 nm gaps for plasmonic nanofocusing

DOE PAGES

Chen, Xiaoshu; Lindquist, Nathan C.; Klemme, Daniel J.; ...

2016-11-22

Here, we present a novel plasmonic antenna structure, a split-wedge antenna, created by splitting an ultrasharp metallic wedge with a nanogap perpendicular to its apex. The nanogap can tightly confine gap plasmons and boost the local optical field intensity in and around these opposing metallic wedge tips. This three-dimensional split-wedge antenna integrates the key features of nanogaps and sharp tips, i.e., tight field confinement and three-dimensional nanofocusing, respectively, into a single platform. We fabricate split-wedge antennas with gaps that are as small as 1 nm in width at the wafer scale by combining silicon V-grooves with template stripping and atomicmore » layer lithography. Computer simulations show that the field enhancement and confinement are stronger at the tip–gap interface compared to what standalone tips or nanogaps produce, with electric field amplitude enhancement factors exceeding 50 when near-infrared light is focused on the tip–gap geometry. The resulting nanometric hotspot volume is on the order of λ 3/10 6. Experimentally, Raman enhancement factors exceeding 10 7 are observed from a 2 nm gap split-wedge antenna, demonstrating its potential for sensing and spectroscopy applications.« less

Split-Wedge Antennas with Sub-5 nm Gaps for Plasmonic Nanofocusing

PubMed Central

2016-01-01

We present a novel plasmonic antenna structure, a split-wedge antenna, created by splitting an ultrasharp metallic wedge with a nanogap perpendicular to its apex. The nanogap can tightly confine gap plasmons and boost the local optical field intensity in and around these opposing metallic wedge tips. This three-dimensional split-wedge antenna integrates the key features of nanogaps and sharp tips, i.e., tight field confinement and three-dimensional nanofocusing, respectively, into a single platform. We fabricate split-wedge antennas with gaps that are as small as 1 nm in width at the wafer scale by combining silicon V-grooves with template stripping and atomic layer lithography. Computer simulations show that the field enhancement and confinement are stronger at the tip–gap interface compared to what standalone tips or nanogaps produce, with electric field amplitude enhancement factors exceeding 50 when near-infrared light is focused on the tip–gap geometry. The resulting nanometric hotspot volume is on the order of λ3/106. Experimentally, Raman enhancement factors exceeding 107 are observed from a 2 nm gap split-wedge antenna, demonstrating its potential for sensing and spectroscopy applications. PMID:27960527

Intervertebral disc adaptation to wedging deformation.

PubMed

Stokes, Ian A F; Aronsson, David D; Clark, Katherine C; Roemhildt, Maria L

2006-01-01

Although scoliosis includes wedge deformities of both vertebrae and discs, little is known about the causes of the discal changes, and whether they result from mechanical influences on growth and/or remodelling. An external apparatus attached to transvertebral pins applied compression and 15 degrees of angulation to each of two adjacent young rat caudal intervertebral discs for 5 weeks (four animals), or for 10 weeks (four animals). Each week, micro-CT scanning documented the in vivo discal wedging. After euthanasia, tail segments (three vertebrae and the 2 angulated discs) were excised and their flexibility was measured over a range of lateral bending. The angle of maximum flexibility was recorded. Then discs were fixed in situ (with the external apparatus in place) and sectioned for polarized light microscopy. The disc-wedging deformity averaged 15 degrees initially, it averaged 20 degrees after 5 weeks, and then reduced to 10 degrees (in 10 week animals). The lateral bending flexibility showed a distinct maximum at an average of 1.1 degrees from the in vivo position in the 5-week animals, indicating structural remodeling of the discs almost to the deformed geometry. The 10-week animals had maximum flexibility at 1.4 degrees from the in vivo position (no significant difference between 5 and 10-week animals.) Collagen crimp angles [Cassidy et al., Conn Tiss Res 1989, 23:75-88] were not significantly different between convex and concave sides, again suggesting that remodeling had occurred. In a mechanically induced scoliosis deformity in skeletally immature rats, the intervertebral discs underwent remodeling within 5 weeks. This indicates that this animal model is suitable for studying adaptive wedging changes in human scoliosis.

The use of sternal wedge osteotomy in pectus surgery: when is it necessary?

PubMed

Kara, Murat; Gundogdu, Ahmet Gokhan; Kadioglu, Salih Zeki; Cayirci, Ertug Can; Taskin, Necati

2016-09-01

The Ravitch procedure is a well-established surgical procedure for correction of chest wall deformities. Sternal wedge osteotomy is an important part of this procedure. We studied the incidence of wedge osteotomy with respect to the type of chest wall deformity in patients undergoing surgical correction with the use of a recently developed chest wall stabilization system. A total of 47 patients, 39 (83%) male and 8 (17%) female with a mean age of 14.9 ± 2.1 years, underwent the Ravitch procedure. Twenty-four (51.1%) had pectus carinatum, 19 (40.4%) had pectus excavatum, and 4 (8.5%) had pectus arcuatum. A conventional or oblique sternal wedge osteotomy was performed as indicated, followed by chest wall stabilization using the MedXpert system. Of the 47 patients, 27 (57.4%) had a sternal wedge osteotomy. All cases of pectus arcuatum and redo cases underwent sternal wedge osteotomy. Pectus excavatum cases tended to have a greater incidence of wedge osteotomy compared to pectus carinatum cases (68.4% vs. 41.7%, p = 0.052). Patients with more resected ribs had a greater rate of wedge osteotomy (63.4%) compared to those with fewer resected ribs (16.7%, p = 0.043). A sternal wedge osteotomy is more commonly performed in patients with pectus excavatum compared to those with pectus carinatum. All redo and pectus arcuatum cases need a wedge osteotomy for proper correction. Wedge osteotomy is very likely in more aggressive corrections with more rib resections. © The Author(s) 2016.

A new surgical technique for medial collateral ligament balancing: multiple needle puncturing.

PubMed

Bellemans, Johan; Vandenneucker, Hilde; Van Lauwe, Johan; Victor, Jan

2010-10-01

In this article, we present our experience with a new technique for medial soft tissue balancing, where we make multiple punctures in the medial collateral ligament (MCL) using a 19-gauge needle, to progressively stretch the MCL until a correct ligament balance is achieved. Ligament status was evaluated both before and after the procedure using computer navigation and mediolateral stress testing. The procedure was considered successful when 2 to 4-mm mediolateral joint line opening was obtained in extension and 2 to 6 mm in flexion. In 34 of 35 cases, a progressive correction of medial tightness was achieved according to the above described criteria. One case was considered overreleased in extension. Needle puncturing is a new, effective, and safe technique for progressive correction of MCL tightness in the varus knee. Copyright © 2010 Elsevier Inc. All rights reserved.

Seismic reflection images of the accretionary wedge of Costa Rica

DOE Office of Scientific and Technical Information (OSTI.GOV)

Shipley, T.H.; Stoffa, P.L.; McIntosh, K.

The large-scale structure of modern accretionary wedges is known almost entirely from seismic reflection investigations using single or grids of two-dimensional profiles. The authors will report on the first three-dimensional seismic reflection data volume collected of a wedge. This data set covers a 9-km-wide {times} 22-km-long {times} 6-km-thick volume of the accretionary wedge just arcward of the Middle America Trench off Costa Rica. The three-dimensional processing has improved the imaging ability of the multichannel data, and the data volume allows mapping of structures from a few hundred meters to kilometers in size. These data illustrate the relationships between the basement,more » the wedge shape, and overlying slope sedimentary deposits. Reflections from within the wedge define the gross structural features and tectonic processes active along this particular convergent margin. So far, the analysis shows that the subdued basement relief (horst and graben structures seldom have relief of more than a few hundred meters off Costa Rica) does affect the larger scale through going structural features within the wedge. The distribution of mud volcanoes and amplitude anomalies associated with the large-scale wedge structures suggests that efficient fluid migration paths may extend from the top of the downgoing slab at the shelf edge out into the lower and middle slope region at a distance of 50-100 km. Offscraping of the uppermost (about 45 m) sediment occurs within 4 km of the trench, creating a small pile of sediments near the trench lower slope. Underplating of parts of the 400-m-thick subducted sedimentary section begins at a very shallow structural level, 4-10 km arcward of the trench. Volumetrically, the most important accretionary process is underplating.« less

Stress singularities at the vertex of a cylindrically anisotropic wedge

NASA Technical Reports Server (NTRS)

Delale, F.; Erdogan, F.; Boduroglu, H.

1980-01-01

The plane elasticity problem for a cylindrically anisotropic solid is formulated. The form of the solution for an infinite wedge shaped domain with various homogeneous boundary conditions is derived and the nature of the stress singularity at the vertex of the wedge is studied. The characteristic equations giving the stress singularity and the angular distribution of the stresses around the vertex of the wedge are obtained for three standard homogeneous boundary conditions. The numerical examples show that the singular behavior of the stresses around the vertex of an anisotropic wedge may be significantly different from that of the isotropic material. Some of the results which may be of practical importance are that for a half plane the stress state at r = 0 may be singular and for a crack the power of stress singularity may be greater or less than 1/2.

Investigation of two-dimensional wedge exhaust nozzles for advanced aircraft

NASA Technical Reports Server (NTRS)

Maiden, D. L.; Petit, J. E.

1975-01-01

Two-dimensional wedge nozzle performance characteristics were investigated in a series of wind-tunnel tests. An isolated single-engine/nozzle model was used to study the effects of internal expansion area ratio, aftbody cowl boattail angle, and wedge length. An integrated twin-engine/nozzle model, tested with and without empenage surfaces, included cruise, acceleration, thrust vectoring and thrust reversing nozzle operating modes. Results indicate that the thrust-minus-aftbody drag performance of the twin two-dimensional nozzle integration is significantly higher, for speeds greater than Mach 0.8, than the performance achieved with twin axisymmetric nozzle installations. Significant jet-induced lift was obtained on an aft-mounted lifting surface using a cambered wedge center body to vector thrust. The thrust reversing capabilities of reverser panels installed on the two-dimensional wedge center body were very effective for static or in-flight operation.

Degradation and stabilization of ice wedges: Implications for assessing risk of thermokarst in northern Alaska

NASA Astrophysics Data System (ADS)

Kanevskiy, Mikhail; Shur, Yuri; Jorgenson, Torre; Brown, Dana R. N.; Moskalenko, Nataliya; Brown, Jerry; Walker, Donald A.; Raynolds, Martha K.; Buchhorn, Marcel

2017-11-01

Widespread degradation of ice wedges has been observed during the last decades in numerous areas within the continuous permafrost zone of Eurasia and North America. To study ice-wedge degradation, we performed field investigations at Prudhoe Bay and Barrow in northern Alaska during 2011-2016. In each study area, a 250-m transect was established with plots representing different stages of ice-wedge degradation/stabilization. Field work included surveying ground- and water-surface elevations, thaw-depth measurements, permafrost coring, vegetation sampling, and ground-based LiDAR scanning. We described cryostratigraphy of frozen soils and stable isotope composition, analyzed environmental characteristics associated with ice-wedge degradation and stabilization, evaluated the vulnerability and resilience of ice wedges to climate change and disturbances, and developed new conceptual models of ice-wedge dynamics that identify the main factors affecting ice-wedge degradation and stabilization and the main stages of this quasi-cyclic process. We found significant differences in the patterns of ice-wedge degradation and stabilization between the two areas, and the patterns were more complex than those previously described because of the interactions of changing topography, water redistribution, and vegetation/soil responses that can interrupt or reinforce degradation. Degradation of ice wedges is usually triggered by an increase in the active-layer thickness during exceptionally warm and wet summers or as a result of flooding or disturbance. Vulnerability of ice wedges to thermokarst is controlled by the thickness of the intermediate layer of the upper permafrost, which overlies ice wedges and protects them from thawing. In the continuous permafrost zone, degradation of ice wedges rarely leads to their complete melting; and in most cases wedges eventually stabilize and can then resume growing, indicating a somewhat cyclic and reversible process. Stabilization of ice wedges

28. REPRESENTATIVE CENTER WEDGE. BALANCE WHEELS ON TRACK, WITH RACK ...

Library of Congress Historic Buildings Survey, Historic Engineering Record, Historic Landscapes Survey

28. REPRESENTATIVE CENTER WEDGE. BALANCE WHEELS ON TRACK, WITH RACK TO OUTSIDE, SHOWN TO RIGHT OF THE WEDGE. PHOTO TAKEN AT SOUTH SWING SPAN. - George P. Coleman Memorial Bridge, Spanning York River at U.S. Route 17, Yorktown, York County, VA

Acoustic field of a wedge-shaped section of a spherical cap transducer

NASA Astrophysics Data System (ADS)

Ketterling, Jeffrey A.

2003-12-01

The acoustic pressure field at an arbitrary point in space is derived for a wedge-shaped section of a spherical cap transducer using the spatial impulse response (SIR) method. For a spherical surface centered at the origin, a wedge shape is created by taking cuts in the X-Y and X-Z planes and removing the smallest surface component. Analytic expressions are derived for the SIR based on spatial location. The expressions utilize the SIR solutions for a spherical cap transducer [Arditi et al., Ultrason. Imaging 3, 37-61 (1981)] with additional terms added to account for the reduced surface area of the wedge. Results from the numerical model are compared to experimental measurements from a wedge transducer with an 8-cm outer diameter and 9-cm geometric focus. The experimental and theoretical -3-dB beamwidths agreed to within 10%+/-5%. The SIR model for a wedge-shaped transducer is easily extended to other spherically curved transducer geometries that consist of combinations of wedge sections and spherical caps.

Acoustic field of a wedge-shaped section of a spherical cap transducer.

PubMed

Ketterling, Jeffrey A

2003-12-01

The acoustic pressure field at an arbitrary point in space is derived for a wedge-shaped section of a spherical cap transducer using the spatial impulse response (SIR) method. For a spherical surface centered at the origin, a wedge shape is created by taking cuts in the X-Y and X-Z planes and removing the smallest surface component. Analytic expressions are derived for the SIR based on spatial location. The expressions utilize the SIR solutions for a spherical cap transducer [Arditi et al., Ultrason. Imaging 3, 37-61 (1981)] with additional terms added to account for the reduced surface area of the wedge. Results from the numerical model are compared to experimental measurements from a wedge transducer with an 8-cm outer diameter and 9-cm geometric focus. The experimental and theoretical -3-dB beamwidths agreed to within 10% +/- 5%. The SIR model for a wedge-shaped transducer is easily extended to other spherically curved transducer geometries that consist of combinations of wedge sections and spherical caps.

A regional-scale estimation of ice wedge ice volumes in the Canadian High Arctic

NASA Astrophysics Data System (ADS)

Templeton, M.; Pollard, W. H.; Grand'Maison, C. B.

2016-12-01

Ice wedges are both prominent and environmentally vulnerable features in continuous permafrost environments. As the world's Arctic regions begin to warm, concern over the potential effects of ice wedge melt out has become an immediate issue, receiving much attention in the permafrost literature. In this study we estimate the volume of ice wedge ice for large areas in the Canadian High Arctic through the use of high resolution satellite imagery and the improved capabilities of Geographic Information Systems (GIS). The methodology used for this study is similar to that of one performed in Siberia and Alaska by Ulrich et al, in 2014. Utilizing Ulrich's technique, this study detected ice wedge polygons from satellite imagery using ArcGIS. The average width and depth of these ice wedges were obtained from a combination of field data and long-term field studies for the same location. The assumptions used in the analysis of ice wedge volume have been tested, including trough width being representative of ice wedge width, and ice wedge ice content (Pollard and French 1980). This study used specific field sites located near Eureka on Ellesmere Island (N80°01', W85°43') and at Expedition Fiord on Axel Heiberg Island (N79°23', W90°59'). The preliminary results indicate that the methodology used by Ulrich et al, 2014 is transferrable to the Canadian High Arctic, and that ice wedge volumes range between 3-10% of the upper part of permafrost. These findings are similar to previous studies and their importance is made all the more evident by the dynamic nature of ice wedges where it could be argued that they are a key driver of thermokarst terrain. The ubiquitous nature of ice wedges across arctic terrain highlights the importance and the need to improve our understanding of ice wedge dynamics, as subsidence from ice wedge melt-out could lead to large scale landscape change.

Effects of altering heel wedge properties on gait with the Intrepid Dynamic Exoskeletal Orthosis.

PubMed

Ikeda, Andrea J; Fergason, John R; Wilken, Jason M

2018-06-01

The Intrepid Dynamic Exoskeletal Orthosis is a custom-made dynamic response carbon fiber device. A heel wedge, which sits in the shoe, is an integral part of the orthosis-heel wedge-shoe system. Because the device restricts ankle movement, the system must compensate to simulate plantarflexion and allow smooth forward progression during gait. To determine the influence of wedge height and durometer on the walking gait of individuals using the Intrepid Dynamic Exoskeletal Orthosis. Repeated measures. Twelve individuals walked over level ground with their Intrepid Dynamic Exoskeletal Orthosis and six different heel wedges of soft or firm durometer and 1, 2, or 3 cm height. Center of pressure velocity, joint moments, and roll-over shape were calculated for each wedge. Height and durometer significantly affected time to peak center of pressure velocity, time to peak internal dorsiflexion and knee extension moments, time to ankle moment zero crossing, and roll-over shape center of curvature anterior-posterior position. Wedge height had a significant influence on peak center of pressure velocity, peak dorsiflexion moment, time to peak knee extension moment, and roll-over shape radius and vertical center of curvature. Changes in wedge height and durometer systematically affected foot loading. Participants preferred wedges which produced ankle moment zero crossing timing, peak internal knee extension moment timing, and roll-over shape center of curvature anterior-posterior position close to that of able-bodied individuals. Clinical relevance Adjusting the heel wedge is a simple, straightforward way to adjust the orthosis-heel wedge-shoe system. Changing wedge height and durometer significantly alters loading of the foot and has great potential to improve an individual's gait.

Localization of observables in the Rindler wedge

NASA Astrophysics Data System (ADS)

Asorey, M.; Balachandran, A. P.; Marmo, G.; de Queiroz, A. R.

2017-11-01

One of the striking features of QED is that charged particles create a coherent cloud of photons. The resultant coherent state vectors of photons generate a nontrivial representation of the localized algebra of observables that do not support a representation of the Lorentz group: Lorentz symmetry is spontaneously broken. We show in particular that Lorentz boost generators diverge in this representation, a result shown also by Balachandran et al. [Eur. Phys. J. C 75, 89 (2015), 10.1140/epjc/s10052-015-3305-0] (see also the work by Balachandran et al. [Mod. Phys. Lett. A 28, 1350028 (2013), 10.1142/S0217732313500284]. Localization of observables, for example in the Rindler wedge, uses Poincaré invariance in an essential way [Int. J. Geom. Methods Mod. Phys. 14, 1740008 (2017)., 10.1142/S0219887817400084]. Hence, in the presence of charged fields, the photon observables cannot be localized in the Rindler wedge. These observations may have a bearing on the black hole information loss paradox, as the physics in the exterior of the black hole has points of resemblance to that in the Rindler wedge.

Refined numerical solution of the transonic flow past a wedge

NASA Technical Reports Server (NTRS)

Liang, S.-M.; Fung, K.-Y.

1985-01-01

A numerical procedure combining the ideas of solving a modified difference equation and of adaptive mesh refinement is introduced. The numerical solution on a fixed grid is improved by using better approximations of the truncation error computed from local subdomain grid refinements. This technique is used to obtain refined solutions of steady, inviscid, transonic flow past a wedge. The effects of truncation error on the pressure distribution, wave drag, sonic line, and shock position are investigated. By comparing the pressure drag on the wedge and wave drag due to the shocks, a supersonic-to-supersonic shock originating from the wedge shoulder is confirmed.

Effect of footwear on the external knee adduction moment - A systematic review.

PubMed

Radzimski, Andy Oliver; Mündermann, Annegret; Sole, Gisela

2012-06-01

Footwear modifications have been investigated as conservative interventions to decrease peak external knee adduction moment (EKAM) and pain associated with knee osteoarthritis (OA). To evaluate the literature on the effect of different footwear and orthotics on the peak EKAM during walking and/or running. A systematic search of databases resulted in 348 articles of which 33 studies were included. Seventeen studies included healthy individuals and 19 studies included subjects with medial knee OA. Quality assessment (modified Downs and Black quality index) showed an (average±SD) of 73.1±10.1%. The most commonly used orthotic was the lateral wedge, with three studies on the medial wedge. Lateral wedging was associated with decreased peak EKAM in healthy participants and participants with medial knee OA while there is evidence for increased peak EKAM with the use of medial wedges. Modern footwear (subjects' own shoe, "stability" and "mobility" shoes, clogs) were likely to increase the EKAM compared to barefoot walking in individuals with medial knee OA. Walking in innovative shoes ("variable stiffness") decreased the EKAM compared to control shoes. Similarly, shoes with higher heels, sneakers and dress shoes increased EKAM in healthy individuals compared to barefoot walking. Further development may be needed toward optimal footwear for patients with medial knee OA with the aim of obtaining similar knee moments to barefoot walking. Copyright © 2011 Elsevier B.V. All rights reserved.

Incarcerated medial epicondyle fracture following pediatric elbow dislocation: 11 cases.

PubMed

Dodds, Seth D; Flanagin, Brody A; Bohl, Daniel D; DeLuca, Peter A; Smith, Brian G

2014-09-01

To describe outcomes after surgical management of pediatric elbow dislocation with incarceration of the medial epicondyle. We conducted a retrospective case review of 11 consecutive children and adolescents with an incarcerated medial epicondyle fracture after elbow dislocation. All patients underwent open reduction internal fixation using a similar technique. We characterized outcomes at final follow-up. Average follow-up was 14 months (range, 4-56 mo). All patients had clinical and radiographic signs of healing at final follow-up. There was no radiographic evidence of loss of reduction at intervals or at final follow-up. There were no cases of residual deformity or valgus instability. Average final arc of elbow motion was 4° to 140°. All patients had forearm rotation from 90° supination to 90° pronation. Average Mayo elbow score was 99.5. Four of 11 patients had ulnar nerve symptoms postoperatively and 1 required a second operation for ulnar nerve symptoms. In addition, 1 required a second operation for flexion contracture release with excision of heterotopic ossification. Three patients had ulnar nerve symptoms at final follow-up. Two of these had mild paresthesia only and 1 had both mild paresthesia and weakness. Our results suggest that open reduction internal fixation of incarcerated medial epicondyle fractures after elbow dislocation leads to satisfactory motion and function; however, the injury carries a high risk for complications, particularly ulnar neuropathy. Therapeutic IV. Copyright © 2014 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

Double-Sided Wedge Model For Retreating Subduction Zones: Applications to the Apenninic and Hellenic Subduction Zones (Invited)

NASA Astrophysics Data System (ADS)

Brandon, M. T.; Willett, S.; Rahl, J. M.; Cowan, D. S.

2009-12-01

We propose a new model for the evolution of accreting wedges at retreating subduction zones. Advance and retreat refer to the polarity of the velocity of the overriding plate with respect to subduction zone. Advance indicates a velocity toward the subduction zone (e.g., Andes) and retreat, away from the subduction zone (e.g. Apennines, Crete). The tectonic mode of a subduction zone, whether advancing or retreating, is a result of both the rollback of the subducting plate and the absolute motion of the overriding plate. The Hellenic and Apenninic wedges are both associated with retreating subduction zones. The Hellenic wedge has been active for about 100 Ma, whereas the Apenninic wedge has been active for about 30 Ma. Comparison of maximum metamorphic pressures for exhumed rocks in these wedges (25 and 30 km, respectively) with the maximum thickness of the wedges at present (30 and 35 km, respectively) indicates that each wedge has maintained a relatively steady size during its evolution. This conclusion is based on the constraint that both frictional and viscous wedges are subject to the constraint of a steady wedge taper, so that thickness and width are strongly correlated. Both wedges show clear evidence of steady accretion during their full evolution, with accretionary fluxes of about 60 and 200 km2 Ma-1. These wedges also both show steady drift of material from the front to the rear of the wedge, with horizontal shortening dominating in the front of the wedge, and horizontal extension within the back of the wedge. We propose that these wedges represent two back-to-back wedges, with a convergent wedge on the leading side (proside), and a divergent wedge on the trailing side (retroside). In this sense, the wedges are bound by two plates. The subducting plate is familiar. It creates a thrust-sense traction beneath the proside of the wedge. The second plate is an “educting” plate, which is creates a normal-sense traction beneath the retroside of the wedge. The

Single crystal metal wedges for surface acoustic wave propagation

DOEpatents

Fisher, E.S.

1980-05-09

An ultrasonic testing device has been developed to evaluate flaws and inhomogeneities in the near-surface region of a test material. A metal single crystal wedge is used to generate high frequency Rayleigh surface waves in the test material surface by conversion of a slow velocity, bulk acoustic mode in the wedge into a Rayleigh wave at the metal-wedge test material interface. Particular classes of metals have been found to provide the bulk acoustic modes necessary for production of a surface wave with extremely high frequency and angular collimation. The high frequency allows flaws and inhomogeneities to be examined with greater resolution. The high degree of angular collimation for the outgoing ultrasonic beam permits precision angular location of flaws and inhomogeneities in the test material surface.

Single crystal metal wedges for surface acoustic wave propagation

DOEpatents

Fisher, Edward S.

1982-01-01

An ultrasonic testing device has been developed to evaluate flaws and inhomogeneities in the near-surface region of a test material. A metal single crystal wedge is used to generate high frequency Rayleigh surface waves in the test material surface by conversion of a slow velocity, bulk acoustic mode in the wedge into a Rayleigh wave at the metal-wedge test material interface. Particular classes of metals have been found to provide the bulk acoustic modes necessary for production of a surface wave with extremely high frequency and angular collimation. The high frequency allows flaws and inhomogeneities to be examined with greater resolution. The high degree of angular collimation for the outgoing ultrasonic beam permits precision angular location of flaws and inhomogeneities in the test material surface.

Mechanics of fold-and-thrust belts and accretionary wedges Cohesive Coulomb theory

NASA Technical Reports Server (NTRS)

Dahlen, F. A.; Suppe, J.; Davis, D.

1984-01-01

A self-consistent theory for the mechanics of thin-skinned accretionary Coulomb wedges is developed and applied to the active fold-and-thrust belt of western Taiwan. The state of stress everywhere within a critical wedge is determined by solving the static equilibrium equations subject to the appropriate boundary conditions. The influence of wedge cohesion, which gives rise to a concave curvature of the critical topographic surface and affects the orientation of the principal stresses and Coulomb fracture within the wedge, is considered. The shape of the topographic surface and the angles at which thrust faults step up from the basal decollement in the Taiwanese belt is analyzed taking into account the extensive structural and fluid-pressure data available there. It is concluded that the gross geometry and structure of the Taiwan wedge are consistent with normal laboratory frictional and fracture strengths of sedimentary rocks.

Larger medial femoral to tibial condylar dimension may trigger posterior root tear of medial meniscus.

PubMed

Chung, Jun Young; Song, Hyung Keun; Jung, Myung Kuk; Oh, Hyeong Tak; Kim, Joon Ho; Yoon, Ji-Sang; Min, Byoung-Hyun

2016-05-01

The major meniscal functions are load bearing, load distribution, and shock absorption by increasing the tibiofemoral joint (TFJ) contact area and dissipating axial loads by conversion into hoop stresses. The increased hoop strain stretches the meniscus in outward direction towards radius, causing extrusion, which is associated with the root tear and resultant degenerative osteoarthritis. Since the larger contact area of medial TFJ may increase the hoop stresses, we hypothesized that the larger medial femoral to tibial condylar dimension would contribute to the development of medial meniscus posterior root tear (MMPRT). Thus, the purpose of the study was to assess the relationship between MMPRT and medial femoral to tibial condylar dimension. A case-control study was conducted to compare medial femoral to tibial condylar dimensions of patients with complete MMPRT (n = 59) with those of demography-matched controls (n = 59) during the period from 2010 to 2013. In each patient, MRIs were reviewed and several parameters were measured including articulation width of medial femoral condyle (MFC) at 0°, 30°, 60°, and 90°, medial tibial condyle (MTC) width, degree of meniscal extrusion, and medial femoral to tibial condylar width ratio (MFC/MTC) at 0°, 30°, 60°, and 90°, respectively. Demographic and radiographic data were assessed. A larger medial femoral to tibial condylar dimension was associated with MMPRT at 0° and 30° knee angles. Patients with MFC/MTC greater than 0.9 at 0° also showed about 2.5-fold increase in the chance of MMPRT. Those with meniscal extrusion greater than 3 mm also had about 17.1 times greater chance for the presence of MMPRT accordingly. A larger medial femoral to tibial condylar dimension may be considered as one of the regional contributors to the outbreak of MMPRT, and medial femoral to tibial condylar width ratio greater than 0.9 at 0° knee angle may be considered as a significant risk factor for MMPRT. III.

Contemporary sand wedge development in seasonally frozen ground and paleoenvironmental implications

NASA Astrophysics Data System (ADS)

Wolfe, Stephen A.; Morse, Peter D.; Neudorf, Christina M.; Kokelj, Steven V.; Lian, Olav B.; O'Neill, H. Brendan

2018-05-01

Contemporary sand wedges and sand veins are active in seasonally frozen ground within the extensive discontinuous permafrost zone in Northwest Territories, Canada. The region has a subarctic continental climate with 291 mm a-1 precipitation, -4.1 °C mean annual air temperature, warm summers (July mean 17.0 °C), and cold winters (January mean -26.6 °C). Five years of continuous observations indicate that interannual variation of the ground thermal regime is dominantly controlled by winter air temperature and snow cover conditions. At sandy sites, thin snow cover and high thermal conductivity promote rapid freezing, high rates of ground cooling, and low near-surface ground temperatures (-15 to -25 °C), resulting in thermal contraction cracking to depths of 1.2 m. Cracking potentials are high in sandy soils when air temperatures are <-30 °C on successive days, mean freezing season air temperatures are ≤-17 °C, and snow cover is <0.15 m thick. In contrast, surface conditions in peatlands maintain permafrost, but thermal contraction cracking does not occur because thicker snow cover and the thermal properties of peat prolong freezeback and maintain higher winter ground temperatures. A combination of radiocarbon dating, optical dating, and stratigraphic observations were used to differentiate sand wedge types and formation histories. Thermal contraction cracks that develop in the sandy terrain are filled by surface (allochthonous) and/or host (autochthonous) material during the thaw season. Epigenetic sand wedges infilled with allochthonous sand develop within former beach sediments beneath an active eolian sand sheet. Narrower and deeper syngenetic wedges developed within aggrading eolian sand sheets, whereas wider and shallower antisyngenetic wedges developed in areas of active erosion. Thermal contraction cracking beneath vegetation-stabilized surfaces leads to crack infilling by autochthonous host and overlying organic material, with resultant downturning and

Severe winter cooling during the Younger Dryas in northern Alaska - evidence from the stable isotope composition of a buried ice-wedge system

NASA Astrophysics Data System (ADS)

Meyer, Hanno; Schirrmeister, Lutz; Yoshikawa, Kenji; Opel, Thomas; Wetterich, Sebastian; Hubberten, Hans-W.; Brown, Jerry

2010-05-01

such as pollen. This reconstruction is the first radiocarbon-dated centennial-scale stable water isotope record from permafrost at all. The Late Glacial winter climate reconstruction from Barrow ice wedges clearly demonstrates the existence of a Younger Dryas cold event, formerly believed to be reduced or absent in this area. Comparing the Barrow ice-wedge record to Greenland ice cores (such as N-GRIP), we observe similar and contemporaneous isotopic variations in the same order of magnitude, underpinning the climatic relevance of our ice wedge data. The Barrow ice-wedge stable isotope record additionally displays a gradual change of the atmospheric moisture source conditions during the Younger Dryas reflected in a shift of the d excess, potentially being associated with the successive opening of the Bering Strait.

Minimum work analysis on the critical taper accretionary wedges- insights from analogue modeling

NASA Astrophysics Data System (ADS)

Santimano, Tasca; Rosenau, Matthias; Oncken, Onno

2014-05-01

The Critical taper theory (CTT) is a fundamental concept for the understanding of mountain building processes. Based on force balance it predicts the preferred steady state geometry of an accretionary wedge system and its tectonic regime (extensive, compressive, stable). However, it does not specify which structures are formed and reactivated to reach the preferred state. The latter can be predicted by the minimum work concept. Here we test both concepts and their interplay by analysing two simple sand wedge models which differ only in the thickness of the basal detachment (a layer of glass beads). While the steady state critical taper is controlled by internal and basal friction coefficients and therefore the same in all experiments, different processes can minimise work by 1. reducing gravitational work e.g. by lowering the amount of uplift or volume uplifted, or 2. reducing frictional work e.g. by lowering the load or due to low friction coefficient along thrusts. Since a thick detachment allows entrainment of low friction material and therefore lowering of the friction along active thrusts, we speculate that the style of wedge growth will differ between the two models. We observe that the wedge with a thin basal detachment localizes strain at the toe of the wedge periodically and reactivate older faults to reach the critical topography. On the contrary, in the wedge with the thicker detachment layer, friction along thrusts is lowered due to the entrainment of low friction material from the detachment zone, subsequently increasing the lifetime of a thrust. Long thrust episodes are always followed by a fault of shorter lifetime, with the aim of reaching the critical taper. From the two experiments, we analyze the time-series evolution of the wedge to infer the work done by the two styles of deformation and predict the trend over time to differ but the maximum work to be similar Our observations show that the critical taper theory determines the geometry of the

Modified endoscopic medial maxillectomy for zygomatic implant salvage.

PubMed

Schwartz, Joseph S; Tajudeen, Bobby A; Adappa, Nithin D; Palmer, James N

2016-01-01

Odontogenic chronic rhinosinusitis (CRS) is an epidemiologically important disease process due, in part, to the increasingly commonplace use of dental restorative procedures such as zygomatic implantation. Traditional management of this clinical entity typically entails extraction of the infected hardware via an open or endoscopic approach. We describe a novel management strategy of odontogenic CRS following bilateral zygomatic implantation for oral rehabilitation that we surgically salvaged via a modified endoscopic medial maxillectomy. We describe the presentation and management of a case of metachronous development of bilateral CRS subsequent to zygomatic implantation. The patient's postoperative course was characterized by marked endoscopic, radiologic, and symptomatic improvement as measured by the 22-item Sino-Nasal Outcome Test. We describe a novel treatment strategy for the management of odontogenic sinusitis resulting from erroneous zygomatic implant placement. Modified endoscopic medial maxillectomy in this clinical context facilitates mucosal normalization of the affected sinus, while permitting preservation of oral function through salvage of the displaced implant.

Modified endoscopic medial maxillectomy for zygomatic implant salvage

PubMed Central

Tajudeen, Bobby A.; Adappa, Nithin D.; Palmer, James N.

2016-01-01

Objectives: Odontogenic chronic rhinosinusitis (CRS) is an epidemiologically important disease process due, in part, to the increasingly commonplace use of dental restorative procedures such as zygomatic implantation. Traditional management of this clinical entity typically entails extraction of the infected hardware via an open or endoscopic approach. We describe a novel management strategy of odontogenic CRS following bilateral zygomatic implantation for oral rehabilitation that we surgically salvaged via a modified endoscopic medial maxillectomy. Methods: We describe the presentation and management of a case of metachronous development of bilateral CRS subsequent to zygomatic implantation. Results: The patient's postoperative course was characterized by marked endoscopic, radiologic, and symptomatic improvement as measured by the 22-item Sino-Nasal Outcome Test. Conclusion: We describe a novel treatment strategy for the management of odontogenic sinusitis resulting from erroneous zygomatic implant placement. Modified endoscopic medial maxillectomy in this clinical context facilitates mucosal normalization of the affected sinus, while permitting preservation of oral function through salvage of the displaced implant. PMID:28107147

The Relationship between Chondromalacia Patella, Medial Meniscal Tear and Medial Periarticular Bursitis in Patients with Osteoarthritis.

PubMed

Resorlu, Mustafa; Doner, Davut; Karatag, Ozan; Toprak, Canan Akgun

2017-12-01

This study investigated the presence of bursitis in the medial compartment of the knee (pes anserine, semimembranosus-tibial collateral ligament, and medial collateral ligament bursa) in osteoarthritis, chondromalacia patella and medial meniscal tears. Radiological findings of 100 patients undergoing magnetic resonance imaging with a preliminary diagnosis of knee pain were retrospectively evaluated by two radiologists. The first radiologist assessed all patients in terms of osteoarthritis, chondromalacia patella and medial meniscal tear. The second radiologist was blinded to these results and assessed the presence of bursitis in all patients. Mild osteoarthritis (grade I and II) was determined in 55 patients and severe osteoarthritis (grade III and IV) in 45 cases. At retropatellar cartilage evaluation, 25 patients were assessed as normal, while 29 patients were diagnosed with mild chondromalacia patella (grade I and II) and 46 with severe chondromalacia patella (grade III and IV). Medial meniscus tear was determined in 51 patients. Severe osteoarthritis and chondromalacia patella were positively correlated with meniscal tear (p < 0.001 and p = 0.018, respectively). Significant correlation was observed between medial meniscal tear and bursitis in the medial compartment (p = 0.038). Presence of medial periarticular bursitis was positively correlated with severity of osteoarthritis but exhibited no correlation with chondromalacia patella (p = 0.023 and p = 0.479, respectively). Evaluation of lateral compartment bursae revealed lateral collateral ligament bursitis in 2 patients and iliotibial bursitis in 5 patients. We observed a greater prevalence of bursitis in the medial compartment of the knee in patients with severe osteoarthritis and medial meniscus tear.

Transcriptomic Signature of the SHATTERPROOF2 Expression Domain Reveals the Meristematic Nature of Arabidopsis Gynoecial Medial Domain1[OPEN

PubMed Central

Villarino, Gonzalo H.; Hu, Qiwen; Flores-Vergara, Miguel; Sehra, Bhupinder; Brumos, Javier; Stepanova, Anna N.; Sundberg, Eva; Heber, Steffen

2016-01-01

Plant meristems, like animal stem cell niches, maintain a pool of multipotent, undifferentiated cells that divide and differentiate to give rise to organs. In Arabidopsis (Arabidopsis thaliana), the carpel margin meristem is a vital meristematic structure that generates ovules from the medial domain of the gynoecium, the female floral reproductive structure. The molecular mechanisms that specify this meristematic region and regulate its organogenic potential are poorly understood. Here, we present a novel approach to analyze the transcriptional signature of the medial domain of the Arabidopsis gynoecium, highlighting the developmental stages that immediately proceed ovule initiation, the earliest stages of seed development. Using a floral synchronization system and a SHATTERPROOF2 (SHP2) domain-specific reporter, paired with FACS and RNA sequencing, we assayed the transcriptome of the gynoecial medial domain with temporal and spatial precision. This analysis reveals a set of genes that are differentially expressed within the SHP2 expression domain, including genes that have been shown previously to function during the development of medial domain-derived structures, including the ovules, thus validating our approach. Global analyses of the transcriptomic data set indicate a similarity of the pSHP2-expressing cell population to previously characterized meristematic domains, further supporting the meristematic nature of this gynoecial tissue. Our method identifies additional genes including novel isoforms, cis-natural antisense transcripts, and a previously unrecognized member of the REPRODUCTIVE MERISTEM family of transcriptional regulators that are potential novel regulators of medial domain development. This data set provides genome-wide transcriptional insight into the development of the carpel margin meristem in Arabidopsis. PMID:26983993

Wedge and spring assembly for securing coils in electromagnets and dynamoelectric machines

DOEpatents

Lindner, Melvin; Cottingham, James G.

1996-03-12

A wedge and spring assembly for use in electromagnets or dynamoelectric machines having a housing with an axis therethrough and a plurality of coils supported on salient poles that extend radially inward from the housing toward the housing axis to define a plurality of interpole spaces. The wedge and spring assembly includes a nonmagnetic retainer spring and a nonmagnetic wedge. The retainer spring is formed to fit into one of the interpole spaces, and has juxtaposed ends defining between them a slit extending in a direction generally parallel to the housing axis. The wedge for insertion into the slit provides an outwardly directed force on respective portions of the juxtaposed ends to expand the slit so that respective portions of the retainer spring engage areas of the coils adjacent thereto, thereby resiliently holding the coils against their respective salient poles. The retainer spring is generally triangular shaped to fit within the interpole space, and the wedge is generally T-shaped.

Wedge and spring assembly for securing coils in electromagnets and dynamoelectric machines

DOEpatents

Lindner, M.; Cottingham, J.G.

1996-03-12

A wedge and spring assembly for use in electromagnets or dynamoelectric machines is disclosed having a housing with an axis therethrough and a plurality of coils supported on salient poles that extend radially inward from the housing toward the housing axis to define a plurality of interpole spaces. The wedge and spring assembly includes a nonmagnetic retainer spring and a nonmagnetic wedge. The retainer spring is formed to fit into one of the interpole spaces, and has juxtaposed ends defining between them a slit extending in a direction generally parallel to the housing axis. The wedge for insertion into the slit provides an outwardly directed force on respective portions of the juxtaposed ends to expand the slit so that respective portions of the retainer spring engage areas of the coils adjacent thereto, thereby resiliently holding the coils against their respective salient poles. The retainer spring is generally triangular shaped to fit within the interpole space, and the wedge is generally T-shaped. 6 figs.

Interaction of disturbances with an oblique detonation wave attached to a wedge

NASA Technical Reports Server (NTRS)

Lasseigne, D. G.; Hussaini, M. Y.

1993-01-01

The linear response of an oblique overdriven detonation to impose free stream disturbances or to periodic movements of the wedge is examined. The free stream disturbances are assumed to be steady vorticity waves and the wedge motions are considered to be time periodic oscillations either about a fixed pivot point or along the plane of symmetry of the wedge aligned with the incoming stream. The detonation is considered to be a region of infinitesimal thickness in which a finite amount of heat is released. The response to the imposed disturbances is a function of the Mach number of the incoming flow, the wedge angle, and the exothermocity of the reaction within the detonation. It is shown that as the degree of overdrive increases, the amplitude of the response increases significantly; furthermore, a fundamental difference in the dependence of the response on the parameters of the problem is found between the response to a free stream disturbance and to a disturbance emanating from the wedge surface.

Seismic evidence for a cold serpentinized mantle wedge beneath Mount St Helens

PubMed Central

Hansen, S. M.; Schmandt, B.; Levander, A.; Kiser, E.; Vidale, J. E.; Abers, G. A.; Creager, K. C.

2016-01-01

Mount St Helens is the most active volcano within the Cascade arc; however, its location is unusual because it lies 50 km west of the main axis of arc volcanism. Subduction zone thermal models indicate that the down-going slab is decoupled from the overriding mantle wedge beneath the forearc, resulting in a cold mantle wedge that is unlikely to generate melt. Consequently, the forearc location of Mount St Helens raises questions regarding the extent of the cold mantle wedge and the source region of melts that are responsible for volcanism. Here using, high-resolution active-source seismic data, we show that Mount St Helens sits atop a sharp lateral boundary in Moho reflectivity. Weak-to-absent PmP reflections to the west are attributed to serpentinite in the mantle-wedge, which requires a cold hydrated mantle wedge beneath Mount St Helens (<∼700 °C). These results suggest that the melt source region lies east towards Mount Adams. PMID:27802263

Wedge gate valves selecting essentials in pipeline systems designing based on permissible operation parameters

NASA Astrophysics Data System (ADS)

Zakirnichnaya, M. M.; Kulsharipov, I. M.

2017-10-01

Wedge gate valves are widely used at the fuel and energy complex enterprises. The pipeline valves manufacturers indicate the safe operation resource according to the current regulatory and technical documentation. In this case, the resource value of the valve body strength calculation results is taken into consideration as the main structural part. However, it was determined that the wedge gate valves fail before the assigned resource due to the occurrence of conditions under which the wedge breaks in the hooks and, accordingly, the sealing integrity is not ensured. In this regard, it became necessary to assess the conditions under which the resource should be assigned not only to the valve body, but also to take into account the wedge durability. For this purpose, wedge resource calculations were made using the example of ZKL2 250-25 and ZKL2 300-25 valves using the ABAQUS software package FE-SAFE module under the technological parameters influence on the basis of their stressstrain state calculation results. Operating conditions, under which the wedge resource value is lower than the one set by the manufacturer, were determined. A technique for limiting the operating parameters for ensuring the wedge durability during the wedge gate valve assigned resource is proposed.

Constructing entanglement wedges for Lifshitz spacetimes with Lifshitz gravity

NASA Astrophysics Data System (ADS)

Cheyne, Jonathan; Mattingly, David

2018-03-01

Holographic relationships between entanglement entropy on the boundary of a spacetime and the area of minimal surfaces in the bulk provide an important entry in the bulk/boundary dictionary. While constructing the necessary causal and entanglement wedges is well understood in asymptotically AdS spacetimes, less is known about the equivalent constructions in spacetimes with different asymptotics. In particular, recent attempts to construct entanglement and causal wedges for asymptotically Lifshitz solutions in relativistic gravitational theories have proven problematic. We note a simple observation, that a Lifshitz bulk theory, specifically a covariant formulation of Hořava-Lifshitz gravity coupled to matter, has causal propagation defined by Lifshitz modes. We use these modes to construct causal and entanglement wedges and compute the geometric entanglement entropy, which in such a construction matches the field theory prescription.

Investigation of turbulent wedges generated by different single surface roughness elements

NASA Astrophysics Data System (ADS)

Traphan, Dominik; Meinlschmidt, Peter; Lutz, Otto; Peinke, Joachim; Gülker, Gerd

2013-11-01

It is known that small faults on rotor blades of wind turbines can cause significant power loss. In order to better understand the governing physical effects, in this experimental study, the formation of a turbulent wedge over a flat plate induced by single surface roughness elements is under investigation. The experiments are performed at different ambient pressure gradients, thus allowing conclusions about the formation of a turbulent wedge over an airfoil. With respect to typical initial faults on operating airfoils, the roughness elements are modified in both size and shape (raised or recessed). None intrusive experimental methods, such as stereoscopic PIV and LDA, enable investigations based on temporally and spatially highly resolved velocity measurements. In this way, a spectral analysis of the turbulent boundary layer is performed and differences in coherent structures within the wedge are identified. These findings are correlated with global measurements of the wedge carried out by infrared thermography. This correlation aims to enable distinguishing the cause and main properties of a turbulent wedge by the easy applicable method of infrared thermography, which is of practical relevance in the field of condition monitoring of wind turbines.

Variations in medial-lateral hamstring force and force ratio influence tibiofemoral kinematics.

PubMed

Shalhoub, Sami; Fitzwater, Fallon G; Cyr, Adam J; Maletsky, Lorin P

2016-10-01

A change in hamstring strength and activation is typically seen after injuries or invasive surgeries such as anterior cruciate reconstruction or total knee replacement. While many studies have investigated the influence of isometric increases in hamstring load on knee joint kinematics, few have quantified the change in kinematics due to a variation in medial to lateral hamstring force ratio. This study examined the changes in knee joint kinematics on eight cadaveric knees during an open-chain deep knee bend for six different loading configurations: five loaded hamstring configurations that varied the ratio of a total load of 175 N between the semimembranosus and biceps femoris and one with no loads on the hamstring. The anterior-posterior translation of the medial and lateral femoral condyles' lowest points along proximal-distal axis of the tibia, the axial rotation of the tibia, and the quadriceps load were measured at each flexion angle. Unloading the hamstring shifted the medial and lateral lowest points posteriorly and increased tibial internal rotation. The influence of unloading hamstrings on quadriceps load was small in early flexion and increased with knee flexion. The loading configuration with the highest lateral hamstrings force resulted in the most posterior translation of the medial lowest point, most anterior translation of the lateral lowest point, and the highest tibial external rotation of the five loading configurations. As the medial hamstring force ratio increased, the medial lowest point shifted anteriorly, the lateral lowest point shifted posteriorly, and the tibia rotated more internally. The results of this study, demonstrate that variation in medial-lateral hamstrings force and force ratio influence tibiofemoral transverse kinematics and quadriceps loads required to extend the knee. © 2016 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 34:1707-1715, 2016. © 2016 Orthopaedic Research Society. Published by

Porous Titanium Wedges in Lateral Column Lengthening for Adult-Acquired Flatfoot Deformity.

PubMed

Moore, Spencer H; Carstensen, S Evan; Burrus, M Tyrrell; Cooper, Truitt; Park, Joseph S; Perumal, Venkat

2017-10-01

Lateral column lengthening (LCL) is a common procedure for reconstruction of stage II flexible adult-acquired flatfoot deformity (AAFD). The recent development of porous titanium wedges for this procedure provides an alternative to allograft and autograft. The purpose of this study was to report radiographic and clinical outcomes achieved with porous titanium wedges in LCL. A retrospective analysis of 34 feet in 30 patients with AAFD that received porous titanium wedges for LCL from January 2011 to October 2014. Deformity correction was assessed using both radiographic and clinical parameters. Radiographic correction was assessed using the lateral talo-first metatarsal angle, the talonavicular uncoverage percentage, and the first metatarsocuneiform height. The hindfoot valgus angle was measured. Patients were followed from a minimum of 6 months up to 4 years (mean 16.1 months). Postoperative radiographs demonstrated significant correction in all 3 radiographic criteria and the hindfoot valgus angle. We had no cases of nonunion, no wedge migration, and no wedges have been removed to date. The most common complication was calcaneocuboid joint pain (14.7%). Porous titanium wedges in LCL can achieve good radiographic and clinical correction of AAFD with a low rate of nonunion and other complications. Level IV: Case series.

The Relationship between Chondromalacia Patella, Medial Meniscal Tear and Medial Periarticular Bursitis in Patients with Osteoarthritis

PubMed Central

Doner, Davut; Karatag, Ozan; Toprak, Canan Akgun

2017-01-01

Abstract Background This study investigated the presence of bursitis in the medial compartment of the knee (pes anserine, semimembranosus-tibial collateral ligament, and medial collateral ligament bursa) in osteoarthritis, chondromalacia patella and medial meniscal tears. Patients and methods Radiological findings of 100 patients undergoing magnetic resonance imaging with a preliminary diagnosis of knee pain were retrospectively evaluated by two radiologists. The first radiologist assessed all patients in terms of osteoarthritis, chondromalacia patella and medial meniscal tear. The second radiologist was blinded to these results and assessed the presence of bursitis in all patients. Results Mild osteoarthritis (grade I and II) was determined in 55 patients and severe osteoarthritis (grade III and IV) in 45 cases. At retropatellar cartilage evaluation, 25 patients were assessed as normal, while 29 patients were diagnosed with mild chondromalacia patella (grade I and II) and 46 with severe chondromalacia patella (grade III and IV). Medial meniscus tear was determined in 51 patients. Severe osteoarthritis and chondromalacia patella were positively correlated with meniscal tear (p < 0.001 and p = 0.018, respectively). Significant correlation was observed between medial meniscal tear and bursitis in the medial compartment (p = 0.038). Presence of medial periarticular bursitis was positively correlated with severity of osteoarthritis but exhibited no correlation with chondromalacia patella (p = 0.023 and p = 0.479, respectively). Evaluation of lateral compartment bursae revealed lateral collateral ligament bursitis in 2 patients and iliotibial bursitis in 5 patients. Conclusions We observed a greater prevalence of bursitis in the medial compartment of the knee in patients with severe osteoarthritis and medial meniscus tear. PMID:29333118

Capillary surfaces in a wedge: Differing contact angles

NASA Technical Reports Server (NTRS)

Concus, Paul; Finn, Robert

1994-01-01

The possible zero-gravity equilibrium configurations of capillary surfaces u(x, y) in cylindrical containers whose sections are (wedge) domains with corners are investigated mathematically, for the case in which the contact angles on the two sides of the wedge may differ. In such a situation the behavior can depart in significant qualitative ways from that for which the contact angles on the two sides are the same. Conditions are described under which such qualitative changes must occur. Numerically computed surfaces are depicted to indicate the behavior.

Use of the pericranial flap in medial canthal reconstruction: another application for this versatile flap.

PubMed

Leatherbarrow, Brian; Watson, Adam; Wilcsek, Geoffrey

2006-01-01

To describe the use and outcomes of a versatile surgical technique in the reconstruction of deep soft tissue and bony defects of the medial canthus. A retrospective review of consecutive cases requiring reconstruction of medial canthal defects involving loss of periosteum or bone by a median forehead pericranial flap and full-thickness skin grafting in a tertiary referral hospital setting. Two techniques were used: an open technique, using a midline forehead incision; and an endoscopic technique, using 2 incisions behind the hairline. Twenty-one cases were identified: 19 open and 2 endoscopic. The average length of follow-up was 13 months (range, 6-50 months). Ten cases required additional oculoplastic procedures including local periosteal flaps and mucous membrane grafts. Two cases (10%) had complete flap failure; one of these was caused by infection. Five (24%) had partial (< 50%) skin graft necrosis. Two cases (10%) have required further surgery. Our experience shows the pericranial flap to be versatile, robust, and easy to manipulate, offering advantages over alternative techniques when used for the repair of deep medial canthal defects. It is a valuable reconstructive technique that can yield good cosmetic and functional results.

Late Holocene ice wedges near Fairbanks, Alaska, USA: Environmental setting and history of growth

USGS Publications Warehouse

Hamilton, T.D.; Ager, T.A.; Robinson, S.W.

1983-01-01

Test trenches excavated into muskeg near Fairbanks in 1969 exposed a polygonal network of active ice wedges. The wedges occur in peat that has accumulated since about 3500 yr BP and have grown episodically as the permafrost table fluctuated in response to fires, other local site conditions and perhaps regional climatic changes. Radiocarbon dates suggest one or two episodes of ice-wedge growth between about 3500 and 2000 yr BP as woody peat accumulated at the site. Subsequent wedge truncation evidently followed a fire that charred the peat. Younger peat exhibits facies changes between sedge-rich components that filled troughs over the ice wedges and woody bryophytic deposits that formed beyond the troughs. A final episode of wedge development took place within the past few hundred years. Pollen data from the site indicate that boreal forest was present throughout the past 6000 yr, but that it underwent a gradual transition from a predominantly deciduous to a spruce-dominated assemblage. This change may reflect either local site conditions or a more general climatic shift to cooler, moister summers in late Holocene time. The history of ice-wedge growth shows that wedges can form and grow to more than 1 m apparent width under mean annual temperatures that probably are close to those of the Fairbanks area today (-3.5°C) and under vegetation cover similar to that of the interior Alaskan boreal forest. The commonly held belief that ice wedges develop only below mean annual air temperatures of -6 to -8°C in the zone of continuous permafrost is invalid.

Vertebral body or intervertebral disc wedging: which contributes more to thoracolumbar kyphosis in ankylosing spondylitis patients?

PubMed Central

Liu, Hao; Qian, Bang-Ping; Qiu, Yong; Wang, Yan; Wang, Bin; Yu, Yang; Zhu, Ze-Zhang

2016-01-01

Abstract Both vertebral body wedging and disc wedging are found in ankylosing spondylitis (AS) patients with thoracolumbar kyphosis. However, their relative contribution to thoracolumbar kyphosis is not fully understood. The objective of this study was to compare different contributions of vertebral and disc wedging to the thoracolumbar kyphosis in AS patients, and to analyze the relationship between the apical vertebral wedging angle and thoracolumbar kyphosis. From October 2009 to October 2013, a total of 59 consecutive AS patients with thoracolumbar kyphosis with a mean age of 38.1 years were recruited in this study. Based on global kyphosis (GK), 26 patients with GK < 70° were assigned to group A, and the other 33 patients with GK ≥ 70° were included in group B. Each GK was divided into disc wedge angles and vertebral wedge angles. The wedging angle of each disc and vertebra comprising the thoracolumbar kyphosis was measured, and the proportion of the wedging angle to the GK was calculated accordingly. Intergroup and intragroup comparisons were subsequently performed to investigate the different contributions of disc and vertebra to the GK. The correlation between the apical vertebral wedging angle and GK was calculated by Pearson correlation analysis. The duration of disease and sex were also recorded in this study. With respect to the mean disease duration, significant difference was observed between the two groups (P < 0.01). The wedging angle and wedging percentage of discs were significantly higher than those of vertebrae in group A (34.8° ± 2.5° vs 26.7° ± 2.7°, P < 0.01 and 56.6% vs 43.4%, P < 0.01), whereas disc wedging and disc wedging percentage were significantly lower than vertebrae in group B (37.6° ± 7.0° vs 50.1° ± 5.1°, P < 0.01 and 42.7% vs 57.3%, P < 0.01). The wedging of vertebrae was significantly higher in group B than in group A (50.1° ± 5.1° vs 26.7° ± 2.7°, P < 0

Pilot Study: Foam Wedge Chin Support Static Tolerance Testing

DTIC Science & Technology

2017-10-24

AFRL-SA-WP-SR-2017-0026 Pilot Study : Foam Wedge Chin Support Static Tolerance Testing Austin M. Fischer, BS1; William W...COVERED (From – To) April – October 2017 4. TITLE AND SUBTITLE Pilot Study : Foam Wedge Chin Support Static Tolerance Testing 5a. CONTRACT NUMBER...prototype to mitigate the increase in helmet weight and forward center of gravity. The purpose of this pilot study was to determine the feasibility and

Traumatic posterior root tear of the medial meniscus in patients with severe medial instability of the knee.

PubMed

Ra, Ho Jong; Ha, Jeong Ku; Jang, Ho Su; Kim, Jin Goo

2015-10-01

To examine the incidence and diagnostic rate of traumatic medial meniscus posterior root tear associated with severe medial instability and to evaluate the effectiveness of pullout repair. From 2007 to 2011, 51 patients who underwent operation due to multiple ligament injuries including medial collateral ligament rupture were reviewed retrospectively. The International Knee Documentation Committee (IKDC) subjective and Lysholm score were evaluated pre- and postoperatively. Postoperative magnetic resonance imaging (MRI) was performed, and if indicated, a second-look arthroscopic examination was conducted. Fourteen out of 51 patients were associated with severe medial instability. Seven patients were diagnosed with traumatic medial meniscus posterior root tear and underwent arthroscopic pullout repair. Five of them were missed at initial diagnosis using MRI. In seven patients, the mean Lysholm and IKDC subjective scores improved from 74.6 ± 10.3 and 47.6 ± 7.3 to 93.0 ± 3.7 and 91.6 ± 2.6, respectively. All showed complete healing of meniscus root on follow-up MRI and second-look arthroscopy. Medial meniscus posterior root tear may occur in severe medial instability from trauma. It is a common mistake that surgeons may not notice on the diagnosis of those injuries using MRI. Therefore, a high index of suspicion is required for the diagnosis of medial meniscus posterior root tear in this type of injuries. The traumatic medial meniscus posterior root tear could be healed successfully using arthroscopic pullout repair technique. The possibility of the medial meniscus posterior root tear should be considered in severe medial instability and arthroscopic pullout repair can be an effective option for treatment. Case series with no comparison group, Level IV.

Variation Among Pediatric Orthopaedic Surgeons When Treating Medial Epicondyle Fractures.

PubMed

Hughes, Meghan; Dua, Karan; O'Hara, Nathan N; Brighton, Brian K; Ganley, Theodore J; Hennrikus, William L; Herman, Martin J; Hyman, Joshua E; Lawrence, J Todd; Mehlman, Charles T; Noonan, Kenneth J; Otsuka, Norman Y; Schwend, Richard M; Shrader, M Wade; Smith, Brian G; Sponseller, Paul D; Abzug, Joshua M

2017-10-18

Medial epicondyle fractures are a common pediatric and adolescent injury accounting for 11% to 20% of elbow fractures in this population. This purpose of this study was to determine the variability among pediatric orthopaedic surgeons when treating pediatric medial epicondyle fractures. A discrete choice experiment was conducted to determine which patient and injury attributes influence the management of medial epicondyle fractures by pediatric orthopaedic surgeons. A convenience sample of 13 pediatric orthopaedic surgeons reviewed 60 case vignettes of medial epicondyle fractures that included elbow radiographs and patient/injury characteristics. Displacement was incorporated into the study model as a fixed effect. Surgeons were queried if they would treat the injury with immobilization alone or open reduction and internal fixation (ORIF). Statistical analysis was performed using a mixed effect regression model. In addition, surgeons filled out a demographic questionnaire and a risk assessment to determine if these factors affected clinical decision-making. Elbow dislocation and fracture displacement were the only attributes that significantly influenced surgeons to perform surgery (P<0.05). The presence of an elbow dislocation had the largest impact on surgeons when choosing operative care (β=-0.14; P=0.02). In addition, for every 1 mm increase in displacement, surgeons tended to favor ORIF by a factor of 0.09 (P<0.01). Sex, mechanism of injury, and sport participation did not influence decision-making. In total, 54% of the surgeons demonstrated a preference for ORIF for the included scenarios. On the basis of the personality Likert scale, participants were neither high-risk takers nor extremely risk adverse with an average-risk score of 2.24. Participant demographics did not influence decision-making. There is substantial variation among pediatric orthopaedic surgeons when treating medial epicondyle fractures. The decision to operate is significantly based on

Crystallization of soft matter under confinement at interfaces and in wedges

NASA Astrophysics Data System (ADS)

Archer, Andrew J.; Malijevský, Alexandr

2016-06-01

opening angle of the wedge is commensurate with the crystal lattice.

Contact and crack problems for an elastic wedge. [stress concentration in elastic half spaces

NASA Technical Reports Server (NTRS)

Erdogan, F.; Gupta, G. D.

1974-01-01

The contact and the crack problems for an elastic wedge of arbitrary angle are considered. The problem is reduced to a singular integral equation which, in the general case, may have a generalized Cauchy kernel. The singularities under the stamp as well as at the wedge apex were studied, and the relevant stress intensity factors are defined. The problem was solved for various wedge geometries and loading conditions. The results may be applicable to certain foundation problems and to crack problems in symmetrically loaded wedges in which cracks initiate from the apex.

Wedge assembly for electrical transformer component spacing

DOEpatents

Baggett, Franklin E.; Cage, W. Franklin

1991-01-01

A wedge assembly that is easily inserted between two surfaces to be supported thereby, and thereafter expanded to produce a selected spacing between those surfaces. This wedge assembly has two outer members that are substantially identical except that they are mirror images of each other. Oppositely directed faces of these of these outer members are substantially parallel for the purpose of contacting the surfaces to be separated. The outer faces of these outer members that are directed toward each other are tapered so as to contact a center member having complementary tapers on both faces. A washer member is provided to contact a common end of the outer members, and a bolt member penetrates this washer and is threadably received in a receptor of the center member. As the bolt member is threaded into the center member, the center member is drawn further into the gap between the outer members and thereby separates these outer members to contact the surfaces to be separated. In the preferred embodiment, the contacting surfaces of the outer member and the center member are provided with guide elements. The wedge assembly is described for use in separating the secondary windings from the laminations of an electrical power transformer.

The Ronda peridotite (Spain): A natural template for seismic anisotropy in subduction wedges

NASA Astrophysics Data System (ADS)

Précigout, Jacques; Almqvist, Bjarne S. G.

2014-12-01

The origin of seismic anisotropy in mantle wedges remains elusive. Here we provide documentation of shear wave anisotropy (AVs) inferred from mineral fabric across a lithosphere-scale vestige of deformed mantle wedge in the Ronda peridotite. As predicted for most subduction wedges, this natural case exposes a transition from A-type to B-type olivine fabric that occurs with decreasing temperature and enhanced grain boundary sliding at the expense of dislocation creep. We show that B-type fabric AVs (maximum of 6%) does not support geophysical observations and modeling, which requires 8% AVs. However, an observed transitional olivine fabric (A/B) develops at intermediate temperatures (800-1000°C) and can generate AVs ≥ 8%. We predict that the A/B-type fabric can account for shear wave splitting in contrasting subduction settings, exemplified by the Ryukyu and Honshu subduction wedges. The Ronda peridotite therefore serves as a natural template to decipher the mantle wedge deformation from seismic anisotropy.

Improvement in the medial meniscus posterior shift following anterior cruciate ligament reconstruction.

PubMed

Inoue, Hiroto; Furumatsu, Takayuki; Miyazawa, Shinichi; Fujii, Masataka; Kodama, Yuya; Ozaki, Toshifumi

2018-02-01

Anterior cruciate ligament (ACL) reconstruction can reduce the risk of developing osteoarthritic knees. The goals of ACL reconstruction are to restore knee stability and reduce post-traumatic meniscal tears and cartilage degradation. A chronic ACL insufficiency frequently results in medial meniscus (MM) injury at the posterior segment. How ACL reconstruction can reduce the deformation of the MM posterior segment remains unclear. In this study, we evaluated the form of the MM posterior segment and anterior tibial translation before and after ACL reconstruction using open magnetic resonance imaging (MRI). Seventeen patients who underwent ACL reconstructions without MM injuries were included in this study. MM deformation was evaluated using open MRI before surgery and 3 months after surgery. We measured medial meniscal length (MML), medial meniscal height (MMH), medial meniscal posterior body width (MPBW), MM-femoral condyle contact width (M-FCW) and posterior tibiofemoral distance (PTFD) at knee flexion angles of 10° and 90°. There were no significant pre- and postoperative differences during a flexion angle of 10°. At a flexion angle of 90°, MML decreased from 43.7 ± 4.5 to 41.4 ± 4.5 mm (P < 0.001), MMH from 7.5 ± 1.4 to 6.9 ± 1.4 mm (P = 0.006), MPBW from 13.1 ± 2.0 to 12.2 ± 1.9 mm (P < 0.001) and M-FCW from 10.0 ± 1.5 to 8.5 ± 1.5 mm (P < 0.001) after ACL reconstruction. The PTFD increased from 2.1 ± 2.8 to 2.7 ± 2.4 mm after ACL reconstruction (P = 0.015). ACL reconstruction affects the contact pattern between the MM posterior segment and medial femoral condyle and can reduce the deformation of the MM posterior segment in the knee-flexed position by reducing abnormal anterior tibial translation. It possibly prevents secondary injury to the MM posterior segment and cartilage that progresses to knee osteoarthritis. IV.

Single-stage closing–opening wedge osteotomy of spine to correct severe post-tubercular kyphotic deformities of the spine: a 3-year follow-up of 17 patients

PubMed Central

Vijay, Kamath; Shetty, Ajoy Prasad

2009-01-01

The correction of severe post-tubercular kyphosis (PTK) is complex and has the disadvantage of being multiple staged with a high morbidity. Here, we describe the procedure and results of closing–opening osteotomy for correction of PTK which shortens the posterior column and opens the anterior column appropriately to correct the deformity without altering the length of the spinal cord. Seventeen patients with PTK (10 males; 7 females) with an average age of 18.3 ± 10.6 years (range 4–40 years) formed the study group. There were ten thoracolumbar, one lumbar and six thoracic deformities. The number of vertebrae involved ranged from 2 to 5 (average 2.8). Preoperative kyphosis averaged 69.2° ± 25.1° (range 42°–104°) which included ten patients with deformity greater than 60°. The average vertebral body loss was 2.01 ± 0.79 (range 1.1–4.1). The neurological status was normal in 13 patients, Frankel’s grade D in three patients and grade C in one. Posterior stabilization with pedicle screw instrumentation was followed by a preoperatively calculated wedge resection. Anterior column reconstruction was performed using rib grafts in four, tricortical iliac bone graft in five, cages in six, and bone chips alone and fibular graft in one patient each. Average operating time was 280 min (200–340 min) with an average blood loss of 820 ml (range 500–1,600 ml). The postoperative kyphosis averaged 32.4° ± 19.5° (range 8°–62°). The percentage correction of kyphosis achieved was 56.8 ± 14.6% (range 32–83%). No patient with normal preoperative neurological status showed deterioration in neurology after surgery. The last follow-up was at an average of 43 ± 4 months (range 32–64 months). The average loss of correction at the last follow-up was 5.4° (range 3°–9°). At the last follow-up, the mean preoperative pain visual analogue scale score decreased significantly from 9.2 (range 8–10 points) to 1.5 (range 1–2 points). There

Slamming pressures on the bottom of a free-falling vertical wedge

NASA Astrophysics Data System (ADS)

Ikeda, C. M.; Judge, C. Q.

2013-11-01

High-speed planing boats are subjected to repeat impacts due to slamming, which can cause structural damage and injury to passengers. A first step in understanding and predicting the physics of a craft re-entering the water after becoming partially airborne is an experimental vertical drop test of a prismastic wedge (deadrise angle, β =20° beam, B = 300 mm; and length, L = 600 mm). The acrylic wedge was mounted to a rig allowing it to free-fall into a deep-water tank (5.2m × 5.2m × 4.2m deep) from heights 0 <= H <= 635 mm, measured from the keel to the free surface. The wedge was instrumented to record vertical position, acceleration, and pressure on the bottom surface. A pressure mapping system, capable of measuring several points over the area of the thin (0.1 mm) film sensor at sampling rates up to 20 kHz, is used and compared to surface-mounted pressure transducers (sampled at 10 kHz). A high speed camera (1000 fps, resolution of 1920 × 1200 pixels) is mounted above the wedge model to record the wetted surface as the wedge descended below the free surface. The pressure measurements taken with both conventional surface pressure transducers and the pressure mapping system agree within 10% of the peak pressure values (0.7 bar, typical). Supported by the Office of Naval Research.

A predictive factor for acquiring an ideal lower limb realignment after opening-wedge high tibial osteotomy.

PubMed

Bito, Haruhiko; Takeuchi, Ryohei; Kumagai, Ken; Aratake, Masato; Saito, Izumi; Hayashi, Riku; Sasaki, Yohei; Aota, Yoichi; Saito, Tomoyuki

2009-04-01

Obtaining a correct postoperative limb alignment is an important factor in achieving a successful clinical outcome after an opening-wedge high tibial osteotomy (OWHTO). To better predict some of the aspects that impact upon the clinical outcomes following this procedure, including postoperative correction loss and over correction, we examined the changes in the frontal plane of the lower limb in a cohort of patients who had undergone OWHTO using radiography. Forty-two knees from 33 patients (23 cases of osteoarthritis and 10 of osteonecrosis) underwent a valgus realignment OWHTO procedure and were radiographically assessed for changes that occurred pre- and post-surgery. The mean femorotibial angle (FTA) was found to be 182.1 +/- 2.0 degrees (12 +/- 2.0 anatomical varus angulation) preoperatively and 169.6 +/- 2.4 degrees (10.4 +/- 2.4 anatomical valgus angulation) postoperatively. These measurements thus revealed significant changes in the weight bearing line ratio (WBL), femoral axis angle (FA), tibial axis angle (TA), tibia plateau angle (TP), tibia vara angle (TV) and talar tilt angle (TT) following OWHTO. In contrast, no significant change was found in the weight bearing line angle (WBLA) after these treatments. To assess the relationship between the correction angle and these indexes, 42 knees were divided into the following three groups according to the postoperative FTA; a normal correction group (168 degrees < or = FTA < or = 172 degrees ), an over-correction group (FTA < 168 degrees ), and an under-correction group (FTA > 172 degrees ). There were significant differences in the delta angle [DA; calculated as (pre FTA - post FTA) - (pre TV - post TV)] among each group of patients. Our results thus indicate a negative correlation between the DA and preoperative TA (R(2) = 0.148, p < 0.05). Hence, given that the correction errors in our patients appear to negatively correlate with the preoperative TA, postoperative malalignments are likely to be predictable

Endoscopic surgical treatment of neurogenic tumor in pterygopalatine and infratemporal fossae via extended medial maxillectomy.

PubMed

Xu, Feng; Sun, Xicai; Hu, Li; Wang, Jingjing; Wang, Dehui; Pasic, Thomas R; Kern, Robert C

2011-02-01

The endoscopic extended medial maxillectomy approach for the management of lesions of the pterygopalatine and infratemporal fossa provides excellent exposure and results with good hemostasis and low morbidity. This approach is a viable alternative to the open approaches to these areas. To describe an endoscopic extended medial maxillectomy approach for the treatment of nonmalignant tumors in the pterygopalatine and infratemporal fossa. From January 2004 to June 2007, five patients who had tumors in the pterygopalatine fossa and/or infratemporal fossa, and underwent surgical resection of the tumors with the endoscopic extended medial maxillectomy approach, were reviewed regarding demographics, preoperative images, tumor cell type, surgical techniques, and outcomes. Five patients underwent the procedure mentioned above; three females and two males with a mean age of 38 and a range of 21-58 years. All patients had adequate exposure and total tumor resection with the endoscopic extended medial maxillectomy approach. None of the patients required an external approach for tumor extirpation. There were no major postoperative complications. No evidence of tumor recurrence was noted after follow-up for 12-78 months.

[Spectral Study on the Effects of Angle-Tuned Filter Wedge Angle Parameter to Reflecting Characteristics].

PubMed

Yu, Kan; Huang, De-xiu; Yin, Juan-juan; Bao, Jia-qi

2015-08-01

Three-port tunable optical filter is a key device in the all-optic intelligent switching network and dense wavelength division multiplexing system. The characteristics of the reflecting spectrum, especially the reflectivity and the isolation degree are very important to the three-port filter. Angle-tuned thin film filter is widely used as a three-port tunable filter for its high rectangular degree and good temperature stability. The characteristics of the reflecting spectrum are greatly influenced not only by the incident angle, but also by the wedge angle parameter of the non-paralleled wedge thin film filter. In the present paper, the influences of the wedge angle parameter to the reflectivity and the half bandwidth are analyzed, and the reflecting spectrum characterstics are simulationed in different wedge angle parameter and polarity. The wedge angle-tuned thin film filter with 0.8° wedge angle parameter is fabricated. The experimental results show that keeping the wedge angle the same orientation to the incident angle will worsen the reflectivity and the rectangular degree of the reflecting spectrum. However, keeping the wedge angle orientation reverse to the incident angle will enhance the reflectivity and decrease the bandwidth, which will give higher reflectivity and isolation degree to the three-port filter than that of high parallel degree angle-tuned thin film filter.

How tibiofemoral alignment and contact locations affect predictions of medial and lateral tibiofemoral contact forces.

PubMed

Lerner, Zachary F; DeMers, Matthew S; Delp, Scott L; Browning, Raymond C

2015-02-26

Understanding degeneration of biological and prosthetic knee joints requires knowledge of the in-vivo loading environment during activities of daily living. Musculoskeletal models can estimate medial/lateral tibiofemoral compartment contact forces, yet anthropometric differences between individuals make accurate predictions challenging. We developed a full-body OpenSim musculoskeletal model with a knee joint that incorporates subject-specific tibiofemoral alignment (i.e. knee varus-valgus) and geometry (i.e. contact locations). We tested the accuracy of our model and determined the importance of these subject-specific parameters by comparing estimated to measured medial and lateral contact forces during walking in an individual with an instrumented knee replacement and post-operative genu valgum (6°). The errors in the predictions of the first peak medial and lateral contact force were 12.4% and 11.9%, respectively, for a model with subject-specific tibiofemoral alignment and contact locations determined through radiographic analysis, vs. 63.1% and 42.0%, respectively, for a model with generic parameters. We found that each degree of tibiofemoral alignment deviation altered the first peak medial compartment contact force by 51N (r(2)=0.99), while each millimeter of medial-lateral translation of the compartment contact point locations altered the first peak medial compartment contact force by 41N (r(2)=0.99). The model, available at www.simtk.org/home/med-lat-knee/, enables the specification of subject-specific joint alignment and compartment contact locations to more accurately estimate medial and lateral tibiofemoral contact forces in individuals with non-neutral alignment. Copyright © 2015 Elsevier Ltd. All rights reserved.

How Tibiofemoral Alignment and Contact Locations Affect Predictions of Medial and Lateral Tibiofemoral Contact Forces

PubMed Central

Lerner, Zachary F.; DeMers, Matthew S.; Delp, Scott L.; Browning, Raymond C.

2015-01-01

Understanding degeneration of biological and prosthetic knee joints requires knowledge of the in-vivo loading environment during activities of daily living. Musculoskeletal models can estimate medial/lateral tibiofemoral compartment contact forces, yet anthropometric differences between individuals make accurate predictions challenging. We developed a full-body OpenSim musculoskeletal model with a knee joint that incorporates subject-specific tibiofemoral alignment (i.e. knee varus-valgus) and geometry (i.e. contact locations). We tested the accuracy of our model and determined the importance of these subject-specific parameters by comparing estimated to measured medial and lateral contact forces during walking in an individual with an instrumented knee replacement and post-operative genu valgum (6°). The errors in the predictions of the first peak medial and lateral contact force were 12.4% and 11.9%, respectively, for a model with subject-specific tibiofemoral alignment and contact locations determined via radiographic analysis, vs. 63.1% and 42.0%, respectively, for a model with generic parameters. We found that each degree of tibiofemoral alignment deviation altered the first peak medial compartment contact force by 51N (r2=0.99), while each millimeter of medial-lateral translation of the compartment contact point locations altered the first peak medial compartment contact force by 41N (r2=0.99). The model, available at www.simtk.org/home/med-lat-knee/, enables the specification of subject-specific joint alignment and compartment contact locations to more accurately estimate medial and lateral tibiofemoral contact forces in individuals with non-neutral alignment. PMID:25595425

Starting of generic inlet with blunted wedges

NASA Astrophysics Data System (ADS)

Borovoy, V.; Mosharov, V.; Radchenko, V.; Skuratov, A.; Struminskaya, I.

2017-06-01

Bluntness e¨ect of gas-compressing wedges on starting and §ow structure in an air inlet was investigated experimentally. The inlet was of internal compression type with §at walls and rectangular cross section. The experiments were carried out in the wind tunnel UT-1M at Mach numbers M = 5 and 8 and Reynolds numbers Re∞L from 2.8 · 106 to 23 · 106. The §ow characteristics were measured by panoramic optical methods. Data demonstrating in§uence of wedge bluntness radius on the inlet starting were obtained at di¨erent Mach and Reynolds numbers as well as at di¨erent contraction ratios. Ambiguity of the §ow regime in the inlet under certain conditions was found.

Intra-Articular Entrapment of the Medial Epicondyle following a Traumatic Fracture Dislocation of the Elbow in an Adult

PubMed Central

Hassan, Youssef G.; Joukhadar, Nabih I.

2018-01-01

Medial epicondyle entrapment after an acute fracture dislocation of the elbow is a common finding in the pediatric population, but a rare finding in adults. We present a case of an adult patient diagnosed with a traumatic fracture dislocation of the elbow joint with intra-articular entrapment of the medial epicondyle. After initial evaluation, closed reduction was done. Stability testing after reduction showed an unstable joint; thus, open reduction and internal fixation was decided. PMID:29666736

Wedge geometry, frictional properties and interseismic coupling of the Java megathrust

NASA Astrophysics Data System (ADS)

Koulali, Achraf; McClusky, Simon; Cummins, Phil; Tregoning, Paul

2018-06-01

The mechanical interaction between rocks at fault zones is a key element for understanding how earthquakes nucleate and propagate. Therefore, estimating frictional properties along fault planes allows us to infer the degree of elastic strain accumulation throughout the seismic cycle. The Java subduction zone is an active plate boundary where high seismic activity has long been documented. However, very little is known about the seismogenic processes of the megathrust, especially its shallowest portion where onshore geodetic networks are insensitive to recover the pattern of elastic strain. Here, we use the geometry of the offshore accretionary prism to infer frictional properties along the Java subduction zone, using Coulomb critical taper theory. We show that large portions of the inner wedge in the eastern part of the Java subduction megathrust are in a critical state, where the wedge is on the verge of failure everywhere. We identify four clusters with an internal coefficient of friction μint of ∼ 0.8 and hydrostatic pore pressure within the wedge. The average effective coefficient of friction ranges between 0.3 and 0.4, reflecting a strong décollement. Our results also show that the aftershock sequence of the 1994 Mw 7.9 earthquake halted adjacent to a critical segment of the wedge, suggesting that critical taper wedge areas in the eastern Java subduction interface may behave as a permanent barrier to large earthquake rupture. In contrast, in western Java topographic slope and slab dip profiles suggest that the wedge is mechanically stable, i.e deformation is restricted to sliding along the décollement, and likely to coincide with a seismogenic portion of the megathrust. We discuss the seismic hazard implications and highlight the importance of considering the segmentation of the Java subduction zone when assessing the seismic hazard of this region.

Analysis and measurement of electromagnetic scattering by pyramidal and wedge absorbers

NASA Technical Reports Server (NTRS)

Dewitt, B. T.; Burnside, Walter D.

1986-01-01

By modifying the reflection coefficients in the Uniform Geometrical Theory of Diffraction a solution that approximates the scattering from a dielectric wedge is found. This solution agrees closely with the exact solution of Rawlins which is only valid for a few minor cases. This modification is then applied to the corner diffraction coefficient and combined with an equivalent current and geometrical optics solutions to model scattering from pyramid and wedge absorbers. Measured results from 12 inch pyramid absorbers from 2 to 18 GHz are compared to calculations assuming the returns add incoherently and assuming the returns add coherently. The measured results tend to be between the two curves. Measured results from the 8 inch wedge absorber are also compared to calculations with the return being dominated by the wedge diffraction. The procedures for measuring and specifying absorber performance are discussed and calibration equations are derived to calculate a reflection coefficient or a reflectivity using a reference sphere. Shaping changes to the present absorber designs are introduced to improve performance based on both high and low frequency analysis. Some prototypes were built and tested.

Achieving hard X-ray nanofocusing using a wedged multilayer Laue lens

DOE PAGES

Huang, Xiaojing; Conley, Raymond; Bouet, Nathalie; ...

2015-05-04

We report on the fabrication and the characterization of a wedged multilayer Laue lens for x-ray nanofocusing. The lens was fabricated using a sputtering deposition technique, in which a specially designed mask was employed to introduce a thickness gradient in the lateral direction of the multilayer. X-ray characterization shows an efficiency of 27% and a focus size of 26 nm at 14.6 keV, in a good agreement with theoretical calculations. These results indicate that the desired wedging is achieved in the fabricated structure. We anticipate that continuous development on wedged MLLs will advance x-ray nanofocusing optics to new frontiers andmore » enrich capabilities and opportunities for hard X-ray microscopy.« less

Achieving hard X-ray nanofocusing using a wedged multilayer Laue lens

DOE Office of Scientific and Technical Information (OSTI.GOV)

Huang, Xiaojing; Conley, Raymond; Bouet, Nathalie

We report on the fabrication and the characterization of a wedged multilayer Laue lens for x-ray nanofocusing. The lens was fabricated using a sputtering deposition technique, in which a specially designed mask was employed to introduce a thickness gradient in the lateral direction of the multilayer. X-ray characterization shows an efficiency of 27% and a focus size of 26 nm at 14.6 keV, in a good agreement with theoretical calculations. These results indicate that the desired wedging is achieved in the fabricated structure. We anticipate that continuous development on wedged MLLs will advance x-ray nanofocusing optics to new frontiers andmore » enrich capabilities and opportunities for hard X-ray microscopy.« less

Dual Double-Wedge Pseudo-Depolarizer with Anamorphic PSF

NASA Technical Reports Server (NTRS)

Hill, Peter; Thompson, Patrick

2012-01-01

A polarized scene, which may occur at oblique illumination angles, creates a radiometric signal that varies as a function of viewing angle. One common optical component that is used to minimize such an effect is a polarization scrambler or depolarizer. As part of the CLARREO mission, the SOLARIS instrument project at Goddard Space Flight Center has developed a new class of polarization scramblers using a dual double-wedge pseudo-depolarizer that produces an anamorphic point spread function (PSF). The SOLARIS instrument uses two Wollaston type scramblers in series, each with a distinct wedge angle, to image a pseudo-depolarized scene that is free of eigenstates. Since each wedge is distinct, the scrambler is able to produce an anamorphic PSF that maintains high spatial resolution in one dimension by sacrificing the spatial resolution in the other dimension. This scrambler geometry is ideal for 1-D imagers, such as pushbroom slit spectrometers, which require high spectral resolution, high spatial resolution, and low sensitivity to polarized light. Moreover, the geometry is applicable to a wide range of scientific instruments that require both high SNR (signal-to-noise ratio) and low sensitivity to polarized scenes

Analysis of Fault Spacing in Thrust-Belt Wedges Using Numerical Modeling

NASA Astrophysics Data System (ADS)

Regensburger, P. V.; Ito, G.

2017-12-01

Numerical modeling is invaluable in studying the mechanical processes governing the evolution of geologic features such as thrust-belt wedges. The mechanisms controlling thrust fault spacing in wedges is not well understood. Our numerical model treats the thrust belt as a visco-elastic-plastic continuum and uses a finite-difference, marker-in-cell method to solve for conservation of mass and momentum. From these conservation laws, stress is calculated and Byerlee's law is used to determine the shear stress required for a fault to form. Each model consists of a layer of crust, initially 3-km-thick, carried on top of a basal décollement, which moves at a constant speed towards a rigid backstop. A series of models were run with varied material properties, focusing on the angle of basal friction at the décollement, the angle of friction within the crust, and the cohesion of the crust. We investigate how these properties affected the spacing between thrusts that have the most time-integrated history of slip and therefore have the greatest effect on the large-scale undulations in surface topography. The surface position of these faults, which extend through most of the crustal layer, are identifiable as local maxima in positive curvature of surface topography. Tracking the temporal evolution of faults, we find that thrust blocks are widest when they first form at the front of the wedge and then they tend to contract over time as more crustal material is carried to the wedge. Within each model, thrust blocks form with similar initial widths, but individual thrust blocks develop differently and may approach an asymptotic width over time. The median of thrust block widths across the whole wedge tends to decrease with time. Median fault spacing shows a positive correlation with both wedge cohesion and internal friction. In contrast, median fault spacing exhibits a negative correlation at small angles of basal friction (<17˚) and a positive correlation with larger angles

Root avulsion of the posterior horn of the medial meniscus in skeletally immature patients.

PubMed

Sonnery-Cottet, Bertrand; Mortati, Rafael; Archbold, Pooler; Gadea, François; Clechet, Julien; Thaunat, Mathieu

2014-12-01

Meniscal root avulsion has been predominantly reported in an adult population but little is known about this meniscal lesion in children and adolescents. The of this article is to describe the clinical symptoms and a new MRI sign of a medial meniscus posterior root avulsion in skeletally immature patients, and to report the arthroscopic procedure for its reinsertion in the presence of open physes. We report two skeletally immature patients who had a medial meniscus posterior root avulsion [MMPRA]. Diagnosis of a MMPRA was suspected on MRI by intense T2 hypersignal located at the postero-medial part of the tibial plateau reflecting trabecular bone oedema ("Bone bruise") at the level of the medial meniscal posterior root attachment. Arthroscopic reduction and fixation of the posterior root of the medial meniscus with transosseous sutures was performed. The patients returned to sport at the end of 6 months without residual symptoms. At one year, the radiographs showed no modification of the physis. Healing of the medial meniscal posterior root was noted on MRI. In a skeletally immature patient it is important that this rare meniscal lesion is diagnosed early and adequately treated. We emphasize the importance of the indirect MRI signs that can lead a clinician to suspect the diagnosis of MMPRA. The aim of the surgery was to restore the anatomical footprint of the meniscal root and to re-establish its function thus preventing future chondral damage without damage to the tibial physeal growth plate. Level IV. Copyright © 2014 Elsevier B.V. All rights reserved.

The influence of physical wedges on penumbra and in-field dose uniformity in ocular proton beams.

PubMed

Baker, Colin; Kacperek, Andrzej

2016-04-01

A physical wedge may be partially introduced into a proton beam when treating ocular tumours in order to improve dose conformity to the distal border of the tumour and spare the optic nerve. Two unwanted effects of this are observed: a predictable broadening of the beam penumbra on the wedged side of the field and, less predictably, an increase in dose within the field along a relatively narrow volume beneath the edge (toe) of the wedge, as a result of small-angle proton scatter. Monte Carlo simulations using MCNPX and direct measurements with radiochromic (GAFCHROMIC(®) EBT2) film were performed to quantify these effects for aluminium wedges in a 60 MeV proton beam as a function of wedge angle and position of the wedge relative to the patient. For extreme wedge angles (60° in eye tissue) and large wedge-to-patient distances (70 mm in this context), the 90-10% beam penumbra increased from 1.9 mm to 9.1 mm. In-field dose increases from small-angle proton scatter were found to contribute up to 21% additional dose, persisting along almost the full depth of the spread-out-Bragg peak. Profile broadening and in-field dose enhancement are both minimised by placing the wedge as close as possible to the patient. Use of lower atomic number wedge materials such as PMMA reduce the magnitude of both effects as a result of a reduced mean scattering angle per unit energy loss; however, their larger physical size and greater variation in density are undesirable. Copyright © 2016 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

Laser-based linear and nonlinear guided elastic waves at surfaces (2D) and wedges (1D).

PubMed

Hess, Peter; Lomonosov, Alexey M; Mayer, Andreas P

2014-01-01

The characteristic features and applications of linear and nonlinear guided elastic waves propagating along surfaces (2D) and wedges (1D) are discussed. Laser-based excitation, detection, or contact-free analysis of these guided waves with pump-probe methods are reviewed. Determination of material parameters by broadband surface acoustic waves (SAWs) and other applications in nondestructive evaluation (NDE) are considered. The realization of nonlinear SAWs in the form of solitary waves and as shock waves, used for the determination of the fracture strength, is described. The unique properties of dispersion-free wedge waves (WWs) propagating along homogeneous wedges and of dispersive wedge waves observed in the presence of wedge modifications such as tip truncation or coatings are outlined. Theoretical and experimental results on nonlinear wedge waves in isotropic and anisotropic solids are presented. Copyright © 2013 Elsevier B.V. All rights reserved.

Calibration of the Wedge Prism

Treesearch

Charles B. Briscoe

1957-01-01

Since the introduction of plotless cruising in this country by Grosenbaugh and the later suggestion of using a wedge prism as an angle gauge by Bruce this method of determining basal area has been widely adopted in the South. One of the factors contributing to the occasionally unsatisfactory results obtained is failure to calibrate the prism used. As noted by Bruce the...

What happens to full-f gyrokinetic transport and turbulence in a toroidal wedge simulation?

DOE PAGES

Kim, Kyuho; Chang, C. S.; Seo, Janghoon; ...

2017-01-24

Here, in order to save the computing time or to fit the simulation size into a limited computing hardware in a gyrokinetic turbulence simulation of a tokamak plasma, a toroidal wedge simulation may be utilized in which only a partial toroidal section is modeled with a periodic boundary condition in the toroidal direction. The most severe restriction in the wedge simulation is expected to be in the longest wavelength turbulence, i.e., ion temperature gradient (ITG) driven turbulence. The global full-f gyrokinetic code XGC1 is used to compare the transport and turbulence properties from a toroidal wedge simulation against the fullmore » torus simulation in an ITG unstable plasma in a model toroidal geometry. It is found that (1) the convergence study in the wedge number needs to be conducted all the way down to the full torus in order to avoid a false convergence, (2) a reasonably accurate simulation can be performed if the correct wedge number N can be identified, (3) the validity of a wedge simulation may be checked by performing a wave-number spectral analysis of the turbulence amplitude |δΦ| and assuring that the variation of δΦ between the discrete kθ values is less than 25% compared to the peak |δΦ|, and (4) a frequency spectrum may not be used for the validity check of a wedge simulation.« less

What happens to full-f gyrokinetic transport and turbulence in a toroidal wedge simulation?

DOE Office of Scientific and Technical Information (OSTI.GOV)

Kim, Kyuho; Chang, C. S.; Seo, Janghoon

Here, in order to save the computing time or to fit the simulation size into a limited computing hardware in a gyrokinetic turbulence simulation of a tokamak plasma, a toroidal wedge simulation may be utilized in which only a partial toroidal section is modeled with a periodic boundary condition in the toroidal direction. The most severe restriction in the wedge simulation is expected to be in the longest wavelength turbulence, i.e., ion temperature gradient (ITG) driven turbulence. The global full-f gyrokinetic code XGC1 is used to compare the transport and turbulence properties from a toroidal wedge simulation against the fullmore » torus simulation in an ITG unstable plasma in a model toroidal geometry. It is found that (1) the convergence study in the wedge number needs to be conducted all the way down to the full torus in order to avoid a false convergence, (2) a reasonably accurate simulation can be performed if the correct wedge number N can be identified, (3) the validity of a wedge simulation may be checked by performing a wave-number spectral analysis of the turbulence amplitude |δΦ| and assuring that the variation of δΦ between the discrete kθ values is less than 25% compared to the peak |δΦ|, and (4) a frequency spectrum may not be used for the validity check of a wedge simulation.« less

A possible mechanism for earthquakes found in the mantle wedge of the Nazca subduction zone

NASA Astrophysics Data System (ADS)

Warren, L. M.; Chang, Y.; Prieto, G. A.

2017-12-01

Beneath Colombia, the Cauca cluster of intermediate-depth earthquakes extends for 200 km along the trench (3.5°N-5.5°N, 77.0°W-75.3°W) and, with 58 earthquakes per year with local magnitude ML >= 2.5, has a higher rate of seismicity than the subduction zone immediately to the north or south. By precisely locating 433 cluster earthquakes from 1/2010-3/2014 with data from the Colombian National Seismic Network, we found that the earthquakes are located both in a continuous Nazca plate subducting at an angle of 33°-43° and in the overlying mantle wedge. The mantle wedge earthquakes (12% of the earthquakes) form two isolated 40-km-tall columns extending perpendicular to the subducting slab. Using waveform inversion, we computed focal mechanisms for 69 of the larger earthquakes. The focal mechanisms are variable, but the intraslab earthquakes are generally consistent with an in-slab extensional stress axis oriented 25° counterclockwise from the down-dip direction. We suggest that the observed mantle wedge earthquakes are the result of hydrofracture in a relatively cool mantle wedge. This segment of the Nazca Plate is currently subducting at a normal angle, but Wagner et al. (2017) suggested that a flat slab slowly developed in the region between 9-5.9 Ma and persisted until 4 Ma. During flat slab subduction, the overlying mantle wedge typically cools because it is cut off from mantle corner flow. After hydrous minerals in the slab dehydrate, the dehydrated fluid is expelled from the slab and migrates through the mantle wedge. If a cool mantle wedge remains today, fluid dehydrated from the slab may generate earthquakes by hydrofracture, with the mantle wedge earthquakes representing fluid migration pathways. Dahm's (2000) model of water-filled fracture propagation in the mantle wedge shows hydrofractures propagating normal to the subducting slab and extending tens of km into the mantle wedge, as we observe.

Thermal Evolution of Diapirs with Complex Mantle Wedge Flow

NASA Astrophysics Data System (ADS)

Sylvia, R. T.; Kincaid, C.

2016-12-01

Subduction of oceanic lithosphere drives heat and mass exchange between Earth's interior and surface. One proposed transport mechanism for thermally and chemically distinct material through the wedge is the diapir model. The dominant driver of flow in the upper mantle is a mode of forced convection responding to motion of a tabular slab. A set of 4D laboratory experiments was conducted exploring the relationship between buoyancy flux and subduction parameters and subsequent effects on diapir transport. Variable subduction styles tested include downdip and rollback motion, slab gaps, slab steepening and backarc extension. The mantle is modeled using viscous glucose syrup with an Arrhenius type temperature dependent viscosity. Diapirs representing homogeneous mechanically mixed melange layer are introduced as buoyant fluid injected at multiple point sources situated along the surface of the sinking slab. Laboratory data is collected using high definition time-lapse photography and quantified using image velocimetry techniques. Here we present results from numerical simulation of the thermal evolution of spherical mantle wedge diapirs using 2D axisymmetric advection-diffusion model with internal diapir flow described by an analytic potential flow solution. A suite of wedge temperature profiles are used as thermal forcing on diapirs traversing the wedge along experimentally observed 4D ascent pathways. Scaling arguments suggest that for systems with Péclet number on the order of 15 advective heat transport is expected to dominate over diffusive heat transport, but the range of observed P-T-t paths and vigorous internal flow complicate this assumption. Interactions between modes of free (diapiric) and forced (wedge) convection lead to complex spatio-temporal variability in slab-to-arc connectivity patterns. Rollback induced toroidal flow, along trench changes in dip, convergence rate and backarc extension all produce a significant ( 500 km) trench-parallel transport

Observations of Lower Mississippi River Estuarine Dynamics: Effects of the Salt Wedge on Sediment Deposition

NASA Astrophysics Data System (ADS)

Ramirez, M. T.; Allison, M. A.

2017-12-01

The lowermost Mississippi River is subject to salt-wedge estuarine conditions during seasonally low flow, when seaward flow is unable to overcome density stratification. Previous studies in the Mississippi River salt wedge have shown the deposition of a fine sediment layer accumulating several mm/day beneath the reach where the salt wedge is present. Field studies were conducted during low flow in 2012-2015 utilizing ADCP, CTD, LISST, and physical samples to observe the physics of the salt wedge reach and to calculate rates and character of sediment trapping beneath the salt wedge. The field observations were summarized using a two-layer box-model representation of the reach to calculate water and sediment budgets entering, exiting, and stored within the reach. The salt wedge reach was found to be net depositional at rates up to 1.8 mm/day. The mechanism for transferring sediment mass from the downstream-flowing fluvial layer to the upstream-flowing marine layer appears to be flocculation, evidenced in LISST data by a spike in sediment particle diameters at the halocline. Applying reach-averaged rates of sediment trapping to a time-integrated model of salt-wedge position, we calculated annual totals ranging from 0.025 to 2.2 million tons of sediment deposited beneath the salt wedge, depending on salt-wedge persistence and upstream extent. Most years this seasonal deposit is remobilized during spring flood following the low-flow estuarine season, which may affect the timing of sediment delivery to the Gulf of Mexico, as well as particulate organic carbon, whose transport trajectory mirrors that of mineral sediment. These results are also relevant to ongoing dredging efforts necessary to maintain the economically-important navigation pathway through the lower Mississippi River, as well as planned efforts to use Mississippi River sedimentary resources to build land in the degrading Louisiana deltaic coast.

Surgical quality of wedge resection affects overall survival in patients with early stage non-small cell lung cancer.

PubMed

Ajmani, Gaurav S; Wang, Chi-Hsiung; Kim, Ki Wan; Howington, John A; Krantz, Seth B

2018-07-01

Very few studies have examined the quality of wedge resection in patients with non-small cell lung cancer. Using the National Cancer Database, we evaluated whether the quality of wedge resection affects overall survival in patients with early disease and how these outcomes compare with those of patients who receive stereotactic radiation. We identified 14,328 patients with cT1 to T2, N0, M0 disease treated with wedge resection (n = 10,032) or stereotactic radiation (n = 4296) from 2005 to 2013 and developed a subsample of propensity-matched wedge and radiation patients. Wedge quality was grouped as high (negative margins, >5 nodes), average (negative margins, ≤5 nodes), and poor (positive margins). Overall survival was compared between patients who received wedge resection of different quality and those who received radiation, adjusting for demographic and clinical variables. Among patients who underwent wedge resection, 94.6% had negative margins, 44.3% had 0 nodes examined, 17.1% had >5 examined, and 3.0% were nodally upstaged; 16.7% received a high-quality wedge, which was associated with a lower risk of death compared with average-quality resection (adjusted hazard ratio [aHR], 0.74; 95% confidence interval [CI], 0.67-0.82). Compared with stereotactic radiation, wedge patients with negative margins had significantly reduced hazard of death (>5 nodes: aHR, 0.50; 95% CI, 0.43-0.58; ≤5 nodes: aHR, 0.65; 95% CI, 0.60-0.70). There was no significant survival difference between margin-positive wedge and radiation. Lymph nodes examined and margins obtained are important quality metrics in wedge resection. A high-quality wedge appears to confer a significant survival advantage over lower-quality wedge and stereotactic radiation. A margin-positive wedge appears to offer no benefit compared with radiation. Copyright © 2018 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

Bilateral discoid medial menisci: a rare phenomenon

PubMed Central

Samal, Puspak; Bhagwat, Kishan; Panigrahi, Tapas; Gopinathan, Nirmalraj

2014-01-01

Discoid medial meniscus is a relatively rare pathology of the knee joint, with bilateral cases even rarer. Herein, we report the case of a 25-year-old man diagnosed with discoid medial meniscus in the right knee with a horizontal tear. Increased cupping of the medial condyle of the tibia, widening of the medial joint space and the presence of discoid meniscus in the right knee prompted investigation of the asymptomatic left knee with magnetic resonance imaging. The contralateral asymptomatic knee also showed evidence of discoid medial meniscus. The symptomatic knee was successfully treated by arthroscopic partial meniscectomy, with excellent functional outcome. PMID:25273941

Medial Patella Subluxation: Diagnosis and Treatment

PubMed Central

McCarthy, Mark A.; Bollier, Mathew J.

2015-01-01

Medial patella subluxation is a disabling condition typically associated with previous patellofemoral instability surgery. Patients often describe achy pain with painful popping episodes. They often report that the patella shifts laterally, which occurs as the medial subluxed patella dramatically shifts into the trochlear groove during early knee flexion. Physical examination is diagnostic with a positive medial subluxation test. Nonoperative treatment, such as focused physical therapy and patellofemoral stabilizing brace, is often unsuccessful. Primary surgical options include lateral retinacular repair/imbrication or lateral reconstruction. Prevention is key to avoid medial patella subluxation. When considering patellofemoral surgery, important factors include appropriate lateral release indications, consideration of lateral retinacular lengthening vs release, correct MPFL graft placement and tension, and avoiding excessive medialization during tubercle transfer. This review article will analyze patient symptoms, diagnostic exam findings and appropriate treatment options, as well as pearls to avoid this painful clinical entity. PMID:26361441

SU-E-T-178: Clinical Feasibility of Multi-Leaf Collimator Based Dynamic Wedge

DOE Office of Scientific and Technical Information (OSTI.GOV)

Jeong, C; Kwak, J; Ahn, S

2015-06-15

Purpose: A multi-leaf collimator (MLC) based dynamic wedge (MDW), which provide similar dose profile of physical wedge (PW) along x-jaw direction while significant monitor unit (MU) reduction, was developed and investigated for clinical use. Methods: A novel technique was used to create the wedge profile using MLC. A modification was applied to the DICOM-RT format file of the plan made with the PW to replace PW with MDW. The Varian enhanced dynamic wedge profile was used to produce MLC sequence, while the MU of the wedged field was recalculated using PW factor and fluence map. The profiles for all possiblemore » MDWs to substitute PWs were verified in 6/15 MV x-ray irradiations. New plans with MDWs were compared with the original plans in 5 rectal, 5 RT breast and 5 liver cases. Results: The wedge profile of the MDW fields were well matched with those of PWs inside the fields while less scatter than PW out of the fields. For plan comparisons of the clinical cases no significant dose discrepancy was observed between MDW plan and PW’s with the dose volume histograms. The maximum and mean doses in PTVs are agreed within 1.0%. The Result of OARs of MDW plans are slightly improved in the maximum doses (3.22 ∼ 150.4 cGy) and the mean doses (17.18 ∼ 85.52 cGy) on average for all cases while the prescribed doses are 45 Gy for rectal cases, 40 or 45 Gy for liver cases and 50 Gy for breast cases. The MUs of the fields which replace PW with MDW are reduced to 68% of those of PW. Conclusion: We developed a novel dynamic wedge technique with MLC that shows clinical advantage compared to PW.« less

Effect of Shockwave Curvature on Run Distance Observed with a Modified Wedge Test

NASA Astrophysics Data System (ADS)

Lee, Richard; Dorgan, Robert; Sutherland, Gerrit; Benedetta, Ashley; Milby, Christopher

2011-06-01

The effect of wave curvature on shock initiation in PBXN-110 was investigated using a modified wedge test configuration. Various thicknesses of PBXN-110 donor slabs were used to define the shockwave curvature introduced to wedge samples of the same explosive. The donor slabs were initiated with line-wave generators so that the introduced shock would be the same shape, magnitude and duration across the entire input surface of the wedge. The shock parameters were varied for a given donor thickness via different widths of PMMA spacers placed between the donor and the wedge. A framing camera was used to observe where initiation occurred along the face of the wedge. Initiation always occurred at the center of the shock front instead of the sides like that reported by others using a much smaller test format. Results were compared to CTH calculations to indicate if there were effects associated with highly curved shock fronts that could not be adequately predicted. The run distance predicted in CTH for a 50.8 mm thick donor slab (low curvature) compared favorably with experimental results. However, results from thinner donor slabs (higher curvature) indicate a more sensitive behavior than the simulations predicted.

Controlling direct contact force for wet adhesion with different wedged film stabilities

NASA Astrophysics Data System (ADS)

Li, Meng; Xie, Jun; Shi, Liping; Huang, Wei; Wang, Xiaolei

2018-04-01

In solid–liquid–solid adhesive systems, wedged films often feature instability at microscopic thicknesses, which can easily disrupt the adhesive strength of their remarkable direct contact force. Here, sodium dodecyl sulfate (SDS) was employed to tune the instability of adhesion in wedged glass–water–rubber films, achieving controllable direct contact. Experimental results showed that the supplement of SDS molecules significantly weakened the direct contact force for wet adhesion and eliminated it at high concentrations. The underlying reason was suggested to be the repulsive double-layer force caused by SDS molecules, which lowers the instability of the wedged film and balances the preload, disrupting the direct contact in wet adhesion.

Physical optics-based diffraction coefficient for a wedge with different face impedances.

PubMed

Umul, Yusuf Ziya

2018-03-20

A new diffraction field expression is introduced with the aid of the modified theory of physical optics for a wedge with different face impedances. First, the scattered geometrical optics fields are determined when both faces of the wedge are illuminated by the incident wave. The geometrical optics waves are then expressed in terms of the sum of two different fields that occur for different impedance wedges. The diffracted fields are determined for the two cases separately, and the total diffracted field is obtained as a sum of these waves. Lastly, the uniform field expressions are obtained, and the resultant fields are numerically compared with the solution of Maliuzhinets.

How to predict deformation for geometrically and mechanically non-uniform accretionary wedges

NASA Astrophysics Data System (ADS)

Souloumiac, Pauline; Cubas, Nadaya; Caër, Typhaine

2017-04-01

The mechanical understanding of fold-and-thrust belts and accretionary prisms strongly relies on the critical taper theory (CTT). The latter considers their mechanics as analogous to sand pushed by a moving bulldozer along a frictional décollement. The wedge evolves into a critical geometry, corresponding to a point of internal state of stress for which the whole wedge including the basal décollement is on the verge of Coulomb failure. If the décollement is planar and material properties are homogeneous and cohesionless, the critical wedge is triangular. The force of the CCT relies on the fact that conditions for stress equilibrium, Coulomb yielding of the wedge and basal frictional sliding have an analytical solution. However, this theory suffers from several limits. As stated above, the analytical solution applies for perfectly triangular wedges. However, the critical taper is shaped by internal thrusts that lead to a non-uniform topographic slope. What is then the scale of topographic variability for which the CCT will stand? The second limit is that CCT applies for homogeneous frictional properties in the wedge and as well as along the décollement. We can also wonder if there is a scaling parameter for which variations of properties along the decollement would impact the topography. We here show how the limit analysis, an efficient semi-analytical approach, can help us to overcome these limits. We aim to provide simple analytical solutions to structural geologists to evaluate the critical state of their field study cases. We first show that the effect of topographic slope variability relies on a competition between the surface of potential hanging-walls and the surface of theoretical critical hanging-walls. Dips of thrust and backthrust are controlled by the frictional parameters. Along a wedge with a non-regular topography, an out-of-sequence system will appear if there is a position along the wedge for which the hanging-wall will have a lower surface than

CarD uses a minor groove wedge mechanism to stabilize the RNA polymerase open promoter complex.

PubMed

Bae, Brian; Chen, James; Davis, Elizabeth; Leon, Katherine; Darst, Seth A; Campbell, Elizabeth A

2015-09-08

A key point to regulate gene expression is at transcription initiation, and activators play a major role. CarD, an essential activator in Mycobacterium tuberculosis, is found in many bacteria, including Thermus species, but absent in Escherichia coli. To delineate the molecular mechanism of CarD, we determined crystal structures of Thermus transcription initiation complexes containing CarD. The structures show CarD interacts with the unique DNA topology presented by the upstream double-stranded/single-stranded DNA junction of the transcription bubble. We confirm that our structures correspond to functional activation complexes, and extend our understanding of the role of a conserved CarD Trp residue that serves as a minor groove wedge, preventing collapse of the transcription bubble to stabilize the transcription initiation complex. Unlike E. coli RNAP, many bacterial RNAPs form unstable promoter complexes, explaining the need for CarD.

Analysis of coal seam thickness and seismic wave amplitude: A wedge model

NASA Astrophysics Data System (ADS)

Zou, Guangui; Xu, Zhiliang; Peng, Suping; Fan, Feng

2018-01-01

Coal seam thickness is of great significance in mining coal resources. The focus of this study is to determine the relationship between coal seam thickness and seismic wave amplitude, and the factors influencing this relationship. We used a wedge model to analyze this relationship and its influencing factors. The results show that wave interference from the top and bottom interfaces is the primary reason for the linear relationship between seismic wave amplitude and wedge thickness, when the thickness of the wedge is less than one quarter of the wavelength. This relationship is influenced by the dominant frequency, reflection coefficients from the top and bottom boundaries, depth, thickness, and angle of the wedge. However, when the lateral shift between the reflected waves is smaller than the radius of the first Fresnel zone, the wedge angle and change in lithology at the top and bottom layers are considered to have little effect on the amplitude of the interference wave. The difference in the dominant frequency of seismic waves can be reduced by filtering, and the linear relationship between amplitude and coal thickness can be improved. Field data from Sihe coal mine was analyzed, and the error was found to be within 4% of the predicted seismic wave amplitude. The above conclusions could help predict the thickness of coal seam by seismic amplitude.

Correction of moderate to severe hallux valgus with combined proximal opening wedge and distal chevron osteotomies: a reliable technique.

PubMed

Jeyaseelan, L; Chandrashekar, S; Mulligan, A; Bosman, H A; Watson, A J S

2016-09-01

The mainstay of surgical correction of hallux valgus is first metatarsal osteotomy, either proximally or distally. We present a technique of combining a distal chevron osteotomy with a proximal opening wedge osteotomy, for the correction of moderate to severe hallux valgus. We reviewed 45 patients (49 feet) who had undergone double osteotomy. Outcome was assessed using the American Orthopaedic Foot and Ankle Society (AOFAS) and the Short Form (SF) -36 Health Survey scores. Radiological measurements were undertaken to assess the correction. The mean age of the patients was 60.8 years (44.2 to 75.3). The mean follow-up was 35.4 months (24 to 51). The mean AOFAS score improved from 54.7 to 92.3 (p < 0.001) and the mean SF-36 score from 59 to 86 (p < 0.001). The mean hallux valgus and intermetatarsal angles were improved from 41.6(o) to 12.8(o) (p < 0.001) and from 22.1(o) to 7.1(o), respectively (p < 0.001). The mean distal metatarsal articular angle improved from 23(o) to 9.7(o). The mean sesamoid position, as described by Hardy and Clapham, improved from 6.8 to 3.5. The mean length of the first metatarsal was unchanged. The overall rate of complications was 4.1% (two patients). These results suggest that a double osteotomy of the first metatarsal is a reliable, safe technique which, when compared with other metatarsal osteotomies, provides strong angular correction and excellent outcomes with a low rate of complications. Cite this article: Bone Joint J 2016;98-B:1202-7. ©2016 The British Editorial Society of Bone & Joint Surgery.

Comparison of bone healing and outcomes between allogenous bone chip and hydroxyapatite chip grafts in open wedge high tibial osteotomy.

PubMed

Lee, O-Sung; Lee, Kyung Jae; Lee, Yong Seuk

2017-11-03

Allogenous bone chips and hydroxyapatite (HA) chips have been known as good options for filling an inevitable void after open wedge high tibial osteotomy (OWHTO). However, there are concerns regarding bone healing after the use of these grafts. The purpose of this study was to compare the bone healing represented by the osteoconductivity and absorbability between allogenous bone chips and HA chips in OWHTO. The outcomes of bone healing of 53 patients who received an allogenous bone chip graft and 41 patients who received an HA chip graft were retrospectively evaluated, and the results were compared between the two groups. Osteoconductivity and absorbability were serially evaluated for the assessment of bone healing at 6 weeks, 3 months, 6 months, and 1 year postoperatively. The osteoconductivity of the allogenous bone chips was greater than that of the HA chips at 6 weeks postoperatively (p < 0.05). However, there were no statistically significant differences from 3 months to 1 year postoperatively. The absorbability showed no statistically significant differences 6 weeks and 3 months after OWHTO; however, the allogenous bone chip group showed a greater absorbability at 6 months and 1 year postoperatively (42.8 ± 14.2 vs. 34.6 ± 13.8, p = 0.006 at 6 months postoperatively; 54.6 ± 14.4 vs. 43.0 ± 14.0, p < 0.001 at 1 year postoperatively). However, the two graft materials showed similar results of HKA angle, WBL ratio, posterior tibial slope.

A Systematic Review of Clinical Functional Outcomes After Medial Stabilized Versus Non-Medial Stabilized Total Knee Joint Replacement

PubMed Central

Young, Tony; Dowsey, Michelle M.; Pandy, Marcus; Choong, Peter F.

2018-01-01

Background Medial stabilized total knee joint replacement (TKJR) construct is designed to closely replicate the kinematics of the knee. Little is known regarding comparison of clinical functional outcomes of patients utilising validated patient reported outcome measures (PROM) after medial stabilized TKJR and other construct designs. Purpose To perform a systematic review of the available literature related to the assessment of clinical functional outcomes following a TKJR employing a medial stabilized construct design. Methods The review was performed with a Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) algorithm. The literature search was performed using variouscombinations of keywords. The statistical analysis was completed using Review Manager (RevMan), Version 5.3. Results In the nineteen unique studies identified, there were 2,448 medial stabilized TKJRs implanted in 2,195 participants, there were 1,777 TKJRs with non-medial stabilized design constructs implanted in 1,734 subjects. The final mean Knee Society Score (KSS) value in the medial stabilized group was 89.92 compared to 90.76 in the non-medial stabilized group, with the final KSS mean value difference between the two groups was statistically significant and favored the non-medial stabilized group (SMD 0.21; 95% CI: 0.01 to 0.41; p = 004). The mean difference in the final WOMAC values between the two groups was also statistically significant and favored the medial stabilized group (SMD: −0.27; 95% CI: −0.47 to −0.07; p = 0.009). Moderate to high values (I2) of heterogeneity were observed during the statistical comparison of these functional outcomes. Conclusion Based on the small number of studies with appropriate statistical analysis, we are unable to reach a clear conclusion in the clinical performance of medial stabilized knee replacement construct. Level of Evidence Level II PMID:29696144

A Systematic Review of Clinical Functional Outcomes After Medial Stabilized Versus Non-Medial Stabilized Total Knee Joint Replacement.

PubMed

Young, Tony; Dowsey, Michelle M; Pandy, Marcus; Choong, Peter F

2018-01-01

Medial stabilized total knee joint replacement (TKJR) construct is designed to closely replicate the kinematics of the knee. Little is known regarding comparison of clinical functional outcomes of patients utilising validated patient reported outcome measures (PROM) after medial stabilized TKJR and other construct designs. To perform a systematic review of the available literature related to the assessment of clinical functional outcomes following a TKJR employing a medial stabilized construct design. The review was performed with a Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) algorithm. The literature search was performed using variouscombinations of keywords. The statistical analysis was completed using Review Manager (RevMan), Version 5.3. In the nineteen unique studies identified, there were 2,448 medial stabilized TKJRs implanted in 2,195 participants, there were 1,777 TKJRs with non-medial stabilized design constructs implanted in 1,734 subjects. The final mean Knee Society Score (KSS) value in the medial stabilized group was 89.92 compared to 90.76 in the non-medial stabilized group, with the final KSS mean value difference between the two groups was statistically significant and favored the non-medial stabilized group (SMD 0.21; 95% CI: 0.01 to 0.41; p = 004). The mean difference in the final WOMAC values between the two groups was also statistically significant and favored the medial stabilized group (SMD: -0.27; 95% CI: -0.47 to -0.07; p = 0.009). Moderate to high values ( I 2 ) of heterogeneity were observed during the statistical comparison of these functional outcomes. Based on the small number of studies with appropriate statistical analysis, we are unable to reach a clear conclusion in the clinical performance of medial stabilized knee replacement construct. Level II.

Effect of therapeutic insoles on the medial longitudinal arch in patients with flatfoot deformity: a three-dimensional loading computed tomography study.

PubMed

Kido, Masamitsu; Ikoma, Kazuya; Hara, Yusuke; Imai, Kan; Maki, Masahiro; Ikeda, Takumi; Fujiwara, Hiroyoshi; Tokunaga, Daisaku; Inoue, Nozomu; Kubo, Toshikazu

2014-12-01

Insoles are frequently used in orthotic therapy as the standard conservative treatment for symptomatic flatfoot deformity to rebuild the arch and stabilize the foot. However, the effectiveness of therapeutic insoles remains unclear. In this study, we assessed the effectiveness of therapeutic insoles for flatfoot deformity using subject-based three-dimensional (3D) computed tomography (CT) models by evaluating the load responses of the bones in the medial longitudinal arch in vivo in 3D. We studied eight individuals (16 feet) with mild flatfoot deformity. CT scans were performed on both feet under non-loaded and full-body-loaded conditions, first with accessory insoles and then with therapeutic insoles under the same conditions. Three-dimensional CT models were constructed for the tibia and the tarsal and metatarsal bones of the medial longitudinal arch (i.e., first metatarsal bone, cuneiforms, navicular, talus, and calcaneus). The rotational angles between the tarsal bones were calculated under loading with accessory insoles or therapeutic insoles and compared. Compared with the accessory insoles, the therapeutic insoles significantly suppressed the eversion of the talocalcaneal joint. This is the first study to precisely verify the usefulness of therapeutic insoles (arch support and inner wedges) in vivo. Copyright © 2014 Elsevier Ltd. All rights reserved.

Extrusion of the medial meniscus in knee osteoarthritis assessed with a rotating clino-orthostatic permanent-magnet MRI scanner.

PubMed

Paparo, Francesco; Revelli, Matteo; Piccazzo, Riccardo; Astengo, Davide; Camellino, Dario; Puntoni, Matteo; Muda, Alessandro; Rollandi, Gian Andrea; Garlaschi, Giacomo; Cimmino, Marco Amedeo

2015-04-01

The objectives of this study were to assess the influence of weight-bearing on tibiofemoral osteoarthritis, including medial meniscal extrusion, by using a low-field (0.25 T) rotating clino-orthostatic permanent-magnet magnetic resonance (MR) scanner, and to analyse correlations of medial meniscal extrusion with the patient's Kellgren-Lawrence score, body mass index, and all the osteoarthritis features of the WORMS scoring system. Twenty-six patients (69.2% women and 30.8% men; mean age 67 ± 9.7 years) with medial tibiofemoral knee osteoarthritis were prospectively enrolled and MR sequences were acquired in both clino- and orthostatic position. MR images were assessed by two independent radiologists, according to the WORMS scale. Medial meniscal extrusion was measured and its clino-orthostatic difference (∆MME) was calculated. Intra- and inter-observer agreement of the WORMS Global Score readings was high by Cohen's K test (>0.81). No significant clino-orthostatic changes in the scoring parameters of the medial tibiofemoral joint were shown by Wilcoxon's test. Medial meniscal extrusion measured on orthostatic images was significantly higher than that measured in clinostatic position (p < 0.0001). At univariate analysis, the Kellgren-Lawrence score, WORMS Global Score, cartilage loss, meniscal damage, and osteophytes were significantly correlated to ∆MME (p < 0.005). Using a multiple regression model, tibiofemoral cartilage loss was found to correlate independently with ∆MME (p = 0.0499). Medial meniscal extrusion, evaluated with an open-configuration, rotating MR scanner, increased from the clinostatic to the orthostatic position. ∆MME, a new meniscal parameter, correlated with several important features of medial tibiofemoral osteoarthritis.

WEDGE ABSORBERS FOR MUON COOLING WITH A TEST BEAM AT MICE

DOE Office of Scientific and Technical Information (OSTI.GOV)

Neuffer, David; Acosta, J.; Summers, D.

2016-10-18

Emittance exchange mediated by wedge absorbers is required for longitudinal ionization cooling and for final transverse emittance minimization for a muon collider. A wedge absorber within the MICE beam line could serve as a demonstration of the type of emittance exchange needed for 6-D cooling, including the configurations needed for muon colliders. Parameters for this test are explored in simulation and possible experimental configurations with simulated results are presented.

Effect of Foot Progression Angle and Lateral Wedge Insole on a Reduction in Knee Adduction Moment.

PubMed

Tokunaga, Ken; Nakai, Yuki; Matsumoto, Ryo; Kiyama, Ryoji; Kawada, Masayuki; Ohwatashi, Akihiko; Fukudome, Kiyohiro; Ohshige, Tadasu; Maeda, Tetsuo

2016-10-01

This study evaluated the effect of foot progression angle on the reduction in knee adduction moment caused by a lateral wedged insole during walking. Twenty healthy, young volunteers walked 10 m at their comfortable velocity wearing a lateral wedged insole or control flat insole in 3 foot progression angle conditions: natural, toe-out, and toe-in. A 3-dimensional rigid link model was used to calculate the external knee adduction moment, the moment arm of ground reaction force to knee joint center, and the reduction ratio of knee adduction moment and moment arm. The result indicated that the toe-out condition and lateral wedged insole decreased the knee adduction moment in the whole stance phase. The reduction ratio of the knee adduction moment and the moment arm exhibited a close relationship. Lateral wedged insoles decreased the knee adduction moment in various foot progression angle conditions due to decrease of the moment arm of the ground reaction force. Moreover, the knee adduction moment during the toe-out gait with lateral wedged insole was the smallest due to the synergistic effect of the lateral wedged insole and foot progression angle. Lateral wedged insoles may be a valid intervention for patients with knee osteoarthritis regardless of the foot progression angle.

Spacing of Imbricated Thrust Faults and the Strength of Thrust-Belts and Accretionary Wedges

NASA Astrophysics Data System (ADS)

Ito, G.; Regensburger, P. V.; Moore, G. F.

2017-12-01

The pattern of imbricated thrust blocks is a prominent characteristic of the large-scale structure of thrust-belts and accretionary wedges around the world. Mechanical models of these systems have a rich history from laboratory analogs, and more recently from computational simulations, most of which, qualitatively reproduce the regular patterns of imbricated thrusts seen in nature. Despite the prevalence of these patterns in nature and in models, our knowledge of what controls the spacing of the thrusts remains immature at best. We tackle this problem using a finite difference, particle-in-cell method that simulates visco-elastic-plastic deformation with a Mohr-Coulomb brittle failure criterion. The model simulates a horizontal base that moves toward a rigid vertical backstop, carrying with it an overlying layer of crust. The crustal layer has a greater frictional strength than the base, is cohesive, and is initially uniform in thickness. As the layer contracts, a series of thrust blocks immerge sequentially and form a wedge having a mean taper consistent with that predicted by a noncohesive, critical Coulomb wedge. The widths of the thrust blocks (or spacing between adjacent thrusts) are greatest at the front of the wedge, tend to decrease with continued contraction, and then tend toward a pseudo-steady, minimum width. Numerous experiments show that the characteristic spacing of thrusts increases with the brittle strength of the wedge material (cohesion + friction) and decreases with increasing basal friction for low (<8°) taper angles. These relations are consistent with predictions of the elastic stresses forward of the frontal thrust and at what distance the differential stress exceeds the brittle threshold to form a new frontal thrust. Hence the characteristic spacing of the thrusts across the whole wedge is largely inherited at the very front of the wedge. Our aim is to develop scaling laws that will illuminate the basic physical processes controlling

Vertebral body or intervertebral disc wedging: which contributes more to thoracolumbar kyphosis in ankylosing spondylitis patients?: A retrospective study.

PubMed

Liu, Hao; Qian, Bang-Ping; Qiu, Yong; Wang, Yan; Wang, Bin; Yu, Yang; Zhu, Ze-Zhang

2016-09-01

Both vertebral body wedging and disc wedging are found in ankylosing spondylitis (AS) patients with thoracolumbar kyphosis. However, their relative contribution to thoracolumbar kyphosis is not fully understood. The objective of this study was to compare different contributions of vertebral and disc wedging to the thoracolumbar kyphosis in AS patients, and to analyze the relationship between the apical vertebral wedging angle and thoracolumbar kyphosis.From October 2009 to October 2013, a total of 59 consecutive AS patients with thoracolumbar kyphosis with a mean age of 38.1 years were recruited in this study. Based on global kyphosis (GK), 26 patients with GK < 70° were assigned to group A, and the other 33 patients with GK ≥ 70° were included in group B. Each GK was divided into disc wedge angles and vertebral wedge angles. The wedging angle of each disc and vertebra comprising the thoracolumbar kyphosis was measured, and the proportion of the wedging angle to the GK was calculated accordingly. Intergroup and intragroup comparisons were subsequently performed to investigate the different contributions of disc and vertebra to the GK. The correlation between the apical vertebral wedging angle and GK was calculated by Pearson correlation analysis. The duration of disease and sex were also recorded in this study.With respect to the mean disease duration, significant difference was observed between the two groups (P < 0.01). The wedging angle and wedging percentage of discs were significantly higher than those of vertebrae in group A (34.8° ± 2.5° vs 26.7° ± 2.7°, P < 0.01 and 56.6% vs 43.4%, P < 0.01), whereas disc wedging and disc wedging percentage were significantly lower than vertebrae in group B (37.6° ± 7.0° vs 50.1° ± 5.1°, P < 0.01 and 42.7% vs 57.3%, P < 0.01). The wedging of vertebrae was significantly higher in group B than in group A (50.1° ± 5.1° vs 26.7° ± 2.7°, P < 0

Effect of shockwave curvature on run distance observed with a modified wedge test

NASA Astrophysics Data System (ADS)

Lee, Richard; Dorgan, Robert J.; Sutherland, Gerrit; Benedetta, Ashley; Milby, Christopher

2012-03-01

The effect of wave curvature on shock initiation in PBXN-110 was investigated using a modified wedge test configuration. Various widths of PBXN-110 donor slabs were used to define the shockwave curvature introduced to wedge samples of the same explosive. The donor slabs were initiated with line-wave generators so that the shock from the donor would be the same shape, magnitude and duration across the entire input surface of the wedge. The shock parameters were varied for a given donor with PMMA spacers placed between the donor and the wedge sample. A high-speed electronic framing camera was used to observe where initiation occurred along the face of the wedge. Initiation always occurred at the center of the shock front instead of along the sides like that reported by others using a much smaller test format. Results were compared to CTH calculations to indicate if there were effects associated with highly curved shock fronts that could not be adequately predicted. The run distance predicted in CTH for a 50.8 mm wide donor slab (low curvature) compared favorably with experimental results. However, results from thinner donor slabs (higher curvature) indicate a more sensitive behavior than the simulations predicted.

Medial cortex activity, self-reflection and depression.

PubMed

Johnson, Marcia K; Nolen-Hoeksema, Susan; Mitchell, Karen J; Levin, Yael

2009-12-01

Using functional magnetic resonance imaging, we investigated neural activity associated with self-reflection in depressed [current major depressive episode (MDE)] and healthy control participants, focusing on medial cortex areas previously shown to be associated with self-reflection. Both the MDE and healthy control groups showed greater activity in anterior medial cortex (medial frontal gyrus, anterior cingulate gyrus) when cued to think about hopes and aspirations compared with duties and obligations, and greater activity in posterior medial cortex (precuneus, posterior cingulate) when cued to think about duties and obligations (Experiment 1). However, the MDE group showed less activity than controls in the same area of medial frontal cortex when self-referential cues were more ambiguous with respect to valence (Experiment 2), and less deactivation in a non-self-referential condition in both experiments. Furthermore, individual differences in rumination were positively correlated with activity in both anterior and posterior medial cortex during non-self-referential conditions. These results provide converging evidence for a dissociation of anterior and posterior medial cortex depending on the focus of self-relevant thought. They also provide neural evidence consistent with behavioral findings that depression is associated with disruption of positively valenced thoughts in response to ambiguous cues, and difficulty disengaging from self-reflection when it is appropriate to do so.

Medial cortex activity, self-reflection and depression

PubMed Central

Nolen-Hoeksema, Susan; Mitchell, Karen J.; Levin, Yael

2009-01-01

Using functional magnetic resonance imaging, we investigated neural activity associated with self-reflection in depressed [current major depressive episode (MDE)] and healthy control participants, focusing on medial cortex areas previously shown to be associated with self-reflection. Both the MDE and healthy control groups showed greater activity in anterior medial cortex (medial frontal gyrus, anterior cingulate gyrus) when cued to think about hopes and aspirations compared with duties and obligations, and greater activity in posterior medial cortex (precuneus, posterior cingulate) when cued to think about duties and obligations (Experiment 1). However, the MDE group showed less activity than controls in the same area of medial frontal cortex when self-referential cues were more ambiguous with respect to valence (Experiment 2), and less deactivation in a non-self-referential condition in both experiments. Furthermore, individual differences in rumination were positively correlated with activity in both anterior and posterior medial cortex during non-self-referential conditions. These results provide converging evidence for a dissociation of anterior and posterior medial cortex depending on the focus of self-relevant thought. They also provide neural evidence consistent with behavioral findings that depression is associated with disruption of positively valenced thoughts in response to ambiguous cues, and difficulty disengaging from self-reflection when it is appropriate to do so. PMID:19620180

Measuring the reionization 21 cm fluctuations using clustering wedges

NASA Astrophysics Data System (ADS)

Raut, Dinesh; Choudhury, Tirthankar Roy; Ghara, Raghunath

2018-03-01

One of the main challenges in probing the reionization epoch using the redshifted 21 cm line is that the magnitude of the signal is several orders smaller than the astrophysical foregrounds. One of the methods to deal with the problem is to avoid a wedge-shaped region in the Fourier k⊥ - k∥ space which contains the signal from the spectrally smooth foregrounds. However, measuring the spherically averaged power spectrum using only modes outside this wedge (i.e. in the reionization window) leads to a bias. We provide a prescription, based on expanding the power spectrum in terms of the shifted Legendre polynomials, which can be used to compute the angular moments of the power spectrum in the reionization window. The prescription requires computation of the monopole, quadrupole, and hexadecapole moments of the power spectrum using the theoretical model under consideration and also the knowledge of the effective extent of the foreground wedge in the k⊥ - k∥ plane. One can then calculate the theoretical power spectrum in the window which can be directly compared with observations. The analysis should have implications for avoiding any bias in the parameter constraints using 21 cm power spectrum data.

Development of Cone Wedge Ring Expansion Test to Evaluate Mechanical Properties of Clad Tubing Structure

DOE Office of Scientific and Technical Information (OSTI.GOV)

Wang, Jy-An John

To determine the hoop tensile properties of irradiated fuel cladding in a hot cell, a cone wedge ring expansion test method was developed. A four-piece wedge insert was designed with tapered angles matched to the cone shape of a loading piston. The ring specimen was expanded in the radial direction by the lateral expansion of the wedges under the downward movement of the piston. The advantages of the proposed method are that implementation of the test setup in a hot cell is simple and easy, and that it enables a direct strain measurement of the test specimen from the piston’smore » vertical displacement soon after the wedge-clad contact resistance is initiated.« less

49 CFR 215.113 - Defective plain bearing wedge.

Code of Federal Regulations, 2010 CFR

2010-10-01

... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD FREIGHT CAR SAFETY STANDARDS Freight Car Components... car, if a plain bearing wedge on that car is— (a) Missing; (b) Cracked; (c) Broken; or (d) Not located...

49 CFR 215.113 - Defective plain bearing wedge.

Code of Federal Regulations, 2013 CFR

2013-10-01

... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD FREIGHT CAR SAFETY STANDARDS Freight Car Components... car, if a plain bearing wedge on that car is— (a) Missing; (b) Cracked; (c) Broken; or (d) Not located...

49 CFR 215.113 - Defective plain bearing wedge.

Code of Federal Regulations, 2014 CFR

2014-10-01

... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD FREIGHT CAR SAFETY STANDARDS Freight Car Components... car, if a plain bearing wedge on that car is— (a) Missing; (b) Cracked; (c) Broken; or (d) Not located...

49 CFR 215.113 - Defective plain bearing wedge.

Code of Federal Regulations, 2012 CFR

2012-10-01

... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD FREIGHT CAR SAFETY STANDARDS Freight Car Components... car, if a plain bearing wedge on that car is— (a) Missing; (b) Cracked; (c) Broken; or (d) Not located...

49 CFR 215.113 - Defective plain bearing wedge.

Code of Federal Regulations, 2011 CFR

2011-10-01

... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD FREIGHT CAR SAFETY STANDARDS Freight Car Components... car, if a plain bearing wedge on that car is— (a) Missing; (b) Cracked; (c) Broken; or (d) Not located...

Comparison of complete distal release of the medial collateral ligament and medial epicondylar osteotomy during ligament balancing in varus knee total knee arthroplasty.

PubMed

Sim, Jae Ang; Lee, Yong Seuk; Kwak, Ji Hoon; Yang, Sang Hoon; Kim, Kwang Hui; Lee, Beom Koo

2013-12-01

During ligament balancing for severe medial contracture in varus knee total knee arthroplasty (TKA), complete distal release of the medial collateral ligament (MCL) or a medial epicondylar osteotomy can be necessary if a large amount of correction is needed. This study retrospectively reviewed 9 cases of complete distal release of the MCL and 11 cases of medial epicondylar osteotomy which were used to correct severe medial contracture. The mean follow-up periods were 46.5 months (range, 36 to 78 months) and 39.8 months (range, 32 to 65 months), respectively. There were no significant differences in the clinical results between the two groups. However, the valgus stress radiograph revealed significant differences in medial instability. In complete distal release of the MCL, some stability was obtained by repair and bracing but the medial instability could not be removed completely. Medial epicondylar osteotomy for a varus deformity in TKA could provide constant medial stability and be a useful ligament balancing technique.

Involvement of serotonin 2A receptor activation in modulating medial prefrontal cortex and amygdala neuronal activation during novelty-exposure.

PubMed

Hervig, Mona El-Sayed; Jensen, Nadja Cecilie Hvid; Rasmussen, Nadja Bredo; Rydbirk, Rasmus; Olesen, Mikkel Vestergaard; Hay-Schmidt, Anders; Pakkenberg, Bente; Aznar, Susana

2017-05-30

The medial prefrontal cortex (PFC) plays a major role in executive function by exerting a top-down control onto subcortical areas. Novelty-induced frontal cortex activation is 5-HT 2A receptor (5-HT 2A R) dependent. Here, we further investigated how blockade of 5-HT 2A Rs in mice exposed to a novel open-field arena affects medial PFC activation and basolateral amygdala (BLA) reactivity. We used c-Fos immunoreactivity (IR) as a marker of neuronal activation and stereological quantification for obtaining the total number of c-Fos-IR neurons as a measure of regional activation. We further examined the impact of 5-HT 2A R blockade on the striatal-projecting BLA neurons. Systemic administration of ketanserin (0.5mg/kg) prior to novel open-field exposure resulted in reduced total numbers of c-Fos-IR cells in dorsomedial PFC areas and the BLA. Moreover, there was a positive correlation between the relative time spent in the centre of the open-field and BLA c-Fos-IR in the ketanserin-treated animals. Unilateral medial PFC lesions blocked this effect, ascertaining an involvement of this frontal cortex area. On the other hand, medial PFC lesioning exacerbated the more anxiogenic-like behaviour of the ketanserin-treated animals, upholding its involvement in modulating averseness. Ketanserin did not affect the number of activated striatal-projecting BLA neurons (measured by number of Cholera Toxin b (CTb) retrograde labelled neurons also being c-Fos-IR) following CTb injection in the ventral striatum. These results support a role of 5-HT 2A R activation in modulating mPFC and BLA activation during exposure to a novel environment, which may be interrelated. Conversely, 5-HT 2A R blockade does not seem to affect the amygdala-striatal projection. Copyright © 2017 Elsevier B.V. All rights reserved.

What Preoperative Radiographic Parameters Are Associated With Increased Medial Release in Total Knee Arthroplasty?

PubMed

Martin, J Ryan; Jennings, Jason M; Levy, Daniel L; Watters, Tyler Steven; Miner, Todd M; Dennis, Douglas A

2017-03-01

Preoperative varus deformity of the knee is a common malalignment in patients undergoing primary total knee arthroplasty (TKA). We are unaware of any studies that have correlated how various preoperative radiographic parameters can predict the amount of medial releases performed to achieve optimal coronal alignment and ligamentous balance. A retrospective review was performed on 67 patients who required at least a medial tibial reduction osteotomy (MTRO) during primary TKA to achieve coronal balance. This patient population was matched 1:1 to another cohort of TKA patients by age, gender, and body mass index who did not require an MTRO. A radiographic evaluation was used to compare the 2 cohorts. Preoperatively, the MTRO cohort was noted to have significantly increased varus tibiofemoral (86.12° vs 93.43°), tibial articular surface (85.79° vs 87.54°), and medial tibial articular surface angles (75.22° vs 85.34°) compared to the control cohort. The MTRO cohort had 3.13 mm of medial tibial offset and 9.06 mm of lateral joint space opening and the control cohort had 0.09 mm and 4.07 mm, respectively. The medial tibial articular surface angle and lateral joint space widening were statistically associated with the MTRO cohort. The final tibiofemoral angle in the MTRO cohort was 92.43° and was 93.40° in the control cohort. The MTRO cohort was noted to have several preoperative radiographic parameters that were significantly different than the control cohort. However, the medial tibial articular surface angle and lateral joint space widening were the only radiographic parameters that were statistically associated with requiring an MTRO. Copyright © 2016 Elsevier Inc. All rights reserved.

[SPECIFIC DIAGNOSTIC SIGNIFICANCE OF "RIPPLE SIGN" OF MEDIAL FEMORAL CONDYLE UNDER ARTHROSCOPE IN MEDIAL LONGITUDINAL MENISCAL TEARS].

PubMed

Ren Shiyou; Sun, Limang; Chen, Guofei; Jiang, Changqing; Zhang, Xintao; Zhang Wentao

2015-01-01

To investigate the reliability of the "ripple sign" on the upper surface of the medial femoral condyle in the diagnosis of medial longitudinal meniscal tears under arthroscope. Between June 2013 and June 2014, 56 patients with knee injuries were included. There were 35 males and 21 females with an average age of 22.2 years (range, 12-38 years). The causes of injury were sports in 40 cases, falling in 10 cases, and traffic accident in 6 cases. The injury was located at the left knee in 22 cases and at the right knee in 34 cases. The disease duration was 10-40 days (mean, 20.2 days). Of 56 patients, 15 cases had simple medial meniscal injury; 41 cases had combined injuries, including anterior cruciate ligament injury in 38 cases, posterior cruciate ligament injury in 2 cases, and patellar dislocation in 1 case. The "ripple sign" was observed under arthroscope before operation. Repair of medial meniscal injury and reconstruction of cruciate ligament were performed. The positive "ripple sign" was seen under arthroscope in all patients, who were diagnosed to have longitudinal meniscal tears, including 23 cases of mild "ripple sign" , 28 cases of moderate "ripple sign", and 5 cases of severe "ripple sign". The "ripple sign" on the upper surface of the medial femoral condyle is a reliable diagnostic evidence of medial longitudinal meniscal tears.

Modification of the fault logic circuit of a high-energy linear accelerator to accommodate selectively coded, large-field wedges.

PubMed

Miller, R W; van de Geijn, J

1987-01-01

A modification to the fault logic circuit that controls the collimator (COLL) fault is described. This modification permits the use of large-field wedges by adding an additional input into the reference voltage that determines the fault condition. The resistor controlling the amount of additional voltage is carried on board each wedge, within the wedge plug. This allows each wedge to determine its own, individual field size limit. Additionally, if no coding resistor is provided, the factory-supplied reference voltage is used, which sets the maximum allowable field size to 15 cm. This permits the use of factory-supplied wedges in conjunction with selected, large-field wedges, allowing proper sensing of the field size maximum in all conditions.

Medial extrusion of the posterior segment of medial meniscus is a sensitive sign for posterior horn tears.

PubMed

Ohishi, Tsuyoshi; Suzuki, Daisuke; Yamamoto, Kazufumi; Banno, Tomohiro; Shimizu, Yuta; Matsuyama, Yukihiro

2014-01-01

To evaluate medial extrusion of the posterior segment of the medial meniscus in posterior horn tears. This study enrolled 72 patients without medial meniscal tears (group N), 72 patients with medial meniscal tears without posterior horn tears (group PH-), 44 patients with posterior horn tears of the medial meniscus (group PH+). All meniscal tears were confirmed by arthroscopy. Medial extrusion of the middle segment and the posterior segment was measured on coronal MRIs. Extrusions of both middle and posterior segments in groups PH- and PH+ (middle segment; 2.94±1.51 mm for group PH- and 3.75±1.69 mm for group PH+, posterior segment; 1.85±1.82 mm for group PH- and 4.59±2.74 mm for group PH+) were significantly larger than those in group N (middle segment; 2.04±1.20, posterior segment; 1.21±1.86). Both indicators of extrusion in group PH+ were larger than those in group PH-. In the early OA category, neither middle nor posterior segment in group PH- extruded more than in group N. However, only the posterior segment in group PH+ extruded significantly more than in group N. Multiple lineal regression analyses revealed that posterior segment extrusion was strongly correlated with the posterior horn tears (p<0.001) among groups PH- and PH+. The newly presented indicator for extrusion of the posterior segment of the medial meniscus is associated with posterior horn tears in comparison with the extrusion of the middle segment, especially in the early stages of osteoarthritis. Level II--Diagnostic Study. Copyright © 2013 Elsevier B.V. All rights reserved.

Selective Medial Release Technique Using the Pie-Crusting Method for Medial Tightness During Primary Total Knee Arthroplasty.

PubMed

Ha, Chul-Won; Park, Yong-Beom; Lee, Choong-Hee; Awe, Soo-Ik; Park, Yong-Geun

2016-05-01

The pie-crusting method is popular in releasing lateral tightness during primary total knee arthroplasty (TKA) but is not well described for medial release. We established a selective medial release technique using the pie-crusting technique and investigated the effectiveness and safety of the technique during primary TKA. We retrospectively reviewed 729 primary TKAs with varus deformity between October 2009 and June 2012. Medial tightness in flexion was released by traditional subperiosteal stripping for the anterior portion of the medial collateral ligament (aMCL). Medial tightness in extension was released by the pie crusting for the tight fibers in the posterior portion of the MCL and/or posteromedial corner structures (pMCL/PMCS). Clinical outcomes were evaluated by Knee Society (KS) scores and the Western Ontario and McMaster Universities Osteoarthritis Index. Any complications, including late medial instability that may be related to our surgical technique, were carefully inspected. Among the 729 knees, 170 (23.3%) required subperiosteal stripping for balancing in flexion only, 186 (25.5%) required the pie-crusting for balancing in extension only and 142 (19.5%) required subperiosteal stripping and the pie-crusting for balancing in flexion and extension. The KS knee score was improved from 52.5 to 83.4, KS function score from 58.2 to 91.9, and Western Ontario and McMaster Universities Osteoarthritis Index from 42.7 to 21.8 (P < .001, all). No specific complications related to our technique were identified. The selective medial release technique appears to be an effective and safe method to obtain a balanced mediolateral gap in primary TKA. Copyright © 2016 Elsevier Inc. All rights reserved.

Impingement of water droplets on wedges and diamond airfoils at supersonic speeds

NASA Technical Reports Server (NTRS)

Serafini, John S

1953-01-01

An analytical solution has been obtained for the equations of motion of water droplets impinging on a wedge in a two-dimensional supersonic flow field with a shock wave attached to the wedge. The closed-form solution yields analytical expressions for the equation of the droplet trajectory, the local rate of impingement and the impingement velocity at any point on the wedge surface, and the total rate of impingement. The analytical expressions are utilized to determine the impingement on the forward surfaces of diamond airfoils in supersonic flow fields with attached shock waves. The results presented include the following conditions: droplet diameters from 2 to 100 microns, pressure altitudes from sea level to 30,000 feet, free-stream static temperatures from 420 degrees to 460 degrees R. Also, free-stream Mach numbers from 1.1 to 2.0, semi-apex angles for the wedge from 1.14 degrees to 7.97 degrees, thickness-to-chord ratios for the diamond airfoil from 0.02 to 0.14, chord lengths from 1 to 20 feet, and angles of attack from zero to the inverse tangent of the airfoil thickness-to-chord ratio.

The influence of wedge diffuser blade number and divergence angle on the performance of a high pressure ratio centrifugal compressor

NASA Astrophysics Data System (ADS)

Wang, Yi; Han, Ge; Lu, Xingen; Zhu, Junqiang

2018-02-01

Wedge diffuser is widely used in centrifugal compressors due to its high performance and compact size. This paper is aimed to research the influence of wedge diffuser blade number and divergence angle on centrifugal compressor performance. The impact of wedge diffuser blade number on compressor stage performance is investigated, and then the wedge diffusers with different divergence angle are studied by varying diffuser wedge angle and blade number simultaneously. It is found that wedge diffuser with 27 blades could have about 0.8% higher adiabatic efficiency and 0.14 higher total pressure ratio than the wedge diffuser with 19 blades and the best compressor performance is achieved when diffuser divergence angle is 8.3°.These results could give some advices on centrifugal compressor design.

Dispersion analysis and measurement of circular cylindrical wedge-like acoustic waveguides.

PubMed

Yu, Tai-Ho

2015-09-01

This study investigated the propagation of flexural waves along the outer edge of a circular cylindrical wedge, the phase velocities, and the corresponding mode displacements. Thus far, only approximate solutions have been derived because the corresponding boundary-value problems are complex. In this study, dispersion curves were determined using the bi-dimensional finite element method and derived through the separation of variables and the Hamilton principle. Modal displacement calculations clarified that the maximal deformations appeared at the outer edge of the wedge tip. Numerical examples indicated how distinct thin-film materials deposited on the outer surface of the circular cylindrical wedge influenced the dispersion curves. Additionally, dispersion curves were measured using a laser-induced guided wave, a knife-edge measurement scheme, and a two-dimensional fast Fourier transform method. Both the numerical and experimental results correlated closely, thus validating the numerical solution. Copyright © 2015 Elsevier B.V. All rights reserved.

Crossing the boundary: experimental investigation of water entry conditions of V-shaped wedges

NASA Astrophysics Data System (ADS)

Xiao, Tingben; Yohann, Daniel; Vincent, Lionel; Jung, Sunghwan; Kanso, Eva

2016-11-01

Seabirds that plunge-dive at high speeds exhibit remarkable abilities to withstand and mitigate impact forces. To minimize these forces, diving birds streamline their shape at impact, entering water with their sharp beak first. Here, we investigate the impact forces on rigid V-shaped wedges crossing the air-water interface at high Weber numbers. We vary the impact velocity V by adjusting the height from which the wedge is dropped. Both a high-speed camera and a force transducer are used to characterize the impact. We found that the splash base and air cavity show little dependence on the impact velocity when rescaling by inertial time d / V , where d is the breadth of the wedge. The peak impact force occurs at time tp smaller than the submersion time ts such that the ratio tp /ts is almost constant for all wedges and impact velocities V. We also found that the maximum impact force, like drag force, scales as AV2 , where A is the cross-sectional area of the wedge. We then propose analytical models of the impact force and splash dynamics. The theoretical predictions agree well with our experimental results. We conclude by commenting on the relevance of these results to understanding the mechanics of diving seabirds. We acknowledge support from the National Science Foundation.

Radiographic Outcomes Following Lateral Column Lengthening With a Porous Titanium Wedge.

PubMed

Gross, Christopher E; Huh, Jeannie; Gray, Joni; Demetracopoulos, Constantine; Nunley, James A

2015-08-01

Lateral column lengthening (LCL) is commonly utilized in treating stage II posterior tibialis tendon dysfunction. This study aimed to analyze the outcomes of LCL with porous titanium wedges compared to historic controls of iliac crest autograft and allograft. We hypothesized that the use of a porous titanium wedge would have radiographic improvement and union rates similar to those with the use of autograft and allograft in LCL. Between May 2009 and May 2014, 28 feet in 26 patients were treated with LCL using a porous titanium wedge. Of the 26 patients, 9 were males (34.6%). The average age for males was 43 years (range, 17.9-58.7), 48.7 years (range, 21-72.3) for females. Mean follow-up was 14.6 months. Radiographs were examined for correction of the flatfoot deformity and forefoot abduction. All complications were noted. Radiographically, the patients had a significant deformity correction in the anteroposterior talo-first metatarsal angle, talonavicular coverage angle, lateral talo-first metatarsal angle, and calcaneal pitch. All but 1 patient (96%) had bony incorporation of the porous titanium wedge. The average preoperative visual analog scale pain score was 5; all patients but 3 (12%) had improvements in their pain score, with a mean change of 3.4. LCL with porous titanium had low nonunion rates, improved radiographic correction, and pain relief. Level IV, case series. © The Author(s) 2015.

Stable isotope and gas properties of two ice wedges from Cape Mamontov Klyk, Laptev Sea, Northern Siberia

NASA Astrophysics Data System (ADS)

Boereboom, T.; Samyn, D.; Meyer, H.; Tison, J.-L.

2011-12-01

This paper presents and discusses the texture, fabric and gas properties (contents of total gas, O2, N2, CO2, and CH4) of two ice wedges from Cape Mamontov Klyk, Laptev Sea, Northern Siberia. The two ice wedges display contrasting structures: one being of relatively "clean" ice and the other showing clean ice at its centre as well as debris-rich ice on its sides (referred to as ice-sand wedge). A comparison of gas properties, crystal size, fabrics and stable isotope data (δ18O and δD) allows discriminating between three different facies of ice with specific paleoenvironmental signatures, suggesting different climatic conditions and rates of biological activity. More specifically, total gas content and composition reveal variable intensities of meltwater infiltration and show the impact of biological processes with contrasting contributions from anaerobic and aerobic conditions. Stable isotope data are shown to be valid for discussing changes in paleoenvironmental conditions and/or decipher different sources for the snow feeding into the ice wedges with time. Our data also give support to the previous assumption that the composite ice wedge was formed in Pleistocene and the ice wedge in Holocene times. This study sheds more light on the conditions of ice wedge growth under changing environmental conditions.

Endoscopic medial maxillectomy breaking new frontiers.

PubMed

Mohanty, Sanjeev; Gopinath, M

2013-07-01

Endoscopy has changed the perspective of rhinologist towards the nose. It has revolutionised the surgical management of sinonasal disorders. Sinus surgeries were the first to get the benefit of endoscope. Gradually the domain of endoscopic surgery extended to the management of sino nasal tumours. Traditionally medial maxillectomy was performed through lateral rhinotomy or mid facial degloving approach. Endoscopic medial maxillectomy has been advocated by a number of authors in the management of benign sino-nasal tumours. We present our experience of endoscopic medial maxillectomy in the management of sinonasal pathologies.

Modeling the Evolution of Localized Strain in Orogenic Wedges: From Short-term Deformation to Long-term Tectonic States

NASA Astrophysics Data System (ADS)

Weiss, J. R.; Ito, G.; Brooks, B. A.; Olive, J. A. L.; Foster, J. H.; Howell, S. M.

2015-12-01

Some of the most destructive earthquakes on Earth are associated with active orogenic wedges. Despite a sound understanding of the basic mechanics that govern whole wedge structure over geologic time scales and a growing body of studies that have characterized the deformation associated with historic to recent earthquakes, first order questions remain about the linkage of the two sets of processes at the intermediate seismotectonic timescales. Numerical models have the power to test the effects of specific mechanical conditions on the evolution of observables at active orogenic wedges. Here we use a two-dimensional, continuum mechanics-based, finite difference method with a visco-elasto-plastic rheology coupled with surface processes to investigate the spatiotemporal distribution of deformation during wedge growth. The model simulates the contraction of a crustal layer overlying a weak base (décollement) against a rigid backstop and the spontaneous nucleation and evolution of fault zones due to cohesive, Mohr-Coulomb failure with strain weakening. Consistent with critical wedge theory, the average slope across the wedge is controlled by the relative frictional strengths of the wedge and décollement. Initial calculations predict changes in wedge deformation on short geologic timescales (103-105yrs) that involve episodes of widening as new, foreland-verging thrusts nucleate near the surface beyond the wedge toe and propagate down-dip to intersect the décollement. All the while, the wedge thickens via slip on older, internal fault zones. The aim of this study is to identify the parameters controlling the timescales of 1) episodic widening versus thickening and 2) nucleation and life-span of individual fault zones. These are initial steps needed to link earthquake observations to the long-term tectonic states inferred at various orogenic belts around the world.

Sojourner, Wedge, & Shark

NASA Technical Reports Server (NTRS)

1997-01-01

This Imager for Mars Pathfinder (IMP) image taken near the end of daytime operations on Sol 50 shows the Sojourner rover between the rocks 'Wedge' (foreground) and 'Shark' (behind rover). The rover successfully deployed its Alpha Proton X-Ray Spectrometer on Shark on Sol 52.

Mars Pathfinder is the second in NASA's Discovery program of low-cost spacecraft with highly focused science goals. The Jet Propulsion Laboratory, Pasadena, CA, developed and manages the Mars Pathfinder mission for NASA's Office of Space Science, Washington, D.C. JPL is a division of the California Institute of Technology (Caltech). The Imager for Mars Pathfinder (IMP) was developed by the University of Arizona Lunar and Planetary Laboratory under contract to JPL. Peter Smith is the Principal Investigator.

Numerical simulations of negative-index refraction in wedge-shaped metamaterials.

PubMed

Dong, Z G; Zhu, S N; Liu, H; Zhu, J; Cao, W

2005-07-01

A wedge-shaped structure made of split-ring resonators (SRR) and wires is numerically simulated to evaluate its refraction behavior. Four frequency bands, namely, the stop band, left-handed band, ultralow-index band, and positive-index band, are distinguished according to the refracted field distributions. Negative phase velocity inside the wedge is demonstrated in the left-handed band and the Snell's Law is conformed in terms of its refraction behaviors in different frequency bands. Our results confirmed that negative index of refraction indeed exists in such a composite metamaterial and also provided a convincing support to the results of previous Snell's Law experiments.

Spatial variability of E. coli in an urban salt-wedge estuary.

PubMed

Jovanovic, Dusan; Coleman, Rhys; Deletic, Ana; McCarthy, David

2017-01-15

This study investigated the spatial variability of a common faecal indicator organism, Escherichia coli, in an urban salt-wedge estuary in Melbourne, Australia. Data were collected through comprehensive depth profiling in the water column at four sites and included measurements of temperature, salinity, pH, dissolved oxygen, turbidity, and E. coli concentrations. Vertical variability of E. coli was closely related to the salt-wedge dynamics; in the presence of a salt-wedge, there was a significant decrease in E. coli concentrations with depth. Transverse variability was low and was most likely dwarfed by the analytical uncertainties of E. coli measurements. Longitudinal variability was also low, potentially reflecting minimal die-off, settling, and additional inputs entering along the estuary. These results were supported by a simple mixing model that predicted E. coli concentrations based on salinity measurements. Additionally, an assessment of a sentinel monitoring station suggested routine monitoring locations may produce conservative estimates of E. coli concentrations in stratified estuaries. Copyright © 2016 Elsevier Ltd. All rights reserved.

Subduction zone evolution and low viscosity wedges and channels

NASA Astrophysics Data System (ADS)

Manea, Vlad; Gurnis, Michael

2007-12-01

Dehydration of subducting lithosphere likely transports fluid into the mantle wedge where the viscosity is decreased. Such a decrease in viscosity could form a low viscosity wedge (LVW) or a low viscosity channel (LVC) on top of the subducting slab. Using numerical models, we investigate the influence of low viscosity wedges and channels on subduction zone structure. Slab dip changes substantially with the viscosity reduction within the LVWs and LVCs. For models with or without trench rollback, overthickening of slabs is greatly reduced by LVWs or LVCs. Two divergent evolutionary pathways have been found depending on the maximum depth extent of the LVW and wedge viscosity. Assuming a viscosity contrast of 0.1 with background asthenosphere, models with a LVW that extends down to 400 km depth show a steeply dipping slab, while models with an LVW that extends to much shallower depth, such as 200 km, can produce slabs that are flat lying beneath the overriding plate. There is a narrow range of mantle viscosities that produces flat slabs (5 to10 × 10 19 Pa s) and the slab flattening process is enhanced by trench rollback. Slab can be decoupled from the overriding plate with a LVC if the thickness is at least a few 10 s of km, the viscosity reduction is at least a factor of two and the depth extent of the LVC is several hundred km. These models have important implications for the geochemical and spatial evolution of volcanic arcs and the state of stress within the overriding plate. The models explain the poor correlation between traditional geodynamic controls, subducting plate age and convergence rates, on slab dip. We predict that when volcanic arcs change their distance from the trench, they could be preceded by changes in arc chemistry. We predict that there could be a larger volatile input into the wedge when arcs migrate toward the trench and visa-versa. The transition of a subduction zone into the flat-lying regime could be preceded by changes in the volatile

Cumulative effects of climate change and ice-wedge degradation, Prudhoe Bay oilfield Alaska

NASA Astrophysics Data System (ADS)

Walker, D. A.; Kanevskiy, M. Z.; Shur, Y.; Raynolds, M. K.; Buchhorn, M.

2016-12-01

Development of Arctic oil & gas resources requires extensive networks of roads, pipelines and other forms of infrastructure. The Prudhoe Bay Oilfield is the largest Arctic oilfield in North America with a long, well-documented history. In a previous publication we analyzed the historical record of high-resolution aerial photos to document the long-term changes to infrastructure extent (1949-2010) for the entire oilfield, and an integrated-geoecological-historical-change-mapping (IGHCM) approach to document terrain changes within 22-km2 areas of the oilfield. We reported the recent widespread expansion of thermokarst, starting in about 1989. Here we examine the annual air-photo record to better pinpoint the years of major change. We also conducted detailed field studies of roadside changes using topographic surveys and soil, vegetation and ice-wedge coring studies. Both sites exhibit extensive ice-wedge degradation that is caused by a combination of a long-term warming trend a series of exceptionally warm summers, and infrastructure-related factors that melted the tops of ice wedges. Near-road thermokarst is enhanced by warmer soils associated with road dust, roadside flooding, near-road pipelines, communication cables, and altered snow regimes. These strongly affect roadside ecosystems and the infrastructure itself. Changes to ecosystems include altered hydrology with the drying of polygon centers and the formation of well-developed high-centered polygons occurs in some areas. Other areas develop extensive flooding and erosion of ice-wedge troughs. An unexpected result of flooding is the stabilization of ice-wedge degradation in some areas because the increased productivity of sedges in the flooded areas is producing large amounts of organic material that protects the tops of ice wedges from further degradation. The large increases in productivity in roadside areas also attract large flocks of waterfowl. Changes to the soils with the addition of thick layers of

Analysis of the stress field in a wedge using the fast expansions with pointwise determined coefficients

NASA Astrophysics Data System (ADS)

Chernyshov, A. D.; Goryainov, V. V.; Danshin, A. A.

2018-03-01

The stress problem for the elastic wedge-shaped cutter of finite dimensions with mixed boundary conditions is considered. The differential problem is reduced to the system of linear algebraic equations by applying twice the fast expansions with respect to the angular and radial coordinate. In order to determine the unknown coefficients of fast expansions, the pointwise method is utilized. The problem solution derived has explicit analytical form and it’s valid for the entire domain including its boundary. The computed profiles of the displacements and stresses in a cross-section of the cutter are provided. The stress field is investigated for various values of opening angle and cusp’s radius.

The Anatomy of the Medial Patellofemoral Complex.

PubMed

Tanaka, Miho J

2017-06-01

The term "medial patellofemoral complex" (MPFC) was proposed to describe the static medial stabilizer of the patella, typically referred to as the medial patellofemoral ligament. In light of our increasing understanding of the attachment of its fibers to the quadriceps tendon in addition to the patella, the term MPFC is used in this article. The purpose of this article is to describe and discuss the anatomy of the MPFC.

Arthroscopic pullout repair of posterior root tear of the medial meniscus: the anterior approach using medial collateral ligament pie-crusting release.

PubMed

Park, Young-Sik; Moon, Hong-Kyo; Koh, Yong-Gon; Kim, Yong-Chan; Sim, Dong-Sik; Jo, Seung-Bae; Kwon, Se-Kwang

2011-08-01

Posterior root tears of the medial meniscus are frequently encountered and should be repaired if possible to prevent osteoarthritis of the medial compartment. Various surgical techniques have been proposed to repair posterior root tears. The anterior arthroscopic approach can cause an iatrogenic chondral injury due to the narrow medial joint space. The posterior approaches might be technically unfamiliar to many surgeons because they require the establishment of a posteromedial or trans-septal portal. This paper describes the medial collateral ligament pie-crusting release technique for arthroscopic double transosseous pullout repair of posterior root tears of the medial meniscus through the anterior approach to provide the good visualization of the footprint and sufficient working space.

Climate adaptation wedges: a case study of premium wine in the western United States

NASA Astrophysics Data System (ADS)

Diffenbaugh, Noah S.; White, Michael A.; Jones, Gregory V.; Ashfaq, Moetasim

2011-04-01

Design and implementation of effective climate change adaptation activities requires quantitative assessment of the impacts that are likely to occur without adaptation, as well as the fraction of impact that can be avoided through each activity. Here we present a quantitative framework inspired by the greenhouse gas stabilization wedges of Pacala and Socolow. In our proposed framework, the damage avoided by each adaptation activity creates an 'adaptation wedge' relative to the loss that would occur without that adaptation activity. We use premium winegrape suitability in the western United States as an illustrative case study, focusing on the near-term period that covers the years 2000-39. We find that the projected warming over this period results in the loss of suitable winegrape area throughout much of California, including most counties in the high-value North Coast and Central Coast regions. However, in quantifying adaptation wedges for individual high-value counties, we find that a large adaptation wedge can be captured by increasing the severe heat tolerance, including elimination of the 50% loss projected by the end of the 2030-9 period in the North Coast region, and reduction of the projected loss in the Central Coast region from 30% to less than 15%. Increased severe heat tolerance can capture an even larger adaptation wedge in the Pacific Northwest, including conversion of a projected loss of more than 30% in the Columbia Valley region of Washington to a projected gain of more than 150%. We also find that warming projected over the near-term decades has the potential to alter the quality of winegrapes produced in the western US, and we discuss potential actions that could create adaptation wedges given these potential changes in quality. While the present effort represents an initial exploration of one aspect of one industry, the climate adaptation wedge framework could be used to quantitatively evaluate the opportunities and limits of climate adaptation

Climate adaptation wedges: a case study of premium wine in the western United States

DOE Office of Scientific and Technical Information (OSTI.GOV)

Diffenbaugh, Noah; White, Michael A; Jones, Gregory V

2011-01-01

Design and implementation of effective climate change adaptation activities requires quantitative assessment of the impacts that are likely to occur without adaptation, as well as the fraction of impact that can be avoided through each activity. Here we present a quantitative framework inspired by the greenhouse gas stabilization wedges of Pacala and Socolow. In our proposed framework, the damage avoided by each adaptation activity creates an 'adaptation wedge' relative to the loss that would occur without that adaptation activity. We use premium winegrape suitability in the western United States as an illustrative case study, focusing on the near-term period thatmore » covers the years 2000 39. We find that the projected warming over this period results in the loss of suitable winegrape area throughout much of California, including most counties in the high-value North Coast and Central Coast regions. However, in quantifying adaptation wedges for individual high-value counties, we find that a large adaptation wedge can be captured by increasing the severe heat tolerance, including elimination of the 50% loss projected by the end of the 2030 9 period in the North Coast region, and reduction of the projected loss in the Central Coast region from 30% to less than 15%. Increased severe heat tolerance can capture an even larger adaptation wedge in the Pacific Northwest, including conversion of a projected loss of more than 30% in the Columbia Valley region of Washington to a projected gain of more than 150%. We also find that warming projected over the near-term decades has the potential to alter the quality of winegrapes produced in the western US, and we discuss potential actions that could create adaptation wedges given these potential changes in quality. While the present effort represents an initial exploration of one aspect of one industry, the climate adaptation wedge framework could be used to quantitatively evaluate the opportunities and limits of climate

Medial meniscus posterior horn avulsion.

PubMed

Marzo, John M

2009-05-01

Avulsion of the posterior horn of the medial meniscus can occur from acute trauma or chronic degeneration, leading to meniscus extrusion, articular cartilage loss, osteophyte formation, and medial joint space narrowing. With meniscus extrusion, the meniscus is unable to resist hoop stresses and cannot shield the adjacent articular cartilage from excessive axial load. Over time, this can lead to symptomatic knee osteoarthritis. Patients typically report pain, swelling, mechanical symptoms, and general functional loss. Although nonsurgical care may relieve symptoms, it is unlikely to alter either the natural history of meniscal loss or the fate of the medial compartment. Surgical repair of posterior horn meniscal avulsion is done in an attempt to restore the anatomy and biomechanical function of the meniscus, and to slow or prevent degenerative joint disease. Meniscal transplantation is reserved for salvage situations.

Effect of Laterally Wedged Insoles on the External Knee Adduction Moment across Different Reference Frames.

PubMed

Yamaguchi, Satoshi; Kitamura, Masako; Ushikubo, Tomohiro; Murata, Atsushi; Akagi, Ryuichiro; Sasho, Takahisa

2015-01-01

Biomechanical effects of laterally wedged insoles are assessed by reduction in the knee adduction moment. However, the degree of reduction may vary depending on the reference frame with which it is calculated. The purpose of this study was to clarify the effect of reference frame on the reduction in the knee adduction moment by laterally wedged insoles. Twenty-nine healthy participants performed gait trials with a laterally wedged insole and with a flat insole as a control. The knee adduction moment, including the first and second peaks and the angular impulse, were calculated using four different reference frames: the femoral frame, tibial frame, laboratory frame and the Joint Coordinate System. There were significant effects of reference frame on the knee adduction moment first and second peaks (P < 0.001 for both variables), while the effect was not significant for the angular impulse (P = 0.84). No significant interaction between the gait condition and reference frame was found in either of the knee adduction moment variables (P = 0.99 for all variables), indicating that the effects of laterally wedged insole on the knee adduction moments were similar across the four reference frames. On the other hand, the average percent changes ranged from 9% to 16% for the first peak, from 16% to 18% for the second peak and from 17% to 21% for the angular impulse when using the different reference frames. The effects of laterally wedged insole on the reduction in the knee adduction moment were similar across the reference frames. On the other hand, Researchers need to recognize that when the percent change was used as the parameter of the efficacy of laterally wedged insole, the choice of reference frame may influence the interpretation of how laterally wedged insoles affect the knee adduction moment.

Anatomically precontoured LCP for delayed union of a medial third clavicle fracture. Case report with review of the literature.

PubMed

Siebenlist, S; Sandmann, G; Kirchhoff, C; Biberthaler, P; Neumaier, M

2013-01-01

Fractures of the medial clavicle third are rare injuries. Even in case of significant fracture displacement, their therapeutic management has been nonoperative. Recently, surgical intervention has become mandatory for displaced fractures types to prevent non-union and functional complaints, but the optimal operative strategy is being discussed controversially. We describe the case of a 63-year-old male patient with a significantly displaced medial clavicle fracture after failed conservative treatment resulting in restricted, painful shoulder function. The patient underwent open reduction and osteosynthesis with an anatomically precontoured locking compression plate (LCP). One year after surgery the patient is free of complaints and has returned to his preinjury activity level without any functional restrictions. As a not yet reported operative approach, anatomically preshaped locking plating seems to be an effective fixation method for displaced fractures of the medial clavicle third. The operative management is described in detail and discussed with the current literature. Based on the presented case, we underline the statement that displaced medial clavicle fractures should be surgically addressed to avoid late damage.

Porous Flow and Diffusion of Water in the Mantle Wedge: Melting and Hydration Patterns

NASA Astrophysics Data System (ADS)

Conder, J. A.

2005-12-01

It is widely accepted that melting at volcanic arcs is primarily triggered by fluxing the mantle wedge from the dehydrating subducting slab. However, there is less concensus regarding how water moves into and within the mantle wedge. There are at least four possible mechanisms for water migration in the wedge: buoyant porous flow, diffusion through mineral crystals, advection of hydrated minerals, and compositionally buoyant diapers. The latter two mechanisms require at least one of the first two to occur to get water from the slab into the wedge before they can function. Using geodynamic models of mantle flow in a simplified subduction setting, we explore the implications of diffusion and porous flow of water in the wedge, particularly as they would affect the time for recycling water through the subduction factory and the predicted pattern of basalt hydration across the arc. The slab is assumed to dehydrate in a continuous fashion as the solubility of water in subducted oceanic crust decreases with temperature and pressure and the water then enters the wedge via one of the two transport mechanisms. Diffusion is controlled by temperature and by which minerals are present. Although olivine dominates the mantle mineral fraction, pyroxenes may control the diffusion of water in the wedge as the diffusivity of pyroxene is one or more orders of magnitude greater than olivine. Even assuming the faster diffusion rate of orthopyroxene in the models, diffusion can only be an important transport mechanism when subduction rates are slower than ~3 cm/yr. Flux melting occurs in the wedge above where the slab is ~100-160 km deep with the maximum above where the slab is ~120 km deep. Models including porous flow can result in melting at higher subduction rates provided the permeability of the mantle is greater than 10-17 m2. The true magnitude of the permeability likely varies with the corresponding porosity created by the free phase. With porous flow, melting occurs 20-30 km

Wedge filter imaging spectrometer

NASA Astrophysics Data System (ADS)

Sémery, Alain; Réess, Jean-Michel; Lemarquis, Frédéric; Drossart, Pierre; Laubier, David; Bernardi, Pernelle

2017-11-01

The development of the planetary exploration for landers makes it more and more necessary to have at our disposal small and light instruments. This is why we are developing in our laboratory a light imaging spectrometer with a wedge filter making the spectral splitting. This design already developed in other laboratories has the great advantage to need a limited number of optical components. However its drawback is that at a given instant the different spectral pixels don't see the same spot in the field. We propose a new design to remedy this drawback by the adjunction of a dispersive system in the fore-optics.

Experimental and numerical investigations on melamine wedges.

PubMed

Schneider, S

2008-09-01

Melamine wedges are often used as acoustic lining material for anechoic chambers. It was proposed here to study the effects of the mounting conditions on the acoustic properties of the melamine wedges used in the large anechoic chamber at the LMA. The results of the impedance tube measurements carried out show that the mounting conditions must be taken into account when assessing the quality of an acoustic lining. As it can be difficult to simulate these mounting conditions in impedance tube experiments, a numerical method was developed, which can be used to complete the experiments or for parametric studies. By combining the finite and the boundary element method, it is possible to investigate acoustic linings with almost no restrictions as to the geometry, material behavior, or mounting conditions. The numerical method presented here was used to study the acoustic properties of the acoustic lining installed in the anechoic chamber at the LMA. Further experiments showed that the behavior of the melamine foam is anisotropic. Numerical simulations showed that this anisotropy can be used to advantage when designing an acoustic lining.

Medial orbital wall reconstruction with flexible Ethisorb patches.

PubMed

Pohlenz, P; Adler, W; Li, L; Schmelzle, R; Klatt, J

2013-03-01

The aim of this study was to analyse the long-term result after reconstruction of the medial orbital wall with a flexible, biodegradable material (Ethisorb). During a period of almost 8 years, 31 patients with a medial orbital wall fracture were analysed retrospectively. Inclusion criteria were patients with a maximum size fracture of the orbital medial wall measuring 1.5-2 cm(2). Exophthalmos, enophthalmos, bulbus motility, diplopia and skin sensation were investigated over a period of 6 months. In all patients, the medial orbital wall was reconstructed with Ethisorb patches. No significant intraoperative complications were detected. No postoperative infection, abscess or seroma was found in any of the patients receiving an Ethisorb patch. The advantage of the semiflexibility of the Ethisorb patch is that it supplies an anatomically correct fit to the orbital medial wall but does not require fixation by screws or the use of sutures. The low rate of reported bulbus motility disturbance, diplopia, exophthalmos and enophthalmos demonstrates acceptable results after medial orbital wall reconstruction using the Ethisorb patch.

Integrated waste management as a climate change stabilization wedge.

PubMed

Bahor, Brian; Van Brunt, Michael; Stovall, Jeff; Blue, Katherine

2009-11-01

Anthropogenic sources of greenhouse gas emissions are known to contribute to global increases in greenhouse gas concentrations and are widely believed to contribute to climate change. A reference carbon dioxide concentration of 383 ppm for 2007 is projected to increase to a nominal 500 ppm in less than 50 years according to business as usual models. This concentration change is equivalent to an increase of 7 billion tonnes of carbon per year (7 Gt C year(-1)). The concept of a stabilization wedge was introduced by Pacala and Socolow (Science, 305, 968-972, 2004) to break the 7 Gt C year(- 1) into more manageable 1 Gt C year(- 1) reductions that would be achievable with current technology. A total of fifteen possible 'wedges' were identified; however, an integrated municipal solid waste (MSW) management system based on the European Union's waste management hierarchy was not evaluated as a wedge. This analysis demonstrates that if the tonnage of MSW is allocated to recycling, waste to energy and landfilling in descending order in lieu of existing 'business-as-usual' practices with each option using modern technology and best practices, the system would reduce greenhouse gas emissions by more than 1 Gt C year( -1). This integrated waste management system reduces CO(2) by displacing fossil electrical generation and avoiding manufacturing energy consumption and methane emissions from landfills.

An isolated dorso-medial dislocation of navicular bone: A case report.

PubMed

Singh, Varun Kumar; Kashyap, Abhishek; Vargaonkar, Gauresh; Kumar, Ramesh

2015-03-01

An isolated dislocation of tarsal navicular is extremely rare injury. Usually it is associated with fracture of navicular itself or other tarsal bones of foot along with disruption of medial or lateral column of foot. Mechanism of injury is complex but usually a severe abduction force is required to produce such injury in a planter flexed foot. A 30 year old male presented with isolated navicular dislocation. Management required open reduction and fixation with k-wires. These injuries have specific complications including avascular necrosis of navicular and post-traumatic arthritis.

Medial and Lateral Discoid Menisci of Both Knees

PubMed Central

Kan, Hiroyuki; Arai, Yuji; Nakagawa, Shuji; Inoue, Hiroaki; Minami, Ginjiro; Ikoma, Kazuya; Fujiwara, Hiroyoshi; Kubo, Toshikazu

2016-01-01

Discoid menisci on both the medial and lateral sides are rare, and there are very few reports on cases involving both sides. We report a case of a 52-year-old female with medial and lateral discoid menisci in both knees. Arthroscopy revealed the lateral menisci of both knees were complete discoid menisci, and partial meniscectomy was performed. The medial menisci were incomplete discoid menisci, but there were no findings of abnormal mobility or injury; therefore, the medial menisci were observed without treatment. At six months postoperatively, her pain and range of motion restrictions disappeared. PMID:27894182

Persistently active neurons in human medial frontal and medial temporal lobe support working memory

PubMed Central

Kamiński, J; Sullivan, S; Chung, JM; Ross, IB; Mamelak, AN; Rutishauser, U

2017-01-01

Persistent neural activity is a putative mechanism for the maintenance of working memories. Persistent activity relies on the activity of a distributed network of areas, but the differential contribution of each area remains unclear. We recorded single neurons in the human medial frontal cortex and the medial temporal lobe while subjects held up to three items in memory. We found persistently active neurons in both areas. Persistent activity of hippocampal and amygdala neurons was stimulus-specific, formed stable attractors, and was predictive of memory content. Medial frontal cortex persistent activity, on the other hand, was modulated by memory load and task set but was not stimulus-specific. Trial-by-trial variability in persistent activity in both areas was related to memory strength, because it predicted the speed and accuracy by which stimuli were remembered. This work reveals, in humans, direct evidence for a distributed network of persistently active neurons supporting working memory maintenance. PMID:28218914

Mantle wedge exhumation beneath the Dora-Maira (U)HP dome unravelled by local earthquake tomography (Western Alps)

NASA Astrophysics Data System (ADS)

Solarino, Stefano; Malusà, Marco G.; Eva, Elena; Guillot, Stéphane; Paul, Anne; Schwartz, Stéphane; Zhao, Liang; Aubert, Coralie; Dumont, Thierry; Pondrelli, Silvia; Salimbeni, Simone; Wang, Qingchen; Xu, Xiaobing; Zheng, Tianyu; Zhu, Rixiang

2018-01-01

In continental subduction zones, the behaviour of the mantle wedge during exhumation of (ultra)high-pressure [(U)HP] rocks provides a key to distinguish among competing exhumation mechanisms. However, in spite of the relevant implications for understanding orogenic evolution, a high-resolution image of the mantle wedge beneath the Western Alps is still lacking. In order to fill this gap, we perform a detailed analysis of the velocity structure of the Alpine belt beneath the Dora-Maira (U)HP dome, based on local earthquake tomography independently validated by receiver function analysis. Our results point to a composite structure of the mantle wedge above the subducted European lithosphere. We found that the Dora-Maira (U)HP dome lays directly above partly serpentinized peridotites (Vp 7.5 km/s; Vp/Vs = 1.70-1.72), documented from 10 km depth down to the top of the eclogitized lower crust of the European plate. These serpentinized peridotites, possibly formed by fluid release from the subducting European slab to the Alpine mantle wedge, are juxtaposed against dry mantle peridotites of the Adriatic upper plate along an active fault rooted in the lithospheric mantle. We propose that serpentinized mantle-wedge peridotites were exhumed at shallow crustal levels during late Eocene transtensional tectonics, also triggering the rapid exhumation of (U)HP rocks, and were subsequently indented under the Alpine metamorphic wedge in the early Oligocene. Our findings suggest that mantle-wedge exhumation may represent a major feature of the deep structure of exhumed continental subduction zones. The deep orogenic levels here imaged by seismic tomography may be exposed today in older (U)HP belts, where mantle-wedge serpentinites are commonly associated with coesite-bearing continental metamorphic rocks.

Thermal regime of an ice-wedge polygon landscape near Barrow, Alaska

NASA Astrophysics Data System (ADS)

Daanen, R. P.; Liljedahl, A. K.

2017-12-01

Tundra landscapes are changing all over the circumpolar Arctic due to permafrost degradation. Soil cracking and infilling of meltwater repeated over thousands of years form ice wedges, which produce the characteristic surface pattern of ice-wedge polygon tundra. Rapid top-down thawing of massive ice leads to differential ground subsidence and sets in motion a series of short- and long-term hydrological and ecological changes. Subsequent responses in the soil thermal regime drive further permafrost degradation and/or stabilization. Here we explore the soil thermal regime of an ice-wedge polygon terrain near Utqiagvik (formerly Barrow) with the Water balance Simulation Model (WaSiM). WaSiM is a hydro-thermal model developed to simulate the water balance at the watershed scale and was recently refined to represent the hydrological processes unique to cold climates. WaSiM includes modules that represent surface runoff, evapotranspiration, groundwater, and soil moisture, while active layer freezing and thawing is based on a direct coupling of hydrological and thermal processes. A new snow module expands the vadose zone calculations into the snow pack, allowing the model to simulate the snow as a porous medium similar to soil. Together with a snow redistribution algorithm based on local topography, this latest addition to WaSiM makes simulation of the ground thermal regime much more accurate during winter months. Effective representation of ground temperatures during winter is crucial in the simulation of the permafrost thermal regime and allows for refined predictions of future ice-wedge degradation or stabilization.

The Fate of Iliopsoas Muscle in the Long-term Follow-up After Open Reduction of Developmental Dysplasia of the Hip by Medial Approach. Part 1: MRI Evaluation.

PubMed

Yilmaz, Serdar; Aksahin, Ertugrul; Duran, Semra; Bicimoglu, Ali

2017-09-01

There has been little information about the long-term status of the iliopsoas, which is the main flexor of the hip, after iliopsoas tenotomy in the treatment of developmental dysplasia of the hip (DDH). The aim of this study was to assess the status of the iliopsoas muscle and other flexors and extensors of the hip in long-term follow-up with magnetic resonance imaging after complete iliopsoas tenotomy in patients with unilateral DDH treated with open reduction with a medial approach. The study included 20 patients who underwent open reduction with a medial approach for unilateral DDH and had long-term follow-up. Magnetic resonance imaging assessment of iliopsoas, rectus femoris, tensor fasia lata, sartorius, and gluteus maximus muscles was applied and the muscles of the hip that was operated on were compared with the unoperated hip. In addition, the iliopsoas muscle was examined for reattachment and the effect of reattachment was evaluated. The mean age at the time of operation was 10.53±3.61 months (range, 5 to 18 mo), and mean follow-up was 16.65±2.16 years (range, 13 to 20 y). Spontaneous reattachment of the iliopsoas was observed in 18 patients (90%), either in the lesser trochanter (65%) or the superior part of it (25%). There was no significant difference between the hips that were operated on and those that were not with regard to the mean cross-sectional areas (CSA) of the tensor fascia lata, rectus femoris, sartorius, and gluteus maximus muscles. The CSA of the tensor fascia lata, rectus femoris, sartorius, and gluteus maximus muscles showed no significant difference (P>0.05); however, CSA of iliopsoas muscle was significantly reduced in the operated hip (P<0.001). Although the iliopsoas tendon was atrophied after complete iliopsoas tenotomy, it was reattached in 90% of the patients spontaneously in long-term follow-up. There was no statistically significant compensatory hypertrophy in any muscles in response to iliopsoas atrophy. Level IV-Therapeutic.

Semimembranosus Release for Medial Soft Tissue Balancing Does Not Weaken Knee Flexion Strength in Patients Undergoing Varus Total Knee Arthroplasty.

PubMed

Jang, Sung Won; Koh, In Jun; Kim, Man Soo; Kim, Ju Yeong; In, Yong

2016-11-01

The sequential medial release technique including semimembranosus (semiM) release is effective and safe during varus total knee arthroplasty (TKA). However, there are concerns about weakening of knee flexion strength after semiM release. We determined whether semiM release to balance the medial soft tissue decreased knee flexion strength after TKA. Fifty-nine consecutive varus knees undergoing TKA were prospectively enrolled. A 3-step sequential release protocol which consisted of release of (1) the deep medial collateral ligament (dMCL), (2) the semiM, and (3) the superficial medial collateral ligament based on medial tightness. Gap balancing was obtained after dMCL release in 31 knees. However, 28 knees required semiM release or more after dMCL release. Isometric muscle strength of the knee was compared 6 months postoperatively between the semiM release and semiM nonrelease groups. Knee stability and clinical outcomes were also compared. No differences in knee flexor or extensor peak torque were observed between the groups 6 months postoperatively (P = .322 and P = .383, respectively). No group difference was observed in medial joint opening angle on valgus stress radiographs (P = .327). No differences in the Knee Society or Western Ontario and McMaster Universities Osteoarthritis Index scores were detected between the groups (P = .840 and P = .682, respectively). These results demonstrate that semiM release as a sequential step to balance medial soft tissue in varus knees did not affect knee flexion strength after TKA. Copyright © 2016 Elsevier Inc. All rights reserved.

Unlocking the Secrets of the Mantle Wedge: New Insights Into Melt Generation Processes in Subduction Zones

NASA Astrophysics Data System (ADS)

Grove, T. L.

2007-05-01

Recent laboratory studies of the melting and crystallization behavior of mantle peridotite and subduction zone lavas have led to new insights into melting processes in island arc settings. Melting of the mantle wedge in the presence of H2O begins at much lower temperatures than previously thought. The solidus of mantle peridotite at 3 GPa is ~ 800 °C, which is 200 °C below previous estimates. At pressures greater than 2.4 GPa chlorite becomes a stable phase on the solidus and it remains stable until ~ 3.5 GPa. Therefore, melting over this pressure range occurs in the presence of chlorite, which contains ~ 12 wt. % H2O. Chlorite stabilized on the peridotite solidus by slab-derived H2O may be the ultimate source of H2O for subduction zone magmatism. Thus, chlorite could transport large amounts of H2O into the descending mantle wedge to depths where it can participate in melting to generate hydrous arc magmas. Our ability to identify primitive mantle melts at subduction zones has led to the following observations. 1) Primitive mantle melts show evidence of final equilibration at shallow depths near the mantle - crust boundary. 2) They contain variable amounts of dissolved H2O (up to 6 wt. %). 3) They record variable extents of melting (up to > 25 wt. %). To produce melts with such variable characteristics requires more than one melting process and requires consideration of a new type of melting called hydrous flux melting. Flux melting occurs when the H2O - rich melt initially produced on the solidus near the base of the mantle wedge ascends and continuously reacts with overlying hotter, shallower mantle. The mantle melts and magmatic H2O content is constantly diluted as the melt ascends and reacts with shallower, hotter mantle. Anhydrous mantle melts are also found in close temporal and spatial proximity to hydrous flux melts. These melts are extracted at similar depths near the top of the mantle wedge when mantle is advected up and into the wedge corner and melted

Segmentation of the Aortic Valve Apparatus in 3D Echocardiographic Images: Deformable Modeling of a Branching Medial Structure

PubMed Central

Pouch, Alison M.; Tian, Sijie; Takabe, Manabu; Wang, Hongzhi; Yuan, Jiefu; Cheung, Albert T.; Jackson, Benjamin M.; Gorman, Joseph H.; Gorman, Robert C.; Yushkevich, Paul A.

2015-01-01

3D echocardiographic (3DE) imaging is a useful tool for assessing the complex geometry of the aortic valve apparatus. Segmentation of this structure in 3DE images is a challenging task that benefits from shape-guided deformable modeling methods, which enable inter-subject statistical shape comparison. Prior work demonstrates the efficacy of using continuous medial representation (cm-rep) as a shape descriptor for valve leaflets. However, its application to the entire aortic valve apparatus is limited since the structure has a branching medial geometry that cannot be explicitly parameterized in the original cm-rep framework. In this work, we show that the aortic valve apparatus can be accurately segmented using a new branching medial modeling paradigm. The segmentation method achieves a mean boundary displacement of 0.6 ± 0.1 mm (approximately one voxel) relative to manual segmentation on 11 3DE images of normal open aortic valves. This study demonstrates a promising approach for quantitative 3DE analysis of aortic valve morphology. PMID:26247062

Medial gastrocnemius and soleus muscle-tendon unit, fascicle, and tendon interaction during walking in children with cerebral palsy.

PubMed

Barber, Lee; Carty, Chris; Modenese, Luca; Walsh, John; Boyd, Roslyn; Lichtwark, Glen

2017-08-01

This study investigates the in vivo function of the medial gastrocnemius and soleus muscle-tendon units (MTU), fascicles, and tendons during walking in children with cerebral palsy (CP) and an equinus gait pattern. Fourteen children with CP (9 males, 5 females; mean age 10y 6mo, standard deviation [SD] 2y 11mo; GMFCS level I=8, II=6), and 10 typically developing (6 males, 4 females; mean age 10y, SD 2y 1mo) undertook full body 3D gait analysis and simultaneous B-mode ultrasound images of the medial gastrocnemius and soleus fascicles during level walking. Fascicle lengths were analysed using a semi-automated tracking algorithm and MTUs using OpenSim. Statistical parametric mapping (two-sample t-test) was used to compare differences between groups (p<0.05). In the CP group medial gastrocnemius fascicles lengthened during mid-stance gait and remained longer into late-stance compared to the typically developing group (p<0.001). CP medial gastrocnemius fascicles shortened less during stance (1.16mm [SD 1.47mm]) compared to the typically developing group (4.48mm [SD 1.94mm], p<0.001). In the CP group the medial gastrocnemius and soleus MTU and tendon were longer during early- and mid-stance (p<0.001). Ankle power during push-off (p=0.015) and positive work (p<0.002) and net work (p<0.001) were significantly lower in the CP group. Eccentric action of the CP medial gastrocnemius muscle fascicles during mid-stance walking is consistent with reduced volume and neuromuscular control of impaired muscle. Reduced ankle push-off power and positive work in the children with CP may be attributed to reduced active medial gastrocnemius fascicle shortening. These findings suggest a reliance on passive force generation for forward propulsion during equinus gait. © 2017 Mac Keith Press.

A Thick, Deformed Sedimentary Wedge in an Erosional Subduction Zone, Southern Costa Rica

NASA Astrophysics Data System (ADS)

Silver, E. A.; Kluesner, J. W.; Edwards, J. H.; Vannucchi, P.

2014-12-01

A paradigm of erosional subduction zones is that the lower part of the wedge is composed of strong, crystalline basement (Clift and Vannucchi, Rev. Geophys., 42, RG2001, 2004). The CRISP 3D seismic reflection study of the southern part of the Costa Rica subduction zone shows quite the opposite. Here the slope is underlain by a series of fault-cored anticlines, with faults dipping both landward and seaward that root into the plate boundary. Deformation intensity increases with depth, and young, near-surface deformation follows that of the deeper structures but with basin inversions indicating a dynamic evolution (Edwards et al., this meeting). Fold wavelength increases landward, consistent with the folding of a landward-thickening wedge. Offscraping in accretion is minimal because incoming sediments on the lower plate are very thin. Within the wedge, thrust faulting dominates at depth in the wedge, whereas normal faulting dominates close to the surface, possibly reflecting uplift of the deforming anticlines. Normal faults form a mesh of NNW and ENE-trending structures, whereas thrust faults are oriented approximately parallel to the dominant fold orientation, which in turn follows the direction of roughness on the subducting plate. Rapid subduction erosion just prior to 2 Ma is inferred from IODP Expedition 334 (Vannucchi et al., 2013, Geology, 49:995-998). Crystalline basement may have been largely removed from the slope region during this rapid erosional event, and the modern wedge may consist of rapidly redeposited material (Expedition 344 Scientists, 2013) that has been undergoing deformation since its inception, producing a structure quite different from that expected of an eroding subduction zone.

Augmented wedge-shaped glenoid component for the correction of glenoid retroversion: a finite element analysis.

PubMed

Hermida, Juan C; Flores-Hernandez, Cesar; Hoenecke, Heinz R; D'Lima, Darryl D

2014-03-01

This study undertook a computational analysis of a wedged glenoid component for correction of retroverted glenoid arthritic deformity to determine whether a wedge-shaped glenoid component design with a built-in correction for version reduces excessive stresses in the implant, cement, and glenoid bone. Recommendations for correcting retroversion deformity are asymmetric reaming of the anterior glenoid, bone grafting of the posterior glenoid, or a glenoid component with posterior augmentation. Eccentric reaming has the disadvantages of removing normal bone, reducing structural support for the glenoid component, and increasing the risk of bone perforation by the fixation pegs. Bone grafting to correct retroverted deformity does not consistently generate successful results. Finite element models of 2 scapulae models representing a normal and an arthritic retroverted glenoid were implanted with a standard glenoid component (in retroversion or neutral alignment) or a wedged component. Glenohumeral forces representing in vivo loading were applied and stresses and strains computed in the bone, cement, and glenoid component. The retroverted glenoid components generated the highest compressive stresses and decreased cyclic fatigue life predictions for trabecular bone. Correction of retroversion by the wedged glenoid component significantly decreased stresses and predicted greater bone fatigue life. The cement volume estimated to survive 10 million cycles was the lowest for the retroverted components and the highest for neutrally implanted glenoid components and for wedged components. A wedged glenoid implant is a viable option to correct severe arthritic retroversion, reducing the need for eccentric reaming and the risk for implant failure. Copyright © 2014 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.

Structure and tectonic evolution of the southwestern Trinidad dome, Escambray complex, Central Cuba: Insights into deformation in an accretionary wedge

NASA Astrophysics Data System (ADS)

Despaigne-Díaz, Ana Ibis; García Casco, Antonio; Cáceres Govea, Dámaso; Wilde, Simon A.; Millán Trujillo, Guillermo

2017-10-01

The Trinidad dome, Escambray complex, Cuba, forms part of an accretionary wedge built during intra-oceanic subduction in the Caribbean from the Late Cretaceous to Cenozoic. The structure reflects syn-subduction exhumation during thickening of the wedge, followed by extension. Field mapping, metamorphic and structural analysis constrain the tectonic evolution into five stages. Three ductile deformation events (D1, D2 and D3) are related to metamorphism in a compressional setting and formation of several nappes. D1 subduction fabrics are only preserved as relict S1 foliation and rootless isoclinal folds strongly overprinted by the main S2 foliation. The S2 foliation is parallel to sheared serpentinised lenses that define tectonic contacts, suggesting thrust stacks and underthrusting at mantle depths. Thrusting caused an inverted metamorphic structure with higher-grade on top of lower-grade nappes. Exhumation started during D2 when the units were incorporated into the growing accretionary wedge along NNE-directed thrust faults and was accompanied by substantial decompression and cooling. Folding and thrusting continued during D3 and marks the transition from ductile to brittle-ductile conditions at shallower crustal levels. The D4-5 events are related to extension and contributed to the final exhumation (likely as a core complex). D4 is associated with a regional spaced S4 cleavage, late open folds, and numerous extension veins, whereas D5 is recorded by normal and strike-slip faults affecting all nappes. The P-t path shows rapid exhumation during D2 and slower rates during D3 when the units were progressively incorporated into the accretionary prism. The domal shape formed in response to tectonic denudation assisted by normal faulting and erosion at the surface during the final stages of structural development. These results support tectonic models of SW subduction of the Proto-Caribbean crust under the Caribbean plate during the latest Cretaceous and provide

Sandbox Simulations of the Evolution of a Subduction Wedge following Subduction Initiation

NASA Astrophysics Data System (ADS)

Brandon, M. T.; Ma, K. F.; DeWolf, W.

2012-12-01

Subduction wedges at accreting subduction zones are bounded by a landward dipping pro-shear zone (= subduction thrust) and a seaward-dipping retro-shear zone in the overriding plate. For the Cascadia subduction zone, the surface trace of the retro-shear zone corresponds to the east side of the Coast Ranges of Oregon and Washington and the Insular Mountains of Vancouver Island. This coastal high or forearc high shows clear evidence of long-term uplift and erosion along its entire length, indicating that it is an active part of the Cascadia subduction wedge. The question addressed here is what controls the location of the retro-shear zone? In the popular double-sided wedge model of Willet et al (Geology 1993), the retro-shear zone remains pinned to the S point, which is interpreted to represent where the upper-plate Moho intersects the subduction zone. For this interpretation, the relatively strong mantle is considered to operate as a flat backstop. That model, however. is somewhat artificial in that the two plates collide in a symmetric fashion with equal crustal thicknesses on both sides. Using sandbox experiments, we explore a more realistic configuration where the upper and lower plate are separated by a gentle dipping (10 degree) pro-shear zone, to simulate the initial asymmetric geometry of the subduction thrust immediately after initiation of subduction. The entire lithosphere must fail along some plane for subduction to begin and this failure plane must dip in the direction of subduction. Thus, the initial geometry of the overriding plate is better approximated as a tapered wedge than as a layer of uniform thickness, as represented in the Willett et al models. We demonstrate this model using time-lapse movies of a sand wedge above a mylar subducting plate. We use particle image velocimetry (PIV) to show the evolution of strain and structure within the overriding plate. Material accreted to the tapered end of the overriding plate drives deformation and causes

Stimulation of the medial amygdala enhances medial preoptic dopamine release: implications for male rat sexual behavior.

PubMed

Dominguez, J M; Hull, E M

2001-11-02

Increased dopamine (DA) in the medial preoptic area (MPOA) facilitates male sexual behavior. A major source of innervation to the MPOA is the medial amygdala (MeA). We now report that chemical stimulation of the MeA enhanced levels of extracellular MPOA DA in anesthetized male rats. These results suggest that DA activity in the MPOA can be regulated by input from the MeA to the MPOA.

Three-dimensional semi-analytical solution to groundwater flow in confined and unconfined wedge-shaped aquifers

NASA Astrophysics Data System (ADS)

Sedghi, Mohammad Mahdi; Samani, Nozar; Sleep, Brent

2009-06-01

The Laplace domain solutions have been obtained for three-dimensional groundwater flow to a well in confined and unconfined wedge-shaped aquifers. The solutions take into account partial penetration effects, instantaneous drainage or delayed yield, vertical anisotropy and the water table boundary condition. As a basis, the Laplace domain solutions for drawdown created by a point source in uniform, anisotropic confined and unconfined wedge-shaped aquifers are first derived. Then, by the principle of superposition the point source solutions are extended to the cases of partially and fully penetrating wells. Unlike the previous solution for the confined aquifer that contains improper integrals arising from the Hankel transform [Yeh HD, Chang YC. New analytical solutions for groundwater flow in wedge-shaped aquifers with various topographic boundary conditions. Adv Water Resour 2006;26:471-80], numerical evaluation of our solution is relatively easy using well known numerical Laplace inversion methods. The effects of wedge angle, pumping well location and observation point location on drawdown and the effects of partial penetration, screen location and delay index on the wedge boundary hydraulic gradient in unconfined aquifers have also been investigated. The results are presented in the form of dimensionless drawdown-time and boundary gradient-time type curves. The curves are useful for parameter identification, calculation of stream depletion rates and the assessment of water budgets in river basins.

An in vitro analysis of medial structures and a medial soft tissue reconstruction in a constrained condylar total knee arthroplasty.

PubMed

Athwal, Kiron K; El Daou, Hadi; Inderhaug, Eivind; Manning, William; Davies, Andrew J; Deehan, David J; Amis, Andrew A

2017-08-01

The aim of this study was to quantify the medial soft tissue contributions to stability following constrained condylar (CC) total knee arthroplasty (TKA) and determine whether a medial reconstruction could restore stability to a soft tissue-deficient, CC-TKA knee. Eight cadaveric knees were mounted in a robotic system and tested at 0°, 30°, 60°, and 90° of flexion with ±50 N anterior-posterior force, ±8 Nm varus-valgus, and ±5 Nm internal-external torque. The deep and superficial medial collateral ligaments (dMCL, sMCL) and posteromedial capsule (PMC) were transected and their relative contributions to stabilising the applied loads were quantified. After complete medial soft tissue transection, a reconstruction using a semitendinosus tendon graft was performed, and the effect on kinematic behaviour under equivocal conditions was measured. In the CC-TKA knee, the sMCL was the major medial restraint in anterior drawer, internal-external, and valgus rotation. No significant differences were found between the rotational laxities of the reconstructed knee to the pre-deficient state for the arc of motion examined. The relative contribution of the reconstruction was higher in valgus rotation at 60° than the sMCL; otherwise, the contribution of the reconstruction was similar to that of the sMCL. There is contention whether a CC-TKA can function with medial deficiency or more constraint is required. This work has shown that a CC-TKA may not provide enough stability with an absent sMCL. However, in such cases, combining the CC-TKA with a medial soft tissue reconstruction may be considered as an alternative to a hinged implant.

The chronology of Late Pleistocene thermal contraction cracking derived from sand wedge OSL dating in central and southern France

NASA Astrophysics Data System (ADS)

Andrieux, Eric; Bateman, Mark D.; Bertran, Pascal

2018-03-01

Much of France remained unglaciated during the Late Quaternary and was subjected to repeated phases of periglacial activity. Numerous periglacial features have been reported but disentangling the environmental and climatic conditions they formed under, the timing and extent of permafrost and the role of seasonal frost has remained elusive. The primary sandy infillings of relict sand-wedges and composite-wedge pseudomorphs record periglacial activity. As they contain well-bleached quartz-rich aeolian material they are suitable for optically stimulated luminescence dating (OSL). This study aims to reconstruct when wedge activity took place in two regions of France; Northern Aquitaine and in the Loire valley. Results from single-grain OSL measurements identify multiple phases of activity within sand wedges which suggest that wedge activity in France occurred at least 11 times over the last 100 ka. The most widespread events of thermal contraction cracking occurred between ca. 30 and 24 ka (Last Permafrost Maximum) which are concomitant with periods of high sand availability (MIS 2). Although most phases of sand-wedge growth correlate well with known Pleistocene cold periods, the identification of wedge activity during late MIS 5 and the Younger Dryas strongly suggests that these features do not only indicate permafrost but also deep seasonal ground freezing in the context of low winter insolation. These data also suggest that the overall young ages yielded by North-European sand-wedges likely result from poor record of periglacial periods concomitant with low sand availability and/or age averaging inherent with standard luminescence methods.

Dose conformation to the spine during palliative treatments using dynamic wedges

DOE Office of Scientific and Technical Information (OSTI.GOV)

Ormsby, Matthew A., E-mail: Matthew.Ormsby@usoncology.com; Herndon, R. Craig; Kaczor, Joseph G.

2013-07-01

Radiation therapy is commonly used to alleviate pain associated with metastatic disease of the spine. Often, isodose lines are manipulated using dynamic or physical wedges to encompass the section of spine needing treatment while minimizing dose to normal tissue. We will compare 2 methods used to treat the entire thoracic spine. The first method treats the thoracic spine with a single, nonwedged posterior-anterior (PA) field. Dose is prescribed to include the entire spine. Isodose lines tightly conform to the top and bottom vertebrae, but vertebrae between these 2 received more than enough coverage. The second method uses a combination ofmore » wedges to create an isodose line that mimics the curvature of the thoracic spine. This “C”-shaped curvature is created by overlapping 2 fields with opposing dynamic wedges. Machine constraints limit the treatment length and therefore 2 isocenters are used. Each of the 2 PA fields contributes a portion of the total daily dose. This technique creates a “C”-shaped isodose line that tightly conforms to the thoracic spine, minimizing normal tissue dose. Spinal cord maximum dose is reduced, as well as mean dose to the liver, esophagus, and heart.« less

Gastric Volvulus with Segmental Necrosis Treated with Wedge Resection and Gastrogastrostomy.

PubMed

Merz, Alexa Elizabeth; Preston, Jennifer Francis

2017-12-01

Ischemic necrosis is a feared complication of acute gastric volvulus, occurring in 11% of patients presenting with the condition and responsible for mortality in 30%. In such cases, there are few well-validated options for surgical reconstruction. We present the case of a 77-year-old woman with intraabdominal mesenteroaxial gastric volvulus with segmental ischemic gastric necrosis who underwent wedge gastrectomy and hand-sewn gastrogastrostomy. She did well postoperatively and experienced no significant gastrointestinal complications. Gastric wedge resection with gastrogastrostomy presents a novel surgical intervention for a rare and highly morbid entity. We hope to add it to the repertoire of surgeons facing acute gastric volvulus complicated by segmental necrosis.

Local transmural action potential gradients are absent in the isolated, intact dog heart but present in the corresponding coronary-perfused wedge.

PubMed

Boukens, Bastiaan J; Meijborg, Veronique M F; Belterman, Charly N; Opthof, Tobias; Janse, Michiel J; Schuessler, Richard B; Coronel, Ruben; Efimov, Igor R

2017-05-01

The left ventricular (LV) coronary-perfused canine wedge preparation is a model commonly used for studying cardiac repolarization. In wedge studies, transmembrane potentials typically are recorded; whereas, extracellular electrical recordings are commonly used in intact hearts. We compared electrically measured activation recovery interval (ARI) patterns in the intact heart with those recorded at the same location in the LV wedge preparation. We also compared electrically recorded and optically obtained ARIs in the LV wedge preparation. Five Langendorff-perfused canine hearts were paced from the right atrium. Local activation and repolarization times were measured with eight transmural needle electrodes. Subsequently, left ventricular coronary-perfused wedge preparations were prepared from these hearts while the electrodes remained in place. Three electrodes remained at identical positions as in the intact heart. Both electrograms and optical action potentials were recorded (pacing cycle length 400-4000 msec) and activation and repolarization patterns were analyzed. ARIs found in the subepicardium were shorter than in the subendocardium in the LV wedge preparation but not in the intact heart. The transmural ARI gradient recorded at the cut surface of the wedge was not different from that recorded internally. ARIs recorded internally and at the cut surface in the LV wedge preparation, both correlated with optically recorded action potentials. ARI and RT gradients in the LV wedge preparation differed from those in the intact canine heart, implying that those observations in human LV wedge preparations also should be extrapolated to the intact human heart with caution. © 2017 The Authors. Physiological Reports published by Wiley Periodicals, Inc. on behalf of The Physiological Society and the American Physiological Society.

Complex interactions between diapirs and 4-D subduction driven mantle wedge circulation.

NASA Astrophysics Data System (ADS)

Sylvia, R. T.; Kincaid, C. R.

2015-12-01

Analogue laboratory experiments generate 4-D flow of mantle wedge fluid and capture the evolution of buoyant mesoscale diapirs. The mantle is modeled with viscous glucose syrup with an Arrhenius type temperature dependent viscosity. To characterize diapir evolution we experiment with a variety of fluids injected from multiple point sources. Diapirs interact with kinematically induced flow fields forced by subducting plate motions replicating a range of styles observed in dynamic subduction models (e.g., rollback, steepening, gaps). Data is collected using high definition timelapse photography and quantified using image velocimetry techniques. While many studies assume direct vertical connections between the volcanic arc and the deeper mantle source region, our experiments demonstrate the difficulty of creating near vertical conduits. Results highlight extreme curvature of diapir rise paths. Trench-normal deflection occurs as diapirs are advected downward away from the trench before ascending into wedge apex directed return flow. Trench parallel deflections up to 75% of trench length are seen in all cases, exacerbated by complex geometry and rollback motion. Interdiapir interaction is also important; upwellings with similar trajectory coalesce and rapidly accelerate. Moreover, we observe a new mode of interaction whereby recycled diapir material is drawn down along the slab surface and then initiates rapid fluid migration updip along the slab-wedge interface. Variability in trajectory and residence time leads to complex petrologic inferences. Material from disparate source regions can surface at the same location, mix in the wedge, or become fully entrained in creeping flow adding heterogeneity to the mantle. Active diapirism or any other vertical fluid flux mechanism employing rheological weakening lowers viscosity in the recycling mantle wedge affecting both solid and fluid flow characteristics. Many interesting and insightful results have been presented based

Anisotropic structure of the mantle wedge beneath the Ryukyu arc from teleseismic receiver function analysis

NASA Astrophysics Data System (ADS)

McCormack, K. A.; Wirth, E. A.; Long, M. D.

2011-12-01

The recycling of oceanic plates back into the mantle through subduction is an important process taking place within our planet. However, many fundamental aspects of subduction systems, such as the dynamics of mantle flow, have yet to be completely understood. Subducting slabs transport water down into the mantle, but how and where that water is released, as well as how it affects mantle flow, is still an open question. In this study, we focus on the Ryukyu subduction zone in southwestern Japan and use anisotropic receiver function analysis to characterize the structure of the mantle wedge. We compute radial and transverse P-to-S receiver functions for eight stations of the broadband F-net array using a multitaper receiver function estimator. We observe coherent P-to-SV converted energy in the radial receiver functions at ~6 sec for most of the stations analyzed consistent with conversions originating at the top of the slab. We also observe conversions on the transverse receiver functions that are consistent with the presence of multiple anisotropic and/or dipping layers. The character of the transverse receiver functions varies significantly along strike, with the northernmost three stations exhibiting markedly different behavior than stations located in the center of the Ryukyu arc. We compute synthetic receiver functions using a forward modeling scheme that can handle dipping interfaces and anisotropic layers to create models for the depths, thicknesses, and strengths of anisotropic layers in the mantle wedge beneath Ryukyu.

Linking Serpentinite Geochemistry with Possible Alteration and Evolution of Supra-Subduction Wedge Mantle

NASA Astrophysics Data System (ADS)

Scambelluri, M.; Cannaò, E.; Agostini, S.; Gilio, M.

2016-12-01

Serpentinites are able to transport and release volatiles and fluid-mobile elements (FME) found in arc magmas. Constraining the trace element compositions of these rocks and of fluids released by de-serpentinization improves our knowledge of mass transfer from subduction zones to volcanic arcs, and of the role of slab and wedge mantle in this global process. Studies of high-pressure ultramafic rocks exhumed from plate interface settings reveal the fluid/rock interactions atop the slab and the processes that can affect the mantle wedge. Alpine eclogite-facies antigorite serpentinite (Voltri Massif) and fully de-serpentinized meta-peridotite (Cima di Gagnone) are enriched in sediment-derived As, Sb, U, Pb before peak dehydration. Their Sr, Pb and B isotopic compositions are reset during prograde (forearc) interaction with slab fluids. The eclogitic garnet and olivine from the Cima di Gagnone metaperidotite trap primary inclusions of the fluid released during breakdown of antigorite and chlorite. The inclusions display FME enrichments (high Cl, S; variable Cs, Rb, Ba, B, Pb, As, Sb) indicating element release from rocks to fluids during dehydration under subarc conditions. Our studies show that serpentinized mantle rocks from subduction zones sequester FME from slab fluids and convey these components and radiogenic isotopes into the mantle wedge upon dehydration. The geochemical processes revealed by such plate-interface rocks can apply to the supra-subduction mantle. Shallow element release from slabs to mantle wedge, downdrag of this altered mantle and its subsequent (subarc) dehydration transfers crust-derived FMEs to the arc magma sources without the need of concomitant subarc dehydration/melting of metasedimentary slab components. The slab signature detected in arc lavas can thus result from geochemical mixing of sediment, oceanic crust and ultramafic reservoirs into altered wedge-mantle rocks, rather than being attributed to multiple fluids.

[Postoperative complications of labia minora reduction. Comparative study between wedge and edge resection].

PubMed

Ouar, N; Guillier, D; Moris, V; Revol, M; Francois, C; Cristofari, S

2017-06-01

Labia minora reduction interventions rise in Europe and in North America. Several techniques are described. The objective of this study was to compare postoperative complications of the two most practiced interventions: wedge resection and edge resection. Primary labia minora reductions realized in our unit between October 2009 and July 2016 have been retrospectively identified. Two techniques were used by two surgeons: edge resection technique and wedge resection technique. The main evaluation criterion was the occurrence and the quantity of wound dehiscence: superior to 50% (total or subtotal) and inferior to 50% (partial). Patients were systematically examined at 1 week, 1 month and 6 months postoperatively. Data analysis between both groups was made with an exact Fisher test. Mean follow-up was 5.3 months after intervention. Sixty-four patients have been included, 42 wedge resections (group C) and 22 edge resections (group L). Global complication rate at 1 month was 13% (n=8). Among wedge resections 14% (n=6) developed complication and 2% (n=9) among edge resection. Seven surgical revisions were necessary: 5 for wound dehiscence (4 in the group C and 1 in the group L) and 2 for hematoma, one in each group. Three (5%) partial wound dehiscence (inferior to 50%) have been identified and let in secondary intention healing: 2 (19%) in the group C and 1 (27%) in the group L. Complication rates between both techniques were not significantly different. Postoperative wound dehiscence is the main labia minora reduction complication. Our global complication rate, 13%, matches with the current literature. A tendency can be shown where wedge resection is more likely to develop wound dehiscence than edge resection. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

An IBEM solution to the scattering of plane SH-waves by a lined tunnel in elastic wedge space

NASA Astrophysics Data System (ADS)

Liu, Zhongxian; Liu, Lei

2015-02-01

The indirect boundary element method (IBEM) is developed to solve the scattering of plane SH-waves by a lined tunnel in elastic wedge space. According to the theory of single-layer potential, the scattered-wave field can be constructed by applying virtual uniform loads on the surface of lined tunnel and the nearby wedge surface. The densities of virtual loads can be solved by establishing equations through the continuity conditions on the interface and zero-traction conditions on free surfaces. The total wave field is obtained by the superposition of free field and scattered-wave field in elastic wedge space. Numerical results indicate that the IBEM can solve the diffraction of elastic wave in elastic wedge space accurately and efficiently. The wave motion feature strongly depends on the wedge angle, the angle of incidence, incident frequency, the location of lined tunnel, and material parameters. The waves interference and amplification effect around the tunnel in wedge space is more significant, causing the dynamic stress concentration factor on rigid tunnel and the displacement amplitude of flexible tunnel up to 50.0 and 17.0, respectively, more than double that of the case of half-space. Hence, considerable attention should be paid to seismic resistant or anti-explosion design of the tunnel built on a slope or hillside.

Change of aortic length after closing-opening wedge osteotomy for patients with ankylosing spondylitis with thoracolumbar kyphosis: a computed tomographic study.

PubMed

Ji, Ming-Liang; Qian, Bang-ping; Qiu, Yong; Wang, Bin; Zhu, Ze-zhang; Yu, Yang; Jiang, Jun

2013-10-15

A computed tomographic study. To investigate the change in aortic length in patients with ankylosing spondylitis (AS) with thoracolumbar kyphosis after closing-opening wedge osteotomy (COWO). Several previous studies reported that COWO can effectively correct severe thoracolumbar kyphosis caused by AS. However, one disadvantage of COWO is elongation of the aorta, which increases the risk of aortic injury. To date, no studies have analyzed the alteration in aortic length in patients with AS undergoing COWO for thoracolumbar kyphosis. A total of 21 consecutive patients with AS with a mean age of 38.9 years undergoing COWO for the correction of thoracolumbar kyphosis were retrospectively studied. Radiographical measurements included global kyphosis, thoracic kyphosis, lumbar lordosis, angle of fusion levels, local kyphosis, and anterior height of the osteotomized vertebra. The computed tomographic scans of the spine were used to measure the aortic diameter (at the site of the osteotomy) and length (the length between the superior endplate of the upper instrumented vertebra and the inferior endplate of L4). The aortic length increased by an average of 2.2 cm postoperatively. Significant changes in global kyphosis, local kyphosis, angle of fusion levels, lumbar lordosis, anterior height of the osteotomized vertebra, and aortic diameter at the site of the osteotomy were observed (P < 0.01). Significant correlation was noted between aortic length and changes in global kyphosis (r = 0.525, P = 0.015), local kyphosis (r = 0.654, P = 0.001), angle of fusion levels (r = 0.634, P = 0.002), and lumbar lordosis (r = 0.538, P = 0.012). Aortic lengthening after COWO for correction of kyphosis was quantitatively confirmed by this study. Spine surgeons should be aware of the potential risk for the development of aortic injury in patients with AS undergoing COWO for the correction of thoracolumbar kyphosis. 4.

The percutaneous pie-crusting medial release during arthroscopic procedures of the medial meniscus does neither affect valgus laxity nor clinical outcome.

PubMed

Jeon, Sang-Woo; Jung, Min; Chun, Yong-Min; Lee, Su-Keon; Jung, Woo Seok; Choi, Chong Hyuk; Kim, Sung-Jae; Kim, Sung-Hwan

2017-12-28

To analyze the effect of percutaneous pie-crusting medial release on valgus laxity before and after surgery and on clinical outcomes. Eight-hundred fourteen consecutive patients who underwent an arthroscopic procedure for the medial compartment of the knee were evaluated retrospectively. Sex, age, type of operation (meniscectomy, meniscal repair, and posterior root repair), type of accompanying surgery (none, cartilage procedure, ligament procedure and osteotomy) were documented. Sixty-four patients who underwent percutaneous pie-crusting medial release (release group) and 64 who did not undergo medial release (non-release group) were matched using the propensity score method. Each patient was evaluated for the following variables: degree of valgus laxity on stress radiographs, Lysholm knee score, visual analog scale score, and International Knee Documentation Committee knee score and grade. At the 24-month follow-up, no significant increase in side-to-side differences in the valgus gap was observed in comparison to the preoperative value in the release group [preoperative, - 0.1 ± 1.3 mm; follow-up, - 0.1 ± 1.4 mm; (n.s.)]. The follow-up Lysholm score, visual analog scale score and International Knee Documentation Committee knee score and grade were similar between the two groups. Percutaneous pie-crusting medial release is an additional procedure that can be performed during arthroscopic surgery for patients with a narrow medial joint space of the knee. Percutaneous pie-crusting medial release reduces iatrogenic injury to the cartilage and does not produce any residual valgus laxity of the knee. IV.

Persistent medial foot pain in an adolescent athlete.

PubMed

Hensley, Craig P; Reischl, Stephen F

2013-03-01

The patient was a 15-year-old adolescent male who was referred to a physical therapist for a chief complaint of worsening right medial foot pain. Given the worsening nature of the patient's right medial foot pain, palpatory findings, and a prior recommendation for computed tomography from a radiologist, the patient was referred to his physician. Subsequent computed tomography imaging of the right foot revealed a nondisplaced fracture through the dorsal-medial aspect of the navicular.

Long-term outcome following medial open reduction in developmental dysplasia of the hip: a retrospective cohort study.

PubMed

Gardner, Richard O E; Bradley, Catharine S; Sharma, Om P; Feng, Lin; Shin, Michelle EyunJung; Kelley, Simon P; Wedge, J H

2016-06-01

Avascular necrosis (AVN) is a serious complication of treatment for developmental dysplasia of the hip. There is ongoing controversy regarding AVN and its influence on hip development following medial open reduction (MOR). The aim of our study was to (1) determine the long-term prevalence of AVN following MOR, (2) evaluate hip development after MOR, and (3) identify predictors of AVN and radiographic outcome at skeletal maturity after MOR. A retrospective cohort analysis of 60 patients (70 hips) who underwent MOR with a mean follow-up of 10.83 years (5.23-16.74) was conducted. AVN was recorded according to Bucholz and Ogden classification and radiographic outcome based on Severin grading. AVN and hip morphology related to length of follow-up were evaluated. Chi-squared and t-tests were used to identify relationships between AVN and other variables. Logistic regression was used to assess predictors of AVN and Severin outcome. The rate of clinically significant AVN (types 2-4) following MOR was 32.9 % with type 2 accounting for 82.6 % of these cases. While early acetabular development was satisfactory, long-term outcome was unsatisfactory in 26 % of cases with AVN (vs 8.7 % of cases without AVN). A higher rate of AVN was identified when hips were immobilized in ≥60° of abduction postoperatively. A higher rate of poor Severin outcome was identified in hips with AVN. Our findings suggest that there is a high rate of AVN and unsatisfactory long-term outcome following MOR. AVN remains a significant concern following MOR surgery for developmental dysplasia of the hip that may not be apparent until long-term evaluation.

On the acoustic wedge design and simulation of anechoic chamber

NASA Astrophysics Data System (ADS)

Jiang, Changyong; Zhang, Shangyu; Huang, Lixi

2016-10-01

This study proposes an alternative to the classic wedge design for anechoic chambers, which is the uniform-then-gradient, flat-wall (UGFW) structure. The working mechanisms of the proposed structure and the traditional wedge are analyzed. It is found that their absorption patterns are different. The parameters of both structures are optimized for achieving minimum absorber depth, under the condition of absorbing 99% of normal incident sound energy. It is found that, the UGFW structure achieves a smaller total depth for the cut-off frequencies ranging from 100 Hz to 250 Hz. This paper also proposes a modification for the complex source image (CSI) model for the empirical simulation of anechoic chambers, originally proposed by Bonfiglio et al. [J. Acoust. Soc. Am. 134 (1), 285-291 (2013)]. The modified CSI model considers the non-locally reactive effect of absorbers at oblique incidence, and the improvement is verified by a full, finite-element simulation of a small chamber. With the modified CSI model, the performance of both decorations with the optimized parameters in a large chamber is simulated. The simulation results are analyzed and checked against the tolerance of 1.5 dB deviation from the inverse square law, stipulated in the ISO standard 3745(2003). In terms of the total decoration depth and anechoic chamber performance, the UGFW structure is better than the classic wedge design.

Nature of the Coastal Range Wedge Along the Rupture Area of the 2015, Illapel Chile Earthquake Mw 8.4

NASA Astrophysics Data System (ADS)

Farías, M.; Comte, D.; Roecker, S. W.; Brandon, M. T.

2017-12-01

Wedge theory is usually applied to the pro-side of active subduction margins, where fold-and-thrust belts related to frontal accretion develop, but rarely to the entire wedge, where the retro-side is also relevant. We present a new 3D body wave tomographic image that combines data from the Chile-Illapel Aftershock Experiment (CHILLAX) with previous temporary seismic networks, with the aim of illuminating the nature of the wedge of the continental margin above the seismogenic part of the subducting slab. The downdip extent of the coupled part, called the S-point in the wedge theory, corresponds to the place where upper plate completely decouples from the subducting slab. This point is characterized by a Vp/Vs contrast at about 60 km depth that extends upward-and-eastward in a west-dipping ramp-like geometry. This ramp emerges about 180 km from the trench, near the topographic break related to the front of the Andean retro-side. The Coastal wedge domain is characterized by a monotonous east-dipping homocline with the older rocks of this region along the coast. The offshore region, corresponding to the pro-side, exhibits normal faulting and a very small frontal accretionary complex. Normal faulting in this region is related to rapid uplift of marine terraces since ca. 2 Ma, suggesting strong basal accretion and thus high friction on the thrust. In fact, the epicentral region of the 2015 Illapel Earthquake coincides with the highest elevations along the coast, i.e., the region with the highest slope of the margin. In this region, the lack of a continental forearc basin suggests an overlapping between the Andean and Coastal wedges. The western edge of the Andean wedge is also part of the homocline about 10 km east of the topographic boundary between both wedges, suggesting that the Coastal wedge has been deforming a part of the retro-side of the Andean wedge during the Miocene. The east-ward tilting of the retro-side was acquired mainly before the late Miocene, since at

How Wedge You Teach the Unit-Angle Concept?

ERIC Educational Resources Information Center

Millsaps, Gayle M.

2012-01-01

The concepts of angle and angle measure have been acknowledged as difficult for elementary school students to grasp (Strutchens, Martin, and Kenney 2003). The Wedge activity (Browning and Garza-Kling 2009; Van de Walle 2004; Wilson 1990) can provide an opportunity for students to examine their understanding of angle measurement and to rethink what…

An Experimental Investigation of Transonic Flow Past Two-Dimensional Wedge and Circular-Arc Sections Using A Mach-Zehnder Interferometer

NASA Technical Reports Server (NTRS)

Bryson, Arthur Earl, Jr

1952-01-01

Report presents the results of interferometer measurements of the flow field near two-dimensional wedge and circular-arc sections of zero angle of attack at high-subsonic and low-supersonic velocities. Both subsonic flow with local supersonic zone and supersonic flow with detached shock wave have been investigated. Pressure distributions and drag coefficients as a function of Mach number have been obtained. The wedge data are compared with the theoretical work on flow past wedge sections of Guderley and Yoshihara, Vincenti and Wagner, and Cole. Pressure distributions and drag coefficients for the wedge and circular-arc sections are presented throughout the entire transonic range of velocities.

Cartilage Delamination Flap Mimicking a Torn Medial Meniscus

PubMed Central

Bin Abd Razak, Hamid Rahmatullah; Amit Kanta, Mitra

2016-01-01

We report a case of a chondral delamination lesion due to medial parapatellar plica friction syndrome involving the medial femoral condyle. This mimicked a torn medial meniscus in clinical and radiological presentation. Arthroscopy revealed a chondral delamination flap, which was debrided. Diagnosis of chondral lesions in the knee can be challenging. Clinical examination and MRI have good accuracy for diagnosis and should be used in tandem. Early diagnosis and treatment of chondral lesions are important to prevent progression to early osteoarthritis. PMID:28070434

Treatment of Insertional Achilles Pathology With Dorsal Wedge Calcaneal Osteotomy in Athletes.

PubMed

Georgiannos, Dimitrios; Lampridis, Vasilis; Vasiliadis, Angelos; Bisbinas, Ilias

2017-04-01

Insertional Achilles tendinopathy and retrocalcaneal bursitis is difficult to treat, and several operative techniques have been used after failure of conservative management. Dorsal wedge calcaneal osteotomy has been described for the treatment of insertional Achilles pathology. It was hypothesized that dorsal wedge calcaneal osteotomy would be an effective and safe method for the treatment of athletes with insertional Achilles pathology unrelieved by nonoperative measures. Fifty-two athletes (64 feet) who had painful Achilles tendon syndrome unrelieved by 6 months of nonoperative measures were treated surgically. Dorsally based wedge calcaneal osteotomy was performed through a lateral approach, and 2 staples were used for fixation. Patients were scored pre- and postoperatively with the American Orthopaedic Foot & Ankle Society (AOFAS) ankle-hindfoot and Victorian Institute of Sports of Australia-Achilles (VISA-A) scores. At a minimum follow-up of 3 years, the patients' AOFAS and VISA-A scores improved from 59.5 ± 15.0 and 65.9 ± 11.1 preoperatively to 95.7 ± 6.2 and 90.2 ± 8.4 postoperatively, respectively. Clinical results were considered excellent in 38 patients, good in 12 patients, and fair in 2 patients. Return to previous sports activity time was 21 (SD, 8.0) weeks. One patient necessitated a revision operation. Operative treatment of insertional Achilles pathology in athletes with dorsal closing wedge calcaneal osteotomy was a safe and effective method that allowed for a quicker return to previous level of sports activities compared with other techniques. Level IV, retrospective case series.

Dehydration of chlorite explains anomalously high electrical conductivity in the mantle wedges.

PubMed

Manthilake, Geeth; Bolfan-Casanova, Nathalie; Novella, Davide; Mookherjee, Mainak; Andrault, Denis

2016-05-01

Mantle wedge regions in subduction zone settings show anomalously high electrical conductivity (~1 S/m) that has often been attributed to the presence of aqueous fluids released by slab dehydration. Laboratory-based measurements of the electrical conductivity of hydrous phases and aqueous fluids are significantly lower and cannot readily explain the geophysically observed anomalously high electrical conductivity. The released aqueous fluid also rehydrates the mantle wedge and stabilizes a suite of hydrous phases, including serpentine and chlorite. In this present study, we have measured the electrical conductivity of a natural chlorite at pressures and temperatures relevant for the subduction zone setting. In our experiment, we observe two distinct conductivity enhancements when chlorite is heated to temperatures beyond its thermodynamic stability field. The initial increase in electrical conductivity to ~3 × 10(-3) S/m can be attributed to chlorite dehydration and the release of aqueous fluids. This is followed by a unique, subsequent enhancement of electrical conductivity of up to 7 × 10(-1) S/m. This is related to the growth of an interconnected network of a highly conductive and chemically impure magnetite mineral phase. Thus, the dehydration of chlorite and associated processes are likely to be crucial in explaining the anomalously high electrical conductivity observed in mantle wedges. Chlorite dehydration in the mantle wedge provides an additional source of aqueous fluid above the slab and could also be responsible for the fixed depth (120 ± 40 km) of melting at the top of the subducting slab beneath the subduction-related volcanic arc front.

Dehydration of chlorite explains anomalously high electrical conductivity in the mantle wedges

PubMed Central

Manthilake, Geeth; Bolfan-Casanova, Nathalie; Novella, Davide; Mookherjee, Mainak; Andrault, Denis

2016-01-01

Mantle wedge regions in subduction zone settings show anomalously high electrical conductivity (~1 S/m) that has often been attributed to the presence of aqueous fluids released by slab dehydration. Laboratory-based measurements of the electrical conductivity of hydrous phases and aqueous fluids are significantly lower and cannot readily explain the geophysically observed anomalously high electrical conductivity. The released aqueous fluid also rehydrates the mantle wedge and stabilizes a suite of hydrous phases, including serpentine and chlorite. In this present study, we have measured the electrical conductivity of a natural chlorite at pressures and temperatures relevant for the subduction zone setting. In our experiment, we observe two distinct conductivity enhancements when chlorite is heated to temperatures beyond its thermodynamic stability field. The initial increase in electrical conductivity to ~3 × 10−3 S/m can be attributed to chlorite dehydration and the release of aqueous fluids. This is followed by a unique, subsequent enhancement of electrical conductivity of up to 7 × 10−1 S/m. This is related to the growth of an interconnected network of a highly conductive and chemically impure magnetite mineral phase. Thus, the dehydration of chlorite and associated processes are likely to be crucial in explaining the anomalously high electrical conductivity observed in mantle wedges. Chlorite dehydration in the mantle wedge provides an additional source of aqueous fluid above the slab and could also be responsible for the fixed depth (120 ± 40 km) of melting at the top of the subducting slab beneath the subduction-related volcanic arc front. PMID:27386526

Epoch of reionization window. II. Statistical methods for foreground wedge reduction

NASA Astrophysics Data System (ADS)

Liu, Adrian; Parsons, Aaron R.; Trott, Cathryn M.

2014-07-01

For there to be a successful measurement of the 21 cm epoch of reionization (EoR) power spectrum, it is crucial that strong foreground contaminants be robustly suppressed. These foregrounds come from a variety of sources (such as Galactic synchrotron emission and extragalactic point sources), but almost all share the property of being spectrally smooth and, when viewed through the chromatic response of an interferometer, occupy a signature "wedge" region in cylindrical k⊥k∥ Fourier space. The complement of the foreground wedge is termed the "EoR window" and is expected to be mostly foreground-free, allowing clean measurements of the power spectrum. This paper is a sequel to a previous paper that established a rigorous mathematical framework for describing the foreground wedge and the EoR window. Here, we use our framework to explore statistical methods by which the EoR window can be enlarged, thereby increasing the sensitivity of a power spectrum measurement. We adapt the Feldman-Kaiser-Peacock approximation (commonly used in galaxy surveys) for 21 cm cosmology and also compare the optimal quadratic estimator to simpler estimators that ignore covariances between different Fourier modes. The optimal quadratic estimator is found to suppress foregrounds by an extra factor of ˜105 in power at the peripheries of the EoR window, boosting the detection of the cosmological signal from 12σ to 50σ at the midpoint of reionization in our fiducial models. If numerical issues can be finessed, decorrelation techniques allow the EoR window to be further enlarged, enabling measurements to be made deep within the foreground wedge. These techniques do not assume that foreground is Gaussian distributed, and we additionally prove that a final round of foreground subtraction can be performed after decorrelation in a way that is guaranteed to have no cosmological signal loss.

Perturbation solutions for flow through symmetrical hoppers with inserts and asymmetrical wedge hoppers

NASA Astrophysics Data System (ADS)

Cox, G. M.; Mccue, S. W.; Thamwattana, N.; Hill, J. M.

Under certain circumstances, an industrial hopper which operates under the "funnel-flow" regime can be converted to the "mass-flow" regime with the addition of a flow-corrective insert. This paper is concerned with calculating granular flow patterns near the outlet of hoppers that incorporate a particular type of insert, the cone-in-cone insert. The flow is considered to be quasi-static, and governed by the Coulomb-Mohr yield condition together with the non-dilatant double-shearing theory. In two-dimensions, the hoppers are wedge-shaped, and as such the formulation for the wedge-in-wedge hopper also includes the case of asymmetrical hoppers. A perturbation approach, valid for high angles of internal friction, is used for both two-dimensional and axially symmetric flows, with analytic results possible for both leading order and correction terms. This perturbation scheme is compared with numerical solutions to the governing equations, and is shown to work very well for angles of internal friction in excess of 45°.

AMS Blanket and TTCS Wedge Install during EVA 32

NASA Image and Video Library

2015-10-28

Close-up view of the Alpha Magnetic Spectrometer-02 (AMS-02), in the area where the Tracker Thermal Control System (TTCS) wedge will be installed. Image was taken by Extravehicular Crewmember 2 (EV2) during Extravehicular Activity 32 (EVA 32) and released on social media.

Complex Anisotropic Structure of the Mantle Wedge Beneath Kamchatka Volcanoes

NASA Astrophysics Data System (ADS)

Levin, V.; Park, J.; Gordeev, E.; Droznin, D.

2002-12-01

A wedge of mantle material above the subducting lithospheric plate at a convergent margin is among the most dynamic environments of the Earth's interior. Deformation and transport of solid and volatile phases within this region control the fundamental process of elemental exchange between the surficial layers and the interior of the planet. A helpful property in the study of material deformation and transport within the upper mantle is seismic anisotropy, which may reflect both microscopic effects of preferentialy aligned crystals of olivine and orthopyroxene and macroscopic effects of systematic cracks, melt lenses, layering etc. Through the mapping of anisotropic properties within the mantle wedge we can establish patterns of deformation. Volatile content affects olivine alignment, so regions of anomalous volatile content may be evident. Indicators of seismic anisotropy commonly employed in upper mantle studies include shear wave birefringence and mode-conversion between compressional and shear body waves. When combined together, these techniques offer complementary constraints on the location and intensity of anisotropic properties. The eastern coast of southern Kamchatka overlies a vigorous convergent margin where the Pacific plate descends at a rate of almost 80 mm/yr towards the northwest. We extracted seismic anisotropy indicators from two data sets sensitive to the anisotropic properties of the uppermost mantle. Firstly, we evaluated teleseismic receiver functions for a number of sites, and found ample evidence for anisotropicaly-influenced P-to-S mode conversion. Secondly, we measured splitting in S waves of earthquakes with sources within the downgoing slab. The first set of observations provides constraints on the depth ranges where strong changes in anisotropic properties take place. The local splitting data provides constraints on the cumulative strength of anisotropic properties along specific pathways through the mantle wedge and possibly parts of

FBX aqueous chemical dosimeter for measurement of virtual wedge profiles.

PubMed

Semwal, Manoj K; Bansal, Anil K; Thakur, Pradeep K; Vidyasagar, Pandit B

2008-10-24

We investigated the ferrous sulfate-benzoic acid-xylenol orange (FBX) aqueous chemical dosimeter for measurement of virtual (dynamic) wedge profiles on a linear accelerator. The layout for irradiation of the FBX-filled tubes mimicked a conventional linear detector array geometry. A comparison of the resulting measurements with film-measured profiles showed that, in the main beam region, the difference between the FBX system and the film system was within +/-2% and that, in the penumbra region, the difference varied from +/-1 mm to +/-2.5 mm in terms of positional equivalence, depending on the size of the dosimeter tubes. We thus believe that the energy-independent FBX dosimetry system can measure virtual wedge profiles with reasonable accuracy at reasonable cost. However, efficiency improvement is required before this dosimetry system can be accepted into routine practice.

Crossflow Instability on a Wedge-Cone at Mach 3.5

NASA Technical Reports Server (NTRS)

Beeler, George B.; Wilkinson, Stephen P.; Balakumar, P.; McDaniel, Keith S.

2012-01-01

As a follow-on activity to the HyBoLT flight experiment, a six degree half angle wedge-cone model at zero angle of attack has been employed to experimentally and computationally study the boundary layer crossflow instability at Mach 3.5 under low disturbance freestream conditions. Computed meanflow and linear stability analysis results are presented along with corresponding experimental Pitot probe data. Using a model-mounted probe survey apparatus, data acquired to date show a well defined stationary crossflow vortex pattern on the flat wedge surface. This effort paves the way for additional detailed, calibrated flow field measurements of the crossflow instability, both stationary and traveling modes, and transition-to-turbulence under quiet flow conditions as a means of validating existing stability theory and providing a foundation for dynamic flight instrumentation development.

Reconstruction of Bulk Operators within the Entanglement Wedge in Gauge-Gravity Duality

NASA Astrophysics Data System (ADS)

Dong, Xi; Harlow, Daniel; Wall, Aron C.

2016-07-01

In this Letter we prove a simple theorem in quantum information theory, which implies that bulk operators in the anti-de Sitter/conformal field theory (AdS/CFT) correspondence can be reconstructed as CFT operators in a spatial subregion A , provided that they lie in its entanglement wedge. This is an improvement on existing reconstruction methods, which have at most succeeded in the smaller causal wedge. The proof is a combination of the recent work of Jafferis, Lewkowycz, Maldacena, and Suh on the quantum relative entropy of a CFT subregion with earlier ideas interpreting the correspondence as a quantum error correcting code.

Reconstruction of Bulk Operators within the Entanglement Wedge in Gauge-Gravity Duality.

PubMed

Dong, Xi; Harlow, Daniel; Wall, Aron C

2016-07-08

In this Letter we prove a simple theorem in quantum information theory, which implies that bulk operators in the anti-de Sitter/conformal field theory (AdS/CFT) correspondence can be reconstructed as CFT operators in a spatial subregion A, provided that they lie in its entanglement wedge. This is an improvement on existing reconstruction methods, which have at most succeeded in the smaller causal wedge. The proof is a combination of the recent work of Jafferis, Lewkowycz, Maldacena, and Suh on the quantum relative entropy of a CFT subregion with earlier ideas interpreting the correspondence as a quantum error correcting code.

Analytical solutions for two-dimensional Stokes flow singularities in a no-slip wedge of arbitrary angle

PubMed Central

Brzezicki, Samuel J.

2017-01-01

An analytical method to find the flow generated by the basic singularities of Stokes flow in a wedge of arbitrary angle is presented. Specifically, we solve a biharmonic equation for the stream function of the flow generated by a point stresslet singularity and satisfying no-slip boundary conditions on the two walls of the wedge. The method, which is readily adapted to any other singularity type, takes full account of any transcendental singularities arising at the corner of the wedge. The approach is also applicable to problems of plane strain/stress of an elastic solid where the biharmonic equation also governs the Airy stress function. PMID:28690412

Analytical solutions for two-dimensional Stokes flow singularities in a no-slip wedge of arbitrary angle.

PubMed

Crowdy, Darren G; Brzezicki, Samuel J

2017-06-01

An analytical method to find the flow generated by the basic singularities of Stokes flow in a wedge of arbitrary angle is presented. Specifically, we solve a biharmonic equation for the stream function of the flow generated by a point stresslet singularity and satisfying no-slip boundary conditions on the two walls of the wedge. The method, which is readily adapted to any other singularity type, takes full account of any transcendental singularities arising at the corner of the wedge. The approach is also applicable to problems of plane strain/stress of an elastic solid where the biharmonic equation also governs the Airy stress function.

The importance of mantle wedge heterogeneity to subduction zone magmatism and the origin of EM1

NASA Astrophysics Data System (ADS)

Turner, Stephen J.; Langmuir, Charles H.; Dungan, Michael A.; Escrig, Stephane

2017-08-01

The composition of the convecting asthenospheric mantle that feeds the mantle wedge can be investigated via rear-arc lavas that have minimal slab influence. This "ambient mantle wedge" composition (the composition of the wedge prior to the addition of a slab component) varies substantially both worldwide and within individual arcs. 143Nd/144Nd measurements of rear-arc samples that have minimal slab influence are similar to 143Nd/144Nd in the stratovolcanoes of the adjacent volcanic fronts, suggesting that 143Nd/144Nd of arc-front volcanics are largely inherited from the ambient mantle composition. 143Nd/144Nd correlates with ratios such as Th/U, Zr/Nb, and La/Sm, indicating that these ratios also are strongly influenced by ambient wedge heterogeneity. The same phenomenon is observed among individual volcanoes from the Chilean Southern Volcanic Zone (SVZ), where along-strike variability of the volcanic front tracks that of rear-arc monogenetic volcanics. Depleted mantle wedges are more strongly influenced by slab-derived components than are enriched wedges. This leads to surprising trace element correlations in the global dataset, such as between Pb/Nb and Zr/Nb, which are not explicable by variable compositions or fluxes of slab components. Depleted ambient mantle is present beneath arcs with back-arc spreading; relatively enriched mantle is present adjacent to continents. Ambient mantle wedge heterogeneity both globally and regionally forms isotope mixing trajectories for Sr, Nd and Hf between depleted mantle and EM1-type enriched compositions as represented by Gough Island basalts. Making use of this relationship permits a quantitative match with the SVZ data. It has been suggested that EM1-type mantle reservoirs are the result of recycled lower continental crust, though such models do not account for certain trace element ratios such as Ce/Pb and Nb/U or the surprisingly homogeneous trace element compositions of EM1 volcanics. A model in which the EM1 end

The effects of tibia profile, distraction angle, and knee load on wedge instability and hinge fracture: A finite element study.

PubMed

Weng, Pei-Wei; Chen, Chia-Hsien; Luo, Chu-An; Sun, Jui-Sheng; Tsuang, Yang-Hwei; Cheng, Cheng-Kung; Lin, Shang-Chih

2017-04-01

Several plate systems for high tibial osteotomy (HTO) have been developed to stabilize the opening wedge of an osteotomized tibia. Among them, the TomoFix system, having a quasi-straight and T-shaped design, has been widely adopted in the literature. However, this system is implemented by inserting a lag (i.e., cortical) screw through the proximal combi-hole, to deform the plate and pull the distal tibia toward the plate. This process potentially induces plate springback and creates an elastic preload on the osteotomized tibia, especially at the lateral hinge of the distracted wedge. Using the finite-element method, this study aims to investigate the contoured effect of lag-screw application on the biomechanical behavior of the tibia-plate construct. Two tibial profiles (normal and more concave), three distraction angles (6°, 9°, and 12°), and three knee loads (intraoperative: contouring plate; postoperative: weight and nonweight bearing) are systematically varied in this study. The wedge instability and fracture risk at the lateral hinge are chosen as the comparison indices. The results show the necessity of preoperative planning for a precontoured procedure, rather than elastic deformation using a lag screw. Within the intraoperative period, a more concave tibial profile and/or reduced distraction angle (i.e., 6° or 9°) necessitate a higher compressive load to elastically deform the plate, thereby deteriorating the lateral-hinge fracture risk. A precontoured plate is recommended in the case that the proximal tibia is highly concave and the distraction angle is insufficient to stretch the tibial profile. Copyright © 2017 IPEM. Published by Elsevier Ltd. All rights reserved.

Medial meniscus anatomy-from basic science to treatment.

PubMed

Śmigielski, Robert; Becker, Roland; Zdanowicz, Urszula; Ciszek, Bogdan

2015-01-01

This paper focuses on the anatomical attachment of the medial meniscus. Detailed anatomical dissections have been performed and illustrated. Five zones can be distinguished in regard to the meniscus attachments anatomy: zone 1 (of the anterior root), zone 2 (anteromedial zone), zone 3 (the medial zone), zone 4 (the posterior zone) and the zone 5 (of the posterior root). The understanding of the meniscal anatomy is especially crucial for meniscus repair but also for correct fixation of the anterior and posterior horn of the medial meniscus.

Anatomical medial surfaces with efficient resolution of branches singularities.

PubMed

Gil, Debora; Vera, Sergio; Borràs, Agnés; Andaluz, Albert; González Ballester, Miguel A

2017-01-01

Medial surfaces are powerful tools for shape description, but their use has been limited due to the sensibility of existing methods to branching artifacts. Medial branching artifacts are associated to perturbations of the object boundary rather than to geometric features. Such instability is a main obstacle for a confident application in shape recognition and description. Medial branches correspond to singularities of the medial surface and, thus, they are problematic for existing morphological and energy-based algorithms. In this paper, we use algebraic geometry concepts in an energy-based approach to compute a medial surface presenting a stable branching topology. We also present an efficient GPU-CPU implementation using standard image processing tools. We show the method computational efficiency and quality on a custom made synthetic database. Finally, we present some results on a medical imaging application for localization of abdominal pathologies. Copyright © 2016 Elsevier B.V. All rights reserved.

Medial septal GABAergic projection neurons promote object exploration behavior and type 2 theta rhythm

PubMed Central

Gangadharan, Gireesh; Shin, Jonghan; Kim, Seong-Wook; Kim, Angela; Paydar, Afshin; Kim, Duk-Soo; Miyazaki, Taisuke; Watanabe, Masahiko; Yanagawa, Yuchio; Kim, Jinhyun; Kim, Yeon-Soo; Kim, Daesoo; Shin, Hee-Sup

2016-01-01

Exploratory drive is one of the most fundamental emotions, of all organisms, that are evoked by novelty stimulation. Exploratory behavior plays a fundamental role in motivation, learning, and well-being of organisms. Diverse exploratory behaviors have been described, although their heterogeneity is not certain because of the lack of solid experimental evidence for their distinction. Here we present results demonstrating that different neural mechanisms underlie different exploratory behaviors. Localized Cav3.1 knockdown in the medial septum (MS) selectively enhanced object exploration, whereas the null mutant (KO) mice showed enhanced-object exploration as well as open-field exploration. In MS knockdown mice, only type 2 hippocampal theta rhythm was enhanced, whereas both type 1 and type 2 theta rhythm were enhanced in KO mice. This selective effect was accompanied by markedly increased excitability of septo-hippocampal GABAergic projection neurons in the MS lacking T-type Ca2+ channels. Furthermore, optogenetic activation of the septo-hippocampal GABAergic pathway in WT mice also selectively enhanced object exploration behavior and type 2 theta rhythm, whereas inhibition of the same pathway decreased the behavior and the rhythm. These findings define object exploration distinguished from open-field exploration and reveal a critical role of T-type Ca2+ channels in the medial septal GABAergic projection neurons in this behavior. PMID:27208094

RANS Analyses of Turbofan Nozzles with Wedge Deflectors for Noise Reduction

NASA Technical Reports Server (NTRS)

DeBonis, James R.

2008-01-01

Computational fluid dynamics (CFD) was used to evaluate a promising concept for reducing the noise at take-off of dual-stream, turbofan nozzles. The concept, offset stream technology, reduces the jet noise observed on the ground by diverting (offsetting) the majority of the fan flow below the core flow, thickening this layer between the high velocity core flow and the ground observers. In this study a wedge placed in the internal fan stream is used as the diverter. Wind, a Reynolds Averaged Navier-Stokes (RANS) code, was used to analyze the flowfield of the exhaust plume and to calculate nozzle performance. Results showed that the wedge effectively diverts the fan flow and the turbulent kinetic energy on the observer side of the nozzle is reduced. The reduction in turbulent kinetic energy should correspond to a reduction in noise. The blockage due to the wedge reduces the fan massflow proportional to its blockage and the overall thrust is consequently reduced. The CFD predictions are in very good agreement with experimental data. This noise reduction concept shows promise for reduced jet noise at a small reduction in thrust. It has been demonstrated that RANS CFD can be used to optimize this concept.

First metatarsal closing base wedge osteotomy using real-time fluoroscopy.

PubMed

Toepp, F C; Salcedo, M

1991-01-01

A minimal incision surgery approach to metatarsus primus adductus is presented. The percutaneous closing base wedge osteotomy is performed using real-time intraoperative fluoroscopy. The advantages and disadvantages of this minimal incision surgical procedure are discussed.

Mass stranding of wedge-tailed shearwater chicks in Hawaii

USGS Publications Warehouse

Work, Thierry M.; Rameyer, Robert

1999-01-01

Unusual numbers of wedge-tailed shearwater (Puffinus pacificus) chicks stranded on Oahu (Hawaii, USA) in 1994. Compared to healthy wedge-tailed shearwater (WTSW) chicks, stranded chicks were underweight, dehydrated, leukopenic, lymphopenic, eosinopenic, and heterophilic; some birds were toxemic and septic. Stranded chicks also were hypoglycemic and had elevated aspartate amino transferase levels. Most chicks apparently died from emaciation, dehydration, or bacteremia. Because many birds with bacteremia also had severe necrosis of the gastrointestinal (GI) mucosa associated with bacteria, we suspect the GI tract to be the source of disseminated bacterial infection. The identity of the bacteria was not confirmed. The daily number of chicks stranded was significantly related to average wind speeds, and the mortality coincided with the fledging period for WTSW. Strong southeasterly winds were a distinguishing meteorologic factor in 1994 and contributed to the distribution of stranded chicks on Oahu. More objective data on WTSW demographics would enhance future efforts to determine predisposing causes of WTSW wrecks and their effects on seabird colonies.

An automated optical wedge calibrator for Dobson ozone spectrophotometers

NASA Technical Reports Server (NTRS)

Evans, R. D.; Komhyr, W. D.; Grass, R. D.

1994-01-01

The Dobson ozone spectrophotometer measures the difference of intensity between selected wavelengths in the ultraviolet. The method uses an optical attenuator (the 'Wedge') in this measurement. The knowledge of the relationship of the wedge position to the attenuation is critical to the correct calculation of ozone from the measurement. The procedure to determine this relationship is time-consuming, and requires a highly skilled person to perform it correctly. The relationship has been found to change with time. For reliable ozone values, the procedure should be done on a Dobson instrument at regular intervals. Due to the skill and time necessary to perform this procedure, many instruments have gone as long as 15 years between procedures. This article describes an apparatus that performs the procedure under computer control, and is adaptable to the majority of existing Dobson instruments. Part of the apparatus is usable for normal operation of the Dobson instrument, and would allow computer collection of the data and real-time ozone measurements.

Natural history of medial clavicle fractures.

PubMed

Salipas, Andrew; Kimmel, Lara A; Edwards, Elton R; Rakhra, Sandeep; Moaveni, Afshin Kamali

2016-10-01

Fractures of the medial third of the clavicle comprise less than 3% of all clavicle fractures. The natural history and optimal management of these rare injuries are unknown. The aim of our study is to describe the demographics, management and outcomes of patients with medial clavicle fractures treated at a Level 1 Trauma Centre. A retrospective review was conducted of patients presenting to our institution between January 2008 and March 2013 with a medial third clavicle fracture. Clinical and radiographic data were recorded including mechanism of injury, fracture pattern and displacement, associated injuries, management and complications. Functional outcomes were assessed using the Glasgow Outcome Scale Extended (GOS-E) scores from the Victorian Orthopaedic Trauma Outcomes Registry (VOTOR). Shoulder outcomes were assessed using two patient reported outcomes scores, the American Shoulder and Elbow Society Score (ASES) and the Subjective Shoulder Value (SSV). Sixty eight medial clavicle fractures in 68 patients were evaluated. The majority of patients were male (n=53), with a median age of 53.5 years (interquartile range (IQR) 37.5-74.5 years). The most common mechanism of injury was motor vehicle accident (n=28). The in-hospital mortality rate was 4.4%. The fracture pattern was almost equally distributed between extra articular (n=35) and intra-articular (n=33). Fifty-five fractures (80.9%) had minimal or no displacement. Associated injuries were predominantly thoracic (n=31). All fractures were initially managed non-operatively, with a broad arm sling. Delayed operative fixation was performed for painful atrophic delayed union in two patients (2.9%). Both patients were under 65 years of age and had a severely displaced fracture of the medial clavicle. One intra-operative vascular complication was seen, with no adverse long-term outcome. Follow-up was obtained in 85.0% of the surviving cohort at an average of three years post injury (range 1-6 years). The mean ASES

Ivrea mantle wedge and arc of the Western Alps (II): Kinematic evolution of the Alps-Apennines orogenic system

NASA Astrophysics Data System (ADS)

Schmid, Stefan; Kissling, Eduard; van Hinsbergen, Douwe J. J.; Molli, Giancarlo

2017-04-01

lateral transition from continent-continent collision in the Central and Eastern Alps to intra-oceanic subduction in the Western Alps during Alpine orogeny, leaving large parts of the Piemont-Liguria Ocean that belong to the Adria microplate open until about 25 Ma. It is these parts that from now on formed the highest tectonic units in the Apennines, namely the Ligurides. However, internal units of the Northern Apennines previously suffered Alpine-type shortening associated with an E-dipping Alpine subduction zone. They became " backthrusted" to the NE during Apenninic orogeny commencing in the Late Oligocene. Apenninic orogeny is associated with a change in subduction polarity from Alpine E-directed subduction, previously affecting the Internal Ligurides and other parts of the Northern Apennines, towards NW-directed subduction and roll back of the Adria slab beneath Northern Apennines, pulled by the negative buoyancy of those parts of the old oceanic lithosphere of the Piemont-Liguria Ocean that remained unaffected by Alpine orogeny. Reference: Edi Kissling, Stefan M. Schmid, Tobias Diehl (2017). Ivrea mantle wedge and arc of the Western Alps (1): Geophysical evidence for the deep structure. Abstract Volume EGU 2017.

Cementless Tapered Wedge Femoral Stems Decrease Subsidence in Obese Patients Compared to Traditional Fit-and-Fill Stems.

PubMed

Grant, Tanner W; Lovro, Luke R; Licini, David J; Warth, Lucian C; Ziemba-Davis, Mary; Meneghini, Robert M

2017-03-01

Femoral component stability and resistance to subsidence is critical for osseointegration and clinical success in cementless total hip arthroplasty. The purpose of this study was to radiographically evaluate the anatomic fit and subsidence of 2 different proximally tapered, porous-coated modern cementless femoral component designs. A retrospective cohort study of 126 consecutive cementless total hip arthroplasties was performed. Traditional fit-and-fill stems were implanted in the first 61 hips with the remaining 65 receiving morphometric tapered wedge stems. Preoperative bone morphology was radiographically assessed by the canal flare index. Canal fill in the coronal plane, subsidence, and the sagittal alignment of stems was measured digitally on immediate and 1-month postoperative radiographs. Demographics and canal flare indices were similar between groups. The percentage of femoral canal fill was greater in the tapered wedge compared to the fit-and-fill stem (P = .001). There was significantly less subsidence in the tapered wedge design (0.3 mm) compared to the fit-and-fill design (1.1 mm) (P = .001). Subsidence significantly increased as body mass index (BMI) increased in the fit-and-fill stems, a finding not observed in the tapered wedge design (P = .013). An anatomically designed morphometric tapered wedge femoral stem demonstrated greater axial stability and decreased subsidence with increasing BMI than a traditional fit-and-fill stem. The resistance to subsidence, irrespective of BMI, is likely due to the inherent axial stability of a tapered wedge design and may be the optimal stem design for obese patients. Copyright © 2016 Elsevier Inc. All rights reserved.

Combined versus individual effects of a valgus knee brace and lateral wedge foot orthotic during stair use in patients with knee osteoarthritis.

PubMed

Moyer, Rebecca; Birmingham, Trevor; Dombroski, Colin; Walsh, Robert; Giffin, J Robert

2017-05-01

The aim of this study was to investigate the combined and individual biomechanical effects of a valgus knee brace and a lateral wedge foot orthotic during stair ascent and descent in patients with knee osteoarthritis (OA). Thirty-five patients with varus alignment and medial knee OA were prescribed a custom valgus knee brace and lateral wedge foot orthotic. Knee angles and moments in the frontal and sagittal planes were determined from 3D gait analysis completed under four randomized conditions: (1) control (no knee brace or foot orthotic), (2) knee brace, (3) foot orthotic, and (4) combined knee brace and foot orthotic. Additional measures included the vertical ground reaction force, trunk lean, toe out and gait speed. During the combined use of a knee brace and foot orthotic, significant decreases in the knee adduction angle (2.17, 95%CI: 0.50-3.84, p=0.013) and 2nd peak EKAM (0.35, 95%CI: 0.17-0.52, p<0.001) were observed during stair descent; and significant increases in the EKFM were observed during stair ascent (0.54, 95%CI: 0.30-0.78, p<0.001) and descent (1stpk: 0.48, 95%CI: 0.15-0.80, p=0.005; 2ndpk: 0.55, 95%CI: 0.34-0.76, p<0.001). Fewer gait compensations were observed between conditions during stair descent compared to ascent, except for toe out. Findings suggest greater effects on gait when both knee brace and foot orthotic are used together, resulting in a more normal gait pattern. However, whether or not a true change in knee joint load can be inferred when using these orthoses remains unclear. Further research is required to determine the clinical importance of the observed changes. Copyright © 2017. Published by Elsevier B.V.

The effect of foot orthoses and in-shoe wedges during cycling: a systematic review

PubMed Central

2014-01-01

Background The use of foot orthoses and in-shoe wedges in cycling are largely based on theoretical benefits and anecdotal evidence. This review aimed to systematically collect all published research on this topic, critically evaluate the methods and summarise the findings. Methods Study inclusion criteria were: all empirical studies that evaluated the effects of foot orthoses or in-shoe wedges on cycling; outcome measures that investigated physiological parameters, kinematics and kinetics of the lower limb, and power; and, published in English. Studies were located by data-base searching (Medline, CINAHL, Embase and SPORTDiscus) and hand-searching in February 2014. Selected studies were assessed for methodological quality using a modified Quality Index. Data were synthesised descriptively. Meta-analysis was not performed as the included studies were not sufficiently homogeneous to provide a meaningful summary. Results Six studies were identified as meeting the eligibility criteria. All studies were laboratory-based and used a repeated measures design. The quality of the studies varied, with Quality Index scores ranging from 7 to 10 out of 14. Five studies investigated foot orthoses and one studied in-shoe wedges. Foot orthoses were found to increase contact area in the midfoot, peak pressures under the hallux and were perceived to provide better arch support, compared to a control. With respect to physiological parameters, contrasting findings have been reported regarding the effect foot orthoses have on oxygen consumption. Further, foot orthoses have been shown to not provide effects on lower limb kinematics and perceived comfort. Both foot orthoses and in-shoe wedges have been shown to provide no effect on power. Conclusion In general, there is limited high-quality research on the effects foot orthoses and in-shoe wedges provide during cycling. At present, there is some evidence that during cycling foot orthoses: increase contact area under the foot and increase

Structural deformation and detailed architecture of accretionary wedge in the northern Manila subduction zone

NASA Astrophysics Data System (ADS)

Gao, J.; Wu, S.; Yao, Y.; Chen, C.

2017-12-01

The South China Sea (SCS) which located at the southeast edge of the Eurasian plate, is heavily influenced by the Philippine Sea plate and the Indo-Australian plate. As eastern boundary of the SCS, Manila subduction zone was created by the northwestern movement of the Philippine Sea plate, recorded the key information on formation and evolution of the SCS and often triggered off earthquakes and tsunami in the East and South Asia. Using high resolution multi-channel seismic data across the northern Manila subduction zone, this study analyzed sedimentary characteristics of oceanic basin and trench, and fine described features of structural deformation and architecture of accretionary wedge and magmatism to discuss the time of subduction inception, thrust motion and influence of seamount subduction on the geometry of the Manila trench. Results show that lower slope of accretionary wedge mainly consist of imbricated thrusts with blind thrust as the frontal fault and structural wedge whereas upper slope was obscure for intensely structural deformation and magmatism. All the thrust faults merged into a detachment fault/surface which may root in Lower Miocene or even older strata, cut off the Miocene near buried seamount and extended the Pliocene upward, suggesting that this detachment fault was obviously influenced by buried seamount and basement high below the accretionary wedge. Magmatism began to be active from late Miocene and continued to be intense during Pliocene and Quaternary in the oceanic basin, trench and accretionary wedge. Based on characteristics of sedimentary and structural deformation, this study proposed that accretionary wedge of the northern Manila subduction zone formed before 16.5 Ma and propagated to the SCS through piggyback propagation thrusting when seafloor spreading of the SCS was still ongoing before 15 Ma. Subduction of extended continental crust in the northeastern SCS created a significantly concaving eastward to geometric shape of the

Kinematic segmentation of accretive wedges based on scaled sandbox experiments and their application to nature

NASA Astrophysics Data System (ADS)

Lohrmann, J.; Kukowski, N.; Oncken, O.

2003-04-01

Recording the incremental displacement field of scaled analogue simulations provides detailed data on wedge kinematics and timing of internal deformation. This is a very efficient tool to develop kinematic concepts and test mechanical theories, e.g. the critical-taper theory. Such models could not be validated until now by the available geological and geophysical data, since there was no information about the incremental displacement field. Recent GPS measurements and seismological investigations at convergent margins provide well-constrained strain-rates and kinematics of short-termed processes. These data allow the kinematic models that are based on analogue simulations to be tested against field observations. We investigate convergent accretive sand wedges in scaled analogue simulations. We define three kinematic segments based on distinctive wedge taper, displacement field and timing of deformation (recorded at a slow sampling rate, which represents the geological scale). Only one of these segments is in a critical state of stress, whereas the other segments are either in a sub-critical or stable state of stress. Such a kinematic segmentation is not predicted for ideally homogeneous wedge-shaped bodies by the critical-taper theory, but can be explained by the formation of localised weak shear zones, which preferentially accommodate deformation. These weak zones are formed in granular analogue materials, and also in natural rocks, since these materials show a strain-softening phase prior to the achievement of stable mechanical conditions. Therefore we suggest that the kinematic segmentation of convergent sand wedges should also be observed in natural settings, such as accretionary wedges, foreland fold-and-thrust belts and even entire orogens. To validate this hypothesis we compare strain rates from GPS measurements and kinematics deduced from focal mechanisms with the respective data from sandbox experiments. We present a strategy to compare strain rates and

Analog modeling of the deformation and kinematics of the Calabrian accretionary wedge

NASA Astrophysics Data System (ADS)

Dellong, David; Gutscher, Marc-Andre; Klingelhoefer, Frauke; Graindorge, David; Kopp, Heidrun; Mercier de Lepinay, Bernard; Dominguez, Stephane; Malavieille, Jacques

2017-04-01

The Calabrian accretionary wedge in the Ionian Sea, is the site of slow, deformation related to the overall convergence between Africa and Eurasia and the subduction zone beneath Calabria. High-resolution swath bathymetric data and seismic profiling image a complex network of compressional and strike-slip structures. Major Mesozoic rift structures (Malta Escarpment) are also present and appear to be reactivated in places by normal faulting. Ongoing normal faulting also occurs in the straits of Messina area (1908 M7.2 earthquake). We applied analog modeling using granular materials as well as ductile (silicone) in some experiments. The objective was to test the predictions of certain kinematic models regarding the location and kinematics of a major lateral slab edge tear fault. One experiment, using two independently moving backstops, demonstrates that the relative kinematics of the Calabrian and Peloritan blocks can produce a zone of dextral transtension and subsidence which corresponds well to the asymmetric rift observed in seismic data in the southward prolongation of the straits of Messina faults. However, the expected dextral offset in the deformation front of the accretionary wedge is not observed in bathymetry. In fact sinistral motion is observed along the boundary between two lobes of the accretionary wedge suggesting the dextral motion is absorbed along a network of transcurrent faults within the eastern lobe. Bathymetric and seismic observations indicate that the major dextral boundary along the western boundary of the accretionary wedge is the Alfeo fault system, whose southern termination is the focal point of a striking set of radial slip-lines. Further analog modeling experiments attempted to reproduce these structures, with mixed results.

Hydrous melt-rock reaction in the shallow mantle wedge

NASA Astrophysics Data System (ADS)

Mitchell, A.; Grove, T. L.

2017-12-01

In subduction zone magmatism, hotter, deeper hydrous mantle melts rise and interact with the shallower, cooler depleted mantle in the uppermost part of the mantle wedge. Here, we experimentally investigate these hydrous reactions using three different ratios of a 1.6 GPa mantle melt and an overlying 1.2 GPa harzburgite from 1060 to 1260 °C. At low ratios of melt/mantle (20:80 and 5:95), the crystallizing assemblages are dunites, harzburgites, and lherzolites (as a function of temperature). When the ratio of deeper melt to overlying mantle is 70:30, the crystallizing assemblage is a wehrlite. This shows that wehrlites, which are observed in ophiolites and mantle xenoliths, can be formed by large amounts of deeper melt fluxing though the mantle wedge during ascent. In all cases, orthopyroxene dissolves in the melt, and olivine crystallizes along with pyroxenes and spinel. The amount of reaction between deeper melts and overlying mantle, simulated here by the three starting compositions, imposes a strong influence on final melt compositions, particularly in terms of depletion. At the lowest melt/mantle ratios, the resulting melt is an extremely depleted Al-poor, high-Si andesite. As the fraction of melt to mantle increases, final melts resemble primitive basaltic andesites found in arcs globally. Wall rock temperature is a key variable; over a span of <80 °C, reaction with deeper melt creates the entire range of mantle lithologies from a depleted dunite to a harzburgite to a refertilized lherzolite. Together, the experimental phase equilibria, melt compositions, and calculated reaction coefficients provide a framework for understanding how melt-wall rock reaction occurs in the natural system during melt ascent in the mantle wedge.

Measurement of Rayleigh Wave Beams Using Angle Beam Wedge Transducers as the Transmitter and Receiver with Consideration of Beam Spreading

PubMed Central

Zhang, Shuzeng; Li, Xiongbing; Jeong, Hyunjo

2017-01-01

A theoretical model, along with experimental verification, is developed to describe the generation, propagation and reception of a Rayleigh wave using angle beam wedge transducers. The Rayleigh wave generation process using an angle beam wedge transducer is analyzed, and the actual Rayleigh wave sound source distributions are evaluated numerically. Based on the reciprocity theorem and considering the actual sound source, the Rayleigh wave beams are modeled using an area integral method. The leaky Rayleigh wave theory is introduced to investigate the reception of the Rayleigh wave using the angle beam wedge transducers, and the effects of the wave spreading in the wedge and transducer size are considered in the reception process. The effects of attenuations of the Rayleigh wave and leaky Rayleigh wave are discussed, and the received wave results with different sizes of receivers are compared. The experiments are conducted using two angle beam wedge transducers to measure the Rayleigh wave, and the measurement results are compared with the predictions using different theoretical models. It is shown that the proposed model which considers the wave spreading in both the sample and wedges can be used to interpret the measurements reasonably. PMID:28632183

Measurement of Rayleigh Wave Beams Using Angle Beam Wedge Transducers as the Transmitter and Receiver with Consideration of Beam Spreading.

PubMed

Zhang, Shuzeng; Li, Xiongbing; Jeong, Hyunjo

2017-06-20

A theoretical model, along with experimental verification, is developed to describe the generation, propagation and reception of a Rayleigh wave using angle beam wedge transducers. The Rayleigh wave generation process using an angle beam wedge transducer is analyzed, and the actual Rayleigh wave sound source distributions are evaluated numerically. Based on the reciprocity theorem and considering the actual sound source, the Rayleigh wave beams are modeled using an area integral method. The leaky Rayleigh wave theory is introduced to investigate the reception of the Rayleigh wave using the angle beam wedge transducers, and the effects of the wave spreading in the wedge and transducer size are considered in the reception process. The effects of attenuations of the Rayleigh wave and leaky Rayleigh wave are discussed, and the received wave results with different sizes of receivers are compared. The experiments are conducted using two angle beam wedge transducers to measure the Rayleigh wave, and the measurement results are compared with the predictions using different theoretical models. It is shown that the proposed model which considers the wave spreading in both the sample and wedges can be used to interpret the measurements reasonably.

Configuration and Generation of Substorm Current Wedge

NASA Astrophysics Data System (ADS)

Chu, Xiangning

The substorm current wedge (SCW), a core element of substorm dynamics coupling the magnetotail to the ionosphere, is crucial in understanding substorms. It has been suggested that the field-aligned currents (FACs) in the SCW are caused by either pressure gradients or flow vortices, or both. Our understanding of FAC generations is based predominately on numerical simulations, because it has not been possible to organize spacecraft observations in a coordinate system determined by the SCW. This dissertation develops an empirical inversion model of the current wedge and inverts midlatitude magnetometer data to obtain the parameters of the current wedge for three solar cycles. This database enables statistical data analysis of spacecraft plasma and magnetic field observations relative to the SCW coordinate. In chapter 2, a new midlatitude positive bay (MPB) index is developed and calculated for three solar cycles of data. The MPB index is processed to determine the substorm onset time, which is shown to correspond to the auroral breakup onset with at most 1-2 minutes difference. Substorm occurrence rate is found to depend on solar wind speed while substorm duration is rather constant, suggesting that substorm process has an intrinsic pattern independent of external driving. In chapter 3, an SCW inversion technique is developed to determine the strength and locations of the FACs in an SCW. The inversion parameters for FAC strength and location, and ring current strength are validated by comparison with other measurements. In chapter 4, the connection between earthward flows and auroral poleward expansion is examined using improved mapping, obtained from a newly-developed dynamic magnetospheric model by superimposing a standard magnetospheric field model with substorm current wedge obtained from the inversion technique. It is shown that the ionospheric projection of flows observed at a fixed point in the equatorial plane map to the bright aurora as it expands poleward

Subject-specific knee joint geometry improves predictions of medial tibiofemoral contact forces.

PubMed

Gerus, Pauline; Sartori, Massimo; Besier, Thor F; Fregly, Benjamin J; Delp, Scott L; Banks, Scott A; Pandy, Marcus G; D'Lima, Darryl D; Lloyd, David G

2013-11-15

Estimating tibiofemoral joint contact forces is important for understanding the initiation and progression of knee osteoarthritis. However, tibiofemoral contact force predictions are influenced by many factors including muscle forces and anatomical representations of the knee joint. This study aimed to investigate the influence of subject-specific geometry and knee joint kinematics on the prediction of tibiofemoral contact forces using a calibrated EMG-driven neuromusculoskeletal model of the knee. One participant fitted with an instrumented total knee replacement walked at a self-selected speed while medial and lateral tibiofemoral contact forces, ground reaction forces, whole-body kinematics, and lower-limb muscle activity were simultaneously measured. The combination of generic and subject-specific knee joint geometry and kinematics resulted in four different OpenSim models used to estimate muscle-tendon lengths and moment arms. The subject-specific geometric model was created from CT scans and the subject-specific knee joint kinematics representing the translation of the tibia relative to the femur was obtained from fluoroscopy. The EMG-driven model was calibrated using one walking trial, but with three different cost functions that tracked the knee flexion/extension moments with and without constraint over the estimated joint contact forces. The calibrated models then predicted the medial and lateral tibiofemoral contact forces for five other different walking trials. The use of subject-specific models with minimization of the peak tibiofemoral contact forces improved the accuracy of medial contact forces by 47% and lateral contact forces by 7%, respectively compared with the use of generic musculoskeletal model. © 2013 Published by Elsevier Ltd.

Subject-specific knee joint geometry improves predictions of medial tibiofemoral contact forces

PubMed Central

Gerus, Pauline; Sartori, Massimo; Besier, Thor F.; Fregly, Benjamin J.; Delp, Scott L.; Banks, Scott A.; Pandy, Marcus G.; D’Lima, Darryl D.; Lloyd, David G.

2013-01-01

Estimating tibiofemoral joint contact forces is important for understanding the initiation and progression of knee osteoarthritis. However, tibiofemoral contact force predictions are influenced by many factors including muscle forces and anatomical representations of the knee joint. This study aimed to investigate the influence of subject-specific geometry and knee joint kinematics on the prediction of tibiofemoral contact forces using a calibrated EMG-driven neuromusculoskeletal model of the knee. One participant fitted with an instrumented total knee replacement walked at a self-selected speed while medial and lateral tibiofemoral contact forces, ground reaction forces, whole-body kinematics, and lower-limb muscle activity were simultaneously measured. The combination of generic and subject-specific knee joint geometry and kinematics resulted in four different OpenSim models used to estimate muscle-tendon lengths and moment arms. The subject-specific geometric model was created from CT scans and the subject-specific knee joint kinematics representing the translation of the tibia relative to the femur was obtained from fluoroscopy. The EMG-driven model was calibrated using one walking trial, but with three different cost functions that tracked the knee flexion/extension moments with and without constraint over the estimated joint contact forces. The calibrated models then predicted the medial and lateral tibiofemoral contact forces for five other different walking trials. The use of subject-specific models with minimization of the peak tibiofemoral contact forces improved the accuracy of medial contact forces by 47% and lateral contact forces by 7%, respectively compared with the use of generic musculoskeletal model. PMID:24074941

The role of heterogeneous fluid pressures in the shape of critical-taper submarine wedges, with application to Barbados

NASA Astrophysics Data System (ADS)

Yeh, En-Chao; Suppe, John

2014-05-01

Some classic accretionary wedges such as Nankai trough and Barbados are mechanically heterogeneous based on their spatial variation in taper, showing inward decrease in surface slope α without covariation in detachment dip β. Possible sources of regional heterogeniety include variation in fluid pressure, density, cohesion and fault strength, which can be constrained by the seismic or borehole observable parameter, fluid-retention depth Z_FRD, below which compaction is strongly diminished. In particular the Hubbert-Rubey fluid-pressure weakening can be addressed as (1-lambda)~0.6Z_FRD/Z. We recast the heterogeneous critical-taper wedge theory of Dahlen (1990) in terms of the observable Z_FRD/H, where H is the detachment depth, which allows for real world applications. For example, seismic velocity and borehole data from the Barbados shows that the fluid-retention depth Z_FRD is approximately constant and Z_FRD/H decreases inward. This leads to a factor of four inward decreases in wedge strength, dominated by fluid pressure, with only a second-order role for density and cohesion. An inward decrease in wedge strength should by itself produce an increase in taper, therefore the observed decreasing taper must be dominated by decreasing fault strength mu_b* from 0.03 to 0.01. Static fluid-pressures along the detachment in equilibrium with the overlying wedge predict the observed wedge geometry well, given a constant intrinsic friction coefficient mu_b=0.15.

Categorization of biologically relevant chemical signals in the medial amygdala

PubMed Central

Samuelsen, Chad L.; Meredith, Michael

2009-01-01

Many species employ chemical signals to convey messages between members of the same species (conspecific), but chemosignals may also provide information to another species (heterospecific). Here, we found that conspecific chemosignals (male, female mouse urine) increased immediate early gene-protein (IEG) expression in both anterior and posterior medial amygdala of male mice, whereas most heterospecific chemosignals (e.g.: hamster vaginal fluid, steer urine) increased expression only in anterior medial amygdala. This categorization of responses in medial amygdala conforms to our previously reported findings in male hamsters. The same characteristic pattern of IEG expression appears in the medial amygdala of each species in response to conspecific stimuli for that species. These results suggest that the amygdala categorizes stimuli according to the biological relevance for the tested species. Thus, a heterospecific predator (cat collar) stimulus, which elicited behavioral avoidance in mice, increased IEG expression in mouse posterior medial amygdala (like conspecific stimuli). Further analysis suggests reproduction related and potentially threatening stimuli produce increased IEG expression in different sub-regions of posterior medial amygdala (dorsal and ventral, respectively). These patterns of IEG expression in medial amygdala may provide glimpses of a tertiary sorting of chemosensory signals beyond the primary-level selectivity of chemosensory neurons and the secondary sorting in main and accessory olfactory bulbs. PMID:19368822

Magmatism significantly alters the thermal structure of the wedge

NASA Astrophysics Data System (ADS)

Rees Jones, D. W.; Katz, R. F.; Rudge, J. F.; Tian, M.

2016-12-01

The temperature structure of the mantle wedge is typically modelled as a balance between thermal diffusion and advection by the solid mantle [e.g., 1]. The thermal state of the wedge promotes melting and melt transport in the natural system, but the thermal consequences of these processes have been neglected from previous models. We show that advective transport of sensible and latent heat by liquid magma can locally alter the temperature structure from canonical models by up to 200K. Liquids are liberated from the subducting slab by de-volatilization reactions. They trigger melting and become silicic en route to the surface, where they cause arc volcanism. These liquids transport heat advectively, and consume or supply latent heat as they melt or freeze. To analyse these effects, we parameterise melting in the presence of volatile species. We combine this with a one-dimensional "melting-column model," previously used to understand mid-ocean ridge volcanism. Our calculations highlight the thermal and chemical response to melt transport across the mantle wedge. Finally, we solve two-dimensional geodynamic models with a prescribed slab flux [2]. These models allow us to identify the most thermally significant fluxes of melt in the system. Perturbations of 200K are found at the base of the overriding lithosphere. This thermal signature of melt migration should be considered when interpreting heat flow, petrologic and seismic data [e.g., 3]. Such a thermal perturbation is likely to affect the chemistry of arc volcanoes, the solid mantle flow and, perhaps, the location of the volcanos themselves [4]. [1] van Keken, P. E., Currie, C., King, S. D., Behn, M. D., Cagnioncle, A., He, J., et al. (2008). A community benchmark for subduction zone modeling. PEPI, doi:10.1016/j.pepi.2008.04.015 [2] Wilson, C. R., Spiegelman, M., van Keken, P. E., & Hacker, B. R. (2014). Fluid flow in subduction zones: The role of solid rheology and compaction pressure. EPSL, doi:10.1016/j

Isolated medial medullary infarction due to vertebral artery dissection.

PubMed

Wakita, M; Matsuoka, H; Hamada, R; Kasuya, J; Osame, M

2003-12-01

A 54-year-old man developed left hemiparesis and tactile and deep sensory disturbance following onset of rightside cervical pain. These symptoms resulted from an isolated infarct in the right medial area of the upper medulla oblongata and intracranial vertebral artery (VA) dissection. Atherosclerotic disease of the VA is the most common cause of medial medullary infarction. In past reports of isolated medial medullary infarction, only a few cases involved VA dissection.

Evidence for Patchy Sediment Underthrusting and a Strong, Drained Outer Accretionary Wedge in Central Cascadia: Implications for Dynamic Slip Conditions

NASA Astrophysics Data System (ADS)

Tobin, H. J.; Webb, S. I.

2017-12-01

The central Cascadia subduction zone forearc in the region offshore Washington, where a hot, young incoming plate is covered by a 2-3 km thick sedimentary sequence, features a wide, very narrowly-tapered outer accretionary wedge composed of landward vergent thrust sheets. Longstanding questions for this region include the position and host-rock environment of the plate boundary décollement fault, the thickness of sedimentary strata underthrust beneath the wedge with the downgoing plate, and the effective stress or pore fluid pressure condition in the wedge and along its base. We have analyzed nine multichannel seismic lines of the 2012 COAST multi-channel seismic reflection survey using both time- and depth- migrated seismic sections for structural interpretation. Results show that there is evidence for two parallel décollement levels, with up to 200 - 500 meters thickness of a mostly-underthrust sequence in places, but which is absent entirely in others. This patchy distribution is mapped and related to features of the overlying wedge structure. We also analyzed the seismic interval velocity distribution produced during pre-stack depth migration imaging, and used it to compute estimated porosity, pore fluid pressure, and effective stress via empirical physical properties transforms. We find that the wedge shows evidence for at most only modest, localized excess pore pressure, and instead most of the wedge appears to be at near-hydrostatic, drained condition. Modest overpressure ratios of up to only 0.15 are detected, localized in the footwalls of thrust splays. We find no evidence for overpressure zones in the underthrust sequence below the upper décollement, in contrast to findings from several other wedges worldwide. Taken together, the accretionary wedge structure and apparent low pore pressure condition here is consistent with a mechanically strong wedge overlying a base that is very weak, at least transiently. By analogy with recent work from Sumatra

SU-E-T-362: Enhanced Dynamic Wedge Output Factors for Varian 2300CD and the Case for a Reference Database

DOE Office of Scientific and Technical Information (OSTI.GOV)

Njeh, C

2015-06-15

Purpose: Dose inhomogeneity in treatment planning can be compensated using physical wedges. Enhanced dynamic wedges (EDW) were introduced by Varian to overcome some of the short comings of physical wedges. The objectives of this study were to measure EDW output factors for 6 MV and 20 MV photon energies for a Varian 2300CD. Secondly to review the literature in terms of published enhanced dynamic wedge output factors (EDWOF) for different Varian models and thereby adding credence to the case of the validity of reference databases. Methods: The enhanced dynamic wedge output factors were measured for the Varian 2300CD for bothmore » 6 MV and 20 MV photon energies. Twelve papers with published EDWOF for different Varian Linac models were found in the literature. Results: The EDWOF for 6 MV varied from 0.980 for a 5×5 cm 10 degree wedge to 0.424 for 20×20 cm 60 degree wedge. Similarly for 20 MV, the EDWOF varied from 0.986 for 5×5 cm 10 degree wedge to 0.529 for 20×20 cm 60 degree wedge. EDWOF are highly dependent on field size. Comparing our results with the published mean, we found an excellent agreement for 6 MV EDWOF with the percentage differences ranging from 0.01% to 0.57% with a mean of 0.03%. The coefficient of variation of published EDWOF ranged from 0.17% to 0.85% and 0.1% to 0.9% for the for 6 MV and 18MV photon energies respectively. This paper provides the first published EDWOF for 20 MV photon energy. In addition, we have provided the first compendium of EDWOFs for different Varian linac models. Conclusion: The consistency of EDWOF across models and institution provide further support that, a standard data set of basic photon and electron dosimetry could be established, as a guide for future commissioning, beam modeling and quality assurance purposes.« less

Medial vestibulospinal tract lesions impair sacculo-collic reflexes.

PubMed

Kim, Seonhye; Lee, Hak-Seung; Kim, Ji Soo

2010-05-01

The medial vestibulospinal tract (VST) is known to mediate the vestibular-evoked myogenic potential (VEMP) in the contracting sternocleidomastoid muscle (SCM). To determine whether disruption of the medial VST in the medulla impairs formation of VEMP, we measured VEMP in 14 patients with medial medullary infarction (MMI). VEMP was induced by a short tone burst and was recorded in contracting SCM while patients turned their heads forcefully to the contralateral side against resistance. Normative data were obtained from 47 healthy volunteers. Seven patients (50%) had abnormal VEMP in the side of the MMI lesion, absent in two, decreased in four, and delayed in two. One patient showed both decreased and delayed response. Of the seven patients with abnormal VEMP, five had the lesions that extended to the dorsal tegmentum while five of the seven patients with normal VEMP showed restricted anteromedial lesions mainly involving the pyramids. Spontaneous nystagmus (4/7, 57%), gaze-evoked nystagmus (6/7, 86%), and ocular tilt reaction/tilt of the subjective visual vertical (4/7, 57%) were frequently observed in the patients with abnormal VEMP. The abnormal VEMP in patients with infarctions involving the medullary tegmentum supports that VEMP is mediated by the medial VST descending within the medial longitudinal fasciculus.

Quadriceps Tendon Autograft Medial Patellofemoral Ligament Reconstruction.

PubMed

Fink, Christian; Steensen, Robert; Gföller, Peter; Lawton, Robert

2018-06-01

Critically evaluate the published literature related to quadriceps tendon (QT) medial patellofemoral ligament (MPFL) reconstruction. Hamstring tendon (HT) MPFL reconstruction techniques have been shown to successfully restore patella stability, but complications including patella fracture are reported. Quadriceps tendon (QT) reconstruction techniques with an intact graft pedicle on the patella side have the advantage that patella bone tunnel drilling and fixation are no longer needed, reducing risk of patella fracture. Several QT MPFL reconstruction techniques, including minimally invasive surgical (MIS) approaches, have been published with promising clinical results and fewer complications than with HT techniques. Parallel laboratory studies have shown macroscopic anatomy and biomechanical properties of QT are more similar to native MPFL than hamstring (HS) HT, suggesting QT may more accurately restore native joint kinematics. Quadriceps tendon MPFL reconstruction, via both open and MIS techniques, have promising clinical results and offer valuable alternatives to HS grafts for primary and revision MPFL reconstruction in both children and adults.

Chronic medial instability of the elbow

PubMed Central

Savoie, Felix H.; O’Brien, Michael

2017-01-01

Damage to the medial collateral ligament of the elbow from an instability episode usually heals with non-operative treatment. In some cases, residual instability may occur, leading to functional impairment.Non-operative management can be successful when bracing, taping and therapy are used to stabilise the elbow.A recent report detailing the efficacy of platelet-rich plasma in effectively treating ulnar collateral ligament (UCL) injuries in throwers has shown promise. However, there remain specific groups that should be considered for repair or reconstruction. These may include throwing athletes, wrestlers and some individuals involved in highly active physical activity which demands stability of the elbow.The results of surgical repair and reconstruction allowing a return to sports are quite good, ranging from 84% to 94%. Complications are generally low and mostly centred on ulnar nerve injuries.This report represents a review of the literature concerning valgus instability over the past five years, supplemented by selective older articles where relevant. Cite this article: EFORT Open Rev 2017;2:1-6. DOI:10.1302/2058-5241.2.160037. PMID:28607764

Dendrites of medial olivocochlear neurons in mouse.

PubMed

Brown, M C; Levine, J L

2008-06-12

Stains for acetylcholinesterase (AChE) and retrograde labeling with Fluorogold (FG) were used to study olivocochlear neurons and their dendritic patterns in mice. The two methods gave similar results for location and number of somata. The total number of medial olivocochlear (MOC) neurons in the ventral nucleus of the trapezoid body (VNTB) is about 170 per side. An additional dozen large olivocochlear neurons are located in the dorsal periolivary nucleus (DPO). Dendrites of all of these neurons are long and extend in all directions from the cell bodies, a pattern that contrasts with the sharp frequency tuning of their responses. For VNTB neurons, there were greater numbers of dendrites directed medially than laterally and those directed medially were longer (on average, 25-50% longer). Dendrite extensions were most pronounced for neurons located in the rostral portion of the VNTB. When each dendrite from a single neuron was represented as a vector, and all the vectors summed, the result was also skewed toward the medial direction. DPO neurons, however, had more symmetric dendrites that projected into more dorsal parts of the trapezoid body, suggesting that this small group of olivocochlear neurons has very different physiological properties. Dendrites of both types of neurons were somewhat elongated rostrally, about 20% longer than those directed caudally. These results can be interpreted as extensions of dendrites of olivocochlear neurons toward their synaptic inputs: medially to meet crossing fibers from the cochlear nucleus that are part of the MOC reflex pathway, and rostrally to meet descending inputs from higher centers.

TCDD alters medial epithelial cell differentiation during palatogenesis

DOE Office of Scientific and Technical Information (OSTI.GOV)

Abbott, B.D.; Birnbaum, L.S.

1989-06-15

2,3,7,8-Tetrachlorodibenzo-p-dioxin (TCDD) is a widely distributed, persistent environmental contaminant that is teratogenic in mice, where it induces hydronephrosis and cleft palate. The incidence of clefting has been shown to be dose dependent after exposure on either gestation Day (GD) 10 or 12, although the embryo is more susceptible on GD 12. TCDD-exposed palatal shelves meet but do not fuse, and programmed cell death of the medial epithelial cells is inhibited. The mechanism of action through which TCDD alters the program of medial cell development has not been examined in earlier studies, and it is not known whether the mechanism ismore » the same regardless of the dose or developmental stage of exposure. In this study, C57BL/6N mice, a strain sensitive to TCDD, were dosed orally on GD 10 or 12 with 0, 6, 12, 24, or 30 micrograms/kg body wt, in 10 ml corn oil/kg. Embryonic palatal shelves were examined on GD 14, 15, or 16. The degree of palatal closure, epithelial surface morphology, and cellular ultrastructure, the incorporation of (3H)TdR, the expression of EGF receptors, and the binding of 125I-EGF were assessed. After exposure on GD 10 or 12, TCDD altered the differentiation pathway of the medial epithelial cells. The palatal shelves were of normal size and overall morphology, but fusion of the medial epithelia of the opposing shelves did not occur. TCDD prevented programmed cell death of the medial peridermal cells. The expression of EGF receptors by medial cells continued through Day 16 and the receptors were able to bind ligand. The medial cells differentiated into a stratified, squamous, keratinizing epithelium. The shift in phenotype to an oral-like epithelium occurred after exposure on either GD 10 or 12. At the lower dose (6 micrograms/kg), fewer cleft palates were produced, but those shelves which did respond had a fully expressed shift in differentiation.« less

Role of ground ice dynamics and ecological feedbacks in recent ice wedge degradation and stabilization

USGS Publications Warehouse

Mark Torre Jorgenson,; Mikhail Kanevskiy,; Yuri Shur,; Natalia Moskalenko,; Dana Brown,; Wickland, Kimberly P.; Striegl, Robert G.; Koch, Joshua C.

2015-01-01

Ground ice is abundant in the upper permafrost throughout the Arctic and fundamentally affects terrain responses to climate warming. Ice wedges, which form near the surface and are the dominant type of massive ice in the Arctic, are particularly vulnerable to warming. Yet processes controlling ice wedge degradation and stabilization are poorly understood. Here we quantified ice wedge volume and degradation rates, compared ground ice characteristics and thermal regimes across a sequence of five degradation and stabilization stages and evaluated biophysical feedbacks controlling permafrost stability near Prudhoe Bay, Alaska. Mean ice wedge volume in the top 3 m of permafrost was 21%. Imagery from 1949 to 2012 showed thermokarst extent (area of water-filled troughs) was relatively small from 1949 (0.9%) to 1988 (1.5%), abruptly increased by 2004 (6.3%) and increased slightly by 2012 (7.5%). Mean annual surface temperatures varied by 4.9°C among degradation and stabilization stages and by 9.9°C from polygon center to deep lake bottom. Mean thicknesses of the active layer, ice-poor transient layer, ice-rich intermediate layer, thermokarst cave ice, and wedge ice varied substantially among stages. In early stages, thaw settlement caused water to impound in thermokarst troughs, creating positive feedbacks that increased net radiation, soil heat flux, and soil temperatures. Plant growth and organic matter accumulation in the degraded troughs provided negative feedbacks that allowed ground ice to aggrade and heave the surface, thus reducing surface water depth and soil temperatures in later stages. The ground ice dynamics and ecological feedbacks greatly complicate efforts to assess permafrost responses to climate change.

Role of ground ice dynamics and ecological feedbacks in recent ice wedge degradation and stabilization

NASA Astrophysics Data System (ADS)

Jorgenson, M. T.; Kanevskiy, M.; Shur, Y.; Moskalenko, N.; Brown, D. R. N.; Wickland, K.; Striegl, R.; Koch, J.

2015-11-01

Ground ice is abundant in the upper permafrost throughout the Arctic and fundamentally affects terrain responses to climate warming. Ice wedges, which form near the surface and are the dominant type of massive ice in the Arctic, are particularly vulnerable to warming. Yet processes controlling ice wedge degradation and stabilization are poorly understood. Here we quantified ice wedge volume and degradation rates, compared ground ice characteristics and thermal regimes across a sequence of five degradation and stabilization stages and evaluated biophysical feedbacks controlling permafrost stability near Prudhoe Bay, Alaska. Mean ice wedge volume in the top 3 m of permafrost was 21%. Imagery from 1949 to 2012 showed thermokarst extent (area of water-filled troughs) was relatively small from 1949 (0.9%) to 1988 (1.5%), abruptly increased by 2004 (6.3%) and increased slightly by 2012 (7.5%). Mean annual surface temperatures varied by 4.9°C among degradation and stabilization stages and by 9.9°C from polygon center to deep lake bottom. Mean thicknesses of the active layer, ice-poor transient layer, ice-rich intermediate layer, thermokarst cave ice, and wedge ice varied substantially among stages. In early stages, thaw settlement caused water to impound in thermokarst troughs, creating positive feedbacks that increased net radiation, soil heat flux, and soil temperatures. Plant growth and organic matter accumulation in the degraded troughs provided negative feedbacks that allowed ground ice to aggrade and heave the surface, thus reducing surface water depth and soil temperatures in later stages. The ground ice dynamics and ecological feedbacks greatly complicate efforts to assess permafrost responses to climate change.

Accretion in the wake of terrane collision: The Neogene accretionary wedge off Kenai Peninsula, Alaska

USGS Publications Warehouse

Fruehn, J.; von Huene, Roland E.; Fisher, M.A.

1999-01-01

Subduction accretion and repeated terrane collision shaped the Alaskan convergent margin. The Yakutat Terrane is currently colliding with the continental margin below the central Gulf of Alaska. During the Neogene the terrane's western part was subducted after which a sediment wedge accreted along the northeast Aleutian Trench. This wedge incorporates sediment eroded from the continental margin and marine sediments carried into the subduction zone on the Pacific plate. Prestack depth migration was performed on six seismic reflection lines to resolve the structure within this accretionary wedge and its backstop. The lateral extent of the structures is constrained by high-resolution swath bathymetry and seismic lines collected along strike. Accretionary structure consists of variably sized thrust slices that were deformed against a backstop during frontal accretion and underplating. Toward the northeast the lower slope steepens, the wedge narrows, and the accreted volume decreases notwith-standing a doubling of sediments thickness in the trench. In the northeasternmost transect, near the area where the terrane's trailing edge subducts, no frontal accretion is observed and the slope is eroded. The structures imaged along the seismic lines discussed here most likely result from progressive evolution from erosion to accretion, as the trailing edge of the Yakutat Terrane is subducting.

3D seismic investigation of the structural and stratigraphic characteristics of the Pagasa Wedge, Southwest Palawan Basin, Philippines, and their tectonic implications

NASA Astrophysics Data System (ADS)

Ilao, Kimberly A.; Morley, Christopher K.; Aurelio, Mario A.

2018-04-01

The Pagasa Wedge is a poorly imaged deepwater orogenic wedge that has been variously interpreted as representing an accretionary prism, a former accretionary prism modified by thrusting onto a thinned continental margin, and a gravity-driven fold-thrust belt. This study, using 2D and 3D seismic data, together with well information indicates that at least the external part of the wedge is dominantly composed of mass transport complexes, capped by syn-kinematic sediments that have thrusts and normal faults superimposed upon them. Drilling shows that despite stratigraphic repetition of Eocene Middle Miocene units, there is stratigraphic omission of Oligocene and Early Miocene units. This absence suggests that mass transport processes have introduced the Eocene section into the wedge rather than tectonic thrusting. The accretionary prism stage (Oligocene) of the Central Palawan Ophiolite history appears to be marked by predominantly north-vergent deformation. The Deep Regional Unconformity (∼17 Ma) likely indicates the approximate time when obduction ceased in Palawan. The Pagasa Wedge is a late-stage product of the convergence history that was active in its final phase sometime above the top of the Nido Limestone (∼16 Ma) and the base of the Tabon Limestone in the Aboabo-A1X well (∼9 Ma). The top of the wedge is traditionally associated with the Middle Miocene Unconformity (MMU), However the presence of multiple unconformities, diachronous formation tops, local tectonic unconformities and regional diachronous events (e.g. migrating forebulges) all suggest simply giving a single age (or assigning a single unconformity, such as the MMU as defining the top of the Pagasa Wedge is inappropriate. The overall NE-SW trend of the wedge, and the dominant NW transport of structures within the wedge diverge from the more northerly transport direction determined from outcrops in Palawan, and also from the Nido Limestone in the SW part of the Pagasa Wedge. Possibly this NW

Brain oscillatory activity during spatial navigation: theta and gamma activity link medial temporal and parietal regions.

PubMed

White, David J; Congedo, Marco; Ciorciari, Joseph; Silberstein, Richard B

2012-03-01

Brain oscillatory correlates of spatial navigation were investigated using blind source separation (BSS) and standardized low resolution electromagnetic tomography (sLORETA) analyses of 62-channel EEG recordings. Twenty-five participants were instructed to navigate to distinct landmark buildings in a previously learned virtual reality town environment. Data from periods of navigation between landmarks were subject to BSS analyses to obtain source components. Two of these cortical sources were found to exhibit significant spectral power differences during navigation with respect to a resting eyes open condition and were subject to source localization using sLORETA. These two sources were localized as a right parietal component with gamma activation and a right medial-temporal-parietal component with activation in theta and gamma bandwidths. The parietal gamma activity was thought to reflect visuospatial processing associated with the task. The medial-temporal-parietal activity was thought to be more specific to the navigational processing, representing the integration of ego- and allo-centric representations of space required for successful navigation, suggesting theta and gamma oscillations may have a role in integrating information from parietal and medial-temporal regions. Theta activity on this medial-temporal-parietal source was positively correlated with more efficient navigation performance. Results are discussed in light of the depth and proposed closed field structure of the hippocampus and potential implications for scalp EEG data. The findings of the present study suggest that appropriate BSS methods are ideally suited to minimizing the effects of volume conduction in noninvasive recordings, allowing more accurate exploration of deep brain processes.

The "safe zone" in medial percutaneous calcaneal pin placement.

PubMed

Gamie, Zakareya; Donnelly, Leo; Tsiridis, Eleftherios

2009-05-01

Percutaneous pin insertion into the medial calcaneus places a number of structures at risk. Evidence suggests that the greatest risk is to the medial calcaneal nerve (MCN). The medial calcaneal region of 24 cadavers was dissected to determine the major structures at risk. By using four palpable anatomical landmarks, the inferior tip of the medial malleolus (point A), the posterior superior portion of the calcaneal tuberosity (point B), the navicular tuberosity (point C), and the medial process of the calcaneal tuberosity (point D), we attempted to define the safe zone taking into account all possible variables in our dissections including ankle position, side, gender, and possible anatomical variations of the MCN. The commonest arrangement of the MCN was two MCNs that arose independently, one arising before the bifurcation of the tibial nerve and the other arising from the medial plantar nerve. A zone could be defined posterior to 75% of the distance along the lines AB, CD, AD, and CB which would avoid most structures. The posterior branches of the MCN, however, would still be at risk and placing the pin too far posteriorly risks an avulsion fracture. This is the first study to employ four palpable anatomical landmarks to identify a zone to minimize damage to neurovascular structures. It may not be possible, however, to avoid injury of the MCN and consequent sensory loss to the sole of the foot.

[Radiocarbon dating of pollen and spores in wedge ice from Iamal and Kolyma].

PubMed

Vasil'chuk, A K

2004-01-01

Radiocarbon dating of pollen concentrate from late Pleistocene syngenetic wedge ice was carried out using acceleration mass spectrometry (AMS) in Seyakha and Bizon sections. Comparison of the obtained dating with palynological analysis and AMS radiocarbon dating previously obtained for other organic fractions of the same samples allowed us to evaluate accuracy of dating of different fractions. Quantitative tests for data evaluation were considered in terms of possible autochthonous or allochthonous accumulation of the material on the basis of pre-Pleistocene pollen content in these samples. Paleoecological information content of pollen spectra from late Pleistocene syngenetic wedge ice was evaluated.

RANS Analyses of Turbofan Nozzles with Internal Wedge Deflectors for Noise Reduction

NASA Technical Reports Server (NTRS)

DeBonis, James R.

2009-01-01

Computational fluid dynamics (CFD) was used to evaluate the flow field and thrust performance of a promising concept for reducing the noise at take-off of dual-stream turbofan nozzles. The concept, offset stream technology, reduces the jet noise observed on the ground by diverting (offsetting) a portion of the fan flow below the core flow, thickening and lengthening this layer between the high-velocity core flow and the ground observers. In this study a wedge placed in the internal fan stream is used as the diverter. Wind, a Reynolds averaged Navier-Stokes (RANS) code, was used to analyze the flow field of the exhaust plume and to calculate nozzle performance. Results showed that the wedge diverts all of the fan flow to the lower side of the nozzle, and the turbulent kinetic energy on the observer side of the nozzle is reduced. This reduction in turbulent kinetic energy should correspond to a reduction in noise. However, because all of the fan flow is diverted, the upper portion of the core flow is exposed to the freestream, and the turbulent kinetic energy on the upper side of the nozzle is increased, creating an unintended noise source. The blockage due to the wedge reduces the fan mass flow proportional to its blockage, and the overall thrust is consequently reduced. The CFD predictions are in very good agreement with experimental flow field data, demonstrating that RANS CFD can accurately predict the velocity and turbulent kinetic energy fields. While this initial design of a large scale wedge nozzle did not meet noise reduction or thrust goals, this study identified areas for improvement and demonstrated that RANS CFD can be used to improve the concept.

Deciphering assumptions about stepped wedge designs: the case of Ebola vaccine research.

PubMed

Doussau, Adélaïde; Grady, Christine

2016-12-01

Ethical concerns about randomising persons to a no-treatment arm in the context of Ebola epidemic led to consideration of alternative designs. The stepped wedge (SW) design, in which participants or clusters are randomised to receive an intervention at different time points, gained popularity. Common arguments in favour of using this design are (1) when an intervention is likely to do more good than harm, (2) all participants should receive the experimental intervention at some time point during the study and (3) the design might be preferable for practical reasons. We examine these assumptions when considering Ebola vaccine research. First, based on the claim that a stepped wedge design is indicated when it is likely that the intervention will do more good than harm, we reviewed published and ongoing SW trials to explore previous use of this design to test experimental drugs or vaccines, and found that SW design has never been used for trials of experimental drugs or vaccines. Given that Ebola vaccines were all experimental with no prior efficacy data, the use of a stepped wedge design would have been unprecedented. Second, we show that it is rarely true that all participants receive the intervention in SW studies, but rather, depending on certain design features, all clusters receive the intervention. Third, we explore whether the SW design is appealing for feasibility reasons and point out that there is significant complexity. In the setting of the Ebola epidemic, spatiotemporal variation may have posed problematic challenges to a stepped wedge design for vaccine research. Finally, we propose a set of points to consider for scientific reviewers and ethics committees regarding proposals for SW designs. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

The measurement of medial knee gap width using ultrasound.

PubMed

Slane, Laura C; Slane, Josh A; Scheys, Lennart

2017-08-01

Medial knee instability is a key clinical parameter for assessing ligament injury and arthroplasty success, but current methods for measuring stability are typically either qualitative or involve ionizing radiation. The purpose of this study was to perform a preliminary analysis of whether ultrasound (US) could be used as an alternate approach for quantifying medial instability by comparing an US method with an approach mimicking the current gold standard fluoroscopy method. US data from the medial knee were collected, while cadaveric lower limbs (n = 8) were loaded in valgus (10 Nm). During post-processing, the US gap width was measured by identifying the medial edges of the femur and tibia and computing the gap width between these points. For comparison, mimicked fluoroscopy (mFluoro) images were created from specimen-specific bone models, developed from segmented CT scans, and from kinematic data collected during testing. Then, gap width was measured in the mFluoro images based on two different published approaches with gap width measured either at the most medial or at the most distal aspect of the femur. Gap width increased significantly with loading (p < 0.001), and there were no significant differences between the US method (unloaded: 8.7 ± 2.4 mm, loaded: 10.7 ± 2.2 mm) and the mFluoro method that measured gap width at the medial femur. In terms of the change in gap width with load, no correlation with the change in abduction angle was observed, with no correlation between the various methods. Inter-rater reliability for the US method was high (0.899-0.952). Ultrasound shows promise as a suitable alternative for quantifying medial instability without radiation exposure. However, the outstanding limitations of existing approaches and lack of true ground-truth data require that further validation work is necessary to better understand the clinical viability of an US approach for measuring medial knee gap width.

The Effects of a Heel Wedge on Hip, Pelvis and Trunk Biomechanics During Squatting in Resistance Trained Individuals.

PubMed

Charlton, Jesse M; Hammond, Connor A; Cochrane, Christopher K; Hatfield, Gillian L; Hunt, Michael A

2017-06-01

Barbell back squats are a popular exercise for developing lower extremity strength and power. However, this exercise has potential injury risks, particularly to the lumbar spine, pelvis, and hip joint. Previous literature suggests heel wedges as a means of favorably adjusting trunk and pelvis kinematics with the intention of reducing such injury risks. Yet no direct biomechanical research exists to support these recommendations. Therefore, the purpose of this study was to examine the effects of heel wedges compared with barefoot on minimally loaded barbell back squats. Fourteen trained male participants performed a barbell back squat in bare feet or with their feet raised bilaterally with a 2.5-cm wooden block while 3-dimensional kinematics, kinetics, and electromyograms were collected. The heel wedge condition elicited significantly less forward trunk flexion angles at peak knee flexion, and peak external hip joint moments (p ≤ 0.05) compared with barefoot conditions. However, no significant differences were observed between conditions for trunk and pelvis angle differences at peak knee flexion (p > 0.05). Lastly, no peak or root mean square differences in muscle activity were elicited between conditions (p > 0.05). Our results lend support for the suggestions provided in literature aimed at using heel wedges as a means of reducing excessive forward trunk flexion. However, the maintenance of a neutral spine, another important safety factor, is not affected by the use of heel wedges. Therefore, heel wedges may be a viable modification for reduction of excessive forward trunk flexion but not for reduction in relative trunk-pelvis flexion during barbell back squats.

The Cimmerian accretionary wedge of Anarak, Central Iran

NASA Astrophysics Data System (ADS)

Zanchi, Andrea; Malaspina, Nadia; Zanchetta, Stefano; Berra, Fabrizio; Benciolini, Luca; Bergomi, Maria; Cavallo, Alessandro; Javadi, Hamid Reza; Kouhpeyma, Meyssam

2015-04-01

The occurrence in Iran of several ophiolite belts dating between Late Palaeozoic to Triassic poses several questions on the possible existence of various sutures marking the closure of the Palaeotethys ocean between Eurasia and this Gondwana-derived microplate. In this scenario, the Anarak region in Central Iran still represents a conundrum. Contrasting geochronological, paleontological, paleomagnetic data and reported field evidence suggest different origins for the Anarak Metamorphic Complex (AMC). The AMC is either interpreted, as: (1) relict of an accretionary wedge developed at the Eurasia margin during the Palaeotethys subduction as part of the Cimmerian suture zone of NE Iran, displaced to Central Iran by a large counter-clockwise rotation of the central Iranian blocks; (2) autochthonous unit forming a secondary branch of the main suture zone. Our structural, petrographic and geochemical data indicate that the AMC consists of several metamorphic units also including dismembered "ophiolites" which display different tectono-metamorphic evolutions. Three main ductile deformational events can be distinguished in the AMC. The Morghab and Chah Gorbeh complexes preserve a different M1 metamorphism, characterized by blueschist relics in the S1 foliation of the former unit, and greenschist assemblages in the latter. They share a subsequent similar D2 deformational and M2 metamorphic history, showing a prograde metamorphism with syn- to post-deformation growth of blueschist facies mineral assemblages on pre-existing greenschist facies associations. High pressure, low temperature (HP/LT) metamorphism responsible for the growth of sodic amphibole has been recognized also within marble lenses at the contact between the Chah Gorbeh Complex and serpentinites. Evidence of HP/LT metamorphism also occurs in glaucophane-bearing meta-pillow lavas and serpentinites, which contain antigorite and form most of the "ophiolites" within the AMC. Structural relationships show that the

Brownian diffusion and thermophoresis mechanisms in Casson fluid over a moving wedge

NASA Astrophysics Data System (ADS)

Ullah, Imran; Shafie, Sharidan; Khan, Ilyas; Hsiao, Kai Long

2018-06-01

The effect of Brownian diffusion and thermophoresis on electrically conducting mixed convection flow of Casson fluid induced by moving wedge is investigated in this paper. It is assumed that the wedge is saturated in a porous medium and experiences the thermal radiation and chemical reaction effects. The transformed nonlinear governing equations are solved numerically by Keller box scheme. Findings reveal that increase in Casson and magnetic parameters reduced the boundary layer thickness. The effect of Brownian motion and thermophoresis parameters are more pronounced on temperature profile as compared to nanoparticles concentration. The presence of thermal radiation assisted the heat transfer rate significantly. The influence of magnetic parameter is observed less significant on temperature and nanoparticles concentration.

Posterior medial meniscus root ligament lesions: MRI classification and associated findings.

PubMed

Choi, Ja-Young; Chang, Eric Y; Cunha, Guilherme M; Tafur, Monica; Statum, Sheronda; Chung, Christine B

2014-12-01

The purposes of this study were to determine the prevalence of altered MRI appearances of "posterior medial meniscus root ligament (PMMRL)" lesions, introduce a classification of lesion types, and report associated findings. We retrospectively reviewed 419 knee MRI studies to identify the presence of PMMRL lesions. Classification was established on the basis of lesions encountered. The medial compartment was assessed for medial meniscal tears in the meniscus proper, medial meniscal extrusion, insertional PMMRL osseous changes, regional synovitis, osteoarthritis, insufficiency fracture, and cruciate ligament abnormality. PMMRL abnormalities occurred in 28.6% (120/419) of the studies: degeneration, 14.3% (60/419) and tear, 14.3% (60/419). Our classification system included degeneration and tearing. Tearing was categorized as partial or complete with delineation of the point of failure as entheseal, midsubstance, or junction to meniscus. Of all tears, 93.3% (56/60) occurred at the meniscal junction. Univariate analysis revealed significant differences between the knees with and without PMMRL lesions in age, medial meniscal tear, medial meniscal extrusion, insertional PMMRL osseous change, regional synovitis, osteoarthritis, insufficiency fracture (p=0.017), and cruciate ligament degeneration (p<0.001). PMMRL lesions are commonly detected in symptomatic patients. We have introduced an MRI classification system. PMMRL lesions are significantly associated with age, medial meniscal tears, medial meniscal extrusion, insertional PMMRL osseous change, regional synovitis, osteoarthritis, insufficiency fracture, and cruciate ligament degeneration.

Episodic snapping of the medial head of the triceps due to weightlifting.

PubMed

Spinner, R J; Wenger, D E; Barry, C J; Goldner, R D

1999-01-01

We describe two patients who had episodic elbow snapping and ulnar nerve dysesthesias only after weightlifting. These symptoms would disappear soon afterward. The episodic nature of their complaints and findings led to misdiagnosis. We documented by repeated clinical examinations and magnetic resonance imaging that the presence of these symptoms correlated directly with the finding of intermittent, activity-related snapping of the medial triceps. In both patients, the symptoms disappeared when the medial portion of the triceps migrated medially but did not dislocate over the medial epicondyle with elbow flexion. Thus, a minor change in the configuration of the medial portion of the triceps (fluid accumulation) in the same individual at different times can cause intermittent dislocation of the medial triceps. Previous papers dealing with patients with snapping of the medial triceps describe symptoms exacerbated by athletic activities, but the constant finding of snapping on sequential examinations.

Neogene-Quaternary evolution of the offshore sector of the Southern Apennines accretionary wedge, Gulf of Taranto, Italy

NASA Astrophysics Data System (ADS)

Teofilo, G.; Antoncecchi, I.; Caputo, R.

2018-07-01

Southern Apennines represent a collisional orogenic belt whose compressional regime is commonly assumed to have ceased during Middle Quaternary. On the other hand, to the south the Calabria Arc is still characterized by subduction and the principal aim of the present research is to shed some light on the space and time transition from the ceased collision to the active subduction. Accordingly, we investigated the offshore sector of the Southern Apennines accretionary wedge, corresponding to the Taranto Gulf. To gain insights into the offshore accretionary wedge, we reconstructed a 3D geological and tectonic model by interpreting a grid of 40 seismic reflection lines (1100 km, 80 intersections), within an area of ca. 104 km2, calibrated with 17 wells. The geometric and chronological constraints allow documenting a systematic Messinian-Quaternary thrust migration from internal towards external sectors of the wedge. The migrating deformational process was essentially associated with a leading-imbricate thrust system with a general NE-younging direction, where we could recognize and distinguish some major advancing phases characterized by alternating fast thrust propagation events and strain accumulation periods within the wedge. This process is well emphasized by the jump of the foredeep and piggy-back basins. The NE-wards wedge migration was also associated with a lithospheric-scale flexural folding that generated a set of normal faults striking parallel to the coeval thrusts, likely reactivating optimally oriented structures inherited from Mesozoic events. Finally, a persisting thrust activity up to the latest Quaternary and possibly up to Present in correspondence of the externalmost sector of the accretionary wedge has been documented and explained in terms of strain partitioning in the frame of a recent oblique convergence. The results of this research have possible implications for the seismic hazard assessment of the broader region which is possibly greater

Chlorite Stability in the Mantle Wedge and its Role in Subduction Zone Melting Processes

NASA Astrophysics Data System (ADS)

Grove, T. L.; Chatterjee, N.; Medard, E.; Parman, S. W.

2006-12-01

New experimental constraints on the H2O-saturated melting behavior of mantle peridotite (Grove et al., 2006, EPSL 249: 74 - 89) show that chlorite is a stable phase on the vapor-saturated solidus of peridotite at a pressure of 2 GPa and higher. Hydrous melting in the presence of chlorite begins at 860 °C at 2 GPa and the solidus temperature decreases continuously to 800 °C at 3.2 GPa. The solidus phases include olivine, orthopyroxene, high-Ca clinopyroxene and spinel + chlorite over the pressure range of 2 to 2.4 GPa. Garnet + chlorite + ilmenite are present above 2.4 GPa. At 2.8 to 3.2 GPa, chlorite is stable on the vapor- saturated solidus, but it reacts out 20 to 40 °C above the solidus. The temperature-pressure range for chlorite stability and vapor-saturated melting behavior involving chlorite are similar to those inferred for the mantle wedge above the subducted slab by geodynamic thermal models. Thus, chlorite may be a stable phase within the mantle wedge and may play a role in the onset of hydrous mantle melting. The factors that lead to the initiation of melting in subduction zones have remained enigmatic. The occurrence of volcanic fronts above the mantle wedge-subducted slab interface near a depth of 100 km in most arcs has not been conclusively explained. Melting must somehow be linked to processes that involve the release of water from the slab into the overlying mantle wedge, but why does melting always begin at or below 100 km? A potential melt triggering mechanism is that H2O released from dehydration reactions in the subducted oceanic lithosphere at pressures > 2 GPa rises into the overlying mantle and reacts with peridotite to form chlorite. This chloritized peridotite is pulled down by mantle flow to pressures of 3 to 3.5 GPa. Increases in temperature in the mantle wedge above the subducted slab lead to chlorite breakdown and/or vapor-saturated melting initiation. When mantle peridotite is hydrated ~ 13 wt. % chlorite is produced for a bulk H2

Base pressure associated with incompressible flow past wedges at high Reynolds numbers

NASA Technical Reports Server (NTRS)

Warpinski, N. R.; Chow, W. L.

1979-01-01

A model is suggested to study the viscid-inviscid interaction associated with steady incompressible flow past wedges of arbitrary angles. It is shown from this analysis that the determination of the nearly constant pressure (base pressure) prevailing within the near wake is really the heart of the problem and this pressure can only be determined from these interactive considerations. The basic free streamline flow field is established through two discrete parameters which should adequately describe the inviscid flow around the body and the wake. The viscous flow processes such as boundary-layer buildup along the wedge surface, jet mixing, recompression, and reattachment which occurs along the region attached to the inviscid flow in the sense of the boundary-layer concept, serve to determine the aforementioned parameters needed for the establishment of the inviscid flow. It is found that the point of reattachment behaves as a saddle point singularity for the system of equations describing the viscous recompression process. Detailed results such as the base pressure, pressure distributions on the wedge surface, and the wake geometry as well as the influence of the characteristic Reynolds number are obtained. Discussion of these results and their comparison with the experimental data are reported.

Medial Auditory Thalamus Inactivation Prevents Acquisition and Retention of Eyeblink Conditioning

ERIC Educational Resources Information Center

Halverson, Hunter E.; Poremba, Amy; Freeman, John H.

2008-01-01

The auditory conditioned stimulus (CS) pathway that is necessary for delay eyeblink conditioning was investigated using reversible inactivation of the medial auditory thalamic nuclei (MATN) consisting of the medial division of the medial geniculate (MGm), suprageniculate (SG), and posterior intralaminar nucleus (PIN). Rats were given saline or…

The medial patellofemoral complex.

PubMed

Loeb, Alexander E; Tanaka, Miho J

2018-06-01

The purpose of this review is to describe the current understanding of the medial patellofemoral complex, including recent anatomic advances, evaluation of indications for reconstruction with concomitant pathology, and surgical reconstruction techniques. Recent advances in our understanding of MPFC anatomy have found that there are fibers that insert onto the deep quadriceps tendon as well as the patella, thus earning the name "medial patellofemoral complex" to allow for the variability in its anatomy. In MPFC reconstruction, anatomic origin and insertion points and appropriate graft length are critical to prevent overconstraint of the patellofemoral joint. The MPFC is a crucial soft tissue checkrein to lateral patellar translation, and its repair or reconstruction results in good restoration of patellofemoral stability. As our understanding of MPFC anatomy evolves, further studies are needed to apply its relevance in kinematics and surgical applications to its role in maintaining patellar stability.

Results of step-cut medial malleolar osteotomy.

PubMed

Thordarson, David B; Kaku, Shawn K

2006-12-01

Treatment of certain complex ankle pathology, such as a talar body fracture or osteochondral lesion requiring grafting, can necessitate medial malleolar osteotomy for adequate operative exposure. This paper evaluates the step-cut medial malleolar osteotomy for exposure of the ankle joint. Fourteen patients with intra-articular pathology, including talar body fractures or osteochondral lesions necessitating extensive intra-articular exposure had step-cut malleolar osteotomy. The average age of the patients was 37 (range 20-90) years, and the average followup was 8 months. All 14 patients had an uncomplicated intraoperative course, with excellent exposure of the ankle joint. All patients had prompt healing of the osteotomy by 6 weeks after surgery without loss of reduction. None of the patients had pain at the osteotomy site. Step-cut medial malleolar osteotomy is an excellent, reproducible method for extensive exposure of the talar dome.

Three-dimensional finite-element elastic analysis of a thermally cycled single-edge wedge geometry specimen

NASA Technical Reports Server (NTRS)

Bizon, P. T.; Hill, R. J.; Guilliams, B. P.; Drake, S. K.; Kladden, J. L.

1979-01-01

An elastic stress analysis was performed on a wedge specimen (prismatic bar with single-wedge cross section) subjected to thermal cycles in fluidized beds. Seven different combinations consisting of three alloys (NASA TAZ-8A, 316 stainless steel, and A-286) and four thermal cycling conditions were analyzed. The analyses were performed as a joint effort of two laboratories using different models and computer programs (NASTRAN and ISO3DQ). Stress, strain, and temperature results are presented.

Neuromuscular Characteristics of Individuals Displaying Excessive Medial Knee Displacement

PubMed Central

Padua, Darin A.; Bell, David R.; Clark, Micheal A.

2012-01-01

Context Knee-valgus motion is a potential risk factor for certain lower extremity injuries, including anterior cruciate ligament injury and patellofemoral pain. Identifying neuromuscular characteristics associated with knee-valgus motion, such as hip and lower leg muscle activation, may improve our ability to prevent lower extremity injuries. Objective We hypothesized that hip and lower leg muscle-activation amplitude would differ among individuals displaying knee valgus (medial knee displacement) during a double-legged squat compared with those who did not display knee valgus. We further suggested that the use of a heel lift would alter lower leg muscle activation and frontal-plane knee motion in those demonstrating medial knee displacement. Design Descriptive laboratory study. Setting Research laboratory. Patients or Other Participants A total of 37 healthy participants were assigned to the control (n = 19) or medial-knee-displacement (n = 18) group based on their double-legged squat performance. Main Outcome Measure(s) Muscle-activation amplitude for the gluteus maximus, gluteus medius, adductor magnus, medial and lateral gastrocnemius, and tibialis anterior was measured during 2 double-legged squat tasks. The first task consisted of performing a double-legged squat without a heel lift; the second consisted of performing a double-legged squat task with a 2-in (5.08-cm) lift under the heels. Results Muscle-activation amplitude for the hip adductor, gastrocnemius, and tibialis anterior was greater in those who displayed knee valgus than in those who did not (P < .05). Also, use of heel lifts resulted in decreased activation of the gluteus maximus, hip adductor, gastrocnemius, and tibialis anterior muscles (P < .05). Use of heel lifts also eliminated medially directed frontal-plane knee motion in those displaying medial knee displacement. Conclusions Medial knee displacement during squatting tasks appears to be associated with increased hip-adductor activation and

Medialization thyroplasty versus injection laryngoplasty: a cost minimization analysis.

PubMed

Tam, Samantha; Sun, Hongmei; Sarma, Sisira; Siu, Jennifer; Fung, Kevin; Sowerby, Leigh

2017-02-20

Medialization thyroplasty and injection laryngoplasty are widely accepted treatment options for unilateral vocal fold paralysis. Although both procedures result in similar clinical outcomes, little is known about the corresponding medical care costs. Medialization thyroplasty requires expensive operating room resources while injection laryngoplasty utilizes outpatient resources but may require repeated procedures. The purpose of this study, therefore, is to quantify the cost differences in adult patients with unilateral vocal fold paralysis undergoing medialization thyroplasty versus injection laryngoplasty. Cost minimization analysis conducted using a decision tree model. A decision tree model was constructed to capture clinical scenarios for medialization thyroplasty and injection laryngoplasty. Probabilities for various events were obtained from a retrospective cohort from the London Health Sciences Centre, Canada. Costs were derived from the published literature and the London Health Science Centre. All costs were reported in 2014 Canadian dollars. Time horizon was 5 years. The study was conducted from an academic hospital perspective in Canada. Various sensitivity analyses were conducted to assess differences in procedure-specific costs and probabilities of key events. Sixty-three patients underwent medialization thyroplasty and 41 underwent injection laryngoplasty. Cost of medialization thyroplasty was C$2499.10 per patient whereas those treated with injection laryngoplasty cost C$943.19. Results showed that cost savings with IL were C$1555.91. Deterministic and probabilistic sensitivity analyses suggested cost savings ranged from C$596 to C$3626. Treatment with injection laryngoplasty results in cost savings of C$1555.91 per patient. Our extensive sensitivity analyses suggest that switching from medialization thyroplasty to injection laryngoplasty will lead to a minimum cost savings of C$596 per patient. Considering the significant cost savings and similar

Effectiveness of a Wedge Probe to Measure Sonic Boom Signatures in a Supersonic Wind Tunnel

NASA Technical Reports Server (NTRS)

Wilcox, Floyd J., Jr.; Elmiligui, Alaa A.

2013-01-01

A wind tunnel investigation was conducted in the Langley Unitary Plan Wind Tunnel (UPWT) to determine the effectiveness of a wedge probe to measure sonic boom pressure signatures compared to a slender conical probe. A generic business jet model at a constant angle of attack and at a single model to probe separation distance was used to generate a sonic boom signature. Pressure signature data were acquired with both the wedge probe and a slender conical probe for comparison. The test was conducted at a Mach number of 2.0 and a free-stream unit Reynolds number of 2 million per foot. The results showed that the wedge probe was not effective in measuring the sonic boom pressure signature of the aircraft model in the supersonic wind tunnel. Data plots and a discussion of the results are presented. No tabulated data or flow visualization photographs are included.

The soleus syndrome. A cause of medial tibial stress (shin splints).

PubMed

Michael, R H; Holder, L E

1985-01-01

Radionuclide bone scans have demonstrated linear uptake along the posterior medial border of the tibia in patients with shin splints. This area was investigated by anatomical dissection (14 human cadavers), electromyographic (EMG) and muscle stimulation studies (10 patients), and open biopsy (1 patient). Histologically, the increased metabolic activity manifested on the radionuclide scan is due to a periostitis with new bone formation. The soleus muscle and its investing fascia are anatomically and biomechanically implicated in the production of these stress changes, particularly when the heel is in the pronated position. The soleus muscle and fascia form a tough "soleus bridge" over the deep compartment which is thought to be important in patients requiring surgical decompression.

Resection of Grade III cranial horn tears of the equine medial meniscus alter the contact forces on medial tibial condyle at full extension: an in-vitro cadaveric study.

PubMed

Fowlie, Jennifer; Arnoczky, Steven; Lavagnino, Michael; Maerz, Tristan; Stick, John

2011-12-01

To evaluate the magnitude and distribution of joint contact pressure on the medial tibial condyle after grade III cranial horn tears of the medial meniscus. Experimental study. Cadaveric equine stifles (n = 6). Cadaveric stifles were mounted in a materials testing system and electronic pressure sensors were placed between the medial tibial condyle and medial meniscus. Specimens were loaded parallel to the longitudinal axis of the tibia to 1800 N at 130°, 140°, 150°, and 160° stifle angle. Peak pressure and contact area were recorded from the contact maps. Testing was repeated after surgical creation of a grade III cranial horn tear of the medial meniscus, and after resection of the simulated tear. In the intact specimens, a significantly smaller contact area was observed at 160° compared with the other angles (P < .05). Creation of a grade III cranial horn tear in the medial meniscus did not significantly alter the pressure or contact area measurements at any stifle angle compared with intact specimens (P > .05). Resection of the tear resulted in significantly higher peak pressures in the central region of the medial tibial condyle at a stifle angle of 160° relative to the intact (P = .026) and torn (P = .012) specimens. Resection of grade III cranial horn tears in the medial meniscus resulted in a central focal region of increased pressure on the medial tibial condyle at 160° stifle angle. © Copyright 2011 by The American College of Veterinary Surgeons.

Clinical study of medial area infarction in the region of posterior inferior cerebellar artery.

PubMed

Ogawa, Katsuhiko; Suzuki, Yutaka; Oishi, Minoru; Kamei, Satoshi; Shigihara, Shuntaro; Nomura, Yasuyuki

2013-05-01

Our objective is to study the neurological characteristics of medial area infarction in the caudal cerebellum. Medial area of the caudal cerebellum is supplied with 2 branches of the posterior inferior cerebellar artery (PICA). The medial hemispheric branch of the PICA distributes to the medial area of the caudal cerebellar hemisphere. The medial branch of the PICA (mPICA) distributes to the inferior vermis. We studied the neurological characteristics of 18 patients with medial area infarction of the caudal cerebellum. The infarction was located in the medial area of the cerebellar hemisphere and vermis (medial ch/vermis) in 11 patients and in the medial area of the cerebellar hemisphere (medial ch) in 7 patients. All the 18 patients showed acute vertigo and disturbance of standing and gait at onset. On admission, the lateropulsion and wide-based gait were present in 13 patients, respectively. Mild ataxia of the extremities was shown in 7 patients. Acute vertigo and unsteadiness were prominent at onset in the 18 patients, although their ataxia of the extremities was mild or none. This result was consistent with the characteristics of medial area infarction of the caudal cerebellum. Comparing the neurological symptoms between the medial ch/vermis group and medial ch group, both lateropulsion and wide-based gait were significantly infrequent in medial ch group. This result indicated that the vermis was spared because the mPICA was not involved in the medial ch group. It is necessary to make a careful diagnosis when we encounter patients who present acute vertigo because truncal and gait ataxia are unremarkable on admission in patients with the medial area infarction of the caudal cerebellum without vermis involvement. Published by Elsevier Inc.

Open Reduction in Pediatric Condylar Fracture.

PubMed

Barbosa, Alexandre Agostini; Mariano, Ronaldo Célio

2017-05-01

Facial fractures in children are rare. Lack of pneumatization, fat pockets, mixed dentition, contribute to the elasticity and bone stability. When mandibular fractures occur in children, most often involve the condyle by indirect trauma. Such fractures are the center of discussion on the form of treatment if this should be performed conservatively, or held the reduction and fixation of the fracture with surgical exposure of the fragments. In condylar fractures in children, in most patients, the proposed treatment is closed reduction. Treatment with open reduction and fixation has its specific indications. In this case, the authors report a patient cycling accident victim, with cut-contusion injury in ment with limited mouth opening and left condylar fracture with medial rotation. The treatment was the reduction and fixation of fragments by open process.

Effect of an ankle-foot orthosis on knee joint mechanics: a novel conservative treatment for knee osteoarthritis.

PubMed

Fantini Pagani, Cynthia H; Willwacher, Steffen; Benker, Rita; Brüggemann, Gert-Peter

2014-12-01

Several conservative treatments for medial knee osteoarthritis such as knee orthosis and laterally wedged insoles have been shown to reduce the load in the medial knee compartment. However, those treatments also present limitations such as patient compliance and inconsistent results regarding the treatment success. To analyze the effect of an ankle-foot orthosis on the knee adduction moment and knee joint alignment in the frontal plane in subjects with knee varus alignment. Controlled laboratory study, repeated measurements. In total, 14 healthy subjects with knee varus alignment were analyzed in five different conditions: without orthotic, with laterally wedged insoles, and with an ankle-foot orthosis in three different adjustments. Three-dimensional kinetic and kinematic data were collected during gait analysis. Significant decreases in knee adduction moment, knee lever arm, and joint alignment in the frontal plane were observed with the ankle-foot orthosis in all three different adjustments. No significant differences could be found in any parameter while using the laterally wedged insoles. The ankle-foot orthosis was effective in reducing the knee adduction moment. The decreases in this parameter seem to be achieved by changing the knee joint alignment and thereby reducing the knee lever arm in the frontal plane. This study presents a novel approach for reducing the load in the medial knee compartment, which could be developed as a new treatment option for patients with medial knee osteoarthritis. © The International Society for Prosthetics and Orthotics 2013.

[A Patient with a Wedge-shaped Pulmonary Lesion Associated with Streptococcus parasanguinis].

PubMed

Miyamoto, Hiroya; Gomi, Harumi; Ishioka, Haruhiko; Shirokawa, Taijiro

2016-05-01

An 84-year-old man was admitted to our hospital with bloody sputum. He was found to have a right lower lobe wedge-shaped nodular lesion with chest X-ray and computed tomography of the chest. Ceftriaxone and minocycline were started empirically based on a working diagnosis of community-acquired pneumonia. Streptococcus parasanguinis was isolated with sputum cultures obtained on three consecutive days and was identified based on its biochemical properties. S. parasanguinis is a member of the sanguinis group of viridans Streptococci. It is known as a causative pathogen for endocarditis. There are very few reports of S. parasanguinis associated with pulmonary infections. The present report describes the association of S. parasanguinis with a wedge-shaped nodular lesion in the lungs.

Generation of vector beams using a double-wedge depolarizer: Non-quantum entanglement

NASA Astrophysics Data System (ADS)

Samlan, C. T.; Viswanathan, Nirmal K.

2016-07-01

Propagation of horizontally polarized Gaussian beam through a double-wedge depolarizer generates vector beams with spatially varying state of polarization. Jones calculus is used to show that such beams are maximally nonseparable on the basis of even (Gaussian)-odd (Hermite-Gaussian) mode parity and horizontal-vertical polarization state. The maximum nonseparability in the two degrees of freedom of the vector beam at the double wedge depolarizer output is verified experimentally using a modified Sagnac interferometer and linear analyser projected interferograms to measure the concurrence 0.94±0.002 and violation of Clauser-Horne-Shimony-Holt form of Bell-like inequality 2.704±0.024. The investigation is carried out in the context of the use of vector beams for metrological applications.

CFD Simulations of the IHF Arc-Jet Flow: Compression-Pad/Separation Bolt Wedge Tests

NASA Technical Reports Server (NTRS)

Gokcen, Tahir; Skokova, Kristina A.

2017-01-01

This paper reports computational analyses in support of two wedge tests in a high enthalpy arc-jet facility at NASA Ames Research Center. These tests were conducted using two different wedge models, each placed in a free jet downstream of a corresponding different conical nozzle in the Ames 60-MW Interaction Heating Facility. Panel test articles included a metallic separation bolt imbedded in the compression-pad and heat shield materials, resulting in a circular protuberance over a flat plate. As part of the test calibration runs, surface pressure and heat flux measurements on water-cooled calibration plates integrated with the wedge models were also obtained. Surface heating distributions on the test articles as well as arc-jet test environment parameters for each test configuration are obtained through computational fluid dynamics simulations, consistent with the facility and calibration measurements. The present analysis comprises simulations of the non-equilibrium flow field in the facility nozzle, test box, and flow field over test articles, and comparisons with the measured calibration data.

Determination of refractive index of a simple negative, positive, or zero power lens using wedged plated interferometer

NASA Technical Reports Server (NTRS)

Shukla, R. P.; Perera, G. M.; George, M. C.; Venkateswarlu, P.

1990-01-01

A nondestructive technique for measuring the refractive index of a negative lens using a wedged plate interferometer is described. The method can be also used for measuring the refractive index of convex or zero power lenses. Schematic diagrams are presented for the use of a wedged plate interferometer for measuring the refractive index of a concave lens and of a convex lens.

The effects of neuromuscular exercise on medial knee joint load post-arthroscopic partial medial meniscectomy: 'SCOPEX', a randomised control trial protocol.

PubMed

Hall, Michelle; Hinman, Rana S; Wrigley, Tim V; Roos, Ewa M; Hodges, Paul W; Staples, Margaret; Bennell, Kim L

2012-11-27

Meniscectomy is a risk factor for knee osteoarthritis, with increased medial joint loading a likely contributor to the development and progression of knee osteoarthritis in this group. Therefore, post-surgical rehabilitation or interventions that reduce medial knee joint loading have the potential to reduce the risk of developing or progressing osteoarthritis. The primary purpose of this randomised, assessor-blind controlled trial is to determine the effects of a home-based, physiotherapist-supervised neuromuscular exercise program on medial knee joint load during functional tasks in people who have recently undergone a partial medial meniscectomy. 62 people aged 30-50 years who have undergone an arthroscopic partial medial meniscectomy within the previous 3 to 12 months will be recruited and randomly assigned to a neuromuscular exercise or control group using concealed allocation. The neuromuscular exercise group will attend 8 supervised exercise sessions with a physiotherapist and will perform 6 exercises at home, at least 3 times per week for 12 weeks. The control group will not receive the neuromuscular training program. Blinded assessment will be performed at baseline and immediately following the 12-week intervention. The primary outcomes are change in the peak external knee adduction moment measured by 3-dimensional analysis during normal paced walking and one-leg rise. Secondary outcomes include the change in peak external knee adduction moment during fast pace walking and one-leg hop and change in the knee adduction moment impulse during walking, one-leg rise and one-leg hop, knee and hip muscle strength, electromyographic muscle activation patterns, objective measures of physical function, as well as self-reported measures of physical function and symptoms and additional biomechanical parameters. The findings from this trial will provide evidence regarding the effect of a home-based, physiotherapist-supervised neuromuscular exercise program on medial knee

An explicit analytical solution for sound propagation in a three-dimensional penetrable wedge with small apex angle.

PubMed

Petrov, Pavel S; Sturm, Frédéric

2016-03-01

A problem of sound propagation in a shallow-water waveguide with a weakly sloping penetrable bottom is considered. The adiabatic mode parabolic equations are used to approximate the solution of the three-dimensional (3D) Helmholtz equation by modal decomposition of the acoustic pressure field. The mode amplitudes satisfy parabolic equations that admit analytical solutions in the special case of the 3D wedge. Using the analytical formula for modal amplitudes, an explicit and remarkably simple expression for the acoustic pressure in the wedge is obtained. The proposed solution is validated by the comparison with a solution of the 3D penetrable wedge problem obtained using a fully 3D parabolic equation that includes a leading-order cross term correction.

A clinical evaluation of alternative fixation techniques for medial malleolus fractures.

PubMed

Barnes, Hayley; Cannada, Lisa K; Watson, J Tracy

2014-09-01

Medial malleolus fractures have traditionally been managed using partially threaded screws and/or Kirschner wire fixation. Using these conventional techniques, a non-union rate of as high as 20% has been reported. In addition too many patients complaining of prominent hardware as a source of pain post-fixation. This study was designed to assess the outcomes of medial malleolar fixation using a headless compression screw in terms of union rate, the need for hardware removal, and pain over the hardware site. Saint Louis University and Mercy Medical Center, Level 1 Trauma Centers, St. Louis, MO. After IRB approval, we used billing records to identify all patients with ankle fractures involving the medial malleolus. Medical records and radiographs were reviewed to identify patients with medial malleolar fractures treated with headless compression screw fixation. Our inclusion criteria included follow-up until full weight bearing and a healed fracture. Follow-up clinical records and radiographs were reviewed to determine union, complication rate and perception of pain over the site of medial malleolus fixation. Sixty-four ankles were fixed via headless compression screws and 44 had adequate follow-up for additional evaluation. Seven patients had isolated medial malleolar fractures, 23 patients had bimalleolar fractures, and 14 patients had trimalleolar fractures. One patient (2%) required hardware removal due to cellulitis. One patient (2%) had a delayed union, which healed without additional intervention. Ten patients (23%) reported mild discomfort to palpation over the medial malleolus. The median follow-up was 35 weeks (range: 12-208 weeks). There were no screw removals for painful hardware and no cases of non-union. Headless compression screws provide effective compression of medial malleolus fractures and result in good clinical outcomes. The headless compression screw is a beneficial alternative to the conventional methods of medial malleolus fixation. Copyright �

Transcaruncular Approach for Treatment of Medial Wall and Large Orbital Blowout Fractures.

PubMed

Nguyen, Dennis C; Shahzad, Farooq; Snyder-Warwick, Alison; Patel, Kamlesh B; Woo, Albert S

2016-03-01

We evaluate the safety and efficacy of the transcaruncular approach for reconstruction of medial orbital wall fractures and the combined transcaruncular-transconjunctival approach for reconstruction of large orbital defects involving the medial wall and floor. A retrospective review of the clinical and radiographic data of patients who underwent either a transcaruncular or a combined transcaruncular-transconjunctival approach by a single surgeon for orbital fractures between June 2007 and June 2013 was undertaken. Seven patients with isolated medial wall fractures underwent a transcaruncular approach, and nine patients with combined medial wall and floor fractures underwent a transcaruncular-transconjunctival approach with a lateral canthotomy. Reconstruction was performed using a porous polyethylene implant. All patients with isolated medial wall fractures presented with enophthalmos. In the combined medial wall and floor group, five out of eight patients had enophthalmos with two also demonstrating hypoglobus. The size of the medial wall defect on preoperative computed tomography (CT) scan ranged from 2.6 to 4.6 cm(2); the defect size of combined medial wall and floor fractures was 4.5 to 12.7 cm(2). Of the 11 patients in whom postoperative CT scans were obtained, all were noted to have acceptable placement of the implant. All patients had correction of enophthalmos and hypoglobus. One complication was noted, with a retrobulbar hematoma having developed 2 days postoperatively. The transcaruncular approach is a safe and effective method for reconstruction of medial orbital floor fractures. Even large fractures involving the orbital medial wall and floor can be adequately exposed and reconstructed with a combined transcaruncular-transconjunctival-lateral canthotomy approach. The level of evidence of this study is IV (case series with pre/posttest).

Seismological evidence for a sub-volcanic arc mantle wedge beneath the Denali volcanic gap, Alaska

USGS Publications Warehouse

McNamara, D.E.; Pasyanos, M.E.

2002-01-01

Arc volcanism in Alaska is strongly correlated with the 100 km depth contour of the western Aluetian Wadati-Benioff zone. Above the eastern portion of the Wadati-Benioff zone however, there is a distinct lack of volcanism (the Denali volcanic gap). We observe high Poisson's ratio values (0.29-0.33) over the entire length of the Alaskan subduction zone mantle wedge based on regional variations of Pn and Sn velocities. High Poisson's ratios at this depth (40-70 km), adjacent to the subducting slab, are attributed to melting of mantle-wedge peridotites, caused by fluids liberated from the subducting oceanic crust and sediments. Observations of high values of Poisson's ratio, beneath the Denali volcanic gap suggest that the mantle wedge contains melted material that is unable to reach the surface. We suggest that its inability to migrate through the overlying crust is due to increased compression in the crust at the northern apex of the curved Denali fault.

Double PCL sign does not always indicate a bucket-handle tear of medial meniscus.

PubMed

Liu, Chen; Zheng, Hua Yong; Huang, Yan; Li, Hai Peng; Wu, Han; Sun, Tian Sheng; Yao, Jian Hua

2016-09-01

The discoid medial meniscus is an extremely rare anomaly. Bilateral discoid medial menisci are much more rare but intermittently reported. We report the first case of bilateral discoid medial menisci with positive double PCL sign, which typically indicates a bucket-handle tear of medial meniscus. A literature review was also conducted on bilateral discoid medial menisci.

Investigating Segmentation in Cascadia: Anisotropic Crustal Structure and Mantle Wedge Serpentinization from Receiver Functions

NASA Astrophysics Data System (ADS)

Krueger, Hannah E.; Wirth, Erin A.

2017-10-01

The Cascadia subduction zone exhibits along-strike segmentation in structure, processes, and seismogenic behavior. While characterization of seismic anisotropy can constrain deformation processes at depth, the character of seismic anisotropy in Cascadia remains poorly understood. This is primarily due to a lack of seismicity in the subducting Juan de Fuca slab, which limits shear wave splitting and other seismological analyses that interrogate the fine-scale anisotropic structure of the crust and mantle wedge. We investigate lower crustal anisotropy and mantle wedge structure by computing P-to-S receiver functions at 12 broadband seismic stations along the Cascadia subduction zone. We observe P-to-SV converted energy consistent with previously estimated Moho depths. Several stations exhibit evidence of an "inverted Moho" (i.e., a downward velocity decrease across the crust-mantle boundary), indicative of a serpentinized mantle wedge. Stations with an underlying hydrated mantle wedge appear prevalent from northern Washington to central Oregon, but sparse in southern Oregon and northern California. Transverse component receiver functions are complex, suggesting anisotropic and/or dipping crustal structure. To constrain the orientation of crustal anisotropy we compute synthetic receiver functions using manual forward modeling. We determine that the lower crust shows variable orientations of anisotropy along-strike, with highly complex anisotropy in northern Cascadia, and generally NW-SE and NE-SW orientations of slow-axis anisotropy in central and southern Cascadia, respectively. The orientations of anisotropy from this work generally agree with those inferred from shear wave splitting of tremor studies at similar locations, lending confidence to this relatively new method of inferring seismic anisotropy from slow earthquakes.

Hemi-wedge osteotomy in the management of large angular deformities around the knee joint.

PubMed

El-Alfy, Barakat Sayed

2016-08-01

Angular deformity around the knee joint is a common orthopedic problem. Many options are available for the management of such problem with varying degrees of success and failure. The aim of the present study was to assess the results of hemi-wedge osteotomy in the management of big angular deformities about the knee joint. Twenty-eight limbs in 21 patients with large angular deformities around the knee joint were treated by the hemi-wedge osteotomy technique. The ages ranged from 12 to 43 years with an average of 19.8 years. The deformity ranged from 20° to 40° with a mean of 30.39° ± 5.99°. The deformities were genu varum in 12 cases and genu valgum in 9 cases. Seven cases had bilateral deformities. Small wedge was removed from the convex side of the bone and put in the gap created in the other side after correction of the deformity. At the final follow-up, the deformity was corrected in all cases except two. Full range of knee movement was regained in all cases. The complications included superficial wound infection in two cases, overcorrection in one case, pain along the lateral aspect of the knee in one case and recurrence of the deformity in one case. No cases were complicated by nerve injury or vascular injury. Hemi-wedge osteotomy is a good method for treatment of deformities around the knee joint. It can correct large angular deformities without major complications.

[Application of pie-crusting the medial collateral ligament release in arthroscopic surgery for posterior horn of 
medial meniscus in knee joint].

PubMed

Zhu, Weihong; Tang, Qi; Liao, Lele; Li, Ding; Yang, Yang; Chen, You

2017-09-28

To explore the effectiveness and safety of pie-crusting the medial collateral ligament release (MCL) in treating posterior horn of medial meniscus (PHMM) tear in tight medial tibiofemoral compartment of knee joint.
 Methods: Thirty-two consecutive patients with PHMM tear in tight medial tibiofemoral compartment of knee joint were admitted to our department from January, 2013 to December, 2014. All patients were performed pie-crusting the MCL release at its tibial insertion with 18-gauge intravenous needle. All patients were evaluated by valgus stress test and bilateral valgus stress radiograph at postoperative 1st day, 4th week and 12th week. Visual Analogue Scales (VAS), Lysholm scores, Tegner scores and International Knee Documentation Committee (IKDC) scores were recorded at the 1st, 3th, 6th month follow-up, then follow-up every 6 months.
 Results: The mean follow-up was 28 (24-36) months. All cases were negative in valgus stress test. MCL rupture, femoral fracture, articular cartilage lesion and neurovascular injury were not found at the last follow-up. The median medial joint space width of affected side and unaffected side for valgus stress radiographs were 6.8 mm and 4.3 mm (P<0.05) at the 1st day, 5.5 mm and 4.2 mm 
(P<0.05) in the 4th week and 4.8 mm and 4.3 mm (P>0.05) at the 12th week, respectively. VAS scores was changed from 4.5±1.5 preoperatively to 1.7±1.0 at the final follow-up (t=16.561, P<0.05). Lysholm scores was changed from 52.3±5.8 preoperatively to 93.2±6.3 at the final follow-up (t=-41.353, P<0.05). Tegner scores was changed from 4.1±1.1 preoperatively to 5.5±0.6 at the final follow-up (t=-18.792, P<0.05). IKDC scores was changed from 54.5±6.2 preoperative to 93.8±4.5 at the final follow-up (t=-38.253, P<0.05).
 Conclusion: Pie-crusting the medial collateral ligament release is a safe, minimal invasive and effective surgical option for posterior horn of medial meniscus tear in tight medial tibiofemoral compartment of knee

Dysphagia in a patient with bilateral medial medullary infarcts.

PubMed

Paliwal, Vimal K; Kalita, Jayanti; Misra, Usha K

2009-09-01

Bilateral medial medullary infarct is a rare stroke syndrome and only a handful of cases have been described. Dysphagia as a manifestation of medullary infarcts is well recognized but often associated with lateral medullary infarct. Bilateral medial medullary infarcts are commonly associated with severe dysphagia in addition to a number of other signs and symptoms. We describe a patient who had bilateral medial medullary infarct with severe dysphagia in addition to quadriplegia and respiratory difficulty, and analyze infarct topography with respect to dysphagia, risk factors, vascular territories involved, and prognosis in view of previously reported cases.

Modified tension band wiring of medial malleolar ankle fractures.

PubMed

Georgiadis, G M; White, D B

1995-02-01

Twenty-two displaced medial malleolar ankle fractures that were treated surgically using the modified tension band method of Cleak and Dawson were retrospectively reviewed at an average follow-up of 25 months. The technique involves the use of a screw to anchor a figure-of-eight wire. There were no malreductions and all fractures healed. Problems with the technique included technical errors with hardware placement, medial ankle pain, and asymptomatic wire migration. Despite this, modified tension band wiring remains an acceptable method for fixation of selected displaced medial malleolar fractures. It is especially suited for small fracture fragments and osteoporotic bone.

Deformation in the mantle wedge associated with Laramide flat-slab subduction

NASA Astrophysics Data System (ADS)

Behr, W. M.; Smith, D.

2013-12-01

Early Tertiary crustal deformation preserved ~1500 km from the plate boundary in the western U.S. is considered by most to be related to a narrow segment of shallow Farallon-slab subduction, similar to the modern Pampean flat-slab of the central Andes. Evidence that the slab shallowed enough to penetrate several hundred kilometers inboard of the plate boundary includes a) shearing off of lithosphere and underplating of schists derived from the accretionary wedge beneath the volcanic arc; b) a cessation of arc magmatism and eastward sweeping of the magmatic front; and c) mid-Tertiary eruptions as far east as the Four Corners region of serpentinized ultramafic microbreccia (SUM) sourced from very cold, hydrated mantle lithosphere. Included within the SUM diatremes are eclogites interpreted to represent fragments of the slab itself and/or remnants of older rock from the mantle wedge metasomatized and recrystallized to eclogite along the top of the slab. Also included within the SUM diatremes are deformed peridotites that represent pieces of the variably hydrated mantle wedge as well as tectonically eroded and entrained fragments of the plate interface. These include weakly deformed to strongly foliated tectonites, spectacularly sheared mylonites and ultramylonites, and cataclasites, formed at temperatures ranging from 500-650°C. Some of the deformed samples contain hydrous minerals, including antigorite, chlorite, and/or tremolite/pargasite that were formed in-situ prior to or during deformation. We investigate the rheological and seismic properties of the peridotite samples using detailed microstructural and petrological analyses. Initial EBSD data indicate that an antigorite-bearing mylonite exhibits a B-type olivine LPO, whereas an ultramylonite that lacks hydrous minerals exhibits an A-type olivine LPO. This is consistent with experimental data that indicate B-type LPOs form under hydrous conditions; and it suggests that these rocks record a transition from

Structure of the Sumatra wedge affected by the 26th December 2004 :Effects of the lower plate volcanic ridges.

NASA Astrophysics Data System (ADS)

Rangin, C.; Sibuet, J. C.; Lin, J. Y.; Le Pichon, X.

2009-04-01

Detailed swath-bathymetry, coupled with echo-sounder data were collected offshore the northern tip of Sumatra over the rupture area of the 26th December 2004 Mw=9.2 earthquake during the Sumatra aftershock cruise. 20 ocean bottom seismometers were also deployed in the northern Sumatra area., and more than 1000 events were identified during the 12 days recording period. We mapped recently active steeply dipping thrust fault zone within the western termination of the Sunda accreted wedge. Main N10°W trending out of sequence thrust fault zones with a discrete westward vergency and some component of dextral strike-slip motion were continuously mapped within the wedge, on the basis of bathymetry and low frequency sounder profiles. The interplate boundary does not appear to extend into the frontal part of the wedge but most probably merges in its central part along these major faults, the Lower and Upper Splay Faults. After relocation, the seismicity shows different pattern in each side of this Upper Splay Fault. East of this boundary, beneath the Aceh basin, the earthquake depths ranged from 30 to 60 km allow us to illustrate the subducted plate. In the western part, the aftershock distribution is strongly influenced by the N-S orientated oceanic fracture zones. Two clusters of earthquakes between 10 and 50 km in depth trending along N-S direction are observed in the lower wedge that we interpret to be reactive fracture zones. The lower wedge is interpreted as the northern prolongation below the wedge of the lower plate NS oceanic fracture zone ridges affected by NS trending left lateral strike-slip faults. This wedge outer ridge is in the process of being transferred to the upper plate. On the other hand the central ridge is interpreted as possible stacked volcanic ridge slivers already incorporated into the upper plate along the subduction buttress (the inner ridge of the wedge). We propose that the tectonic interaction of the volcanic Indian Ocean fracture ridges of

The optimal design of stepped wedge trials with equal allocation to sequences and a comparison to other trial designs.

PubMed

Thompson, Jennifer A; Fielding, Katherine; Hargreaves, James; Copas, Andrew

2017-12-01

Background/Aims We sought to optimise the design of stepped wedge trials with an equal allocation of clusters to sequences and explored sample size comparisons with alternative trial designs. Methods We developed a new expression for the design effect for a stepped wedge trial, assuming that observations are equally correlated within clusters and an equal number of observations in each period between sequences switching to the intervention. We minimised the design effect with respect to (1) the fraction of observations before the first and after the final sequence switches (the periods with all clusters in the control or intervention condition, respectively) and (2) the number of sequences. We compared the design effect of this optimised stepped wedge trial to the design effects of a parallel cluster-randomised trial, a cluster-randomised trial with baseline observations, and a hybrid trial design (a mixture of cluster-randomised trial and stepped wedge trial) with the same total cluster size for all designs. Results We found that a stepped wedge trial with an equal allocation to sequences is optimised by obtaining all observations after the first sequence switches and before the final sequence switches to the intervention; this means that the first sequence remains in the control condition and the last sequence remains in the intervention condition for the duration of the trial. With this design, the optimal number of sequences is [Formula: see text], where [Formula: see text] is the cluster-mean correlation, [Formula: see text] is the intracluster correlation coefficient, and m is the total cluster size. The optimal number of sequences is small when the intracluster correlation coefficient and cluster size are small and large when the intracluster correlation coefficient or cluster size is large. A cluster-randomised trial remains more efficient than the optimised stepped wedge trial when the intracluster correlation coefficient or cluster size is small. A

The medial tibial stress syndrome. A cause of shin splints.

PubMed

Mubarak, S J; Gould, R N; Lee, Y F; Schmidt, D A; Hargens, A R

1982-01-01

The medial tibial stress syndrome is a symptom complex seen in athletes who complain of exercise-induced pain along the distal posterior-medial aspect of the tibia. Intramuscular pressures within the posterior compartments of the leg were measured in 12 patients with this disorder. These pressures were not elevated and therefore this syndrome is a not a compartment syndrome. Available information suggests that the medial tibial stress syndrome most likely represents a periostitis at this location of the leg.

Commissioning Varian enhanced dynamic wedge in the PINNACLE treatment planning system using Gafchromic EBT film.

PubMed

Fontanarosa, Davide; Orlandini, Lucia Clara; Andriani, Italo; Bernardi, Luca

2009-10-01

In external photon beam therapies, the technique of dynamic wedge is a well established method for dose inhomogeneity compensation. The introduction of the enhanced dynamic wedge (EDW) on Varian LINACs considerably improved the pre-existing techniques. In the process of commissioning a Varian LINAC into a PINNACLE3 treatment planning system (TPS), the user is required to import quite a few measurements of EDW profiles and percentage depth doses (PDDs). Standard measurement devices like ionization chambers in a water phantom are not the most indicated ones for this situation where each measurement point is obtained by integrating during the entire exposure: Measurements would result to be a very laborious and time consuming operation, most of the times not practically possible. The goal of the present work is to introduce an alternative and hands-on procedure to perform the measurements using a combination of GafchromicTM EBT films, irradiated sideways in one single shot for both profiles and PDDs, and a single standard ionization chamber. The scanned profiles obtained at different depths have easily been imported in the TPS; for the PDD measurements, a correction was proven necessary to account for a "self-shielding" effect introduced by the presence of the films themselves, when irradiated sideways, resulting in an underestimation of the dose at deeper depths. A correction curve was derived comparing TPS open field validated measurements with the curves extracted from GafchromicTM EBT films. Finally, the curve was applied to all the wedged fields PDD measurements and could minimize the errors. The comparison for the 15 MV photon beam between the measured and the calculated 48 profiles and 12 PDDs (field sizes from 5 x 5 to 20 x 20 cm2, wedge angles ranging from 15 degrees to 60 degrees) was acceptable. The confidence limit (CL) was used as fit indicator, as suggested by the ESTRO Booklet No. 7: For the investigated PDDs the maximum value was 6.40 in the build up

Ultrastructure of medial rectus muscles in patients with intermittent exotropia.

PubMed

Yao, J; Wang, X; Ren, H; Liu, G; Lu, P

2016-01-01

PURPOSE To study the ultrastructure of the medial rectus in patients with intermittent exotropia at different ages.PATIENTS AND METHODS The medial recti were harvested surgically from 20 patients with intermittent exotropia. Patients were divided into adolescent (age<18 years, n=10) and adult groups (age >18 years, n=10). The normal control group included five patients without strabismus and undergoing eye enucleation. Hematoxylin and eosin staining and transmission electron microscopy were used to visualize the medial recti. Western blot was used to determine the levels of myosin and actin.RESULTS Varying fiber thickness, atrophy, and misalignment of the medial recti were visualized under optical microscope in patients with exotropia. Electron microscopy revealed sarcomere destruction, myofilament disintegration, unclear dark and light bands, collagen proliferation, and fibrosis. The adolescent group manifested significantly higher levels of myosin and actin than the adult group (P<0.05).CONCLUSION Younger patients with intermittent exotropia show stronger contraction of the medial recti compared with older patients. Our findings suggest that childhood was the appropriate time for surgery as the benefit of the intervention was better than in adulthood.

Finite-sample corrected generalized estimating equation of population average treatment effects in stepped wedge cluster randomized trials.

PubMed

Scott, JoAnna M; deCamp, Allan; Juraska, Michal; Fay, Michael P; Gilbert, Peter B

2017-04-01

Stepped wedge designs are increasingly commonplace and advantageous for cluster randomized trials when it is both unethical to assign placebo, and it is logistically difficult to allocate an intervention simultaneously to many clusters. We study marginal mean models fit with generalized estimating equations for assessing treatment effectiveness in stepped wedge cluster randomized trials. This approach has advantages over the more commonly used mixed models that (1) the population-average parameters have an important interpretation for public health applications and (2) they avoid untestable assumptions on latent variable distributions and avoid parametric assumptions about error distributions, therefore, providing more robust evidence on treatment effects. However, cluster randomized trials typically have a small number of clusters, rendering the standard generalized estimating equation sandwich variance estimator biased and highly variable and hence yielding incorrect inferences. We study the usual asymptotic generalized estimating equation inferences (i.e., using sandwich variance estimators and asymptotic normality) and four small-sample corrections to generalized estimating equation for stepped wedge cluster randomized trials and for parallel cluster randomized trials as a comparison. We show by simulation that the small-sample corrections provide improvement, with one correction appearing to provide at least nominal coverage even with only 10 clusters per group. These results demonstrate the viability of the marginal mean approach for both stepped wedge and parallel cluster randomized trials. We also study the comparative performance of the corrected methods for stepped wedge and parallel designs, and describe how the methods can accommodate interval censoring of individual failure times and incorporate semiparametric efficient estimators.

Effects of active feedback gait retraining to produce a medial weight transfer at the foot in subjects with symptomatic medial knee osteoarthritis.

PubMed

Erhart-Hledik, Jennifer C; Asay, Jessica L; Clancy, Caitlin; Chu, Constance R; Andriacchi, Thomas P

2017-10-01

This study aimed to determine if active feedback gait retraining to produce a medial weight transfer at the foot significantly reduces the knee adduction moment in subjects with medial compartment knee osteoarthritis. Secondarily, changes in peak knee flexion moment, frontal plane knee and ankle kinematics, and center of pressure were investigated. Ten individuals with medial compartment knee osteoarthritis (9 males; age: 65.3 ± 9.8 years; BMI: 27.8 ± 3.0 kg/m 2 ) were tested at self-selected normal and fast speeds in two conditions: Intervention, with an active feedback device attached to the shoe of their more affected leg, and control, with the device de-activated. Kinematics and kinetics were assessed using a motion capture system and force plate. The first peak, second peak, and impulse of the knee adduction moment were significantly reduced by 6.0%, 13.9%, and 9.2%, respectively, at normal speed, with reductions of 10.7% and 8.6% in first peak and impulse at fast speed, respectively, with the active feedback system, with no significant effect on the peak knee flexion moment. Significant reductions in peak varus knee angle and medialized center of pressure in the first half of stance were observed, with reductions in peak varus knee angle associated with reductions in the knee adduction moment. This study demonstrated that active feedback to produce a medial weight-bearing shift at the foot reduces the peaks and impulse of the knee adduction moment in patients with medial compartment knee osteoarthritis. Future research should determine the long-term effect of the active feedback intervention on joint loading, pain, and function. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc. J Orthop Res 35:2251-2259, 2017. © 2017 Orthopaedic Research Society. Published by Wiley Periodicals, Inc.

The Anatomic Midpoint of the Attachment of the Medial Patellofemoral Complex.

PubMed

Tanaka, Miho J; Voss, Andreas; Fulkerson, John P

2016-07-20

The medial patellofemoral ligament varies in attachment of its fibers to the patella and vastus intermedius tendon. Our aim was to identify and describe its anatomic midpoint. To account for the variability of the attachment site, we refer to it as the medial patellofemoral complex. Using AutoCAD software, we identified the midpoint of the medial patellofemoral complex attachment on photographs of 31 cadaveric knee dissections. The midpoint was referenced relative to the superior articular surface of the patella (P1) and was described in terms of the percentage of the patellar articular length distal to this point. A second point, at the junction of the medial border of the vastus intermedius tendon with the superior articular border of the patella, was identified (P2). The distances of the midpoint to P1 and P2 were calculated and were compared using paired t tests. Twenty-five images had appropriate quality and landmarks for digital analysis. The midpoint of the medial patellofemoral complex was located a mean (and standard deviation) of 2.3% ± 15.8% of the patellar articular length distal to the superior pole and was at or proximal to P1 in 12 knees. In all knees, the midpoint was at or proximal to P2. After exclusion of 2 knees with vastus intermedius tendon attachments only, the medial patellofemoral complex midpoint was closer to P2 (5.3% ± 8.6% of the patellar articular length) than to P1 (9.3% ± 8.5% of the patellar articular length) (p = 0.06). The midpoint of the medial patellofemoral complex was 2.3% of the articular length distal to the superior pole of the patella. Additionally, we describe an anatomic landmark at the junction of the medial border of the vastus intermedius tendon and the articular border of the patella that approximates the midpoint of this complex. Our study shows that the anatomic midpoint of the attachment of the medial patellofemoral complex is proximal to the junction of the medial vastus intermedius tendon and the articular

Changes in articular cartilage following arthroscopic partial medial meniscectomy.

PubMed

Eichinger, Martin; Schocke, Michael; Hoser, Christian; Fink, Christian; Mayr, Raul; Rosenberger, Ralf E

2016-05-01

To examine degenerative changes in all cartilage surfaces of the knee following arthroscopic partial medial meniscectomy. For this prospective cohort study, 14 patients (five female) with a mean age of 47.9 ± 12.9 years who had undergone isolated arthroscopic partial medial meniscectomy were evaluated. Cartilage-sensitive magnetic resonance imaging (MRI) scans were acquired from the operated knees before the index operations, as well as at 6, 12, and 24 months after surgery. The MRI scans were assessed for the prevalence, severity, and size of cartilage degenerations. The clinical outcome was assessed using the SF-36 physical and mental component score and the International Knee Documentation Committee Knee Evaluation Form and was correlated with radiological findings. There was a significant increase in the severity of cartilage lesions in the medial tibial plateau (P = 0.019), as well as a trend towards an increase in the lateral tibial plateau. The size of the cartilage lesions increased significantly in the medial femoral condyle (P = 0.005) and lateral femoral condyle (P = 0.029), as well as in the patella (P = 0.019). Functional outcome scores improved significantly throughout the follow-up period. There was no correlation between cartilage wear and functional outcome. Arthroscopic partial medial meniscectomy is associated with adverse effects on articular cartilage and may lead to an increase in the severity and size of cartilage lesions. Post-operative cartilage wear predominantly affected the medial compartment and also affected the other compartments of the knee. Strategies to reduce subsequent osteoarthritic changes need to involve all compartments of the knee. IV.

Viscid-inviscid interaction associated with incompressible flow past wedges at high Reynolds number

NASA Technical Reports Server (NTRS)

Warpinski, N. R.; Chow, W. L.

1977-01-01

An analytical method is suggested for the study of the viscid inviscid interaction associated with incompressible flow past wedges with arbitrary angles. It is shown that the determination of the nearly constant pressure (base pressure) prevailing within the near wake is really the heart of the problem, and the pressure can only be established from these interactive considerations. The basic free streamline flow field is established through two discrete parameters which adequately describe the inviscid flow around the body and the wake. The viscous flow processes such as the boundary layer buildup, turbulent jet mixing, and recompression are individually analyzed and attached to the inviscid flow in the sense of the boundary layer concept. The interaction between the viscous and inviscid streams is properly displayed by the fact that the aforementioned discrete parameters needed for the inviscid flow are determined by the viscous flow condition at the point of reattachment. It is found that the reattachment point behaves as a saddle point singularity for the system of equations describing the recompressive viscous flow processes, and this behavior is exploited for the establishment of the overall flow field. Detailed results such as the base pressure, pressure distributions on the wedge, and the geometry of the wake are determined as functions of the wedge angle.

SU-E-T-82: A Study On Enhanced Dynamic Wedge (EDW) Dosimetry Using 2D Seven29 Ion Chamber Array Detector