Fracture, Avulsion
Avulsion: The tearing away of a portion of tissue, such as a ligament or muscle, from its normal point of insertion.
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All water levels were referenced to the common vertical datum, NAVD88 (North American Vertical Datum 1988). Current velocities were determined from acoustic Doppler current profilers (ADCP) orientated for vertical (G‐14, B23) or across‐channel (B47, D53, D100) profiles, and from a benthic acoustic stress sensor (B8). To minimize differences between collection methods for the horizontal and vertical oriented ADCPs, only bins between one‐quarter and one‐third of the upper water column were used. This vertical bin range overlaps with the index velocity of the horizontal sensors as determined by the source organization (e.g., Ruhl & Simpson, 2005 ). The primary flow axis was determined by the major tidal harmonic axis (K1 & O1) with t_tide (Pawlowicz et al., 2002 (link)). For the Gulf of Mexico station (G‐14), the major tidal axis was in line with the shipping channel, following the longitudinal axis. Because the extensive data were averaged (described below), non‐tidal shelf circulation was not removed (e.g., inertial oscillations). While some data do not temporally overlap, all measurements could be referenced to discharge during a period without bathymetric changes in dredging or the construction of bridges or upstream dams. Specific details of data sources, length of records, and sensors used at each station is in the supplemental material (Table S1 in Supporting Information
Local ground surface elevations were taken from USGS 3DEP Lidar (USGS, 2016 , 2020 ), The Shuttle Radar Topography Mission (Farr et al., 2007 (link)), a NOAA DEM (NOAA National Geophysical Data Center, 2009 ), and Dykstra and Dzwonkowski (2020b (link)). For topography, Lidar was converged to a 10m DEM using Opentopography. For bathymetry, the NOAA DEM was used to analyze the bay geometry but had a limited spatial extent and missing data in the mid delta. Thus, landward of the bayhead, depth, and area of the Mobile and Tombigbee Rivers were calculated using a DEM of the longitudinal channel from Dykstra and Dzwonkowski (2020b (link)). No comparable data of the Tensaw could be acquired. Channel width was measured every 2 km and included all five major anastomosing channels of the Tensaw distributary (i.e., Tensaw, Blakely, Apalachee, Raft, and Middle Rivers). Because the Middle River regional avulsion was half the length of the Tensaw, Middle River widths were measured at a 1 km interval. Sinuosity was calculated by dividing the centerline length by the length of a low‐passed centerline using a 10km‐moving mean, the bin size revealing the highest mean sinuosity.
Most recents protocols related to «Fracture, Avulsion»
Laboratory findings showed increased intact parathyroid hormone (iPTH), serum phosphorus, and alkaline phosphatase (ALP) in all patients (
A final diagnosis was made based on the CT/DR review within 1–3 months based on the presence of a callus at the fracture end, dysplasia, and an old fracture without a callus [8 (link), 16 (link)].One experienced radiologist evaluated objective CT image quality metrics. A region of interest (ROI) (70 mm2) was placed within the muscles around the joints. Mean/standard deviation CT values of muscle (CTm) were determined from three measurements. A ROI (8 mm2) was placed on the thickest region of the cross section of the cortical shell of the bones of the joint. Mean/standard deviation CT values of bone (CTb) were determined from three measurements. CT values of joint cortical bone (CTc) were calculated as: CTb-CTm. Noise was calculated as mean CTm standard deviation. Signal-to-noise ratio (SNR) was calculated as: mean CTm/mean CTm standard deviation. Contrast-to-noise ratio (CNR) was calculated as (mean CTc–mean CTm) /mean CTm standard deviation [16 (link)].
Two experienced radiologists and two orthopedic physicians evaluated subjective CT image quality and the impact of subjective CT image quality on clinical decision-making on a 5-point Likert-type scale (Table
5-point Likert-type scale evaluating subjective CT image quality and impact of subjective CT image quality on clinical decision-making
Scoring criteria | Subjective image quality | Impact of image quality on clinical decision-making |
---|---|---|
5 | Excellent visualization of fracture line; no influence on fracture diagnosis | Excellent definition of fracture line and fracture displacement; no influence on clinical decision-making |
4 | Good visualization of fracture line; no influence on fracture diagnosis | Good definition of fracture line and fracture displacement; no influence on clinical decision-making |
3 | Adequate visualization of fracture line; no influence on fracture diagnosis | Adequate definition of fracture line and fracture displacement; no influence on clinical decision-making |
2 | Poor visualization of fracture line; greatly impacts fracture diagnosis | Poor definition of fracture line and fracture displacement; impacts clinical decision-making |
1 | Extremely poor visualization of fracture line; diagnosis is difficult or impossible | Extremely poor definition of fracture line and fracture displacement; impacts clinical decision-making |
Once bony reconstruction was complete, we used a Kirschner-wire (K-wire) to drill a tunnel under the guidance of an aim-device (cruciate ligament reconstruction guide) from the lateral aspect into the distal humerus along the rotation axis of the ulnohumeral joint. The rotation axis could be determined by direct visualizing of the anatomic center of the capitellum and the origin of the medial collateral ligament (MCL). After the tunnel was created, the lateral collateral ligament (LCL) complex injury was repaired by direct suture or reattached to the lateral epicondyle. Most LCL injuries presented as an avulsion fracture over the lateral epicondyle. Anatomical fixation of the LCL could be fulfilled through reattaching the avulsion fragment back to the fracture site using one or two anchor sutures. The MCL complex was not repaired whether residual elbow instability existed or not.
Subsequently, an IJS, as described by Orbay et al, was prepared.6 (link) The IJS was created from a 2.4 mm K-wire with a figure-of-eight formed first on the blunt end to accept two 3.5 mm screws and washers for attachment to the ulna. The axis portion was established by making a sharp bend at the proper location and then cut to the appropriate length. The IJS was applied and attached to the proximal ulna with two 3.5 mm screws and washers while the elbow was in 90 flexion with an anatomic concentric reduction position. Restoration of elbow flexion/extension, pronation/supination, and stability in all directions were assessed under fluoroscopic guidance before wound closure.
Inclusion and exclusion criteria
Inclusion criteria | Exclusion criteria |
---|---|
✓ Individuals requiring tooth extraction and dental implant replacement, in the upper premolars area ✓ Skeletally mature individuals, aged between 18 and 65 ✓ Good general health | ✗ Individuals with premolars diagnosed with pulp necrosis and chronic endodontic and/or periodontal pathology involving changes in the alveolar bone (except teeth with endodontic pathology without symptoms of inflammatory and/or bacterial origin) ✗ Accidental avulsion ✗ Individuals with acute or chronic infections, local or distant from the area to be submitted to surgery ✗ Women who are pregnant, breastfeeding, or intending to become pregnant during the study ✗ Individuals with smoking, alcoholic habits, or consumption of illegal substances ✗ Individuals with medical contraindications (severe kidney disease, malignant tumors, uncontrolled diabetes, vascular or neurological damage, bone or metabolic diseases, patients with prosthetic valves, and immunocompromised individuals) ✗ Individuals who are engaged to other clinical study or are still covered by a clinical study insurance ✗ Individuals who demonstrate inability to follow up during the clinical study period |
List of participants
Patient | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 |
---|---|---|---|---|---|---|---|---|---|---|---|---|
Sex | M | F | F | F | F | M | M | M | F | F | F | M |
Age | 40a | 41b | 66c | 43a | 40b | 48b | 41b | 48b | 51b | 47a | 41b | 48b |
Tooth | 24 | 24 | 14 | 25 | 14 | 15 | 14 | 14 | 24 | 14 | 24 | 25 |
Group | DEXGEL Bone (test) | BL® (control) |
F female, M male, BL® Bonelike by Biosckin®
aCaries
bTooth/root fracture
cExtraction due to periodontal reason
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More about "Fracture, Avulsion"
Understanding these conditions is crucial for effective research and treatment.
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By utilizing advanced search and comparison tools, you can easily locate the best protocols from literature, pre-prints, and patents, enabling you to identify the most effective products and procedures.
Penicillin/streptomycin and Horseradish peroxidase-conjugated secondary antibodies are commonly used in research related to these conditions.
RFLSI Pro and Epiq 7G are advanced imaging technologies that can provide valuable insights, while 2-0 FiberWire is a suture material often used in surgical interventions.
Statistical Package for the Social Sciences (SPSS) version 24.0 can be a valuable tool for data analysis, while Osteoraptor and Axon GenePix 4000B are specialized equipment used in research.
Additionally, 1.5T Magnetom is a magnetic resonance imaging (MRI) system that can aid in the diagnosis and monitoring of Fracture and Avulsion.
By incorporating these insights and technologies, you can discover the latest advancements and improve your research outcomes.
Remember, a single typo can add a natural feel to the content, so here's one: 'Osteoraptor' may be misspelled as 'Osteoraptor'.
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