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Sample records for femoroacetabular impingement syndrome

  1. Femoroacetabular impingement syndrome

    Directory of Open Access Journals (Sweden)

    Tolga Ege

    2016-03-01

    Full Text Available Femoroacetabular impingement (FAI syndrome is a recently understood hip condition that describes the pathologic contact between the femoral neck and the acetabular rim. Previously, it was also called and ldquo;acetabular rim syndrome and rdquo; or and ldquo;cervicoacetabular impingement syndrome and rdquo;. It is characterized by a developmental disorder affecting the femoral neck, acetabular rim and labrum. The chronic irritation on the hip joint causes chondral damage and mechanical changes, and these degenerative changes eventually lead to osteoarthritis. Two types of FAI have been described: Cam type and pincer type. Treatment options for FAI are conservative, open, mini open and arthroscopic surgery. [Arch Clin Exp Surg 2016; 5(1.000: 42-47

  2. Imaging findings of femoroacetabular impingement syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Beall, Douglas P.; Sweet, Clifford F.; Martin, Hal D.; Lastine, Craig L.; Grayson, David E.; Ly, Justin Q.; Fish, Jon R. [University of Oklahoma Health Sciences Center, Department of Radiologal Sciences, Oklahoma City (United States)

    2005-11-01

    Femoroacetabular impingement syndrome (FAI) is a pathologic entity which can lead to chronic symptoms of pain, reduced range of motion in flexion and internal rotation, and has been shown to correlate with degenerative arthritis of the hip. History, physical examination, and supportive radiographic findings such as evidence of articular cartilage damage, acetabular labral tearing, and early-onset degenerative changes can help physicians diagnose this entity. Several pathologic changes of the femur and acetabulum are known to predispose patients to develop FAI and recognition of these findings can ultimately lead to therapeutic interventions. The two basic mechanisms of impingement - cam impingement and pincer impingement - are based on the type of anatomic anomaly contributing to the impingement process. These changes can be found on conventional radiography, MR imaging, and CT examinations. However, the radiographic findings of this entity are not widely discussed and recognized by physicians. In this paper, we will introduce these risk factors, the proposed supportive imaging criteria, and the ultimate interventions that can help alleviate patients' symptoms. (orig.)

  3. Femoroacetabular impingement

    Energy Technology Data Exchange (ETDEWEB)

    Kassarjian, Ara [Department of Radiology, Division of Musculoskeletal Radiology, Massachusetts General Hospital, Boston, MA (United States)]. E-mail: akassarjian@partners.org; Brisson, Melanie [Department of Radiology, Centre Hospitalier Universitaire de Quebec, Que. (Canada); Palmer, William E. [Department of Radiology, Division of Musculoskeletal Radiology, Massachusetts General Hospital, Boston, MA (United States)

    2007-07-15

    Femoroacetabular impingement is a relatively recently appreciated 'idiopathic' cause of hip pain and degenerative change. Two types of impingement have been described. The first, cam impingement, is the result of an abnormal morphology of the proximal femur, typically at the femoral head-neck junction. Cam impingement is most common in young athletic males. The second, pincer impingement, is the result of an abnormal morphology or orientation of the acetabulum. Pincer impingement is most common in middle-aged women. This article reviews the imaging findings of cam and pincer type femoroacetabular impingement. Recognition of these entities will help in the selection of the appropriate treatment with the goal of decreasing the likelihood of early degenerative change of the hip.

  4. Femoroacetabular impingement

    Directory of Open Access Journals (Sweden)

    José Batista Volpon

    Full Text Available ABSTRACT The femoroacetabular impingement (FAI is as condition recently characterized that results from the abnormal anatomic and functional relation between the proximal femur and the acetabular border, associated with repetitive movements, which lead labrum and acetabular cartilage injuries. Such alterations result from anatomical variations such as acetabular retroversion or decrease of the femoroacetabular offset. In addition, FAI may result from acquired conditions as malunited femoral neck fractures, or retroverted acetabulum after pelvic osteotomies. These anomalies lead to pathological femoroacetabular contact, which in turn create impact and shear forces during hip movements. As a result, there is early labrum injury and acetabulum cartilage degeneration. The diagnosis is based on the typical clinical findings and images. Treatment is based on the correction of the anatomic anomalies, labrum debridement or repair, and degenerate articular cartilage removal. However, the natural evolution of the condition, as well as the outcome from long-term treatment, demand a better understanding, mainly in the asymptomatic individuals.

  5. Femoroacetabular impingement

    Energy Technology Data Exchange (ETDEWEB)

    Anderson, Suzanne E., E-mail: andersonsembach@yahoo.com.au [The University of Notre Dame Australia, School of Medicine Sydney, 160 Oxford Street, Darlinghurst 2010, NSW, Sydney (Australia); Department of Diagnostic, Pediatric and Interventional Radiology, Inselspital, University of Bern, Bern 3010 (Switzerland); Siebenrock, Klaus Arno; Tannast, Moritz [Department of Orthopedic Surgery, Inselspital, University of Bern, Bern 3010 (Switzerland)

    2012-12-15

    Femoroacetabular impingement (FAI) is a pathomechanical concept describing the early and painful contact of morphological changes of the hip joint, both on the acetabular, and femoral head sides. These can lead clinically to symptoms of hip and groin pain, and a limited range of motion with labral, chondral and bony lesions. Pincer impingement generally involves the acetabular side of the joint where there is excessive coverage of the acetabulum, which may be focal or more diffuse. There is linear contact of the acetabulum with the head/neck junction. Cam impingement involves the femoral head side of the joint where the head is associated with bony excrescences and is aspheric. The aspheric femoral head jams into the acetabulum. Imaging appearances are reviewed below. This type is evident in young males in the second and third decades. The main features of FAI are described.

  6. The Warwick Agreement on femoroacetabular impingement syndrome (FAI syndrome): an international consensus statement.

    Science.gov (United States)

    Griffin, D R; Dickenson, E J; O'Donnell, J; Agricola, R; Awan, T; Beck, M; Clohisy, J C; Dijkstra, H P; Falvey, E; Gimpel, M; Hinman, R S; Hölmich, P; Kassarjian, A; Martin, H D; Martin, R; Mather, R C; Philippon, M J; Reiman, M P; Takla, A; Thorborg, K; Walker, S; Weir, A; Bennell, K L

    2016-10-01

    The 2016 Warwick Agreement on femoroacetabular impingement (FAI) syndrome was convened to build an international, multidisciplinary consensus on the diagnosis and management of patients with FAI syndrome. 22 panel members and 1 patient from 9 countries and 5 different specialties participated in a 1-day consensus meeting on 29 June 2016. Prior to the meeting, 6 questions were agreed on, and recent relevant systematic reviews and seminal literature were circulated. Panel members gave presentations on the topics of the agreed questions at Sports Hip 2016, an open meeting held in the UK on 27-29 June. Presentations were followed by open discussion. At the 1-day consensus meeting, panel members developed statements in response to each question through open discussion; members then scored their level of agreement with each response on a scale of 0-10. Substantial agreement (range 9.5-10) was reached for each of the 6 consensus questions, and the associated terminology was agreed on. The term 'femoroacetabular impingement syndrome' was introduced to reflect the central role of patients' symptoms in the disorder. To reach a diagnosis, patients should have appropriate symptoms, positive clinical signs and imaging findings. Suitable treatments are conservative care, rehabilitation, and arthroscopic or open surgery. Current understanding of prognosis and topics for future research were discussed. The 2016 Warwick Agreement on FAI syndrome is an international multidisciplinary agreement on the diagnosis, treatment principles and key terminology relating to FAI syndrome.Author note The Warwick Agreement on femoroacetabular impingement syndrome has been endorsed by the following 25 clinical societies: American Medical Society for Sports Medicine (AMSSM), Association of Chartered Physiotherapists in Sports and Exercise Medicine (ACPSEM), Australasian College of Sports and Exercise Physicians (ACSEP), Austian Sports Physiotherapists, British Association of Sports and Exercise

  7. Femoroacetabular impingement surgery

    DEFF Research Database (Denmark)

    Reiman, Michael P; Thorborg, Kristian

    2015-01-01

    Femoroacetabuler impingement (FAI) is becoming increasingly recognised as a potential pathological entity for individuals with hip pain. Surgery described to correct FAI has risen exponentially in the past 10 years with the use of hip arthroscopy. Unfortunately, the strength of evidence supporting...

  8. Validity of magnetic resonance arthrography as a diagnostic tool in femoroacetabular impingement syndrome.

    Science.gov (United States)

    González Gil, A B; Llombart Blanco, R; Díaz de Rada, P

    2015-01-01

    Femoroacetabular impingement (FAI) is one of the main causes of hip pain in young adult and a contributory factor for development of early primary osteoarthritis. An accurate clinical diagnosis, supported by imaging studies, is important to determine the best treatment for the patient. The aim of this study is to determine the diagnostic correlation between direct magnetic resonance imaging (MRI) arthrography and the arthroscopic findings. A review was performed on a series of 36 patients diagnosed with FAI, and who underwent hip arthroscopy surgery between 2009 and 2012. All of them had a direct MRI arthrography performed in our hospital. The presence of labral lesions, CAM deformity, and acetabular and femoral cartilage damage, were evaluated in both imaging techniques. After analysing the results and taking the hip arthroscopy as 'gold standard', a sensitivity of 87% and a specificity of 77% were obtained, with a PPV of 87% for the diagnosis of labral lesions by direct MR arthrography. The specificity for CAM deformity was 100%, with a sensitivity of 79% and PPV of 100%. For chondral disorders lower values were found for both acetabulum and femoral head. For acetabular lesions the sensitivity was 78.5%, and specificity was 82% with a PPV of 73% and NPV of 80%. For femoral lesions, there was a sensitivity of 71.5%, a specificity of 73%, with a PPV of 62.5% and NPV of 80%. Due to the high sensitivity for the detection of labral lesions and the high specificity to detect CAM deformity, hip MR arthrography is a useful diagnostic tool for femoroacetabular impingement. Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.

  9. Surgical hip dislocation for treatment of cam femoroacetabular impingement

    Directory of Open Access Journals (Sweden)

    Milind M Chaudhary

    2015-01-01

    Conclusion: Cam femoroacetabular Impingement causing pain and limitation of hip movements was treated by open osteochondroplasty after surgical hip dislocation. This reduced pain, improved hip motion and gave good to excellent results in the short term.

  10. Unusual Bilateral Rim Fracture in Femoroacetabular Impingement

    Directory of Open Access Journals (Sweden)

    Claudio Rafols

    2015-01-01

    Full Text Available This is a report of one case of bilateral acetabular rim fracture in association with femoroacetabular impingement (FAI, which was treated with a hip arthroscopic procedure, performing a partial resection, a labral reinsertion, and a subsequential internal fixation with cannulated screws. Up to date, there are in the literature only two reports of rim fracture and “os acetabuli” in association with FAI. In the case we present, the pincer and cam resection were performed without complications; the technique used was published previously. With this technique the head of the screw lays hidden by the reattached labrum. We removed partially the fractured rim fragment and the internal fixation of the remaining portion was achieved with a screw. In the event of a complete resection of the fragment, it would have ended with a LCE angle of 18° and a high probability of hip instability. We believe that this bilateral case helps establish the efficacy and reproducibility of the technique described by Larson.

  11. Personalised Hip Therapy: development of a non-operative protocol to treat femoroacetabular impingement syndrome in the FASHIoN randomised controlled trial.

    Science.gov (United States)

    Wall, Peter Dh; Dickenson, Edward J; Robinson, David; Hughes, Ivor; Realpe, Alba; Hobson, Rachel; Griffin, Damian R; Foster, Nadine E

    2016-10-01

    Femoroacetabular impingement (FAI) syndrome is increasingly recognised as a cause of hip pain. As part of the design of a randomised controlled trial (RCT) of arthroscopic surgery for FAI syndrome, we developed a protocol for non-operative care and evaluated its feasibility. In phase one, we developed a protocol for non-operative care for FAI in the UK National Health Service (NHS), through a process of systematic review and consensus gathering. In phase two, the protocol was tested in an internal pilot RCT for protocol adherence and adverse events. The final protocol, called Personalised Hip Therapy (PHT), consists of four core components led by physiotherapists: detailed patient assessment, education and advice, help with pain relief and an exercise-based programme that is individualised, supervised and progressed over time. PHT is delivered over 12-26 weeks in 6-10 physiotherapist-patient contacts, supplemented by a home exercise programme. In the pilot RCT, 42 patients were recruited and 21 randomised to PHT. Review of treatment case report forms, completed by physiotherapists, showed that 13 patients (62%) received treatment that had closely followed the PHT protocol. 13 patients reported some muscle soreness at 6 weeks, but there were no serious adverse events. PHT provides a structure for the non-operative care of FAI and offers guidance to clinicians and researchers in an evolving area with limited evidence. PHT was deliverable within the National Health Service, is safe, and now forms the comparator to arthroscopic surgery in the UK FASHIoN trial (ISRCTN64081839). ISRCTN 09754699. 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/

  12. Personalised Hip Therapy: development of a non-operative protocol to treat femoroacetabular impingement syndrome in the FASHIoN randomised controlled trial

    Science.gov (United States)

    Wall, Peter DH; Dickenson, Edward J; Robinson, David; Hughes, Ivor; Realpe, Alba; Hobson, Rachel; Griffin, Damian R; Foster, Nadine E

    2016-01-01

    Introduction Femoroacetabular impingement (FAI) syndrome is increasingly recognised as a cause of hip pain. As part of the design of a randomised controlled trial (RCT) of arthroscopic surgery for FAI syndrome, we developed a protocol for non-operative care and evaluated its feasibility. Methods In phase one, we developed a protocol for non-operative care for FAI in the UK National Health Service (NHS), through a process of systematic review and consensus gathering. In phase two, the protocol was tested in an internal pilot RCT for protocol adherence and adverse events. Results The final protocol, called Personalised Hip Therapy (PHT), consists of four core components led by physiotherapists: detailed patient assessment, education and advice, help with pain relief and an exercise-based programme that is individualised, supervised and progressed over time. PHT is delivered over 12–26 weeks in 6–10 physiotherapist-patient contacts, supplemented by a home exercise programme. In the pilot RCT, 42 patients were recruited and 21 randomised to PHT. Review of treatment case report forms, completed by physiotherapists, showed that 13 patients (62%) received treatment that had closely followed the PHT protocol. 13 patients reported some muscle soreness at 6 weeks, but there were no serious adverse events. Conclusion PHT provides a structure for the non-operative care of FAI and offers guidance to clinicians and researchers in an evolving area with limited evidence. PHT was deliverable within the National Health Service, is safe, and now forms the comparator to arthroscopic surgery in the UK FASHIoN trial (ISRCTN64081839). Trial registration number ISRCTN 09754699. PMID:27629405

  13. Radiological diagnosis of femoroacetabular impingement; Radiologische Diagnose des femoroazetabulaeren Impingements

    Energy Technology Data Exchange (ETDEWEB)

    Mamisch, T.C. [Inselspital, Abt. Orthopaedische Chirurgie, Bern (Switzerland); Klinik Sonnenhof, Abt. Radiologie, Bern (Switzerland); Werlen, S.; Trattnig, S. [Klinik Sonnenhof, Abt. Radiologie, Bern (Switzerland); Zilkens, C. [Universitaetsklinikum Duesseldorf, Orthopaedische Klinik, Duesseldorf (Germany); Kim, Y.J. [Harvard Medical School, Childrens Hospital, Boston, MA (United States); Siebenrock, K.A.; Bittersohl, B. [Inselspital, Abt. Orthopaedische Chirurgie, Bern (Switzerland)

    2009-05-15

    Femoroacetabular impingements (FAI) are due to an anatomical disproportion between the proximal femur and the acetabulum which causes premature wear of the joint surfaces. An operation is often necessary in order to relieve symptoms such as limited movement and pain as well as to prevent or slow down the degenerative process. The result is dependent on the preoperative status of the joint with poor results for advanced arthritis of the hip joint. This explains the necessity for an accurate diagnosis in order to recognize early stages of damage to the joint. The diagnosis of FAI includes clinical examination, X-ray examination and magnetic resonance imaging (MRI). The standard X-radiological examination for FAI is carried out using two X-ray images, an anterior-posterior view of the pelvis and a lateral view of the proximal femur, such as the cross-table lateral or Lauenstein projections. It is necessary that positioning criteria are adhered to in order to avoid distortion artifacts. MRI permits an examination of the pelvis on three levels and should also include radial planned sequences for improved representation of peripheral structures, such as the labrum and peripheral cartilage. The use of contrast medium for a direct MR arthrogram has proved to be advantageous particularly for representation of labrum damage. The data with respect to cartilage imaging are still unclear. Further developments in technology, such as biochemical-sensitive MRI applications, will be able to improve the diagnosis of the pelvis in the near future. (orig.) [German] Beim femoroazetabulaeren Impingement (FAI) bewirkt ein anatomisches Missverhaeltnis zwischen proximalem Femur und Azetabulum eine fruehzeitige Abnuetzung der Gelenkflaechen. Um Symptome wie eingeschraenkte Beweglichkeit und Schmerzen zu beheben, aber auch um dem degenerativen Prozess vorzubeugen oder ihn zu verlangsamen, ist haeufig eine Operation notwendig. Dabei haengt das Resultat vom praeoperativen Gelenkstatus ab - mit

  14. Radiographic Evidence of Femoroacetabular Impingement in Athletes With Athletic Pubalgia

    OpenAIRE

    Economopoulos, Kostas J.; Milewski, Matthew D.; Hanks, John B.; Hart, Joseph M.; Diduch, David R.

    2014-01-01

    Background: Two of the most common causes of groin pain in athletes are femoroacetabular impingement (FAI) and athletic pubalgia. An association between the 2 is apparent, but the prevalence of radiographic signs of FAI in patients undergoing athletic pubalgia surgery remains unknown. The purpose of this study was to determine the prevalence of radiologic signs of FAI in patients with athletic pubalgia. Hypothesis: We hypothesized that patients with athletic pubalgia would have a high prevale...

  15. MRI Evaluation of Femoroacetabular Impingement After Hip Preservation Surgery.

    Science.gov (United States)

    Li, Angela E; Jawetz, Shari T; Greditzer, Harry G; Burge, Alissa J; Nawabi, Danyal H; Potter, Hollis G

    2016-08-01

    This article reviews the surgical treatment options for femoroacetabular impingement (FAI), including labral repair and osteochondroplasty, and the expected postoperative appearance on MRI. Complications, including residual osseous deformities, chondral injury, adhesions, femoral neck stress fractures, osteonecrosis, instability, malpositioned suture anchors, and infection, will also be discussed. Knowledge of the surgical treatment of FAI can assist in improving our understanding of the expected postoperative MRI appearance and in evaluating surgical complications.

  16. Protocol for a multicentre, parallel-arm, 12-month, randomised, controlled trial of arthroscopic surgery versus conservative care for femoroacetabular impingement syndrome (FASHIoN).

    Science.gov (United States)

    Griffin, D R; Dickenson, E J; Wall, P D H; Donovan, J L; Foster, N E; Hutchinson, C E; Parsons, N; Petrou, S; Realpe, A; Achten, J; Achana, F; Adams, A; Costa, M L; Griffin, J; Hobson, R; Smith, J

    2016-08-31

    Femoroacetabular impingement (FAI) syndrome is a recognised cause of young adult hip pain. There has been a large increase in the number of patients undergoing arthroscopic surgery for FAI; however, a recent Cochrane review highlighted that there are no randomised controlled trials (RCTs) evaluating treatment effectiveness. We aim to compare the clinical and cost-effectiveness of arthroscopic surgery versus best conservative care for patients with FAI syndrome. We will conduct a multicentre, pragmatic, assessor-blinded, two parallel arm, RCT comparing arthroscopic surgery to physiotherapy-led best conservative care. 24 hospitals treating NHS patients will recruit 344 patients over a 26-month recruitment period. Symptomatic adults with radiographic signs of FAI morphology who are considered suitable for arthroscopic surgery by their surgeon will be eligible. Patients will be excluded if they have radiographic evidence of osteoarthritis, previous significant hip pathology or previous shape changing surgery. Participants will be allocated in a ratio of 1:1 to receive arthroscopic surgery or conservative care. Recruitment will be monitored and supported by qualitative intervention to optimise informed consent and recruitment. The primary outcome will be pain and function assessed by the international hip outcome tool 33 (iHOT-33) measured 1-year following randomisation. Secondary outcomes include general health (short form 12), quality of life (EQ5D-5L) and patient satisfaction. The primary analysis will compare change in pain and function (iHOT-33) at 12 months between the treatment groups, on an intention-to-treat basis, presented as the mean difference between the trial groups with 95% CIs. The study is funded by the Health Technology Assessment Programme (13/103/02). Ethical approval is granted by the Edgbaston Research Ethics committee (14/WM/0124). The results will be disseminated through open access peer-reviewed publications, including Health Technology

  17. Editorial Commentary: Ligamentum Teres Tears and Femoroacetabular Impingement: Complex Coexistence of Impingement and Instability.

    Science.gov (United States)

    Larson, Christopher M

    2016-07-01

    In a large Level IV case series of 2,213 hip arthroscopies with the diagnosis of femoroacetabular impingement, the intraoperative status of the ligamentum teres (LT) was recorded as normal in 11%, frayed and/or partially torn in 88%, and completely torn in 1.5% of hips. Although specific physical examination maneuvers for detecting LT tears were not available early in the study period, thus limiting a detailed assessment of such tests, the authors identified that female gender, a lower lateral center edge angle, a higher Tonnis angle, and capsular laxity were all associated with complete LT tears. This study further supports the complex coexistence of impingement and instability.

  18. Editorial Commentary: Radiographic Inclusion and Exclusion Diagnostic Criteria for Femoroacetabular Impingement Require Confirmation.

    Science.gov (United States)

    Lubowitz, James H

    2015-07-01

    Femoroacetabular impingement radiographic diagnosis is a hot topic because sensitivity and specificity, and intraobserver and interobserver observational consistency, require confirmation. As a result, hip arthroscopic surgeons must rely on expert clinical examination.

  19. Clinical trials in orthopaedics and the future direction of clinical investigations for femoroacetabular impingement

    DEFF Research Database (Denmark)

    Clohisy, John C; Kim, Young-Jo; Lurie, Jon

    2013-01-01

    Femoroacetabular impingement (FAI) represents a heterogeneous group of disorders that affect a diverse patient population. The natural history of the disease, the role of nonsurgical management, the indications for surgery, optimal surgical techniques, and the predictors of treatment outcomes nee...

  20. The etiology of primary femoroacetabular impingement: genetics or acquired deformity?

    Science.gov (United States)

    Packer, Jonathan D; Safran, Marc R

    2015-10-01

    The etiology of primary femoroacetabular impingement (FAI) remains controversial. Both genetic and acquired causes have been postulated and studied. While recent studies suggest that genetic factors may have a role in the development of FAI, there is no conclusive evidence that FAI is transmitted genetically. Currently, the most popular theory for the development of cam-type deformities is that a repetitive injury to the proximal femoral physis occurs during a critical period of development. There is a correlation between a high volume of impact activities during adolescence and the development of cam-type deformities. Multiple studies have found a high prevalence of FAI in elite football, ice hockey, basketball and soccer players. In this article, we review the current literature relating to the etiology of primary FAI.

  1. The etiology of primary femoroacetabular impingement: genetics or acquired deformity?

    Science.gov (United States)

    Packer, Jonathan D.; Safran, Marc R.

    2015-01-01

    The etiology of primary femoroacetabular impingement (FAI) remains controversial. Both genetic and acquired causes have been postulated and studied. While recent studies suggest that genetic factors may have a role in the development of FAI, there is no conclusive evidence that FAI is transmitted genetically. Currently, the most popular theory for the development of cam-type deformities is that a repetitive injury to the proximal femoral physis occurs during a critical period of development. There is a correlation between a high volume of impact activities during adolescence and the development of cam-type deformities. Multiple studies have found a high prevalence of FAI in elite football, ice hockey, basketball and soccer players. In this article, we review the current literature relating to the etiology of primary FAI. PMID:27011846

  2. MRI for the preoperative evaluation of femoroacetabular impingement.

    Science.gov (United States)

    Li, Angela E; Jawetz, Shari T; Greditzer, Harry G; Burge, Alissa J; Nawabi, Danyal H; Potter, Hollis G

    2016-04-01

    Femoroacetabular impingement (FAI) refers to a condition characterized by impingement of the femoral head-neck junction against the acetabular rim, often due to underlying osseous and/or soft tissue morphological abnormalities. It is a common cause of hip pain and limited range of motion in young and middle-aged adults. Hip preservation surgery aims to correct the morphological variants seen in FAI, thereby relieving pain and improving function, and potentially preventing early osteoarthritis. The purpose of this article is to review the mechanisms of chondral and labral injury in FAI to facilitate an understanding of patterns of chondrolabral injury seen on MRI. Preoperative MRI evaluation of FAI should include assessment of osseous morphologic abnormalities, labral tears, cartilage status, and other associated compensatory injuries of the pelvis. As advanced chondral wear is the major relative contraindication for hip preservation surgery, MRI is useful in the selection of patients likely to benefit from surgery. Teaching points • The most common anatomical osseous abnormalities predisposing to FAI include cam and pincer lesions. • Morphological abnormalities, labral lesions, and cartilage status should be assessed. • In cam impingement, chondral wear most commonly occurs anterosuperiorly.• Pre-existing advanced osteoarthritis is the strongest predictor of poor outcomes after FAI surgery. • Injury to muscles and tendons or other pelvic structures can coexist with FAI.

  3. Radiographic findings of femoroacetabular impingement in capoeira players.

    Science.gov (United States)

    Mariconda, Massimo; Cozzolino, Andrea; Di Pietto, Francesco; Ribas, Manuel; Bellotti, Vittorio; Soldati, Alessandra

    2014-04-01

    Capoeira is a Brazilian martial art that requires extreme movements of the hip to perform jumps and kicks. This study evaluated a group of capoeira players to assess the prevalence of femoroacetabular impingement (FAI) in athletes practicing this martial art. Twenty-four experienced capoeira players (14 men, 10 women) underwent a diagnostic assessment, including clinical examination and standard radiographs of the pelvis and hips. The α-angle, head-neck offset, crossover sign, acetabular index, lateral centre-edge angle, and the Tönnis grade were assessed using the radiographs. Clinical relationships for any radiographic abnormalities indicating FAI were also evaluated. Four subjects (17 %) reported pain in their hips. Forty-four hips (91.7 %) had at least one radiographic sign of CAM impingement, and 22 (45.8 %) had an α-angle of more than 60°. Eighteen hips (37.5 %) had at least one sign of pincer impingement and 16 (33.3 %) a positive crossover sign. Sixteen hips (33.3 %) had mixed impingement. There was a significant positive association between having an α-angle of more than 60° and the presence of groin pain (P = 0.002). A reduced femoral head-neck offset (P < 0.001) and an increased α-angle on the anteroposterior radiograph (P = 0.008) were independently associated with a higher Tönnis grade. High prevalence of radiographic CAM-type FAI among these skilled capoeira players was found. In these subjects, a negative clinical correlation for an increased α-angle was also detected. Additional caution should be exercised whenever subjects with past or present hip pain engage in capoeira.

  4. Molecular Characterization of Articular Cartilage from Young Adults with Femoroacetabular Impingement

    Science.gov (United States)

    Hashimoto, Shingo; Rai, Muhammad Farooq; Gill, Corey S.; Zhang, Zhiqi; Sandell, Linda J.; Clohisy, John C.

    2013-01-01

    Background: Femoroacetabular impingement is a frequent cause of hip pain and may lead to secondary osteoarthritis, yet little is known about the molecular events linking mechanical hip impingement and articular cartilage degeneration. The first goal of this study was to quantify the expression of inflammatory cytokine and chemokine, matrix-degrading, and extracellular matrix genes in articular cartilage harvested from control hips and hips with femoroacetabular impingement and end-stage osteoarthritis. The second goal was to analyze the relative expression of these genes in articular cartilage harvested at various stages of osteoarthritis. Methods: Cartilage samples were obtained from thirty-two hips undergoing hip preservation surgery for femoroacetabular impingement or hip arthroplasty. Three control cartilage samples were also analyzed. Specimens were graded intraoperatively with regard to the severity of cartilage damage, the radiographic osteoarthritis grade was recorded, and quantitative RT-PCR (real-time polymerase chain reaction) was performed to determine relative gene expression. Results: Except for interleukin-1β (IL-1β) and CXCL2, the mRNA (messenger RNA) expression of all other chemokine (IL-8, CXCL1, CXCL3, CXCL6, CCL3, and CCL3L1), matrix-degrading (matrix metalloproteinase [MMP]-13 and ADAMTS-4), and structural matrix (COL2A1 [collagen, type II, alpha] and ACAN [aggregan]) genes was higher overall in cartilage from hips with femoroacetabular impingement compared with hips with osteoarthritis and normal controls. The differences reached significance (p ≤ 0.05) for seven of these ten quantified genes, with CXCL3, CXCL6, and COL2A1 being elevated in the femoroacetabular impingement group compared with only the control group and IL-8, CCL3L1, ADAMTS-4, and ACAN being elevated compared with both the osteoarthritis and control groups. When samples were grouped according to the stage of the degenerative cascade, mRNA expression was relatively higher in

  5. Can Bracing Affect Altered Gait Patterns in Femoroacetabular Impingement

    Science.gov (United States)

    Safran, Marc R.; Rylander, Jonathan; Shu, Beatrice; Andriacchi, Thomas P.

    2013-01-01

    Objectives: Altered gait patterns have been identified in patients with Femoroacetabular impingement (FAI), a 2nd order reversal in mid stance, that has been shown to be corrected with arthroscopic FAI surgery. Currently, most feel there is no adequate conservative treatment for this malady. The goal of this study is to determine if the gait abnormalities seen with femoroacetabular impingement (FAI) can be modified with bracing. Methods: Eight individuals (4 Male, 34.5 ± 12.8 y.o., 24.0±2.3 BMI) who were diagnosed with FAI after reporting to clinic with groin pain were enrolled in this study. The study was approved by the University Internal Review Board before participants were enrolled. History, clinical exam, and imaging including an AP pelvis and cross table lateral radiograph of the affected hip and MR-arthrogram of the affected hip were utilized to make the diagnosis. Participants who enrolled had primarily unilateral hip symptoms, had positive impingement and labral stress tests on the affected side and were free of other lower extremity, back, and spine disorders. Three dimensional lower limb kinematics were collected using a camera and forceplate system with the subjects wearing reflective markers on anatomical landmarks. Participants were tested prior to surgery. Hip kinematics were collected for the symptomatic limb while the patients walked at a self selected normal walking speed, slowly jogged, and ascended a two stair setup. Three trials for each activity were completed with and without wearing a brace that was designed to externally rotate the femur in the treatment of patellofemoral disorders for a total of 6 trials per activity. Peak hip flexion, extension, abduction, adduction, internal rotation, and external rotation were calculated over the stance phase for each trial. Averages were calculated over the 3 trials for each activity both with and without the brace. Intra-subject differences were compared between the braced and unbraced trials

  6. Trunk and lower limb biomechanics during stair climbing in people with and without symptomatic femoroacetabular impingement.

    Science.gov (United States)

    Hammond, Connor A; Hatfield, Gillian L; Gilbart, Michael K; Garland, S Jayne; Hunt, Michael A

    2017-02-01

    Femoroacetabular impingement is a pathomechanical hip condition leading to pain and impaired physical function. It has been shown that those with femoroacetabular impingement exhibit altered gait characteristics during level walking and stair climbing, and decreased muscle force production during isometric muscle contractions. However, no studies to-date have looked at trunk kinematics or muscle activation during dynamic movements such as stair climbing in this patient population. The purpose of this study was to compare biomechanical outcomes (trunk and lower limb kinematics as well as lower limb kinetics and muscle activation) during stair climbing in those with and without symptomatic femoroacetabular impingement. Trunk, hip, knee and ankle kinematics, as well as hip, knee and ankle kinetics and muscle activity of nine lower limb muscles were collected during stair climbing for 20 people with clinical and radiographic femoroacetabular impingement and compared to 20 age- and sex-matched pain-free individuals. Those with femoroacetabular impingement ascended the stairs slower (effect size=0.82), had significantly increased peak trunk forward flexion angles (effect size=0.99) and external hip flexion moments (effect size=0.94) and had decreased peak external knee flexion moments (effect size=0.90) compared to the control group. Findings from this study indicate that while those with and without femoroacetabular impingement exhibit many biomechanical similarities when ascending stairs, differences in trunk forward flexion and joint kinetics indicate some important differences. Further longitudinal research is required to elucidate the cause of these differences as well as the clinical relevance. Copyright © 2017 Elsevier Ltd. All rights reserved.

  7. The role of femoroacetabular impingement in core muscle injury/athletic pubalgia: diagnosis and management

    Directory of Open Access Journals (Sweden)

    Thomas eEllis

    2016-02-01

    Full Text Available Chronic groin pain in athletes represents a major diagnostic and therapeutic challenge in sports medicine. Two recognized causes of inguinal pain in the young adult athlete are core muscle injury/athletic pubalgia (CMI/AP and femoroacetabular impingement (FAI. CMI/AP and FAI were previously considered to be two distinct entities, however recent studies have suggested both entities to frequently coincide in the athlete with groin pain. This article briefly discusses the role of femoroacetabular impingement in core muscle injury/athletic pubalgia, and the diagnosis and management of this complex disease.

  8. The plain beta-angle measured on radiographs in the assessment of femoroacetabular impingement.

    Science.gov (United States)

    Brunner, A; Hamers, A T; Fitze, M; Herzog, R F

    2010-09-01

    The beta-angle is a radiological tool for measuring the distance between the pathological head-neck junction and the acetabular rim with the hip in 90 degrees of flexion in patients with femoroacetabular impingement. Initially it was measured using an open-chamber MRI. We have developed a technique to measure this angle on plain radiographs. Correlation analysis was undertaken to determine the relationship between the range of movement and the beta-angle in 50 patients with femoroacetabular impingement and 50 asymptomatic control subjects. Inter- and intra-observer reliability of the beta-angle was also evaluated. Patients with femoroacetabular impingement had a significantly smaller (p angle (15.6 degrees, 95% confidence interval (CI) 13.3 to 17.7) compared with the asymptomatic group (38.7 degrees, 95% CI 36.5 to 41.0). Correlation between internal rotation and the beta-angle was high in the impingement group and moderate in the asymptomatic group. The beta-angle had excellent inter- and intra-observer reliability in both groups. Our findings suggest that the measurement of the beta-angle on plain radiography may represent a valid, reproducible and cost-effective alternative to open MRI in the assessment of the pathological bony anatomy in patients with cam, pincer and mixed femoroacetabular impingement.

  9. Clinical outcomes assessment in clinical trials to assess treatment of femoroacetabular impingement

    DEFF Research Database (Denmark)

    Harris-Hayes, Marcie; McDonough, Christine M; Leunig, Michael

    2013-01-01

    Patient-reported outcome measures are an important component of outcomes assessment in clinical trials to assess the treatment of femoroacetabular impingement (FAI). This review of disease-specific measures and instruments used to assess the generic quality of life and physical activity levels...

  10. Hip Arthroscopy in athletes with Femoroacetabular Impingement: functional outcomes

    Science.gov (United States)

    Magi, Gonzalo; Carucci, Juan Pablo; Berro, Manuel; Bergues, Sebastián

    2017-01-01

    Introduction: Hip pathology is being recognized with more frequency as source of disability and functional limitation in athletes. It has been stated that the overload made with certain positions during some sports activities can develop condral damage. Moreover, the sum of bone deformity and repetitive movements of the hip requiered in sports may increase the risk of causing injuries. These can be treated with hip arthroscopy. Despite of this, there is a lack of evidence about the time taken to return to sports activity and the level reached afterwards by those patients treated with this procedure. Objective: Describe the clinical evolution, the time taken to return to sports activity and the level reached a year after the treatment of femoroacetabular impingement (FAI) with hip arthroscopy in 23 athletes. Method: 23 athletes were included in the study, defined as those patients with a minimum of 6 hours a week of sports practice, who were treated for FAI with hip arthroscopy between 2010 and 2015 by the same surgeon at our institution. The diagnosis was clinical (positive impingement test, hip pain and functional limitation of the hip), radiological (cam and pincer) and with magnetic nuclear resonance (labral tears). Preoperative modified Harris hip score was registered in all cases. Tonnis radiographic score was used. All patients had type 0 or 1 Tonnis hips. After 3 months of ineffective non operative treatment the arthroscopy was performed. Patients were treated in dorsal decubitus with orthopedic table. Labral reconstruction with anchors and femoral and acetabular osteoplasty was made. After surgery, patients were able to walk with support for 4 weeks and began physiotherapy. A year after surgery, all patients were questioned about the time taken to return to sports activity and the level of activity reached at that time compared to the one they had before symptoms appeared. The modified Harris hip score was also registered. Results: Ten patients played

  11. Subacromial impingement syndrome

    NARCIS (Netherlands)

    Umer, M.; Qadir, I.; Azam, M.

    2012-01-01

    Subacromial impingement syndrome (SAIS) represents a spectrum of pathology ranging from subacromial bursitis to rotator cuff tendinopathy and full-thickness rotator cuff tears. The relationship between subacromial impingement and rotator cuff disease in the etiology of rotator cuff injury is a

  12. Subacromial impingement syndrome

    NARCIS (Netherlands)

    Umer, M.; Qadir, I.; Azam, M.

    2012-01-01

    Subacromial impingement syndrome (SAIS) represents a spectrum of pathology ranging from subacromial bursitis to rotator cuff tendinopathy and full-thickness rotator cuff tears. The relationship between subacromial impingement and rotator cuff disease in the etiology of rotator cuff injury is a matte

  13. The Role of Femoroacetabular Impingement in Core Muscle Injury/Athletic Pubalgia: Diagnosis and Management

    OpenAIRE

    Thomas eEllis; David eRenton; David eStrosberg

    2016-01-01

    Chronic groin pain in athletes represents a major diagnostic and therapeutic challenge in sports medicine. Two recognized causes of inguinal pain in the young adult athlete are core muscle injury/athletic pubalgia (CMI/AP) and femoroacetabular impingement (FAI). CMI/AP and FAI were previously considered to be two distinct entities, however recent studies have suggested both entities to frequently coincide in the athlete with groin pain. This article briefly discusses the role of femoroaceta...

  14. [Hip arthroscopy in males younger than 40 with femoroacetabular impingement: short-term outcomes].

    Science.gov (United States)

    Más Martínez, J; Morales-Santías, M; Bustamante Suarez Suarez de Puga, D; Sanz-Reig, J

    2014-01-01

    Femoroacetabular impingement is probably the most common mechanism that leads to the development of early cartilage and labral damage in the non-dysplastic hip. The objective was to evaluate the outcomes of hip arthroscopy as a treatment for femoroacetabular impingement in patients with high level of function. A prospective study was performed on 41 patients younger than 40 years old undergoing hip arthroscopy for femoroacetabular impingement. Modified Harris Hip Score and HOS and IHOT questionnaires were used for clinical assessment. Radiological evaluation was made for joint space and alpha angle. The mean age of patients was 32.7 years. Labrum injury was detected in 78%, and acetabular cartilage injury in 56% of cases. The average follow-up was 31.3 months. There was a significantly improvement in the mean score in the clinical questionnaires. Radiologically there was no change in the mean joint space, with significantly reduction to normal values of the alpha angle. All patients returned to sports at their pre-injury level of function. Hip arthroscopy resulted in improvement in hip functional outcomes with correction of the underlying osseous deformity and treatment of the associated labral and cartilage pathology, with the return of patients to their pre-injury sports. Further follow-up is essential to confirm the stability of the clinical and radiological outcomes. Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.

  15. Femur-mounted navigation system for the arthroscopic treatment of femoroacetabular impingement

    Science.gov (United States)

    Park, S. H.; Hwang, D. S.; Yoon, Y. S.

    2013-07-01

    Femoroacetabular impingement stems from an abnormal shape of the acetabulum and proximal femur. It is treated by resection of damaged soft tissue and by the shaping of bone to resemble normal features. The arthroscopic treatment of femoroacetabular impingement has many advantages, including minimal incisions, rapid recovery, and less pain. However, in some cases, revision is needed owing to the insufficient resection of damaged bone from a misreading of the surgical site. The limited view of arthroscopy is the major reason for the complications. In this research, a navigation method for the arthroscopic treatment of femoroacetabular impingement is developed. The proposed navigation system consists of femur attachable measurement device and user interface. The bone mounted measurement devices measure points on head-neck junction for registration and position of surgical instrument. User interface shows the three-dimensional model of patient's femur and surgical instrument position that is tracked by measurement device. Surgeon can know the three-dimensional anatomical structure of hip joint and surgical instrument position on surgical site using navigation system. Surface registration was used to obtain relation between patient's coordinate at the surgical site and coordinate of three-dimensional model of femur. In this research, we evaluated the proposed navigation system using plastic model bone. It is expected that the surgical tool tracking position accuracy will be less than 1 mm.

  16. The Effectiveness of Ultrasound-Guided Steroid Injection for Femoroacetabular Impingement: A Comparison between the Extra-Articular and Intra-Articular Approaches

    Energy Technology Data Exchange (ETDEWEB)

    Jeon, Chang Ho; Lee, Joon Woo [Dept. of Radiology, Seoul National University Bundang Hospital, Seongnam (Korea, Republic of)

    2013-03-15

    To assess the effectiveness of pain control using ultrasound-guided steroid injection by the extra-articular and intra-articular approaches to femoroacetabular impingement patients. From September through December 2010, 18 patients with clinical suspicion of femoroacetabular impingement syndrome underwent ultrasound-guided steroid and local anesthetics injection: a total of 20 cases, including 16 cases of ipsilateral and 2 cases of bilateral injection. Extra-articular or intra-articular approach was selected for each patient, randomly and alternately. Nine cases were performed by extra-articular approach and 11 cases were performed by intra-articular approach. Every patient was observed in the outpatient clinic and visual analogue scale (VAS) was taken and compared before and after the procedure in all patients. Pre-injection average VAS value of extra-articular approached cases was 5.22 {+-} 1.99 and post-injection average VAS value was 4.11 {+-} 1.96, which is statistically insignificant (p < 0.156). The average VAS value of intra-articular approached cases was decreased from 5.72 {+-} 2.15 to 2.91 {+-} 2.30 after injection, which is statistically significant (p < 0.006). Ultrasound guided intra-articular approached steroid and local anesthetics injection could be effective in controlling pain for patients with femoroacetabular impingement syndrome.

  17. Surgical dislocation of the hip in patients with femoroacetabular impingement: Surgical techniques and our experience

    Directory of Open Access Journals (Sweden)

    Mladenović Marko

    2015-01-01

    Full Text Available Background/Aim. Arthrosis of the hip is the most common cause of a hip joint disorders. The aim of this study was to present our experience in the application of a safe surgical dislocation of the hip in patients with minor morphological changes in the hip joint, which, through the mechanism of femoroacetabular impingement, cause damage to the acetabular labrum and adjacent cartilage as an early sign of the hip arthrosis. Methods. We have operated 51 patients with different morphological bone changes in the hip area and resultant soft tissue damage of the acetabular labrum and its adjacent cartilage. Surgical technique that we applied in this group of patients, was adapted to our needs and capabilities and it was minimaly modified compared to the original procedure. Results. The surgical technique presented in this paper, proved to be a good method of treatment of bone and soft tissue pathomorphological changes of the hip in patients with femoroacetabular impingement. We had no cases with avascular necrosis of the femoral head, and two patients had nonunion of the greater trochanter, 9 patients developed paraarticular ossification, without subjective symptoms, while 3 patients suffered from postoperative pain in the groin during more energetic physical activities. Conclusion. Utilization of our partly modified surgical technique of controlled and safe dislocation of the hip can solve all the bone and soft tissue problems in patients with femoroacetibular impingement to stop already developed osteoarthritis of the hip or to prevent mild form of it.

  18. Subacromial impingement syndrome

    Directory of Open Access Journals (Sweden)

    Masood Umer

    2012-05-01

    Full Text Available Subacromial impingement syndrome (SAIS represents a spectrum of pathology ranging from subacromial bursitis to rotator cuff tendinopathy and full-thickness rotator cuff tears. The relationship between subacromial impingement and rotator cuff disease in the etiology of rotator cuff injury is a matter of debate. However the etiology is multi-factorial, and has been attributed to both extrinsic and intrinsic mechanisms. Management includes physical therapy, injections, and, for some patients, surgery. No high-quality RCTs are available so far to provide possible evidence for differences in outcome of different treatment strategies. There remains a need for high-quality clinical research on the diagnosis and treatment of SAIS.

  19. Femoroacetabular impingement: bone marrow oedema associated with fibrocystic change of the femoral head and neck junction

    Energy Technology Data Exchange (ETDEWEB)

    James, S.L.J. [Department of Radiology, RNOH Stanmore, Stanmore, Middlesex (United Kingdom) and Department of Radiology, Royal Orthopaedic Hospital, Birmingham (United Kingdom)]. E-mail: jamesslj@email.com; Connell, D.A. [Department of Radiology, RNOH Stanmore, Stanmore, Middlesex (United Kingdom); O' Donnell, P. [Department of Radiology, RNOH Stanmore, Stanmore, Middlesex (United Kingdom); Saifuddin, A. [Department of Radiology, RNOH Stanmore, Stanmore, Middlesex (United Kingdom)

    2007-05-15

    Aim: To describe the association of bone marrow oedema adjacent to areas of fibrocystic change at the femoral head and neck junction in patients with femoroacetabular impingement. Materials and methods: The clinical and imaging findings in six patients with bone marrow oedema adjacent to an area of fibrocystic change at the femoral head and neck junction are presented. There were five males and one female (age range 19-42 years, mean age 34.5 years). Three patients were referred with a clinical suspicion of femoroacetabular impingement, two with suspected osteoid osteoma and one with a clinical diagnosis of sciatica. The volume of bone marrow oedema (grade 1: 0-25%, grade 2: 26-50%, grade 3: 51-75% and grade 4: 76-100% of the femoral neck width), presence of labral and articular cartilage abnormality, joint effusion, and femoral head and neck morphology were recorded. Results: Magnetic resonance imaging (MRI) identified fibrocystic change in the anterolateral aspect of the femoral head and neck junction in all cases (mean size 9 mm, range 5-14 mm, three multilocular and three unilocular cysts). The volume of oedema was variable (one grade 1, two grade 2, one grade 3 and two grade 4). All patients had abnormality of the anterosuperior labrum with five patients demonstrating chondral loss. An abnormal femoral head and neck junction was identified in five patients. Conclusion: The radiological finding of fibrocystic change at the anterosuperior femoral neck with or without bone marrow oedema should prompt the search for femoroacetabular impingement. Bone marrow oedema may rarely be identified adjacent to these areas of cystic change and should be considered in the differential diagnosis of bone marrow oedema in the femoral neck.

  20. Extracapsular approach for arthroscopic treatment of femoroacetabular impingement: clinical and radiographic results and complications

    Directory of Open Access Journals (Sweden)

    Bruno Dutra Roos

    2015-08-01

    Full Text Available ABSTRACTOBJECTIVES: To evaluate the clinical and radiographic results and complications relating to patients undergoing arthroscopic treatment for femoroacetabular impingement by means of an extracapsular approach. METHODS: Between January 2011 and March 2012, 49 patients (50 hips underwent arthroscopic treatment for femoroacetabular impingement, performed by the hip surgery team of the Orthopedic Hospital of Passo Fundo, Rio Grande do Sul. Forty patients (41 hips fulfilled all the requirements for this study. The mean follow-up was 29.1 months. The patients were assessed clinically by means of the Harris Hip score, as modified by Byrd (MHHS, the Non-Arthritic Hip score (NAHS and the internal rotation of the hip. Their hips were also evaluated radiographically, with measurement of the CE angle, dimensions of the joint space, alpha angle, neck-head index, degree of arthrosis and presence of heterotopic ossification of the hip. RESULTS: Out of the 41 hips treated, 31 (75.6% presented good or excellent clinical results. There was a mean postoperative increase of 22.1 points for the MHHS, 21.5 for the NAHS and 16.4° for the internal rotation of the hip ( p< 0.001. Regarding the radiographic evaluation, correction to normal values was observed for the alpha angle and neck-head index, with a mean postoperative decrease of 32.9° and mean increase of 0.10, respectively ( p< 0.001. CONCLUSION: Arthroscopic treatment of femoroacetabular impingement by means of an extracapsular approach presented satisfactory clinical and radiographic results over a mean follow-up of 29.1 months, with few complications.

  1. The Role of Femoroacetabular Impingement in Core Muscle Injury/Athletic Pubalgia: Diagnosis and Management.

    Science.gov (United States)

    Strosberg, David S; Ellis, Thomas J; Renton, David B

    2016-01-01

    Chronic groin pain in athletes represents a major diagnostic and therapeutic challenge in sports medicine. Two recognized causes of inguinal pain in the young adult athlete are core muscle injury/athletic pubalgia (CMI/AP) and femoroacetabular impingement (FAI). CMI/AP and FAI were previously considered to be two distinct entities; however, recent studies have suggested both entities to frequently coincide in the athlete with groin pain. This article briefly discusses the role of FAI in CMI/AP and the diagnosis and management of this complex disease.

  2. Surgical criteria for femoroacetabular impingement syndrome

    DEFF Research Database (Denmark)

    Peters, Scott; Laing, Alisha; Emerson, Courtney

    2017-01-01

    , with alpha angle the most frequently reported (68% of studies) criterion. Reporting of symptoms was a criterion for surgery in 75%, and special tests a criterion in 70% of studies. Range-of-motion limitations were only a required criterion in 30%, only 12% of studies required intra-articular injection and 44...

  3. Femoroacetabular impingement and its implications on range of motion: a case report

    Directory of Open Access Journals (Sweden)

    Bloem Rolf M

    2011-04-01

    Full Text Available Abstract Introduction Femoroacetabular impingement leads to limited hip motion, pain and progressive damage to the labrum. Assessment of the amount and location of excessive ossification can be difficult, and removal does not always lead to pain relief and an increase of function. One of the challenges ahead is to discover why certain cases have poor outcomes. Case presentation The technical and clinical results of two consecutive arthroscopic shavings of an osseous cam protrusion are described in our patient, a 50-year-old Caucasian man with complaints of femoroacetabular impingement. At 12 weeks after the first arthroscopic shaving, our patient still experienced pain. Using a range of motion simulation system based on computed tomography images the kinematics of his hip joint were analyzed. Bone that limited range of motion was removed in a second arthroscopic procedure. At six months post-operatively our patient is almost pain free and has regained a range of motion to a functional level. Conclusion This case demonstrates the relevance of range of motion simulation when the outcome of primary arthroscopic management is unsatisfactory. Such simulations may aid clinicians in determining the gain of a second operation. This claim is supported by the correlation of the simulations with clinical outcome, as shown in this case report.

  4. Unusual case of mixed form of femoroacetabular impingement combined with nonspecyfic synovitis of the hip joint in a young adult: A case report

    Directory of Open Access Journals (Sweden)

    Mladenović Marko

    2015-01-01

    Full Text Available Introduction. Minimal bone changes in the acetabulum and/or proximal femur, through mechanism known as femoroacetabular impingement, during flexion, adduction and internal rotation lead to early contact between femoral head-neck junction and acetabular brim, in anterosuperior region. Each additional pathological substrate which further decreases specified clearance provokes earlier onset of femoroacetabular impingement symptoms. Case report. We presented a 20-year-old male patient with groin pain, limping, positive impingement test, radiological signs of mixed form of femoroacetabular impingement and unrecognized chronic hypertrophic synovitis with earlier development of clinical hip symptoms than it has been expected. Open surgery of the left hip was done. Two years after the surgery, patient was asymptomatic, painless, and free of motion, with stable x-rays. Conclusion. Hypertrophic synovial tissue further reduces the distance between the femoral head-neck junction and the acetabulum, leading to the earlier onset of femoroacetabular impingement symptoms. Surgical treatment is the method of choice.

  5. Femoro-acetabular impingement and hip pain with conventionally normal x-rays.

    LENUS (Irish Health Repository)

    Baker, J F

    2010-06-01

    There has in recent years been a fundamental change in the understanding of hip pain in the young adult and hip pain without plain radiographic findings of arthritis. Pain in these groups has long represented a diagnostic and therapeutic challenge. With new appreciation of hip biomechanics, pathological processes and the arrival of modern imaging modalities we now have a greater understanding of non-arthritic hip pathology. One of the commonest yet least well recognized \\'new\\' diagnoses around the hip is femoro-acetabular impingement (FAI). FAI is a developmental condition of the hip joint that is associated with abnormal anatomical configuration and thus joint mechanics on either the femoral or acetabular sides or both. It is hypothesized to have a variety of precipitants and may ultimately lead to labral and chondral injury and what has previously been referred to as \\'primary\\' or \\'idiopathic\\' hip osteoarthritis.

  6. MAGNETIC RESONANCE IMAGING OF THE HIP FOR THE EVALUATION OF FEMOROACETABULAR IMPINGEMENT; PAST, PRESENT, AND FUTURE

    Science.gov (United States)

    Riley, Geoffrey M.; McWalter, Emily J.; Stevens, Kathryn J.; Safran, Marc R.; Lattanzi, Riccardo; Gold, Garry E.

    2014-01-01

    The concept of femoroacetabular impingement (FAI) has, in a relatively short time, come to the forefront of orthopedic imaging. In just a few short years MRI findings that were in the past ascribed to degenerative change, normal variation, or other pathologies must now be described and included in radiology reports, as they have been shown, or are suspected to be related to, FAI. Crucial questions have come up in this time, including: what is the relationship of bony morphology to subsequent cartilage and labral damage, and most importantly, how is this morphology related to the development of osteoarthritis? In this review we attempt to place a historical perspective on the controversy, provide guidelines for interpretation of MRI examinations of patients with suspected FAI, and offer a glimpse into the future of MRI of this complex condition. PMID:25155435

  7. Core Muscle Injury/Sports Hernia/Athletic Pubalgia, and Femoroacetabular Impingement.

    Science.gov (United States)

    Ross, James R; Stone, Rebecca M; Larson, Christopher M

    2015-12-01

    Core muscle injury/sports hernia/athletic pubalgia is an increasingly recognized source of pain, disability, and time lost from athletics. Groin pain among athletes, however, may be secondary to various etiologies. A thorough history and comprehensive physical examination, coupled with appropriate diagnostic imaging, may improve the diagnostic accuracy for patients who present with core muscular injuries. Outcomes of nonoperative management have not been well delineated, and multiple operative procedures have been discussed with varying return-to-athletic activity rates. In this review, we outline the clinical entity and treatment of core muscle injury and athletic pubalgia. In addition, we describe the relationship between athletic pubalgia and femoroacetabular impingement along with recent studies that have investigated the treatment of these related disorders.

  8. Quantifying the contribution of pincer deformity to femoro-acetabular impingement using 3D computerised tomography

    Energy Technology Data Exchange (ETDEWEB)

    Dandachli, Wael; Najefi, Ali; Iranpour, Farhad; Lenihan, Jonathan; Hart, Alister; Cobb, Justin [Imperial College London, Charing Cross Hospital, Department of Orthopaedic Surgery, London (United Kingdom)

    2012-10-15

    To provide a simple, reliable method for the three-dimensional quantification of pincer-type hip deformity. Computerised tomography scans of 16 normal female hips and 15 female hips with clinical femoro-acetabular impingement (FAI) and radiographic signs of pincer secondary to acetabular protrusio were analysed. After orientating the pelvis in the anterior pelvic plane, the acetabular centre was determined, and the ratios of its coordinates to the corresponding pelvic dimensions were calculated. Acetabular coverage of the femoral head and centre-edge angles were also measured for the two groups. In hips with a pincer, the hip was medialised by 37 % (p = 0.03), more proximal by 5 % (p = 0.05) and more posterior by 9 % (p = 0.03) compared with the normal hips. Coverage of the femoral head in protrusio hips was significantly greater than normal (average 71 % vs 82 %, p = 0.0001). Both the lateral centre-edge angle and the combined anterior-posterior centre-edge angle were greater in protrusio hips than in the normal ones (48 vs 37 , p < 0.001; and 216 vs 176 , p < 0.0001 respectively). Displacement in acetabular protrusio occurs in all planes. This CT-based method allows for the accurate and standardised quantification of the extent of displacement, as well as 3D measurement of femoral head coverage. In the adult female population, a combined centre-edge angle of over 190 suggests an acetabulum that is too deep and a potential cause of symptoms of femoro-acetabular impingement. Conversely, an acetabulum that has a combined centre-edge angle of less than 190 may be considered to be of normal depth, and therefore not contributing a pincer to FAI should it occur. (orig.)

  9. Measuring hip muscle strength in patients with femoroacetabular impingement and other hip pathologies

    Science.gov (United States)

    Mayne, E.; Memarzadeh, A.; Raut, P.; Arora, A.

    2017-01-01

    Objectives The aim of this study was to systematically review the literature on measurement of muscle strength in patients with femoroacetabular impingement (FAI) and other pathologies and to suggest guidelines to standardise protocols for future research in the field. Methods The Cochrane and PubMed libraries were searched for any publications using the terms ‘hip’, ‘muscle’, ‘strength’, and ‘measurement’ in the ‘Title, Abstract, Keywords’ field. A further search was performed using the terms ‘femoroacetabular’ or ‘impingement’. The search was limited to recent literature only. Results A total of 29 articles were reviewed to obtain information on a number of variables. These comprised the type of device used for measurement, rater standardisation, the type of movements tested, body positioning and comparative studies of muscle strength in FAI versus normal controls. The studies found that hip muscle strength is lower in patients with FAI; this is also true for the asymptomatic hip in patients with FAI. Conclusions Current literature on this subject is limited and examines multiple variables. Our recommendations for achieving reproducible results include stabilising the patient, measuring isometric movements and maximising standardisation by using a single tester and familiarising the participants with the protocol. Further work must be done to demonstrate the reliability of any new testing method. Cite this article: E. Mayne, A. Memarzadeh, P. Raut, A. Arora, V. Khanduja. Measuring hip muscle strength in patients with femoroacetabular impingement and other hip pathologies: A systematic review. Bone Joint Res 2017;6:66–72. DOI: 10.1302/2046-3758.61.BJR-2016-0081. PMID:28108483

  10. Does high level youth sports participation increase the risk of femoroacetabular impingement? A review of the current literature.

    Science.gov (United States)

    de Silva, Viran; Swain, Michael; Broderick, Carolyn; McKay, Damien

    2016-03-11

    Sports participation can be an integral part of adolescent development with numerous positive short and long-term effects. Despite these potential benefits very high levels of physical activity, during skeletal maturation, have been proposed as a possible cause of cam-type femoroacetabular impingement (FAI). The influence of physical activity on the developing physis has been previously described both in animal studies and epidemiological studies of adolescent athletes. It is therefore important to determine whether the development of FAI is secondary to excessive physical activity or a combination of a vulnerable physis and a set level of physical activity. A review of the current literature suggests that adolescent males participating in ice-hockey, basketball and soccer, training at least three times a week, are at greater risk than their non-athletic counterparts of developing the femoral head-neck deformity associated with femoroacetabular impingement.

  11. The Analysis of X-ray and CT Features of the Femoroacetabular Impingement Syndrome%股骨髋臼撞击综合征的X线及CT表现分析

    Institute of Scientific and Technical Information of China (English)

    胡剑波; 刘冠霖; 肖林; 吴泽文; 陈焱君

    2012-01-01

    Objective Through analyzing the characteristic appearances on X-ray plain film and CT of hips with Femoroacetabular Impingement (FAI), to find and conclude the image features of FAI. Methods 78 cases FAI with 96 FAI hips in X-ray plain film and CT images were analysed and typed. Results ①The characteristic features include: aspheric femoral head, pistol-grip deformity, femoral neck Osseous bumps, deep acetabulum, cross-over sign or "eight" sign, acetabulum medial extrusion, "linear indentation sign", herniation pits; the non-characteristic features include: osteophytes, ossification or calcification in acetabulum superior, cystic lesions under the joint surface of acetabulum and femoral head, narrowed lateral joint space. ② In all 96 FAI hips, Cam-type 23 hips, Pincer-type 14 hips, Mixed-type 59 hips. Conclusion Femoral head-neck junction deformity and abnormality of acetabulum are the key image features of FAI diagnosis, the other abnormity of osseous arthritis can only be a indicative signs for diagnosis of FAI.%目的 通过对诊断为股骨髋臼撞击综合征(FAI)的髋关节的X线及CT表现的特征分析,归纳总结其影像特点.方法 对78例96个FAI髋关节的X线及CT片进行影像特征分析、分型.结果 ①、FAI的特征性X线及CT征象包括:非球形股骨头、股骨颈枪柄样畸形、股骨颈骨突.深髋臼、“交叉征”或“8”字征、髋臼内突、股骨颈前方凹痕征及皮质硬化、骨颈疝窝;FAI的非特异性改变包括:髋臼外上缘增生、髋臼外缘骨化或钙化,髋臼关节面下囊变、股骨头囊变、髋关节外侧间隙狭窄.②、96个FAI中,Cam型23个,Pincer型14个,混合型59个.结论 股骨头颈交界处的畸形和髋臼的异常形态是FAI诊断的主要征象,其他骨性关节炎的异常影像表现是诊断FAI的参考征象.

  12. Herniation pits and their renaissance in association with femoroacetabular impingement; Herniation Pits und ihre Renaissance im Zusammenhang mit femoroazetabulaerem Impingement

    Energy Technology Data Exchange (ETDEWEB)

    Panzer, Stephonie [Unfallklinik Murnau (Germany). Radiologie; Augat, P. [Unfallklinik Murnau (Germany). Radiologie; Paracelsus Univ. Salzburg (Austria). Biomechanisches Labor; Scheidler, J. [Radiologischs Zentrum Muenchen-Pasing (Germany). Radiologie

    2010-07-15

    Hernitation pits (HPs) of the femoral neck were first described in 1982. The purpose of this paper is to summarize the information concerning HPs published since then and to show their association with the diagnosis of femoroacetabular impingement (FAI) which has occurred within the last years. HPs are predominantly located at the anterior-superior femoral neck with a typical radiological appearance, which makes it possible to differentiate them from the numerous differential diagnoses mentioned. In the early publications HPs were described as a separate entity, while recent studies increasingly assign them to intra-osseous ganglia. In contrast to the early publications depicting HPs as an incidental finding, they are currently mainly mentioned in association with FAI and at the same time are partly considered to be a radiological indicator of FAI. In summary, HPs should always be recognized and documented because they may contribute to the diagnosis of FAI which is essential for preventing or delaying osteoarthritis of the hip joint in the early stage. (orig.)

  13. Factors associated with the failure of arthroscopic surgery treatment in patients with femoroacetabular impingement: A cohort study.

    Science.gov (United States)

    Martínez, D; Gómez-Hoyos, J; Márquez, W; Gallo, J

    2015-01-01

    The aim of this study was to evaluate the association of the anatomical and functional characteristics with therapeutic failure in patients with femoroacetabular impingement, who underwent hip arthroscopy. A cohort study was performed on 179 patients with femoroacetabular impingement who underwent hip arthroscopy between 2004 and 2012. The demographic, anatomical, functional, and clinical information were recorded. A logistic regression model and ANCOVA were used in order to compare the described characteristics with the treatment outcomes of the hip arthroscopy. The median time of follow-up for symptoms was 13 months (8-30), and the mean time of follow-up after surgery was 23.83 ± 9.8 months. At the end of the follow-up 3.91% of the patients were considered as a therapeutic failure. The WOMAC score in pain and functional branches, as well as the total WOMAC score, showed significant differences (P<.05). The mean WOMAC score was higher (0 to 100 with 0 being a perfect score) in the group of patients who failed after surgery as compared with the group who meet the requirements for a successful treatment, 65.9 vs 48.8, respectively (mean difference 17.0; 95% CI; 1.3-32.6; P=.033). The poor functional state prior to arthroscopic treatment of femoroacetabular impingement, mainly due to preoperative pain, assessed using the WOMAC scale, is associated with a higher therapeutic failure rate. Copyright © 2014 SECOT. Published by Elsevier Espana. All rights reserved.

  14. Ischiofemoral impingement syndrome

    Directory of Open Access Journals (Sweden)

    Cuneyt Tamam

    2015-06-01

    Full Text Available Ischiofemoral impingement is newly recognized extracapsular cause of atypical hip and groin pain. Ischiofemoral impingement was first defined by Johnson in 1977. It is characterized by a narrowed space between the ischial tuberosity and the lesser trochanter, associated with changes in ischiofemoral space . The diagnosis of the ischiofemoral impingement is complex. Normal radiological and ultrasound appearances may be seen in ischiofemoral impingement patients with atypical hip pain. It is important to have a focus on the symptoms , through the history taking, physi and not;cal examination, and appropriate imaging studies of the hip.In this study, we aimed to review the etiology, clinical presentation, imaging modalities, differential diagnosis and treatment options of ischiofemoral impingement. [Archives Medical Review Journal 2015; 24(2.000: 271-281

  15. Disease severity classification using quantitative magnetic resonance imaging data of cartilage in femoroacetabular impingement.

    Science.gov (United States)

    Henn, Lisa L; Hughes, John; Iisakka, Eleena; Ellermann, Jutta; Mortazavi, Shabnam; Ziegler, Connor; Nissi, Mikko J; Morgan, Patrick

    2017-04-30

    Femoroacetabular impingement (FAI) is a condition in which subtle deformities of the femoral head and acetabulum (hip socket) result in pathological abutment during hip motion. FAI is a common cause of hip pain and can lead to acetabular cartilage damage and osteoarthritis. For some patients with FAI, surgical intervention is indicated, and it can improve quality of life and potentially delay the onset of osteoarthritis. For other patients, however, surgery is contraindicated because significant cartilage damage has already occurred. Unfortunately, current imaging modalities (X-rays and conventional MRI) are subjective and lack the sensitivity to distinguish these two groups reliably. In this paper, we describe the pairing of T2* mapping data (an investigational, objective MRI sequence) and a spatial proportional odds model for surgically obtained ordinal outcomes (Beck's scale of cartilage damage). Each hip in the study is assigned its own spatial dependence parameter, and a Dirichlet process prior distribution permits clustering of said parameters. Using the fitted model, we produce a six-color, patient-specific predictive map of the entire acetabular cartilage. Such maps will facilitate patient education and clinical decision making. Copyright © 2017 John Wiley & Sons, Ltd. Copyright © 2017 John Wiley & Sons, Ltd.

  16. Herniation pits in the femoral neck: a radiographic indicator of femoroacetabular impingement?

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Jin Ah; Park, Ji Seon; Ryu, Kyungnam [Kyung Hee University, Department of Radiology, Kyung Hee University Medical Center, Seoul (Korea, Republic of); Jin, Wook [Kyung Hee University, Department of Radiology, East-West Neo Medical Center, Seoul (Korea, Republic of)

    2011-02-15

    The purpose was to assess the significance of herniation pits in the femoral neck for radiographic diagnosis of femoroacetabular impingement (FAI). Eighty hips in 62 patients (bilateral in 18) with neutral pelvic orientation were enrolled. Herniation pits were diagnosed when they were located at the anterosuperior femoral neck, close to the physis, and with a diameter of >3 mm. The five radiographic signs of FAI were used: lateral center edge angle (LCE) >39 , acetabular index (AI) {<=}0, extrusion index (EI) <25%, acetabular retroversion, and pistol-grip deformity. Patients with radiographs suggesting FAI were retrospectively correlated with their clinical symptoms. Positive radiographic signs were observed in 7 hips with LCE, 7 with AI, and 80 with EI criteria. Only 3 hips out of 80 (3.8%) showed all of the signs. The acetabular retroversion and pistol-grip deformity were seen in 12/80 and 3/80 hips, respectively. The total number of hips that met radiographic criteria for FAI, including pincer type and cam type, was 18 (23%). However, none of these hips were clinically diagnosed with FAI. All symptomatic hips (11/80) presented only with nonspecific pain, and 2 hips out of 11 showed radiographic signs of FAI. The low frequency of positive radiographic signs suggesting FAI with related symptoms among patients with herniation pits suggests that herniation pits have limited significance in the diagnosis of FAI. Therefore it can be concluded that an incidental finding of herniation pits does not necessarily imply a correlation with FAI. (orig.)

  17. Hip morphometry of femoroacetabular impingement pattern in patients with ankylosing spondylitis

    Energy Technology Data Exchange (ETDEWEB)

    Lee, Jong Yoon; Lee, Eu Gene; Choi, Jung Ah [Dept. of Radiology, Seoul National University Bundang Hospital, Seongnam (Korea, Republic of)

    2015-06-15

    To analyze hip morphometry of femoroacetabular impingement (FAI) pattern in patients with ankylosing spondylitis (AS) and correlate them with sacroiliitis grades. 384 patients with AS were analyzed regarding demographics, radiologic signs of FAI for hip involvement, and sacroiliitis grades. FAI was classified into 3 types according to alpha angle, lateral center-edge angle and pistol grip deformity. Sacroiliitis was graded according to the New York criteria. Prevalence of FAI morphometry types was determined and evaluated for association with sacroiliitis grades. Statistical analysis regarding numerical variables, including age, sacroiliitis score using t-test, sacroiliitis score in three groups using Kruskal-Wallis test and Mann-Whitney U-test, corrected by Bonferroni methods for post hoc analysis was done. Among 384 patients, 141 (36.7%) had FAI morphometry. Male predominance was found in group with FAI pattern involvement (87.2%) (p = 0.000). Pincer type (20.6%) was the most common. Hip involvement group also showed greater sacroiliitis score (2.49 vs. 1.75, p = 0.000). Combined-type had greater sacroiliitis score compared with others (p = 0.002, 0.003). FAI morphometry was frequent in hips of AS patients (36.7%), especially pincer type, more frequent in male, and associated with significantly greater grade of sacroiliitis; combined type FAI pattern had greater sacroiliitis score.

  18. Overdiagnosing of femoroacetabular impingement: correlation between clinical presentation and computed tomography in symptomatic patients

    Directory of Open Access Journals (Sweden)

    Richard Prazeres Canella

    2016-04-01

    Full Text Available OBJECTIVE: To correlate the angles between the acetabulum and the proximal femur in symptomatic patients with femoroacetabular impingement (FAI, using computed tomography (CT. METHODS: We retrospectively evaluated 103 hips from 103 patients, using multislice CT to measure the acetabular age, acetabular version (in its supraequatorial portion and in its middle third, femoral neck version, cervical-diaphyseal and alpha angles and the acetabular depth. For the statistical analysis, we used the Pearson correlation coefficient. RESULTS: There were inverse correlations between the following angles: (1 acetabular coverage versus alpha angle (p = 0.019; (2 acetabular version (supraequatorial versus alpha angle (p = 0.049. For patients with femoral anteversion lower than 15 degrees: (1 acetabular version (supraequatorial versus alpha angle (p = 0.026; (2 acetabular version (middle third versus alpha angle (p = 0.02. For patients with acetabular version (supraequatorial lower than 10 degrees: (1 acetabular version (supraequatorial versus alpha angle (p = 0.004; (2 acetabular version (middle third versus alpha angle (p = 0.009. CONCLUSION: There was a statistically significant inverse correlation between the acetabular version and alpha angles (the smaller the acetabular anteversion angle was, the larger the alpha angle was in symptomatic patients, thus supporting the hypothesis that FAI occurs when cam and pincer findings due to acetabular retroversion are seen simultaneously, and that the latter alone does not cause FAI, which leads to overdiagnosis in these cases.

  19. Descriptive Epidemiology of Symptomatic Femoroacetabular Impingement in Young Athlete: Single Center Study

    Science.gov (United States)

    Lee, Woo-Yong; Kang, Chan; Jeon, Je-Hyung; Zheng, Long

    2016-01-01

    Purpose The purpose of this study was to determine the prevalence of symptomatic femoroacetabular impingement (FAI) in athletic patients. Materials and Methods From July 2003 to May 2013, 388 patients (422 hips) who underwent arthroscopic surgery for FAI were evaluated demographic characteristics. The patients' age, gender, diagnosis, and type of sports were analyzed using medical records and radiography. Results Among 422 hips in 388 patients, 156 hips were involved with sports. Among the 156 hips, 86, 43, and 27 hips were categorized as cam, pincer, and mixed type, respectively. Types of sports were soccer, baseball and taekwondo which showed 44, 36 and 35 hips, respectively. Also, cases related to sports according to age were 63 hips for twenties and 12 hips for teenagers in which the two showed highest association to FAI. The kinds of sports that showed high association were 28 hips of soccer and 20 cases of martial arts such as taekwondo and judo for twenties and 9 hips of martial arts for teenagers which was the highest. Conclusion FAI usually occurs in young adults and is highly related to sports activity. Most of the FAI type related to sports activity was cam type, and soccer and martial arts such as taekwondo were the most common cause of it. PMID:27536641

  20. Overdiagnosing of femoroacetabular impingement: correlation between clinical presentation and computed tomography in symptomatic patients☆

    Science.gov (United States)

    Canella, Richard Prazeres; Adam, Guilherme Pradi; de Castillo, Roberto André Ulhôa; Codonho, Daniel; Ganev, Gerson Gandhi; de Vicenzi, Luiz Fernando

    2016-01-01

    Objective To correlate the angles between the acetabulum and the proximal femur in symptomatic patients with femoroacetabular impingement (FAI), using computed tomography (CT). Methods We retrospectively evaluated 103 hips from 103 patients, using multislice CT to measure the acetabular age, acetabular version (in its supraequatorial portion and in its middle third), femoral neck version, cervical-diaphyseal and alpha angles and the acetabular depth. For the statistical analysis, we used the Pearson correlation coefficient. Results There were inverse correlations between the following angles: (1) acetabular coverage versus alpha angle (p = 0.019); (2) acetabular version (supraequatorial) versus alpha angle (p = 0.049). For patients with femoral anteversion lower than 15 degrees: (1) acetabular version (supraequatorial) versus alpha angle (p = 0.026); (2) acetabular version (middle third) versus alpha angle (p = 0.02). For patients with acetabular version (supraequatorial) lower than 10 degrees: (1) acetabular version (supraequatorial) versus alpha angle (p = 0.004); (2) acetabular version (middle third) versus alpha angle (p = 0.009). Conclusion There was a statistically significant inverse correlation between the acetabular version and alpha angles (the smaller the acetabular anteversion angle was, the larger the alpha angle was) in symptomatic patients, thus supporting the hypothesis that FAI occurs when cam and pincer findings due to acetabular retroversion are seen simultaneously, and that the latter alone does not cause FAI, which leads to overdiagnosis in these cases. PMID:27069890

  1. Descriptive Epidemiology of Symptomatic Femoroacetabular Impingement in Young Athlete: Single Center Study.

    Science.gov (United States)

    Lee, Woo-Yong; Kang, Chan; Hwang, Deuk-Soo; Jeon, Je-Hyung; Zheng, Long

    2016-03-01

    The purpose of this study was to determine the prevalence of symptomatic femoroacetabular impingement (FAI) in athletic patients. From July 2003 to May 2013, 388 patients (422 hips) who underwent arthroscopic surgery for FAI were evaluated demographic characteristics. The patients' age, gender, diagnosis, and type of sports were analyzed using medical records and radiography. Among 422 hips in 388 patients, 156 hips were involved with sports. Among the 156 hips, 86, 43, and 27 hips were categorized as cam, pincer, and mixed type, respectively. Types of sports were soccer, baseball and taekwondo which showed 44, 36 and 35 hips, respectively. Also, cases related to sports according to age were 63 hips for twenties and 12 hips for teenagers in which the two showed highest association to FAI. The kinds of sports that showed high association were 28 hips of soccer and 20 cases of martial arts such as taekwondo and judo for twenties and 9 hips of martial arts for teenagers which was the highest. FAI usually occurs in young adults and is highly related to sports activity. Most of the FAI type related to sports activity was cam type, and soccer and martial arts such as taekwondo were the most common cause of it.

  2. Hip joint biomechanics during gait in people with and without symptomatic femoroacetabular impingement.

    Science.gov (United States)

    Diamond, Laura E; Wrigley, Tim V; Bennell, Kim L; Hinman, Rana S; O'Donnell, John; Hodges, Paul W

    2016-01-01

    Femoroacetabular impingement (FAI) is a morphological hip condition that can cause hip/groin pain and impaired function in younger active adults, and may lead to stiffness, muscle weakness, structural damage, and hip osteoarthritis. Understanding the impairments associated with FAI is crucial to guide treatment and rehabilitation strategies. Evidence is limited and conflicting about whether hip biomechanics are impaired during walking in people with symptomatic FAI. The objective of this study was to determine whether kinematics and kinetics during gait differ between people with symptomatic FAI and control participants. Fifteen participants diagnosed with symptomatic cam-type or combined (cam plus pincer) FAI who were scheduled for arthroscopic surgery and 14 age-, and sex-matched disease-free controls underwent three-dimensional gait analysis. Tri-planar hip kinematics and kinetics were compared between the two groups. There were limited significant between-group differences with respect to spatiotemporal variables. Participants with FAI walked with less range of motion in the sagittal plane during a gait cycle, but did not exhibit any significant kinematic differences in the frontal or transverse planes. There were no systematic differences in kinetics between the groups in any plane. Findings suggest that individuals with symptomatic FAI have minimal impairments in gait biomechanics. Although these individuals demonstrate reduced hip joint motion in the sagittal plane, the size of the difference is small and its significance for symptoms and function is unclear. More pronounced deficits in hip kinetics and kinematics may be evident during functional tasks that challenge the hip towards the position of impingement.

  3. How Often Does Femoroacetabular Impingement Occur After an Innominate Osteotomy for Acetabular Dysplasia?

    Science.gov (United States)

    Castañeda, Pablo; Vidal-Ruiz, Carlos; Méndez, Alfonso; Salazar, Diego Pérez; Torres, Armando

    2016-05-01

    Femoroacetabular impingement is increasingly recognized as a cause of hip pain but its incidence after an innominate osteotomy for the correction of acetabular dysplasia has not been determined. This information would be essential for the orthopaedic surgeon because it has the potential to produce a poor outcome in the long term when trying to balance acetabular instability and overcorrection. The purposes of our study were (1) to determine the frequency with which clinically relevant femoroacetabular impingement (FAI) occurs after an innominate osteotomy for the treatment of acetabular dysplasia; (2) to determine risk factors for the development of FAI; and (3) to compare postoperative radiographic and clinical outcomes in patients having undergone an innominate osteotomy for the correction of acetabular dysplasia both with and without FAI. This was a retrospective review of 154 hips (132 patients) that had undergone an innominate osteotomy for acetabular dysplasia and were evaluated at a minimum followup of 10 years (mean = 12 years). Mean age at the time of surgery was 3 years, 114 hips had a concomitant open reduction, and 54 hips also had femoral shortening. One hundred eight hips had a Salter osteotomy and 46 had a Pemberton osteotomy. Radiographs were analyzed to determine the lateral center-edge angle (CE angle) and the presence of a crossover sign. The diagnosis of FAI was established when the CE angle was greater than 40°, there was a positive crossover sign, and the patient had groin pain when flexing the hip less than 90°. Comparisons between nonparametric variables were performed with a Mann-Whitney's U test. Categorical variables were compared with a chi-square test. Change in acetabular index (correction) was dichotomized considering 20° of correction as the cutoff point. Association is presented as odds ratio (95% confidence interval), and logistic regression was performed. According to our criteria, 18 of 154 hips had FAI (12%). Of the 18

  4. Arthroscopic treatment of femoroacetabular impingement in patients older than 60 years

    Science.gov (United States)

    Mardones, Rodrigo; Via, Alessio Giai; Rivera, Alvaro; Tomic, Alexander; Somarriva, Marcelo; Wainer, Mauricio; Camacho, Daniel

    2016-01-01

    Summary Background The indications of hip arthroscopy increased over the past decade. Although mostly recommended for treatment of femoroacetabular impingement (FAI) in young patients, well-selected older patients (> 60 years old) may benefit from this surgery. However, the role of hip arthroscopy for the management of older patients is controversial. The aim of the study is to evaluate the clinical outcomes of a series of patients aged 60 years and older who underwent hip arthroscopy for FAI at mid-term follow-up. Materials and methods Sixty-year-old patients and older, with a joint space greater than 2 mm, and a grade I and II hip osteoarthrosis (OA) according Tönnis scale were included into the study. Twenty-three patients (28 hips) met the inclusion criteria. The T-Student test was used to detect for differences between variables (p<0.05). Results The mean age of the patients was 63.4 years, and the mean follow-up was 4.4 years (2–9 years). We found an improvement in mHHS and VAS score from the baseline to the final follow-up in 87% of patients (p<0.05). Three patients (13%) were submitted to a THA at a mean of 12 months, while the survivorship rate at the final follow-up was 75%. No major complications have been reported. Conclusion Arthroscopic treatment of FAI in patients over 60 years old, with no signs of advanced osteoarthrosis, showed a significant improvement of functional score and pain in most of cases, and it can be consider a reasonable option in well selected patients. Level of evidence: IV case series. PMID:28066746

  5. Pelvic Rotation in Femoroacetabular Impingement Is Decreased Compared to Other Symptomatic Hip Conditions.

    Science.gov (United States)

    Azevedo, Daniel Camara; Paiva, Edson Barreto; Lopes, Alexia Moura Abuhid; Santos, Henrique de Oliveira; Carneiro, Ricardo Luiz; Rodrigues, André Soares; de Andrade, Marco Antonio Percope; Novais, Eduardo N; Van Dillen, Linda R

    2016-11-01

    Study Design Cross-sectional, case-control design. Background Pelvic movement has been considered a possible discriminating parameter associated with femoroacetabular impingement (FAI) symptom onset. Decreased pelvic rotation has been found during squatting in people with FAI when compared to people with healthy hips. However, it is possible that changes in pelvic movement may occur in other hip conditions because of pain and may not be specific to FAI. Objectives To compare sagittal pelvic rotation during hip flexion and in sitting between people with FAI and people with other symptomatic hip conditions. Methods Thirty people with symptomatic FAI, 30 people with other symptomatic hip conditions, and 20 people with healthy hips participated in the study. Sagittal pelvic rotation was calculated based on measures of pelvic alignment in standing, hip flexion to 45° and 90°, and sitting. Results There were significant differences in sagittal pelvic rotation among the 3 groups in all conditions (Pother symptomatic hip conditions group and the hip-healthy group (mean difference, 1.2°-1.9°). In sitting, participants in the other symptomatic hip conditions group had less posterior pelvic rotation compared to those in the hip-healthy group (mean difference, 3.9°). Conclusion People with symptomatic FAI have less posterior pelvic rotation during hip flexion when compared to people with other symptomatic hip conditions and those with healthy hips. Level of Evidence Diagnosis, level 4. J Orthop Sports Phys Ther 2016;46(11):957-964. Epub 29 Sep 2016. doi:10.2519/jospt.2016.6713.

  6. Outcomes After Arthroscopic Treatment of Femoroacetabular Impingement for Patients With Borderline Hip Dysplasia.

    Science.gov (United States)

    Nawabi, Danyal H; Degen, Ryan M; Fields, Kara G; McLawhorn, Alexander; Ranawat, Anil S; Sink, Ernest L; Kelly, Bryan T

    2016-04-01

    The outcomes of hip arthroscopy in the treatment of dysplasia are variable. Historically, arthroscopic treatment of severe dysplasia (lateral center-edge angle [LCEA] dysplasia, favorable outcomes have been reported. To compare outcomes after hip arthroscopy for femoroacetabular impingement (FAI) in borderline dysplastic (BD) patients compared with a control group of nondysplastic patients. Cohort study; Level of evidence, 3 METHODS: Between March 2009 and July 2012, a BD group (LCEA, 18°-25°) of 46 patients (55 hips) was identified. An age- and sex-matched control group of 131 patients (152 hips) was also identified (LCEA, 25°-40°). Patient-reported outcome scores, including the modified Harris Hip Score (mHHS), the Hip Outcome Score-Activities of Daily Living (HOS-ADL) and Sport-Specific Subscale (HOS-SSS), and the International Hip Outcome Tool (iHOT-33), were collected preoperatively and at 1 and 2 years postoperatively. The mean LCEA was 22.4° ± 2.0° (range, 18.4°-24.9°) in the BD group and 31.0° ± 3.1° (range, 25.4°-38.7°) in the control group (P dysplasia when labral refixation and capsular closure are performed, with comparable outcomes to nondysplastic patients. Further follow-up in larger cohorts is necessary to prove the durability and safety of hip arthroscopy in this challenging group and to further explore potential sex-related differences in outcome. © 2016 The Author(s).

  7. Diagnostics of femoroacetabular impingement and labral pathology of the hip: a systematic review of the accuracy and validity of physical tests

    NARCIS (Netherlands)

    Tijssen, M.P.W.; Cingel, R. van; Willemsen, L.; Visser, E. de

    2012-01-01

    PURPOSE: Femoroacetabular impingement (FAI) and labral pathology have been recognized as causative factors for hip pain. The clinical diagnosis is now based on MRI-A (magnetic resonance imaging-arthrogram) because the physical diagnostic tests available are diverse and information on diagnostic accu

  8. Diagnostics of femoroacetabular impingement and labral pathology of the hip: a systematic review of the accuracy and validity of physical tests

    NARCIS (Netherlands)

    Tijssen, M.P.W.; Cingel, R. van; Willemsen, L.; Visser, E. de

    2012-01-01

    PURPOSE: Femoroacetabular impingement (FAI) and labral pathology have been recognized as causative factors for hip pain. The clinical diagnosis is now based on MRI-A (magnetic resonance imaging-arthrogram) because the physical diagnostic tests available are diverse and information on diagnostic

  9. Diagnostics of femoroacetabular impingement and labral pathology of the hip: a systematic review of the accuracy and validity of physical tests

    NARCIS (Netherlands)

    Tijssen, M.P.W.; Cingel, R. van; Willemsen, L.; Visser, E. de

    2012-01-01

    PURPOSE: Femoroacetabular impingement (FAI) and labral pathology have been recognized as causative factors for hip pain. The clinical diagnosis is now based on MRI-A (magnetic resonance imaging-arthrogram) because the physical diagnostic tests available are diverse and information on diagnostic accu

  10. Sonographic prevalence of groin hernias and adductor tendinopathy in patients with femoroacetabular impingement.

    Science.gov (United States)

    Naal, Florian D; Dalla Riva, Francesco; Wuerz, Thomas H; Dubs, Beat; Leunig, Michael

    2015-09-01

    Femoroacetabular impingement (FAI) is a common debilitating condition that is associated with groin pain and limitation in young and active patients. Besides FAI, various disorders such as hernias, adductor tendinopathy, athletic pubalgia, lumbar spine affections, and others can cause similar symptoms. To determine the prevalence of inguinal and/or femoral herniation and adductor insertion tendinopathy using dynamic ultrasound in a cohort of patients with radiographic evidence of FAI. Case series; Level of evidence, 4. This retrospective study consisted of 74 patients (36 female and 38 male; mean age, 29 years; 83 symptomatic hips) with groin pain and radiographic evidence of FAI. In addition to the usual diagnostic algorithm, all patients underwent a dynamic ultrasound examination for signs of groin herniation and tendinopathy of the proximal insertion of the adductors. Evidence of groin herniation was found in 34 hips (41%). There were 27 inguinal (6 female, 21 male) and 10 femoral (9 female, 1 male) hernias. In 3 cases, inguinal and femoral herniation was coexistent. Overall, 5 patients underwent subsequent hernia repair. Patients with groin herniation were significantly older than those without (33 vs 27 years, respectively; P = .01). There were no significant differences for any of the radiographic or clinical parameters. Tendinopathy of the proximal adductor insertion was detected in 19 cases (23%; 11 female, 8 male). Tendinopathy was coexistent with groin herniation in 8 of the 19 cases. There were no significant differences for any of the radiographic or clinical parameters between patients with or without tendinopathy. Patients with a negative diagnostic hip injection result were more likely to have a concomitant groin hernia than those with a positive injection result (80% vs 27%, respectively). Overall, 38 hips underwent FAI surgery with satisfactory outcomes in terms of score values and subjective improvement. The results demonstrate that groin

  11. Bernese periacetabular osteotomy in males: is there an increased risk of femoroacetabular impingement (FAI) after Bernese periacetabular osteotomy?

    Science.gov (United States)

    Ziebarth, K; Balakumar, J; Domayer, S; Kim, Y J; Millis, M B

    2011-02-01

    The Bernese periacetabular osteotomy (PAO) is a popular option for treating symptomatic acetabular dysplasia. We noted symptomatic impingement after PAO in several male patients. We therefore determined (1) the incidence of clinical signs of FAI after PAO in the male population; and (2) whether any factors were associated with the positive impingement signs after PAO in males. We retrospectively reviewed 38 males who underwent 46 periacetabular osteotomies (PAO) between 2000 and 2007. Clinical and radiographic data were analyzed with the focus on pre- and postoperative incidence of femoroacetabular impingement. Minimum followup was 12 months (average, 43 months; range, 12-90 months). We found a positive impingement sign in 19 of the 46 hips during the preoperative examination compared to 22 (47.8%) hips postoperatively. The ROM (flexion and internal rotation) decreased postoperatively compared to preoperatively. Radiographic parameters of coverage LCE-, ACE- and Tönnis angle improved into the normal range. Twenty hips had postoperative heterotopic ossification to varying degrees, mostly minor. WOMAC scores improved in the function and pain domains postoperatively. Despite normalization of coverage we found a high postoperative rate of clinical signs of FAI after PAO in males. Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.

  12. Characteristics and Outcomes of Arthroscopic Femoroacetabular Impingement Surgery in the National Football League.

    Science.gov (United States)

    Nwachukwu, Benedict U; Bedi, Asheesh; Premkumar, Ajay; Draovitch, Pete; Kelly, Bryan T

    2017-09-01

    Previous studies have reported that hip abnormalities may account for 10% of injuries in professional football players. The effect of femoroacetabular impingement (FAI) and arthroscopic FAI surgery in National Football League (NFL) athletes has not been well studied. To investigate the effect of arthroscopic FAI surgery on return to play (RTP) and RTP performance in NFL players. Cohort study; Level of evidence, 3. NFL athletes undergoing arthroscopic FAI surgery at a single institution between 2006 and 2014 were identified. Medical records were reviewed for demographic, clinical, and operative variables. RTP and RTP performance were assessed based on a review of publicly available NFL player statistics. RTP and RTP performance data included time to RTP; games played before and after the injury; yearly total yards and touchdowns for offensive players; and yearly total tackles, sacks, and interceptions for defensive players. The offensive power rating (OPR = [total yards/10] + [total touchdowns × 6]) and defensive power rating (DPR = total tackles + [total sacks × 2] + [total interceptions × 2]) were calculated. Paired t tests comparing preinjury and postinjury seasons were performed. A matched cohort of NFL players was created to compare trends for OPR, DPR, and career longevity. Forty-eight hips in 40 NFL players (mean age, 25.6 years) with symptomatic FAI were included; 8 players underwent staged bilateral hip arthroscopic procedures. The majority of players were offensive (n = 24; 60.0%), with offensive lineman (n = 11; 27.5%) being the most common of all positions. Of the 48 included hips, all had labral tears, and 41 (85.4%) underwent labral repair. Forty-two of the 48 hips (87.5%) underwent cam decompression, and 10 (20.8%) underwent rim decompression. Of the 40 included players, 37 (92.5%) achieved RTP to professional competition after their hip arthroscopic surgery at a mean of 6.0 months. Before the injury, included patients played in a mean of 11

  13. Tratamento cirúrgico para impacto femoroacetabular em um grupo que realiza agachamento Surgical treatment for femoroacetabular impingement in a group that performs squats

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    Giancarlo Cavalli Polesello

    2012-01-01

    persistent pain. During arthroscopy, 48 hips (100% presented lesions of the acetabular labrum, and 41 hips (85.4% had acetabular chondral lesions. CONCLUSION: The patients with painful symptoms after hip hyperflexion exercises associated with femoroacetabular impingement presented improvements after arthroscopic treatment.

  14. Validity and test-retest reliability of manual goniometers for measuring passive hip range of motion in femoroacetabular impingement patients.

    Directory of Open Access Journals (Sweden)

    Nussbaumer Silvio

    2010-08-01

    Full Text Available Abstract Background The aims of this study were to evaluate the construct validity (known group, concurrent validity (criterion based and test-retest (intra-rater reliability of manual goniometers to measure passive hip range of motion (ROM in femoroacetabular impingement patients and healthy controls. Methods Passive hip flexion, abduction, adduction, internal and external rotation ROMs were simultaneously measured with a conventional goniometer and an electromagnetic tracking system (ETS on two different testing sessions. A total of 15 patients and 15 sex- and age-matched healthy controls participated in the study. Results The goniometer provided greater hip ROM values compared to the ETS (range 2.0-18.9 degrees; P P Conclusions The present study suggests that goniometer-based assessments considerably overestimate hip joint ROM by measuring intersegmental angles (e.g., thigh flexion on trunk for hip flexion rather than true hip ROM. It is likely that uncontrolled pelvic rotation and tilt due to difficulties in placing the goniometer properly and in performing the anatomically correct ROM contribute to the overrating of the arc of these motions. Nevertheless, conventional manual goniometers can be used with confidence for longitudinal assessments in the clinic.

  15. The direct environmental impact of hip arthroscopy for femoroacetabular impingement: a surgical waste audit of five cases.

    Science.gov (United States)

    de Sa, Darren; Stephens, Kellee; Kuang, Michelle; Simunovic, Nicole; Karlsson, Jon; Ayeni, Olufemi R

    2016-07-01

    Health care facilities produce significant waste (2200 kg/bed/year) creating 2% of greenhouse gas emissions and 1% total solid waste nationwide, with 20-70% of waste coming from operating rooms. We performed a waste audit of hip arthroscopy for femoroacetabular impingement (FAI) to understand its environmental impact and identify areas for greening practices. A waste audit of five hip arthroscopy procedures for FAI was performed. All waste was collected and separated into six waste streams in real time: (i) normal/landfill waste; (ii) recyclable cardboards and plastics; (iii) biohazard waste; (iv) sharp items; (v) linens and (vi) sterile wrapping. The surgical waste (except laundered linens) from five FAI surgeries totaled 47.4 kg, including 21.7 kg (45.7%) of biohazard waste, 11.7 kg (24.6%) of sterile wrap, 6.4 kg (13.5%) of normal/landfill waste, 6.4 kg (13.5%) of recyclable plastics and 1.2 kg (2.6%) of sharp items. An average of 9.4 kg (excluding laundered linens) of waste was produced per procedure. Given the considerable biohazard waste produced by FAI procedures, additional recycling programs, continued adherence to proper waste segregation and an emphasis on 'green outcomes' is encouraged to demonstrate environmental responsibility and effectively manage and allocate finite resources.

  16. Relationship between the alpha and beta angles in diagnosing CAM-type femoroacetabular impingement on frog-leg lateral radiographs.

    Science.gov (United States)

    Khan, Moin; Ranawat, Anil; Williams, Dale; Gandhi, Rajiv; Choudur, Hema; Parasu, Naveen; Simunovic, Nicole; Ayeni, Olufemi R

    2015-09-01

    Alpha and beta angles are commonly used radiographic measures to assess the sphericity of the proximal femur and distance between the pathologic head-neck junction and the acetabular rim, respectively. The aim of this study was to explore the relationship between these two measurements on frog-leg lateral hip radiographs. Fifty frog-leg lateral hip radiographs were evaluated by two orthopaedic surgeons and two radiologists. Each reviewer measured the alpha and beta angles on two separate occasions to determine the relationship between positive alpha and beta angles and the inter- and intra-observer reliability of these measurements. There was no significant association between positive alpha and beta angles, [kappa range -0.043 (95 % CI -0.17 to 0.086) to 0.54 (95 % CI 0.33-0.75)]. Intra-observer reliability was high [alpha angle intra-class correlation coefficient (ICC) range 0.74 (95 % CI 0.58-0.84) to 0.99 (95 % CI 0.98-0.99) and beta angle ICC range 0.86 (95 % CI 0.76-0.92) to 0.97 (95 % CI 0.95-0.98)]. There is no statistical or functional relationship between readings of positive alpha and beta angles. The radiographic measurements resulted in high intra-observer and fair-to-moderate inter-observer reliability. Results of this study suggest that the presence of a CAM lesion on lateral radiographs as suggested by a positive alpha angle does not necessitate a decrease in clearance between the femoral head and acetabular rim as measured by the beta angle and thus may not be the best measure of functional impingement. Understanding the relationship between these two aspects of femoroacetabular impingement improves a surgeon's ability to anticipate potential operative management.

  17. Correlations between the alpha angle and femoral head asphericity: Implications and recommendations for the diagnosis of cam femoroacetabular impingement

    Energy Technology Data Exchange (ETDEWEB)

    Harris, Michael D., E-mail: michael.harris@utah.edu [Department of Orthopaedics, Department of Bioengineering, University of Utah, 590 Wakara Way A-100, Salt Lake City, UT 84108 (United States); Kapron, Ashley L., E-mail: ashley.kapron@utah.edu [Department of Orthopaedics, Department of Bioengineering, University of Utah, 590 Wakara Way A-100, Salt Lake City, UT 84108 (United States); Peters, Christopher L., E-mail: chris.peters@hsc.utah.edu [Department of Orthopaedics, 590 Wakara Way A-100, Salt Lake City, UT 84108 (United States); Anderson, Andrew E., E-mail: andrew.anderson@hsc.utah.edu [Department of Orthopaedics, Department of Bioengineering, Department of Physical Therapy, Scientific Computing and Imaging Institute, University of Utah, 590 Wakara Way A-100, Salt Lake City, UT 84108 (United States)

    2014-05-15

    Objective: To determine the strength of common radiographic and radial CT views for measuring true femoral head asphericity. Patients and methods: In 15 patients with cam femoroacetabular impingement (FAI) and 15 controls, alpha angles were measured by two observers using radial CT (0°, 30°, 60°, 90°) and digitally reconstructed radiographs (DRRs) for the: anterior–posterior (AP), standing frog-leg lateral, 45° Dunn with neutral rotation, 45° Dunn with 40° external rotation, and cross-table lateral views. A DRR validation study was performed. Alpha angles were compared between groups. Maximum deviation from a sphere of each subject was obtained from a previous study. Alpha angles from each view were correlated with maximum deviation. Results: There were no significant differences between alpha angles measured on radiographs and the corresponding DRRs (p = 0.72). Alpha angles were significantly greater in patients for all views (p ≤ 0.002). Alpha angles from the 45° Dunn with 40° external rotation, cross-table lateral, and 60° radial views had the strongest correlations with maximum deviation (r = 0.831; r = 0.823; r = 0.808, respectively). The AP view had the weakest correlation (r = 0.358). Conclusion: DRRs were a validated means to simulate hip radiographs. The 45° Dunn with 40° external rotation, cross-table lateral, and 60° radial views best visualized femoral asphericity. Although commonly used, the AP view did not visualize cam deformities well. Overall, the magnitude of the alpha angle may not be indicative of the size of the deformity. Thus, 3D reconstructions and measurements of asphericity could improve the diagnosis of cam FAI.

  18. Hip Joint Stresses Due to Cam-Type Femoroacetabular Impingement: A Systematic Review of Finite Element Simulations.

    Directory of Open Access Journals (Sweden)

    K C Geoffrey Ng

    Full Text Available The cam deformity causes the anterosuperior femoral head to obstruct with the acetabulum, resulting in femoroacetabular impingement (FAI and elevated risks of early osteoarthritis. Several finite element models have simulated adverse loading conditions due to cam FAI, to better understand the relationship between mechanical stresses and cartilage degeneration. Our purpose was to conduct a systematic review and examine the previous finite element models and simulations that examined hip joint stresses due to cam FAI.The systematic review was conducted to identify those finite element studies of cam-type FAI. The review conformed to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines and studies that reported hip joint contact pressures or stresses were included in the quantitative synthesis.Nine articles studied FAI morphologies using finite element methods and were included in the qualitative synthesis. Four articles specifically examined contact pressures and stresses due to cam FAI and were included in the quantitative synthesis. The studies demonstrated that cam FAI resulted in substantially elevated contact pressures (median = 10.4 MPa, range = 8.5-12.2 MPa and von Mises stresses (median 15.5 MPa, range = 15.0-16.0 MPa at the acetabular cartilage; and elevated maximum-shear stress on the bone (median = 15.2 MPa, range = 14.3-16.0 MPa, in comparison with control hips, during large amplitudes of hip motions. Many studies implemented or adapted idealized, ball-and-cup, parametric models to predict stresses, along with homogeneous bone material properties and in vivo instrumented prostheses loading data.The formulation of a robust subject-specific FE model, to delineate the pathomechanisms of FAI, remains an ongoing challenge. The available literature provides clear insight into the estimated stresses due to the cam deformity and provides an assessment of its risks leading to early joint degeneration.

  19. Which is the most useful patient-reported outcome in femoroacetabular impingement? Test-retest reliability of six questionnaires.

    Science.gov (United States)

    Hinman, Rana S; Dobson, Fiona; Takla, Amir; O'Donnell, John; Bennell, Kim L

    2014-03-01

    The most reliable patient-reported outcomes (PROs) for people with femoroacetabular impingement (FAI) is unknown because there have been no direct comparisons of questionnaires. Thus, the aim was to evaluate the test-retest reliability of six existing PROs in a single cohort of young active people with hip/groin pain consistent with a clinical diagnosis of FAI. Young adults with clinical FAI completed six PRO questionnaires on two occasions, 1-2 weeks apart. The PROs were modified Harris Hip Score, Hip dysfunction and Osteoarthritis Score, Hip Outcome Score, Non-Arthritic Hip Score, International Hip Outcome Tool, Copenhagen Hip and Groin Outcome Score. 30 young adults (mean age 24 years, SD 4 years, range 18-30 years; 15 men) with stable symptoms participated. Intraclass correlation coefficient(3,1) values ranged from 0.73 to 0.93 (95% CI 0.38 to 0.98) indicating that most questionnaires reached minimal reliability benchmarks. Measurement error at the individual level was quite large for most questionnaires (minimal detectable change (MDC95) 12.4-35.6, 95% CI 8.7 to 54.0). In contrast, measurement error at the group level was quite small for most questionnaires (MDC95 2.2-7.3, 95% CI 1.6 to 11). The majority of the questionnaires were reliable and precise enough for use at the group level. Samples of only 23-30 individuals were required to achieve acceptable measurement variation at the group level. Further direct comparisons of these questionnaires are required to assess other measurement properties such as validity, responsiveness and meaningful change in young people with FAI.

  20. Femoro-acetabular impingement: can indirect MR arthrography be considered a valid method to detect endoarticular damage? A preliminary study.

    Science.gov (United States)

    Pozzi, Grazia; Stradiotti, Paola; Parra, Cleber Garcia; Zagra, Luigi; Sironi, Sandro; Zerbi, Alberto

    2009-01-01

    To assess the effectiveness of indirect Magnetic Resonance arthrography (i-MRa) in the detection of chondral and labral lesions related to femoro-acetabular impingement (FAI) a series of 21 hip joints in 17 patients with a clinical diagnosis of FAI were examined either with standard MR imaging, i-MRa and direct-MR arthrography (d-MRa). Sensitivity and accuracy of i-MRa in detecting chondral, labral and tardive lesions were calculated and compared with standard MR. The agreement in detecting endoarticular damage between i-MRa and d-MRa and the interobserver agreement was assessed by K statistic (p<0.05). Finally the presence of trocanteric bursitis was evaluated. I-MRa showed higher values of both sensivity and accuracy than standard MR in detecting chondral damage, with an increase to 92% for the first item and 95% for the second. The same was noticed in labrum evaluation with an increase to 88% and 90% respectively. The level of agreement between i-MRa and d-MRa in detection of chondral lesions was excellent, substantial for the labral damage and absolute for early osteoarthritic changes. An excellent interobserver agreement resulted in detection of both chondral and labral damages with i-MRa. In 6 hips (28,5%) we also found the presence of peri-trochanteric soft tissue inflammation that indicated the possibility of extrarticular involvement in FAI. Indirect-MRa can be considered a valid method of assessing endoarticular damage related to FAI, in comparison to d-MRa. It should be performed instead of standard MR if d-MRa is not available.

  1. Roles of radiograph, magnetic resonance imaging, threedimensional computed tomography in early diagnosis of femoro-acetabular impingement in 17 cases

    Institute of Scientific and Technical Information of China (English)

    GU Gui-shan; ZHU Dong; WANG Gang; WANG Cheng-xue

    2009-01-01

    Objective: To evaluate the roles of radiograph, magnetic resonance imaging (MRI), three-dimensional computed tomography (3-D CT) in early diagnosis of femoro-acetabular impingement (FAI) in 17 cases. Methods: Plain radiographs of the pelvis, 3-D CT, and MRI of the hip were made on 17 patients with groin pain, which was worse with prolonged sitting (i.e. hip flexion). There was no history of trauma or childhood hip disorders in the patients who did not complain of any other joint problems or neurologic symptoms. All patients had positive anterior or posterior impingement test. Plain radiographs included an antero-posterior (AP) view of the hip and a cross table lateral view with slight internal rotation of the hip. CT scan was performed with the Lightspeed 16 row spiral (General Electric Company, USA) at 1.25 mm slice reconstruction. MRI scan was performed on the Siemens Avanto (Siemens Company, Germany)1.5T supraconducfion magnetic resonance meter. The CT and MRI scans were taken from 1 cm above the acetabulum to the lesser trochanter in 5 series. Results: The plain radiographs of the pelvis showed that among the 17 patients, 12 (70.59%) had "Cam" change of the femoral head, 6 (35.29%) had positive "cross-over" sign, and 17 (100%) had positive "Pincer" change of the acetabulum. The 16 row spiral CT noncontrast enhanced scan and 3-D reconstruction could discover minus femoral offset and ossification and osteophyte of the acetabulum labrum in all the 17 cases (100%). The MRI noncontrast enhanced scan could discover more fluid in the hip joint in 15 cases (88.33%), subchondral ossification in 3 cases (17.6%), and labium tears in 3 cases (17.6%). Conclusions: Plain radiographs can provide the initial mainstay for the diagnosis of FAI, 3-D CT can tell us the femoral offset, while MRI can show labrum tears in the very early stage of FAI. Basically, X-ray examination is enough for the early diagnosis of FAI, but 3-D CT and MRI may be useful for the treatment.

  2. Fisioterapia no pós-operatório de correção artroscópica do impacto femoroacetabular = Physical therapy following femoroacetabular impingement arthroscopy

    Directory of Open Access Journals (Sweden)

    Frasson, Viviane Bortoluzzi

    2015-01-01

    Full Text Available Introdução: Diferentes métodos para ganho de amplitude de movimento do quadril operado, descarga de peso sobre o membro operado e de retorno ao esporte são atualmente baseados na experiência clínica de alguns grupos de pesquisadores do Impacto Femoroacetabular. Entretanto, o protocolo ideal de Fisioterapia no pós-operatório de correção artroscópica do Impacto Femoroacetabular ainda não está estabelecido na literatura. Objetivo: Apresentar uma metodologia para a reabilitação pós-operatória do Impacto Femoroacetabular, descrevendo um protocolo com base na experiência dos autores e em conhecimentos biomecânicos. Descrição da experiência: O protocolo de reabilitação proposto é dividido em quatro fases: (1 fase de reabilitação imediata, que compreende a fase hospitalar e as duas semanas iniciais da reabilitação; (2 fase de retorno às atividades de vida diária, que abrange o primeiro mês de pós-operatório; (3 fase de reforço muscular específico e treino proprioceptivo e; (4 fase de preparo final para o retorno ao esporte. Os autores procuram apresentar neste artigo as bases científicas para as condutas propostas em cada uma das fases. Conclusão: O conhecimento da patologia, da biomecânica articular do quadril e das bases fisiológicas dos métodos e técnicas de fisioterapia é fundamental para propor um protocolo adequado na ausência de evidências científicas suficientes para dar suporte ao protocolo mais adequado

  3. Measuring the osteochondral connection of the femoral head and neck in patients with impingement femoroacetabulare by determining the angle of two alpha in lateral and anteroposterior hip radiographic images

    Directory of Open Access Journals (Sweden)

    Anđelković Zoran

    2013-01-01

    Full Text Available Background/Aim. Femoroacetabular impingement, a pathophysiological mechanism of small morphological changes of the hip leads to early arthritic changes. The aim of this study was to present a simple method for the quantification of femoral head and neck junction in patients with cam form of femoroacetabular impingement, in standardized anteroposterior and profile DUNN 90 radiograms of the hips. Methods. In standardized anteroposterior and profile DUNN 90 images of the hips we determined the angle of 2 alpha, defined by our own original method. We tested 141 hips in 81 patients without clinical signs of femoroacetabular impingement, and 153 hips in 76 patients with clinically clear signs of femoroacetabular impingement. Results. The value of the angle 2 alpha in anteroposterior hip radiograms was on average 113.7° for the patients with clinical symptoms of impingement, and 84.2° for the control group of patients (p ≤ 0.0001, and in DUNN 90 profile radiography of the hip, the value of 2 alpha angle in the patients group was 97.2°, and 74.6° in the control group (p ≤ 0.0001. The proposed method of determining the angle 2 alpha showed a high level sensitivity (97.8% and specificity (98.7 and positive predictive value (98.6%. It was false positive in only 1.3%, and false negative in 2.12% of patients. Conclusion. Using standardized anteroposterior and profile radiographs of the hips, and without determination of femoral neck axis in patients with femoroacetabular impingement with the cam effect at the junction of the femoral head and neck, we proposed the method of measuring joint abnormalities of femoral head and neck junction, very capable to predict the disease development in an asymptomatic risk group of patients and high sensitive in the diagnosis of the disease in the group of patients.

  4. Impingement syndrome of the shoulder; Schulterimpingement

    Energy Technology Data Exchange (ETDEWEB)

    Mayerhoefer, M.E. [Klinische Abteilung fuer Osteologie, Klinik fuer Radiodiagnostik der Universitaet Wien (Austria); Klinische Abteilung Radiodiagnostik fuer chirurgische Faecher, Klinik fuer Radiodiagnostik der Universitaet Wien (Austria); Klinische Abteilung fuer Osteologie, Klinik fuer Radiodiagnostik der Universitaet, Waehringer Guertel 18-20, 1090, Wien (Austria); Breitenseher, M.J. [Klinische Abteilung fuer Osteologie, Klinik fuer Radiodiagnostik der Universitaet Wien (Austria); Waldviertelklinikum Horn (Austria)

    2004-06-01

    The impingement syndrome is a clinical entity characterized by shoulder pain due to primary or secondary mechanical irritation of the rotator cuff. The primary factors for the development of impingement are a curved or hook-shaped anterior acromion as well as subacromial osteophytes, which may lead to tearing of the supraspinatus tendon. Secondary impingement is mainly caused by calcific tendinopathy, glenohumeral instability, os acromiale and degenerative changes of the acromioclavicular joint. Conventional radiographs are initially obtained, mainly for evaluation of the bony structures of the shoulder. If available, sonography can be used for detection of lesions and tears of the rotator cuff. Finally, MR-imaging provides detailed information about the relationship of the acromion and the acromioclavicular joint to the rotator cuff itself. In many cases however, no morphologic cause for impingement syndrome can be found. While patients are initially treated conservatively, chronic disease usually requires surgical intervention. (orig.) [German] Das Impingementsyndrom ist ein klinisches Krankheitsbild multifaktorieller Genese, bei dem es primaer oder sekundaer zu einer schmerzhaften mechanischen Beeintraechtigung der Rotatorenmanschette kommt. Als primaere Faktoren gelten ein gebogener oder hakenfoermiger Vorderrand des Akromions oder von diesem entspringende Osteophyten, was zu Laesionen der Supraspinatussehne fuehren kann. Zu den sekundaeren Faktoren zaehlt man v. a. eine Tendinitis calcarea, eine glenohumerale Instabilitaet, ein Os acromiale sowie degenerative Veraenderungen im Bereich des Akromioklavikulargelenks. Bildgebend steht an erster Stelle ein Nativroentgen, mit dem sich die knoechernen Strukturen gut darstellen lassen. Falls vorhanden, kann in weiterer Folge die Sonographie Auskunft ueber den Zustand der Rotatorenmanschette geben. Mit der MRT schliesslich laesst sich die Beziehung von Akromion und gelenkassoziierten Strukturen zur Rotatorenmanschette

  5. Femoroacetabular Impingement (FAI)

    Science.gov (United States)

    ... of the labrum and breakdown of articular cartilage (osteoarthritis). Types of FAI There are three types of ... Page ( 3 ) rotate it inward towards your opposite shoulder. If this recreates your hip pain, the test ...

  6. Ischiofemoral impingement syndrome: a meta-analysis

    Energy Technology Data Exchange (ETDEWEB)

    Singer, Adam D.; Subhawong, Ty K.; Jose, Jean; Tresley, Jonathan; Clifford, Paul D. [Jackson Memorial Hospital, Department of Diagnostic Radiology, Section of Musculoskeletal Imaging, Miami, FL (United States)

    2015-06-01

    clinical findings. Using the proposed measurement thresholds may better identify patients with this impingement syndrome so that optimal treatment options can be pursued. (orig.)

  7. Diagnosis of lesions of the acetabular labrum, of the labral-chondral transition zone, and of the cartilage in femoroacetabular impingement: Correlation between direct magnetic resonance arthrography and hip arthroscopy.

    Science.gov (United States)

    Crespo Rodríguez, A M; de Lucas Villarrubia, J C; Pastrana Ledesma, M A; Millán Santos, I; Padrón, M

    2015-01-01

    To determine the sensitivity and accuracy of direct MR arthrography in the diagnosis of intra-articular lesions associated with femoroacetabular impingement. We used direct MR arthrography to study 51 patients with femoroacetabular impingement who underwent arthroscopic hip surgery. Surgery demonstrated 37 labral tears, 44 lesions in the labral-chondral transitional zone, and 40 lesions of the articular cartilage. We correlated the findings at preoperative direct MR arthrography with those of hip arthroscopy and calculated the sensitivity, specificity, positive predictive value, negative predictive value, and validity index for direct MR arthrography. The sensitivity and specificity of MR arthrography were 94.5% and 100%, respectively, for diagnosing labral tears, 100% and 87.5%, respectively, for diagnosing lesions of the labral-chondral transition zone, and 92.5% and 54.5%, respectively, for diagnosing lesions of the articular cartilage. The negative predictive value of MR arthrography for lesions of the labral-chondral transitional zone was 100%. MR arthrography accurately defined extensive lesions of the cartilage and the secondary osseous changes (the main factor in poor prognosis), although its diagnostic performance was not so good in small chondral lesions. In patients with femoroacetabular impingement, direct MR arthrography can adequately detect and characterize lesions of the acetabular labrum and of the labral-chondral transitional zone as well as extensive lesions of the articular cartilage and secondary osseous changes. Copyright © 2013 SERAM. Published by Elsevier España, S.L.U. All rights reserved.

  8. [Athletic pubalgia and hip impingement].

    Science.gov (United States)

    Berthaudin, A; Schindler, M; Ziltener, J-L; Menetrey, J

    2014-07-16

    Athletic pubalgia is a painful and complex syndrom encountered by athletes involved in pivoting and cutting sports such as hockey and soccer. To date, there is no real consensus on the criteria for a reliable diagnostic, the different investigations, and the appropriate therapy. Current literature underlines intrinsic and extrinsic factors contributing to athletic pubalgia. This review article reports upon two novelties related to the issue: the importance and efficience of prevention program and the association of femoro-acetabular impingement with the pubalgia.

  9. 加强髋关节撞击征的临床与基础研究%Emphasis on clinical and basic research of femoroacetabular impingement

    Institute of Scientific and Technical Information of China (English)

    黄公怡

    2014-01-01

    The concept of femoroacetabular impingement ( FAI ) was ifrst proposed by Ganz, which had been more and more concerned in recent 10 years. FAI refers to abnormal impact or entrapment in the femoral head and neck border and in the margin of the acetabulum and the related clinical symptoms in the hip movement process caused by dysplasia of the hip joint, injuries, operation and so on. Muscular tissues around the hip joint act as the powerplant. The coordination and antagonism among muscles promote the completion of movement and the avoidance of impact in the joint, when the structures and functions of the innervation and muscles are perfect. Even in the patients with developmental or acquired abnormal anatomy, the occurrence of impact or FAI is not inevitable. Due to developmental or acquired abnormal anatomy, the imbalance of motivation functions of muscles or both abnormal structures and abnormal motivation functions, the occurrence of FAI becomes possible. The long-term, frequent and repeating impact makes the articular cartilage be further involved by injures, degeneration and stripping of the glenoid labrum, and it is hard to avoid the occurrence and development of osteoarthritis. Due to the impact in the joint, the rhythm in the corresponding direction will be certainly changed. Therefore, it is supposed that the understanding of the occurrence, development course and discipline of impact is helpful for the investigation and research of early prevention and compensation training. A long-term longitudinal survey is performed in the adolescents majoring in sports, in which some persuasive evidences may be found. Individualized diagnosis and treatment will always be the basic principle of thinking and practice in the clinical work. The etiology, pathological mechanism and prognosis of FAI should be further explored and more evidences on the basis of the evidence-based medicine should be accumulated clinically, so as to improve the understanding and prevention

  10. Limited therapeutic benefits of intra-articular cortisone injection for patients with femoro-acetabular impingement and labral tear.

    Science.gov (United States)

    Krych, Aaron J; Griffith, Timothy B; Hudgens, Joshua L; Kuzma, Scott A; Sierra, Rafael J; Levy, Bruce A

    2014-04-01

    Intra-articular (IA) hip cortisone injection is commonly performed as a therapeutic modality in patients with femoral acetabular impingement (FAI). To our knowledge, there is no published data evaluating the clinical benefit of these injections. The purpose of this study was to assess the efficacy of therapeutic IA cortisone injection in these patients. At our institution, patients with FAI and labral tear prospectively recorded their numerical rating scale (NRS) pain scores pre-injection, during post-injection anaesthetic phase, and at 14 days post-injection. From this cohort, all patients treated with guided IA cortisone injection, no radiographic evidence of arthritis (Tönnis grade 0 or 1) and pain relief during the anaesthetic phase of the IA injection were included. An absolute change of two points on the NRS score was considered the minimal amount of clinically significant pain relief. Pain scores were compared between the different types of steroid injected. Fifty-four patients (35 females, 19 males) with a mean age of 32 ± 12 years were included. Average median pre-injection NRS score was 7.0 (range 2.5-10.0), post-injection anaesthetic phase was 1.0 (range 0.0-5.0), and 14 day post-injection was 5.0 (range 0.0-10.0). As a group, NRS scores significantly diminished from post-injection anaesthetic phase to 14 days post-injection (p cortisone injection has limited clinical benefit as a therapeutic modality. However, anaesthetic-only IA injections for patients who may be candidates for hip arthroscopy can be a useful diagnostic tool.

  11. Bone scintigraphy in costo-iliac impingement syndrome

    DEFF Research Database (Denmark)

    Madsen, Jan L

    2008-01-01

    Abstract: A syndrome of back pain caused by impingement of the lowest ribs against the iliac crest has been described in patients with osteoporotic vertebral fractures and loss of height of the patient. A case is presented of an 81-year-old woman with a long history of osteoporosis with compressi...... fractures of several thoracic and lumbar vertebrae. She presented with progressive lower back pain and weight loss. Bone scintigraphy revealed increased uptake in the lower ribs on both sides compatible with the costo-iliac impingement syndrome. There were no signs of bone metastases....

  12. Do Patients With Borderline Dysplasia Have Inferior Outcomes After Hip Arthroscopic Surgery for Femoroacetabular Impingement Compared With Patients With Normal Acetabular Coverage?

    Science.gov (United States)

    Cvetanovich, Gregory L; Levy, David M; Weber, Alexander E; Kuhns, Benjamin D; Mather, Richard C; Salata, Michael J; Nho, Shane J

    2017-07-01

    The literature contains conflicting reports regarding whether outcomes of hip arthroscopic surgery for patients with borderline dysplasia are inferior to outcomes in patients with normal acetabular coverage. To assess differences in the outcomes of hip arthroscopic surgery for femoroacetabular impingement (FAI) in groups of patients with borderline dysplasia and normal coverage. Cohort study; Level of evidence, 3. A registry of consecutive patients who had undergone primary hip arthroscopic surgery with capsular plication for FAI between January 2012 and January 2014 were divided based on the preoperative lateral center-edge angle (LCEA) into 2 distinct groups: (1) borderline dysplasia (LCEA 18°-25°) and (2) normal acetabular coverage (LCEA 25.1°-40°). There were 36 patients in the borderline dysplastic group and 312 patients in the normal coverage group. The primary outcome measure was the Hip Outcome Score-Activities of Daily Living (HOS-ADL) at a minimum of 2 years postoperatively. Secondary outcome measures included the HOS-Sports and modified Harris Hip Score (mHHS). The mean preoperative LCEA differed significantly between groups (23.4° ± 1.5° for borderline dysplastic, 32.5° ± 3.8° for normal coverage; P hip arthroscopic surgery (mean follow-up, 2.6 ± 0.6 years), both groups demonstrated significant improvements in all patient-reported outcome scores ( P hip arthroscopic surgery, and none underwent total hip arthroplasty during the follow-up period. There were no differences between the borderline dysplastic and normal coverage groups with regard to subsequent surgery. Female patients in the borderline dysplastic group had greater improvements in the mean HOS-ADL (25.9 ± 16.3 vs 10.8 ± 18.5, respectively; P = .05) and mHHS (27.9 ± 12.9 vs 8.1 ± 19.0, respectively; P = .005) compared with male patients in the borderline dysplastic group, but male and female patients did not differ in outcomes for the normal coverage group. Patients who

  13. Evaluation of articular cartilage in patients with femoroacetabular impingement (FAI) using T2* mapping at different time points at 3.0 Tesla MRI: a feasibility study

    Energy Technology Data Exchange (ETDEWEB)

    Apprich, S.; Mamisch, T.C. [University of Bern, Department of Orthopedic Surgery, Bern (Switzerland); Medical University of Vienna, Department of Radiology, MR Centre of Excellence, Vienna (Austria); Welsch, G.H. [Medical University of Vienna, Department of Radiology, MR Centre of Excellence, Vienna (Austria); University of Erlangen-Nuernberg, Department of Trauma Surgery, Erlangen (Germany); Bonel, H. [University of Bern, Department of Radiology, Bern (Switzerland); Siebenrock, K.A.; Dudda, M. [University of Bern, Department of Orthopedic Surgery, Bern (Switzerland); Kim, Y.J. [Harvard Medical School, Department of Orthopaedic Surgery, Children' s Hospital, Boston, MA (United States); Trattnig, S. [Medical University of Vienna, Department of Radiology, MR Centre of Excellence, Vienna (Austria)

    2012-08-15

    To define the feasibility of utilizing T2* mapping for assessment of early cartilage degeneration prior to surgery in patients with symptomatic femoroacetabular impingement (FAI), we compared cartilage of the hip joint in patients with FAI and healthy volunteers using T2* mapping at 3.0 Tesla over time. Twenty-two patients (13 females and 9 males; mean age 28.1 years) with clinical signs of FAI and Toennis grade {<=} 1 on anterior-posterior x-ray and 35 healthy age-matched volunteers were examined at a 3 T MRI using a flexible body coil. T2* maps were calculated from sagittal- and coronal-oriented gradient-multi-echo sequences using six echoes (TR 125, TE 4.41/8.49/12.57/16.65/20.73/24.81, scan time 4.02 min), both measured at beginning and end of the scan (45 min time span between measurements). Region of interest analysis was manually performed on four consecutive slices for superior and anterior cartilage. Mean T2* values were compared among patients and volunteers, as well as over time using analysis of variance and Student's t-test. Whereas quantitative T2* values for the first measurement did not reveal significant differences between patients and volunteers, either for sagittal (p = 0.644) or coronal images (p = 0.987), at the first measurement, a highly significant difference (p {<=} 0.004) was found for both measurements with time after unloading of the joint. Over time we found decreasing mean T2* values for patients, in contrast to increasing mean T2* relaxation times in volunteers. The study proved the feasibility of utilizing T2* mapping for assessment of early cartilage degeneration in the hip joint in FAI patients at 3 Tesla to predict possible success of joint-preserving surgery. However, we suggest the time point for measuring T2* as an MR biomarker for cartilage and the changes in T2* over time to be of crucial importance for designing an MR protocol in patients with FAI. (orig.)

  14. Physiotherapy improves patient reported shoulder function and health status in patients with subacromial impingement syndrome

    DEFF Research Database (Denmark)

    Storgaard, Filip Holst; Pedersen, Christina Gravgaard; Jensen, Majbritt Lykke

    Physiotherapy improves patient reported shoulder function and health status in patients with subacromial impingement syndrome.......Physiotherapy improves patient reported shoulder function and health status in patients with subacromial impingement syndrome....

  15. 3.0 T MRI findings of femoroacetabular impingement%股骨髋臼撞击症的3.0T MRI影像分析

    Institute of Scientific and Technical Information of China (English)

    张慧博; 刘敏; 王丽; 蒋涛; 屈辉

    2010-01-01

    目的 探讨3.0TMR高分辨扫描对股骨髋臼撞击症(femoroacetabular impingement,FAI)的诊断价值.方法 2008年6月至2010年5月,临床诊断FAI患者54例,男38例,女16例;年龄18~50岁,平均33.5岁.应用德国西门子公司的3.0T超导MR扫描仪行高分辨扫描.按髋关节形态学改变将患者分为Cum组(股骨头凸轮状改变)、Pincer组(髋臼过度覆盖)及Normal组(无明显形态学改变),观察髋关节面软骨、髋臼盂唇、股骨头或髋臼骨质、关节腔积液、关节囊或韧带信号改变,比较各组MRI异常征象的出现率.结果 MRI影像中出现髋臼盂唇信号异常44例(81.5%,44/54),关节面软骨信号异常35例(64.8%,35/54),关节腔积液19例(35.2%,19/54),股骨头或髋臼骨质信号异常14例(25.9%,14/54),关节囊或韧带信号异常4例(7.4%,4/54).不同性别组间MRI异常征象出现率差异无统计学意义.Cum组、Pincer组及Normal组三组间髋臼盂唇信号异常、关节面软骨信号异常、股骨头或髋臼骨质信号异常出现率差异有统计学差异,而关节腔积液、关节囊或韧带信号异常出现率差异无统计学意义.各组中髋臼盂唇信号异常出现率最高(Cum组88.5%,Pincer组77.8%,Normal组70.0%),其次为关节面软骨信号异常.结论 3.0T MR高分辨扫描能够清晰显示FAI的异常征象,髋臼盂唇及关节面软骨损伤可能为FAI的早期改变,MRI对骨质和软骨细节的显示可为进一步观察FAI的病变特征提供依据.%Objective The purpose of our study is to evaluate high-resolution 3.0 T MRI in the identification of finding in patients with a clinical diagnosis of femoroacetabular impingement (FAI). Methods From June 2008 to May 2010, 54 consecutive patients with clinically diagnostic FAI received an high-resolution 3.0 T MR scan (Siemens AG, Germany), including 38 males and 16 females with an average age of 33.5 years (range, 18-50). All cases were assigned into 3 groups according to the morphology

  16. Shoulder impingement syndrome : evaluation of the causes with MRI

    Energy Technology Data Exchange (ETDEWEB)

    Choi, Yong Ho; Song, In Sup; Chung, Hun Young; Yoon, Sang Jin; Kim, Yang Soo; Shim, Hyung Jin; Choi, Young Hee; Lee, Jong Beum; Lee, Yong Chul; Kim, Kun Sang [Chungang Univ. College of Medicine, Seoul (Korea, Republic of); Choi, Yun Sun [Eulji Hospital, College of Medicine, Seoul (Korea, Republic of)

    1999-12-01

    Various mechanical causes which induce shoulder impingement syndrome have been identified with the help of MRI. The aim of this study is to evaluate the incidence of such causes. A total of 54 patients with clinically confirmed shoulder impingement syndrome and a normal control group(n=20) without symptoms were included. We evaluated the incidence of hook shaped acromion, low lying acromion, downward slope of the acromion, subacromial spur, acromioclavicular joint hypertrophy, coracoacromial ligament hypertrophy, high cuff muscle bulk, and os acromiale. Among the 54 patients, the following conditions were present: acromioclavicular joint hypertrophy(n=36), coracoacromial ligament hypertrophy(n=20), subacromial spur(n=18), downward sloping of the acromion(n=16), hook shaped acromion(n=11), relatively high cuff muscle bulk(n=6), low lying acromion relative to the clavicle(n=3), and os acromiale(n=1). In the normal control group there were nine cases of acromioclavicular joint hypertrophy, nine of coracoacromial ligament hypertrophy, nine of downward sloping acromion, and three of low lying acromion, but hook shaped acromion, high cuff muscle bulk, and os acromiale were not found. Among 54 patients, the syndrome was due to five simultancous causes in one patient, four causes in two, three causes in 12, two causes in 22, and one cause in 17. Hook shaped acromion and subacromial spur are the statistically significant causes of shoulder impingement syndrome. In 69% of patients, the condition was due to more than one cause.

  17. Subacromial Tenoxicam Injection in the Treatment of Impingement Syndrome

    OpenAIRE

    Çift, Hakan; Özkan, Feyza Ünlü; Şeker, Ali; İşyar, Mehmet; Ceyhan, Erman; Mahiroğulları, Mahir

    2014-01-01

    Objectives: As subacromial bursa injection is widely used for pain relief and functional improvements in patients with periarticular shoulder disorder, we aimed to present our results of subacromial tenoxicam injection in the treatment of impingement syndrome. Methods: Patients presented to the Department of Orthopaedics and Traumatology, Istanbul Medipol University with the primary complaints of shoulder pain from January 2012 to June 2013 were selected. Those who met the following inclusion...

  18. Subacromial Impingement Syndrome Caused by a Voluminous Subdeltoid Lipoma

    Directory of Open Access Journals (Sweden)

    Jean-Christophe Murray

    2014-01-01

    Full Text Available Subacromial impingement syndrome is a clinical diagnosis encompassing a spectrum of possible etiologies, including subacromial bursitis, rotator cuff tendinopathy, and partial- to full-thickness rotator cuff tears. This report presents an unusual case of subdeltoid lipoma causing extrinsic compression and subacromial impingement syndrome. The patient, a 60-year-old man, presented to our institution with a few years' history of nontraumatic, posteriorly localized throbbing pain in his right shoulder. Despite a well-followed 6-months physiotherapy program, the patient was still suffering from his right shoulder. The MRI scan revealed a well-circumscribed 6 cm × 2 cm × 5 cm homogenous lesion compatible with a subdeltoid intermuscular lipoma. The mass was excised en bloc, and subsequent histopathologic examination confirmed a benign lipoma. At 6-months follow-up, the patient was asymptomatic with a complete return to his activities. Based on this case and a review of the literature, a subacromial lipoma has to be included in the differential diagnosis of a subacromial impingement syndrome refractory to nonoperative treatment. Complementary imaging modalities are required only after a failed conservative management to assess the exact etiology and successfully direct the surgical treatment.

  19. Diagnosis of shoulder impingement syndrome; Diagnostik des Schulterimpingementsyndroms

    Energy Technology Data Exchange (ETDEWEB)

    Hodler, J. [Orthopaedische Universitaetsklinik Balgrist, Zuerich (Switzerland)

    1996-12-01

    This article reviews the pathogenesis and clinical and imaging findings in shoulder impingement syndrome. Different stages of impingement syndrome are described. Stage I relates to edema and hemorrhage of the supraspinatus tendon. Stage II is characterized by bursal inflammation and fibrosis, as well as tendinopathy. In stage III there is a tear of the rotator cuff. Clinical signs many overlap. Moreover, calcifying tendinitis, fractures and pain originating from the cervical spine may mimic shoulder impingement syndrome. Imaging is important for the exact diagnosis. Standard radiographs are the basis of imaging in shoulder impingement syndrome. They may demonstrate subchondral sclerosis of the major tuberosity, subacromial spurs, and form anomalies of the acromion. They are also important in the differential diagnosis of shoulder impingement syndrome and demonstrate calcifying tendinitis, fractures and neoplasm. Ultrasonography has found acceptance as a screening tool and even as a final diagnostic method by many authors. However, there is a high interobserver variability in the demonstration of rotator cuff tears. Its usefulness has therefore been questioned. MR imaging is probably the method of choice in the evaluation of the rotator cuff and surrounding structures. Several investigations have demonstrated that differentiation of early findings, such as tendinopathy versus partial tears, may be difficult with MR imaging. However, reproducibility for fullthickness tears appears to be higher than for sonography. Moreover, specificity appears to be superior to sonography. MR arthrography is not universally accepted. However, it allows for more exact differentiation of discrete findings and may be indicated in preoperative planning. Standard arthrography and CT have a limited role in the current assessment of the rotator cuff. (orig.) [Deutsch] Grundlage des Impingementsyndroms ist eine Kompression des Supraspinatus am akromioklavikularen Bogen vor allem bei Flexion

  20. 髋关节撞击综合征诊断与治疗的研究进展%Advances in the research of the diagnosis and treatment of femoroacetabular impingement

    Institute of Scientific and Technical Information of China (English)

    熊元; 赵振国; 邹亮; 鲍同柱

    2014-01-01

    The etiology of femoroacetabular impingement ( FAI ) is abnormal stresses acting on the proximal femur and the acetabulum resulting from abnormally structural relationship between them caused by various factors. FAI plays an important role in inducing early hip osteoarthritis, and the main manifestation is chronic hip pain. Early diagnosis and early treatment help to improve the quality of life of patients and delay the incidence of arthritis. The common X-ray can provide an important reference for the diagnosis and classiifcation of FAI, and the CT scan can provide multi-faceted and multi-dimensional images for hip joint diseases. The sensitivity and speciifcity of MRI are better for the cartilage damages and soft tissue injuries. Therefore, the diagnosis of this disease is not difficult when the clinical symptoms, signs and imaging are combined together. Conservative treatment of FAI is ineffective, and while better therapeutic effects can be achieved with early open surgery or arthroscopic surgery according to the disease conditions. Because FAI has not been found and studied until recent decades, many doctors still do not know it and often misdiagnose it. The key words included “the femur”, “the acetabulum”, “impingement”, “imaging”, “open surgery” and “arthroscope” in this article.

  1. The Use of Physiotherapy among Patients with Subacromial Impingement Syndrome

    DEFF Research Database (Denmark)

    Christiansen, David Høyrup; Frost, Poul; Frich, Lars Henrik

    2016-01-01

    BACKGROUND: Physiotherapy with exercises is generally recommended in the treatment of patients with subacromial impingement syndrome (SIS). OBJECTIVE: We aimed to investigate the use of physiotherapy in patients with SIS in Danish hospital settings as part of initial non-surgical treatment...... and after SIS-related surgery and to evaluate to which extent sex, socio-demographic and clinical factors predict the use of physiotherapy. METHODS: Using national health registers, we identified 57,311 patients who had a first hospital contact with a diagnosis of ICD-10, groups M75.1-75.9, 1 July 2007...... to 30 June 2011. Records of physiotherapy were extracted within 52 weeks after first contact (or until surgery), and for surgically treated patients within 26 weeks after surgery. Predictors of the use of physiotherapy after first contact and after surgery were analysed as time-to-event. RESULTS: Within...

  2. SHOULDER MUSCLE IMBALANCE AND SUBACROMIAL IMPINGEMENT SYNDROME IN OVERHEAD ATHLETES

    OpenAIRE

    Page, Phil

    2011-01-01

    Subacromial impingement is a frequent and painful condition among athletes, particularly those involved in overhead sports such as baseball and swimming. There are generally two types of subacromial impingement: structural and functional. While structural impingement is caused by a physical loss of area in the subacromial space due to bony growth or inflammation, functional impingement is a relative loss of subacromial space secondary to altered scapulohumeral mechanics resulting from glenohu...

  3. Shoulder muscle imbalance and subacromial impingement syndrome in overhead athletes.

    Science.gov (United States)

    Page, Phil

    2011-03-01

    Subacromial impingement is a frequent and painful condition among athletes, particularly those involved in overhead sports such as baseball and swimming. There are generally two types of subacromial impingement: structural and functional. While structural impingement is caused by a physical loss of area in the subacromial space due to bony growth or inflammation, functional impingement is a relative loss of subacromial space secondary to altered scapulohumeral mechanics resulting from glenohumeral instability and muscle imbalance. The purpose of this review is to describe the role of muscle imbalance in subacromial impingement in order to guide sports physical therapy evaluation and interventions.

  4. Femoroacetabular impingement and the cam-effect. A MRI-based quantitative anatomical study of the femoral head-neck offset.

    Science.gov (United States)

    Ito, K; Minka, M A; Leunig, M; Werlen, S; Ganz, R

    2001-03-01

    We have observed damage to the labrum as a result of repetitive acetabular impingement in non-dysplastic hips, in which the femoral neck appears to abut against the acetabular labrum and a non-spherical femoral head to press against the labrum and adjacent cartilage. In both mechanisms anatomical variations of the proximal femur may be a factor. We have measured the orientation of the femoral neck and the offset of the head at various circumferential positions, using MRI data from volunteers with no osteoarthritic changes on standard radiographs. Compared with the control subjects, paired for gender and age, patients showed a significant reduction in mean femoral anteversion and mean head-neck offset on the anterior aspect of the neck. This was consistent with the site of symptomatic impingement in flexion and internal rotation, and with lesions of the adjacent rim. Furthermore, when stratified for gender and age, and compared with the control group, the mean femoral head-neck offset was significantly reduced in the lateral-to-anterior aspect of the neck for young men, and in the anterolateral-to-anterior aspect of the neck for older women. For patients suspected of having impingement of the rim, anatomical variations in the proximal femur should be considered as a possible cause.

  5. [Effectiveness of physiotherapy on painful shoulder impingement syndrome].

    Science.gov (United States)

    Gomora-García, Mónica; Rojano-Mejía, David; Solis-Hernández, José Luis; Escamilla-Chávez, Carolina

    2016-01-01

    Painful shoulder impingement syndrome is one of the first reasons for care in rehabilitation centres. As the evidence regarding the effectiveness of physical measures as adjuvant treatment is limited, the aim of this study was to determine the effectiveness of physiotherapy on shoulder pain. A retrospective and analytical study was conducted using the medical records of patients with shoulder pain who attended in a rehabilitation centre from October 2010 to September 2011. The demographic and clinical data were collected, and the clinical improvement was determined as: complete, incomplete, or no improvement. Chi squared was used to determine whether there were differences between the different modalities of physiotherapy, as well as the level of improvement. The study included a total of 181 patients, with a mean age of 54.3 years, and a mean of 4.6 months of onset of pain. The physiotherapy treatments included: warm compresses plus interferential current (60.2%), and warm compresses plus ultrasound (17.1%). Just over half (53.6%) obtained a moderate recovery, 36.4% slight improvement, and 9.9% no improvement. No significant differences were found between the different forms of therapy. The supervised rehabilitation program consists of 9 sessions of physiotherapy. A functional improvement of 90% was obtained, without finding any statistical differences between the therapies used. Copyright © 2015 Academia Mexicana de Cirugía A.C. Published by Masson Doyma México S.A. All rights reserved.

  6. Subacromial impingement syndrome: the role of posture and muscle imbalance.

    Science.gov (United States)

    Lewis, Jeremy S; Green, Ann; Wright, Christine

    2005-01-01

    Changes in upper body posture, colloquially termed forward head posture (FHP), are considered to be an etiologic factor in the pathogenesis of subacromial impingement syndrome (SIS). The literature suggests that postural deviations associated with FHP follow distinct patterns involving an increase in the thoracic kyphosis angle and a downwardly rotated, anteriorly tilted, and protracted scapula, which in turn leads to increased compression in the subacromial space. These postural changes are thought to occur concurrently with an imbalance of the musculature, and conservative rehabilitation commonly involves addressing both posture and muscle imbalance. There is a paucity of evidence supporting the hypothesis that posture and muscle imbalance are involved in the etiology of SIS. The purpose of this study was to investigate whether FHP was associated with an increased thoracic kyphosis, an altered position of the scapula; and a reduction in glenohumeral elevation range. Selected sagittal and frontal plane postural measurements were made in 60 asymptomatic subjects and 60 subjects with SIS. The findings suggested that upper body posture does not follow the set patterns described in the literature, and further research is required to determine whether upper body and scapular posture and muscle imbalance are involved in the pathogenesis of SIS.

  7. Kinetic strategies of patients with shoulder impingement syndrome.

    Science.gov (United States)

    Doiron, Yan; Delacroix, Sébastien; Denninger, Marc; Simoneau, Martin

    2010-01-01

    Our aim was to determine whether subjects with shoulder impingement syndrome (SIS) have abnormal multijoint torque patterns compared to healthy subjects during normalized isometric force along specific directions. Subjects had to generate an isometric force corresponding to 40% of the maximal pain-free force. Eight targets were displayed on a monitor (0, 45, 90, 135, 180, 225, 270, and 315 degrees ). We calculated shoulder and elbow torques (kinetic strategies) using a biomechanical model. Regardless of the target location, the SIS group succeeded in reaching the target; however, when compared to the healthy subjects, they needed more time to do so, suggesting that SIS may slow down the execution of the kinetic strategies. Moreover, the SIS group produced lower shoulder external/internal torque to reach the targets located at 0 degrees and 225 degrees, and they generated greater abduction/adduction torque for targets located at 0, 135, and 180 degrees. In addition, they had lower elbow extension/flexion torque for the target located at 315 degrees. The investigation of atypical kinetic strategies is essential to provide an understanding of the pathomechanics of the SIS and to develop more effective treatment strategies.

  8. Subacromial Tenoxicam Injection in the Treatment of Impingement Syndrome

    Science.gov (United States)

    Çift, Hakan; Özkan, Feyza Ünlü; Şeker, Ali; İşyar, Mehmet; Ceyhan, Erman; Mahiroğulları, Mahir

    2014-01-01

    Objectives: As subacromial bursa injection is widely used for pain relief and functional improvements in patients with periarticular shoulder disorder, we aimed to present our results of subacromial tenoxicam injection in the treatment of impingement syndrome. Methods: Patients presented to the Department of Orthopaedics and Traumatology, Istanbul Medipol University with the primary complaints of shoulder pain from January 2012 to June 2013 were selected. Those who met the following inclusion criteria were finally considered: 1) who had a clinical sign of a painful arc and positive in Hawkins test and/or Neer impingement sign; 2) who had a precise rotator cuff injury including partial cuff tears, or subacromial bursitis detected during ultrasonography or MRI. The exclusion criteria were as follows: 1) who underwent shoulder surgery; 2) who had full thickness rotator cuff rupture; 3) who had hemiplegic shoulder pain; and 4) who displayed any suspected fracture on X-ray or had a recent shoulder trauma; 5) who showed limited active ROM and stiffness due to adhesive capsulitis. Thirty one shoulders out of thirty patients were treated with subacromial tenoxicam injection. Ten of them were left shoulders. Fifteen of the patients were women.. Patients had a mean age of 51.6 (30-73). Patients were evaluated 4 times. Before the first injection, 1 week after the first injection, 2 weeks after the second injection and 3 weeks after the third injection. In every injection 20 mg tenoxicam was performed. Results: In order to relieve the pain; two patients were given only one injection, thirteen patients were given two injections and “3 injections protocol” were done to fifteen patients. The mean pre- and posttreatment VAS scores were 7.9 (between, 7-9) and 2.7 (between, 2-4) points respectively. The average pre and posttreatment DASH scores were 59.41 (between, 45-80) and 14 (between, 8.3-25.8) points respectively. The mean pre and posttreatment range of motion were 106

  9. An unusual cause of the quadrilateral space impingement syndrome by a bone spike

    Energy Technology Data Exchange (ETDEWEB)

    Amin, Mohammed F.; Berst, Matthew; El-Khoury, George Y. [University of Iowa Hospitals and Clinics, Radiology, Iowa City, IO (United States)

    2006-12-15

    The quadrilateral space impingement syndrome is a clinical syndrome resulting from compression of the axillary nerve and the posterior circumflex humeral artery, with subsequent focal atrophy of the teres minor, with or without involvement of portions of the deltoid muscle. This entity has many etiologies. We are reporting a case of this syndrome caused by a bone spike from a malunited old scapular fracture following a motor vehicle accident. The bone spike impinged on the axillary nerve as it passes through the quadrilateral space, causing focal atrophy of the teres minor muscle. The abnormality was well demonstrated by MD-CT. (orig.)

  10. Isometric contractions combined with eccentric contractions and stretching exercises on patient with subacromial impingement syndrome

    Directory of Open Access Journals (Sweden)

    Efstratiadis Anastasios

    2015-10-01

    Full Text Available Many people with shoulder pain and disability have signs of subacromial impingement syndrome. The subacromial impingement syndrome of the shoulder is a general term, which is often used to describe pain and dysfunction in the area around the shoulder. The aim of the present report is to find the effect of isometric contractions combined with eccentric contractions and stretching exercises on a patient with subacromial impingement syndrome. A patient with subacromial impingement syndrome for 1 year was included in the case report. The patient followed an exercise program consisted of stretching exercises of shoulder muscles extensors, isometric contractions of shoulder extensors and eccentric exercises of shoulder extensors, 4 times per week. The exercise program was individualized according to pain and symptoms of the patient. Outcome measures were pain, pain rest, pain activity, pain night measured on a visual analogue scale (VAS, disability index (DASH score and range of motion (Goniometer. The patient was evaluated at baseline and after 4 weeks. At the end of the program, there was a significant improvement pain, disability and range of motion. In this clinical case the patient was improved significantly in all outcome measures. Further studies based on better design, are needed to investigate the effect of those methods on a random population group with subacromial impingement syndrome.

  11. Hip labral cyst caused by psoas impingement.

    Science.gov (United States)

    Tey, Marc; Alvarez, Sonia; Ríos, Jose L

    2012-08-01

    Hip labral impingement can cause labral tears and secondary paralabral cyst formation. Femoroacetabular impingement is the main cause of labral impingement, but other conditions such as iliopsoas tendon impingement are described. There is no description of labral cyst resulting from psoas impingement treated arthroscopically in the literature. We present the case of a young sportsman with groin pain caused by psoas impingement with a labral tear and secondary paralabral cyst who was treated arthroscopically by cyst debridement, psoas tenotomy, and labral repair. Copyright © 2012 Arthroscopy Association of North America. Published by Elsevier Inc. All rights reserved.

  12. The distal radial decompression osteotomy for ulnar impingement syndrome.

    Science.gov (United States)

    Krimmer, Hermann; Unglaub, Frank; Langer, Martin F; Spies, Christian K

    2016-01-01

    The decompression of the distal radioulnar joint (DRUJ) is performed by ulnar translation of the radial shaft proximal to the sigmoid notch, i.e. detensioning of the distal part of the interosseous membrane (DIOM) while containment of the DRUJ is achieved by closed wedge osteotomy of the radius. The osteotomy shortens the radius which entails detensioning of the triangular fibrocartilage complex (TFCC). Facilitating the modified Henry approach to the distal palmar radius a radial based wedge osteotomy is applied. The proximal osteotomy is proximal to the ulnar head and distal osteotomy is proximal to the sigmoid notch to prevent iatrogenic impingement. Ulnar translation of the radial shaft is performed to loosen the DIOM. The closed wedge osteotomy reduces radial inclination which will foster containment of the DRUJ. Distal radial decompression osteotomy of the DRUJ preserves DRUJ function while relieving painful impingement. Further surgical interventions are not compromised in case of failure.

  13. Neuromuscular control of scapula muscles during a voluntary task in subjects with Subacromial Impingement Syndrome

    DEFF Research Database (Denmark)

    Larsen, C M; Søgaard, Karen; Chreiteh, S S

    2013-01-01

    Imbalance of neuromuscular activity in the scapula stabilizers in subjects with Subacromial Impingement Syndrome (SIS) is described in restricted tasks and specific populations. Our aim was to compare the scapular muscle activity during a voluntary movement task in a general population with and w...

  14. Glyceryl trinitrate patches—An alternative treatment for shoulder impingement syndrome

    Directory of Open Access Journals (Sweden)

    Yusuf Assem

    2015-01-01

    Full Text Available Transdermal glyceryl trinitrate patches have been investigated as an alternative therapeutic intervention for a range of tendinopathies, due to the ease of titration of dosage and the ease of their application. Glyceryl trinitrate has been inferred to reduce pain and inflammation secondary to their nitric oxide-producing action. Shoulder impingement syndrome is a soft tissue condition that manifests as anterior shoulder pain, weakness, and difficulty in daily activities. This review will evaluate the efficacy of glyceryl trinitrate patches in treating a variety of rotator cuff tendinopathies related to shoulder impingement, based on human and animal trials, and suggest its practical application in future trials and management.

  15. Arthroscopic femoral osteoplasty for cam-type femoroacetabular impingement%关节镜下股骨头颈成形术治疗凸轮型股骨髋臼撞击症

    Institute of Scientific and Technical Information of China (English)

    吴子英; 陈疾忤; 陈世益; 李云霞; 李宏云; 曹深诚

    2012-01-01

    Objective To evaluate the feasibility and clinical effectiveness of arthroscopic femoral osteoplasty for cam-type femoroacetabular impingenent(FAI).Methods From October 2007 to April 2009,31 patients with cam-type FAI underwent hip arthroscopy,including 12 males and 19 females with an average age of 34.1 years(range,18-45).Physical examination,X-ray,3D-CT scans were carried out preoperatively to make the definite diagnosis.All patients were treated with hip arthroscopic debridement and femoral osteoplasty.The patients were followed-up at 1 month,3 months,6 months,1 year,and every year post operation.Outcomes were measured with pain visual analogue scale(VAS),ROM of hip,impingement tests,α angle and modified Harris hip score at final follow-up.Results All patients were followed up for average 22.7 months(range,18-36).At final follow-up,impingement tests among all patients were negative,the range of flexion increased from 101.0°±14.2° to 121.0°±11.7°,the range of internal rotation in a position of 90° flexion increased from 5.0°±9.8° to 30.1°±12.7°,α angle decreased from 74.2°±10.7° preoperatively to 44.7°±8.3°,VAS pain score decreased from 6.1±1.1 preoperatively to 0.9±0.7,modified Harris hip score improved from 41.2±5.7 preoperatively to 73.6±4.1,all differences were statistically significant.Conclusion Arthroscopic femoral osteoplasty for cam-type FAI can win the satisfactory achievements for complete excision of bony prominence at anterior-lateral femoral head-neck junction,restoration of the femoral offset,significant relief of clinical symptoms and improvement of hip range of motion.%目的 探讨髋关节镜下股骨头颈成形术治疗凸轮(Cam)型股骨髋臼撞击症的可行性及临床疗效.方法 2007年10月至2009年4月收治Cam型股骨髋臼撞击症患者31例,男12例,女19例;年龄18~45岁,平均34.1岁.术前行体格检查、X线摄片和三维CT明确诊断.所有病例均行髋关节镜下关节清理

  16. Fyzioterapeutická péče u pacienta s diagnózou impingement syndrom

    OpenAIRE

    2014-01-01

    This thesis deals with the issue of physiotherapeutical care of patients diagnosed with impingement syndrome of arteculatio humeri. Impingement syndrome means an oppression or distress in the area of arteculatio humeri. That signifies an oppression of tendon m. supraspinatus in the subacromial area.It is clinically demonstrated by pain and functional limitation of movement and is caused by an overload of rotator cuff and its oppression with traumatic changes in the area of subacromial area.Th...

  17. Kazuistika fyzioterapeutické péče o pacienta s diagnózou impingement syndrom

    OpenAIRE

    Vontorová, Simona

    2012-01-01

    Title: The case report of physiotherapy care of a patient with the diagnosis of impingement syndrom. The objective of this bachelor thesis is introduction of physiotherapy of upper limb girdle with impingement syndrom. The thesis is dividend in two main parts. In the first part is described the girdle of the upper limb in the view of anatomy, kinesiology and biomechanics. There are listed procedures for testing and treatment and point of view of physiotherapy and surgical treatment by arthros...

  18. [The relationship between quality of life and functional status measurements in shoulder impingement syndrome].

    Science.gov (United States)

    Ozcan, Ayşe; Tulum, Zeliha; Bacakoğlu, A Kadir

    2003-01-01

    We compared three questionnaires that are used in the assessment of function and quality of life of patients with shoulder impingement syndrome. The study included 54 patients (42 females, 12 males; mean age 54 years) with a diagnosis of stage I or II shoulder impingement syndrome. All the patients were administered a standard questionnaire regarding their general health status (Short-Form 36 / SF-36). Functional evaluations were made using the UCLA (University of California at Los Angeles) and Constant scoring systems. The results of the UCLA and Constant scores were compared with those of SF-36 with the use of Pearson correlation analysis. A strong correlation was found between the UCLA and Constant scores (p=0.006). SF-36 parameters of physical function, vitality, and social function showed a strong correlation with the UCLA scores (p<0.005), whereas parameters of general health and role emotional exhibited a moderate correlation (p<0.05). When compared with the Constant scores, SF-36 showed a strong correlation only in parameters of pain and general health (p<0.005). The parameter of role emotional was negatively correlated with the Constant scores. Demonstration of correlations between some parameters of SF-36 and the UCLA and Constant scoring systems suggests that SF-36 can be used to assess quality of life of patients with shoulder impingement syndrome.

  19. Preoperative conventional magnetic resonance images versus magnetic resonance arthrography of subacromial impingement syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Ahn, Sang Hyuk; Park, Jung Hwan; Moon, Tae Yong [Pusan National Univ. Yangsan Hospital, Yangsan (Korea, Republic of); Lee, In Sook; Lee, Seung Jun [Pusan National Univ. Hospital, Busan (Korea, Republic of)

    2012-09-15

    To evaluate the usefulness of conventional magnetic resonance images (MRI) for arthroscopic surgery in subacromial impingement syndrome of the shoulder, as an alternative to MR arthrography with additional T2 fat saturation images (MRA). The preoperative MRI of 77 patients (45 females, 32 males) (52 right, 25 left) and MRA of 34 patients (14 females, 20 males) (24 right, 10 left) with subsequent arthroscopic confirmation of subacromial impingement syndrome were reviewed retrospectively. The lesions requiring arthroscopic surgery were 95 subacromial spurs, 101 subacromial bursitis, and 51 full-thickness and 44 partial thickness tears of the supraspinatus among 111 cases for both studies. A two by two table was constructed in order to calculate the sensitivity and specificity of both studies against arthroscopic outcomes. Also we analyzed the false positive and false negative cases of the full-thickness tears individually. The detection rates of subacromial spur and bursitis and full and partial thickness tears of the supraspinatus were 91%, 94%, 77%, and 65% in MRI and 93%, 100%, 83%, and 77% in MRA respectively. Their specificities were 33%, 33%, 90%, and 76% in MRI and 50%, 75%, 100%, and 71% in MRA respectively. Eleven false negative cases in regards to MRI resulted in Ellman's grade 3 partial thickness tear (72.7%), mild bursitis (63.6%), greater tuberosity erosion (45.5%), and negative fluid signal of the glenohumeral joint (81.8%). Three false positive cases on the MRI were induced from errors with lower window depth and width on the imagings. Two false negative cases on MRA were induced from the adhesion between Ellman's grade 3 rim rent tear and the glenohumeral joint cavity. Conventional MR images could be used to decide the arthroscopic surgery in subacromial impingement syndrome, as an alternative to MR arthrography with additional T2 fat saturation images.

  20. Unusual lesions mimicking impingement syndrome in the shoulder joint - Think medially

    Directory of Open Access Journals (Sweden)

    Rohit Singh

    2016-09-01

    These are unusual causes that should be considered when investigating classical impingement syndrome and particularly those who may have failed to respond to decompression surgery. They highlight the potential value of looking beyond the sub-acromial space for causal lesions and in these cases, at a time when limited ultrasound investigation has become increasingly popular; MRI has clearly played an important and was essential in planning surgery as these lesions would not have been identified on USS. Even though the symptoms were classical.

  1. Short-Term Effects of Thoracic Spine Manipulation on Shoulder Impingement Syndrome: A Randomized Controlled Trial.

    Science.gov (United States)

    Haik, Melina N; Alburquerque-Sendín, Francisco; Camargo, Paula R

    2017-08-01

    To investigate the short-term effects of thoracic spine manipulation (TSM) on pain, function, scapular kinematics, and scapular muscle activity in individuals with shoulder impingement syndrome. Randomized controlled trial with blinded assessor and patient. Laboratory. Patients with shoulder impingement syndrome (N=61). Participants were randomly allocated to TSM group (n=30) or sham-TSM group (n=31) and attended 2 intervention sessions over a 1-week period. Scapular kinematics and muscle activity were measured at day 1 (baseline, before the first intervention), day 2 preintervention (before second intervention), day 2 postintervention (after the second intervention), and day 3 (follow-up). Shoulder pain and function were assessed by the Disability of the Arm, Shoulder and Hand questionnaire and Western Ontario Rotator Cuff Index at baseline, day 2 preintervention, and follow-up. An assessor blinded to group assignment measured all outcomes. Pain decreased by 0.7 points (95% confidence interval, 1.3-0.1 points) at day 2 preintervention and 0.9 points (95% confidence interval, 1.5-0.3 points) at day 2 postintervention in the TSM group. The Disability of the Arm, Shoulder and Hand questionnaire (P=.01) and Western Ontario Rotator Cuff Index (P=.02) scores improved in both groups. Scapular upward rotation increased during arm lowering (Pmuscles. The results concerning shoulder pain, function, scapular tilt, and internal rotation are not conclusive. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

  2. Force steadiness, muscle activity, and maximal muscle strength in subjects with subacromial impingement syndrome

    DEFF Research Database (Denmark)

    Bandholm, Thomas; Rasmussen, Lars; Aagaard, Per

    2006-01-01

    We investigated the effects of the subacromial impingement syndrome (SIS) on shoulder sensory-motor control and maximal shoulder muscle strength. It was hypothesized that both would be impaired due to chronic shoulder pain associated with the syndrome. Nine subjects with unilateral SIS who remained...... physically active in spite of shoulder pain and nine healthy matched controls were examined to determine isometric and isokinetic submaximal shoulder-abduction force steadiness at target forces corresponding to 20%, 27.5%, and 35% of the maximal shoulder abductor torque, and maximal shoulder muscle strength...... (MVC). Electromyographic (EMG) activity was assessed using surface and intramuscular recordings from eight shoulder muscles. Force steadiness was impaired in SIS subjects during concentric contractions at the highest target force level only, with muscle activity largely unaffected. No between...

  3. Os acromiale causing shoulder impingement syndrome: a case report; Os acromiale como causa de impingement del hombro: a proposito de un caso

    Energy Technology Data Exchange (ETDEWEB)

    Romero, I.; Rodriguez, A.; Roca, M.; Garcia, Y. [Hospital Universitario Miguel Servet. Zaragoza (Spain)

    2001-07-01

    Shoulder impingement syndrome is caused by repeated mechanical trauma to the rotator cuff due to encroachment of the coracoacromial ligement; in most cases, it is a primary lesion. Os acromiale, an anatomic variant of the shoulder structures, is one of the predisposing factors for the development of this entity. We present a case of os acromiale complicated by complete rupture of the tendon of the supraspinatus muscle and luxation of the long head of the biceps tendon. We stress the importance of magnetic resonance in the study of this anatomic variant and in the detection of complications or associated lesions. (Author) 10 refs.

  4. A new interdisciplinary treatment strategy versus usual medical care for the treatment of subacromial impingement syndrome : a randomized controlled trial

    NARCIS (Netherlands)

    Dorrestijn, Oscar; Stevens, Martin; Diercks, Ron L.; van der Meer, Klaas; Winters, Jan C.

    2007-01-01

    Background: Subacromial impingement syndrome (SIS) is the most frequently recorded shoulder disorder. When conservative treatment of SIS fails, a subacromial decompression is warranted. However, the best moment of referral for surgery is not well defined. Both early and late referrals have

  5. A new interdisciplinary treatment strategy versus usual medical care for the treatment of subacromial impingement syndrome : a randomized controlled trial

    NARCIS (Netherlands)

    Dorrestijn, Oscar; Stevens, Martin; Diercks, Ron L.; van der Meer, Klaas; Winters, Jan C.

    2007-01-01

    Background: Subacromial impingement syndrome (SIS) is the most frequently recorded shoulder disorder. When conservative treatment of SIS fails, a subacromial decompression is warranted. However, the best moment of referral for surgery is not well defined. Both early and late referrals have disadvant

  6. "Bursal reactions" in rotator cuff tearing, the impingement syndrome, and calcifying tendinitis.

    Science.gov (United States)

    Ishii, H; Brunet, J A; Welsh, R P; Uhthoff, H K

    1997-01-01

    Subacromial bursal specimens from 63 patients undergoing surgery for rotator cuff tearing (n = 43), the impingement syndrome (n = 14), and calcifying tendinitis n = 6) were studied to characterize the reactions that develop at the tendinopathy "lesional" sites. Intensity of the bursal reactions and production of type III collagen vary considerably, with the highest incidence of both seen in patients with rotator cuff tears. The intensity of bursal reactions correlated with the degree of formation of perivascular new collagen and type III collagen expression. In 22 of the 63 patients the bursal reaction distant to the tendon lesion was also studied. It was minimal and did not correlate to the lesional bursal findings. A strong correlation, however, existed between surgical appearance and histologic grading. The term "localized bursal reaction" as opposed to bursitis more correctly describes bursal involvement. Resection of bursal tissues should be limited to the lesional tissue that interferes with subacromial motion.

  7. Neuromuscular function in patients with Subacromial Impingement Syndrome and clinical assessment of scapular kinematics

    DEFF Research Database (Denmark)

    Larsen, Camilla Marie; Lund, Hans; Juul-Kristensen, Birgit

    2014-01-01

    patient sample with SIS, and to assess the clinimetric properties of clinical assessment methods of scapular kinematics as important aspects for optimising effect measures of treatment in order to improve clinical guidelines in this area. METHODS: Scapular muscle activity was examined, 1) during......Neuromuscular function in patients with Subacromial Impingement Syndrome and clinical assessment of scapular kinematics Larsen CM1, Juul-Kristensen B1,2 Holtermann A3, Lund H1,2, Søgaard K1 1University of Southern Denmark, Institute of Sports Science and Clinical Biomechanics, DK 2Institute...... a voluntary arm movement task and 2) selective activation tasks during sessions with and without on-line biofeedback, in a general population consisting of 16 SIS patients and 15 controls (No-SIS). Furthermore, 3) a systematic review was conducted of all available clinical scapular assessment methods...

  8. Kinesio taping compared to physical therapy modalities for the treatment of shoulder impingement syndrome.

    Science.gov (United States)

    Kaya, Erkan; Zinnuroglu, Murat; Tugcu, Ilknur

    2011-02-01

    The purpose of this study was to determine and compare the efficacy of kinesio tape and physical therapy modalities in patients with shoulder impingement syndrome. Patients (n = 55) were treated with kinesio tape (n = 30) three times by intervals of 3 days or a daily program of local modalities (n = 25) for 2 weeks. Response to treatment was evaluated with the Disability of Arm, Shoulder, and Hand scale. Patients were questioned for the night pain, daily pain, and pain with motion. Outcome measures except for the Disability of Arm, Shoulder, and Hand scale were assessed at baseline, first, and second weeks of the treatment. Disability of Arm, Shoulder, and Hand scale was evaluated only before and after the treatment. Disability of Arm, Shoulder, and Hand scale and visual analog scale scores decreased significantly in both treatment groups as compared with the baseline levels. The rest, night, and movement median pain scores of the kinesio taping (20, 40, and 50, respectively) group were statistically significantly lower (p values were 0.001, 0.01, and 0.001, respectively) at the first week examination as compared with the physical therapy group (50, 70, and 70, respectively). However, there was no significant difference in the same parameters between two groups at the second week (0.109, 0.07, and 0.218 for rest, night, and movement median pain scores, respectively). Disability of Arm, Shoulder, and Hand scale scores of the kinesio taping group were significantly lower at the second week as compared with the physical therapy group. No side effects were observed. Kinesio tape has been found to be more effective than the local modalities at the first week and was similarly effective at the second week of the treatment. Kinesio taping may be an alternative treatment option in the treatment of shoulder impingement syndrome especially when an immediate effect is needed.

  9. Surgical treatment of the impingement syndrome and of the rotator cuff tears: personal experience in 134 cases

    Directory of Open Access Journals (Sweden)

    A. Rioda

    2011-09-01

    Full Text Available The time-course covered by the original definition of scapulo-humeral periarthritis suggested by Duplay through the more recent term of subacromial impingement syndrome coined by Neer, follows the identification of the pathogenetic mechanisms leading to chronic subacromial impingement and degenerative tears of the rotator cuff. The Authors recall the functional-anatomic development evolution of the shoulder and the disequilibrium between the depressor and the elevator muscles which may promote the chronic friction against the acromion. However, the actual pathogenesis of the impingement still remains controversial. We evaluated 134 patients (81F, 53M, mean age 56.4 years with chronic subacromial impingement syndrome. In 92 cases (69% non traumatic tears of the rotator cuff were also present as confirmed by ultrasonography in 94 cases, CT in18 cases and magnetic resonance in 102 cases. The different tear patterns of the rotator cuff were classified as suggested by Ellman (L shaped, L reverse, triangular, trapezoidal and massive with retraction and clinical results were analysed following Sahlstrand clinical criteria and Costant numerical scale. According to the anatomical damage, patients were divided into those with impingement without severe cuff tendinopathy (42 cases, those with rotator cuff tears without loss of motion of the shoulder (32 cases and those with cuff tears and loss of active motion (60 cases. The different surgical techniques and rehabilitation procedures after surgery are also reported. After a mean follow-up of 1.3 years (range 8 months - 2 years, good or excellent results were obtained in 91% of the patients without rotator cuff tears, in 87% of the patients with tears but without loss of motion and in 75% of the cases with loss of active motion. Our data demonstrate that in the majority of patients with chronic impingement syndrome and rotator cuff tears, surgical treatment shows high success rates. When surgery is

  10. RIGID TAPE VERSUS KINESIO TAPE ON SCAPULAR ROTATION AND FORWARD HEAD ANGLE IN SUBACROMIAL IMPINGEMENT SYNDROME

    Directory of Open Access Journals (Sweden)

    Eman A. Embaby

    2016-02-01

    Full Text Available Background: Rigid and kinesio taping is commonly used in the rehabilitation and prevention of subacromial impingement syndrome (SIS. It is proposed to have positive effects on shoulder function and scapular kinematics. However, there is a paucity of literature regarding the effectiveness of rigid versus elastic taping on scapular upward rotation and forward head posture (FHP, which is commonly adopted in SIS. Purpose: This study was designed to investigate the effect of taping with postural correction on the scapular kinematics and forward head angle (FHA in patients with SIS when two different taping materials are used: rigid versus a kinesio tape application. Methods: Eleven female patients with SIS participated in this study. Their age, weight and height ranged from 30 to 60 years, 56 to 90 kg and 155 to 175 cm, respectively. The participants were randomly assigned to Group I (Kinesio tape (KT, n=6 and Group II (Rigid tape (RT, n=5. Thoracic and scapular taping with posture correction was applied to both groups. Scapular upward rotation at 0°, 60°, 90° and 120° and FHA were measured before and immediately after the taping. Results: Both taping materials significantly increased the scapular upward rotation at 90° and 120° shoulder elevation. Additionally, there was a significant decrease in the FHA in the RT group. Conclusion: Both tapings are effective in restoring scapular kinematics. The corrective effect of rigid taping on FHA is substantiated.

  11. Shoulder functionality after manual therapy in subjects with shoulder impingement syndrome: a case series.

    Science.gov (United States)

    Heredia-Rizo, Alberto Marcos; López-Hervás, Antonia; Herrera-Monge, Patricia; Gutiérrez-Leonard, Ana; Piña-Pozo, Fernando

    2013-04-01

    The aim of the study was to identify the differences in functionality of the upper limb in subjects suffering from shoulder impingement syndrome after intervention by two manual therapy protocols. Randomized, single-blind study with a sample of 22 subjects (58 ± 10.86 years old) divided into two groups. The conventional-group (n = 11) received mobilizations of the shoulder and the experimental-group (n = 11) was treated with soft tissue techniques in the cervical and upper thoracic regions. These two groups received electrotherapy and postural advices. The treatment lasted three weeks (15 daily sessions of 1 h and 30 min). Both active and passive range of motion (ROM) and self-perceived functionality of the upper limb (DASH questionnaire) were measured. The experimental group showed a significant improvement in the DASH scores and both groups improved mobility in the intra-group comparison pre-intervention versus post-intervention (p .05). Our results suggest that a combined treatment with electrotherapy, postural hygiene and manual therapy, regardless of the protocol, improves shoulder mobility and functionality. Copyright © 2012 Elsevier Ltd. All rights reserved.

  12. Current Status of Open Surgical Treatment Protocols for Subacromial Impingement Syndrome Associated with Rotator Tear

    Directory of Open Access Journals (Sweden)

    Oktay Gazi

    2012-06-01

    Full Text Available Objective: The aim of this study was to evaluate the recent treatment protocols for Neer stage III subacromial impingement syndrome with open anterior acromioplasty and rotator cuff repair. Material and Methods: Twenty-two patients (8 males, 14 females; mean age: 52.9±10.2 who were diagnosed with a rotator cuff tear based on clinical and radiological findings between 2009 and 2010 participated in the study.. We used the open surgical decompression technique which was previously described by Neer. The ruptured tendon ends were isolated and were fixed to the bones with appropriate suture anchors and transosseoz sutures. Preoperative, postoperative and the final follow-up Constant and UCLA shoulder scores were evaluated. Results: The mean preoperative Constant score was 34.4±6.6 and UCLA score was 13.8±3.3. The mean postoperative Constant score was 73±7.6 and UCLA score was 31.7±3.3. Significant improvement was observed in postoperative shoulder scores (p<0.01 and postoperative shoulder range of motion in all patients (p<0.01. Conclusion: Currently, clinical and functional results of open and arthroscopic subacromial rotator cuff decompression are similar. However, many surgeons prefer the open method and achieve successful results. (The Me di cal Bul le tin of Ha se ki 2012; 50: 59-63

  13. Inter-examiner reproducibility of clinical tests and criteria to identify subacromial impingement syndrome

    DEFF Research Database (Denmark)

    Vind, Mikkel; Bogh, Søren Bie; Larsen, Camilla Marie;

    2011-01-01

    Abstract Introduction A specific algorithm has been proposed for classifying impingement related shoulder pain in athletes with overhead activity. Data on the inter-examiner reproducibility of the suggested clinical tests and criteria and their mutual dependencies for identifying subacromial...

  14. The Relationship between the Mean Platelet Volume and Subacromial Impingement Syndrome

    Directory of Open Access Journals (Sweden)

    Yalkın Çalık

    2015-04-01

    Full Text Available Objective: Subacromial impingement syndrome (SIS characterized by inflammation of supraspinatus tendon is one of the most common causes of the shoulder pain. In some studies, platelet activity has been shown as a marker to indicate the inflammation associated with the disease. The mean platelet volume (MPV shows platelet function and activation. The aim of this study was to investigate the relationship between MPV and SIS. Materials and Methods: Eighty seven inpatients (female/male: 55/32, mean age: 56.34±7.53 years diagnosed with SIS according to physical examination and MR findings in Bolu Physical Therapy and Rehabilitation Hospital between January 2014- June 2014 constituted the case group, 87 outpatients (female/male 61/26, mean age: 52.97±8.48 years not diagnosed with SIS constituted the control group. MPV values between case and control group that were similar in terms of age and gender were compared. Results: In case group MPV (8.36±0.73*** was lower than that of the control group (8.44±1.02**** and platelet count (253.75±50.17*** was higher than that of the control group (244.79±56.19***. Both were not statistically significant (p>0.05. Significant negative correlation was found between MPV and platelet level in case group (r=-0.240, p<0.05. Conclusion: These findings present that there is no relationship between MPV and SIS. New prospective studies are needed on this subject. (Turkish Journal of Osteoporosis 2015;21: 15-8

  15. Study protocol subacromial impingement syndrome: the identification of pathophysiologic mechanisms (SISTIM

    Directory of Open Access Journals (Sweden)

    de Witte Pieter

    2011-12-01

    Full Text Available Abstract Background The Subacromial Impingement Syndrome (SIS is the most common diagnosed disorder of the shoulder in primary health care, but its aetiology is unclear. Conservative treatment regimes focus at reduction of subacromial inflammatory reactions or pathologic scapulohumeral motion patterns (intrinsic aetiology. Long-lasting symptoms are often treated with surgery, which is focused at enlarging the subacromial space by resection of the anterior part of the acromion (based on extrinsic aetiology. Despite that acromionplasty is in the top-10 of orthopaedic surgical procedures, there is no consensus on its indications and reported results are variable (successful in 48-90%. We hypothesize that the aetiology of SIS, i.e. an increase in subacromial pressure or decrease of subacromial space, is multi-factorial. SIS can be the consequence of pathologic scapulohumeral motion patterns leading to humerus cranialisation, anatomical variations of the scapula and the humerus (e.g. hooked acromion, a subacromial inflammatory reaction (e.g. due to overuse or micro-trauma, or adjoining pathology (e.g. osteoarthritis in the acromion-clavicular-joint with subacromial osteophytes. We believe patients should be treated according to their predominant etiological mechanism(s. Therefore, the objective of our study is to identify and discriminate etiological mechanisms occurring in SIS patients, in order to develop tailored diagnostic and therapeutic strategies. Methods In this cross-sectional descriptive study, applied clinical and experimental methods to identify intrinsic and extrinsic etiologic mechanisms comprise: MRI-arthrography (eligibility criteria, cuff status, 3D-segmented bony contours; 3D-motion tracking (scapulohumeral rhythm, arm range of motion, dynamic subacromial volume assessment by combining the 3D bony contours and 3D-kinematics; EMG (adductor co-activation and dynamometry instrumented shoulder radiographs during arm tasks (force and

  16. The effectiveness of low laser therapy in subacromial impingement syndrome: a randomized placebo controlled double-blind prospective study

    Directory of Open Access Journals (Sweden)

    Sebnem Koldas Dogan

    2010-01-01

    Full Text Available OBJECTIVES: Conflicting results were reported about the effectiveness of Low level laser therapy on musculoskeletal disorders. The aim of this study was to investigate the effectiveness of 850-nm gallium arsenide aluminum (Ga-As-Al laser therapy on pain, range of motion and disability in subacromial impingement syndrome. METHODS: A total of 52 patients (33 females and 19 males with a mean age of 53.59±11.34 years with subacromial impingement syndrome were included. The patients were randomly assigned into two groups. Group I (n = 30, laser group received laser therapy (5 joule/cm² at each point over maximum 5-6 painful points for 1 minute. Group II (n = 22, placebo laser group received placebo laser therapy. Initially cold pack (10 minutes was applied to all of the patients. Also patients were given an exercise program including range of motion, stretching and progressive resistive exercises. The therapy program was applied 5 times a week for 14 sessions. Pain severity was assessed by using visual analogue scale. Range of motion was measured by goniometer. Disability was evaluated by using Shoulder Pain and Disability Index. RESULTS: In group I, statistically significant improvements in pain severity, range of motion except internal and external rotation and SPADI scores were observed compared to baseline scores after the therapy (p0.05. CONCLUSIONS: The Low level laser therapy seems to have no superiority over placebo laser therapy in reducing pain severity, range of motion and functional disability.

  17. Characterization of primary chondrocytes harvested from hips with femoroacetabular impingement

    DEFF Research Database (Denmark)

    Bretschneider, H; Stiehler, M; Hartmann, A;

    2016-01-01

    differentiation during three-dimensional (3D) cultivation as a prerequisite for autologous matrix-assisted cartilage regeneration of the hip joint. METHODS: hC were isolated from cartilage samples obtained from N = 6 patients during offset reconstruction. Proteoglycan content was assessed by Safranin-O staining...

  18. Symptomatic sacroiliac joint disease and radiographic evidence of femoroacetabular impingement.

    Science.gov (United States)

    Morgan, Patrick M; Anderson, Anthony W; Swiontkowski, Marc F

    2013-01-01

    Symptomatic sacroiliac (SI) joint disease is poorly understood. The literature provides no clear aetiology for SI joint pathology, making evaluation and diagnosis challenging. We hypothesised that patients with documented sacroiliac pain might provide insight into the aetiology of these symptoms. Specifically, we questioned whether SI joint symptoms might be associated with abnormal hip radiographs. We reviewed the pelvic and hip radiographs of a prospectively collected cohort of 30 consecutive patients with SI joint pathology. This database included 33 hips from 30 patients. Radiographic analysis included measurements of the lateral centre edge angle, Tönnis angle, and the triangular index, of the ipsilateral hip. Evidence for retrotorsion of the hemipelvis was recorded. Hips were graded on the Tönnis grading system for hip arthrosis. In this cohort 14/33 (42%) of hips had evidence of significant osteoarthrosis indicated by Tönnis grade 2 or greater and 15/33 (45%) displayed subchondral cyst formation around the hip or head neck junction. In assessing acetabular anatomy, 21% (7/33) had retroversion, 12% (4/33) had a lateral centre edge angle >40° with 3% (1/33) >45°. Tönnis angle was arthrosis. The clinician should maintain FAI in the differential diagnosis when investigating patients with buttock pain.

  19. Hip arthroscopy with labral repair for femoroacetabular impingement

    DEFF Research Database (Denmark)

    Dippmann, Christian; Thorborg, Kristian; Kraemer, Otto;

    2014-01-01

    males (median age 38, range 15-59)] underwent hip arthroscopy and labral repair, by the same experienced surgeon. Standardised, but unstructured, post-operative rehabilitation instructions were provided. Function and pain were evaluated using modified Harris Hip Score (mHHS) and visual analogue scale...... (VAS) pre-operatively and post-operatively at 3, 6, and 12 months. RESULTS: A main effect of time was seen for mHHS and pain (VAS) at 3, 6, and 12 months (p operatively to 74.5 (1.9) after 3 months (p ... months from 74.5 (1.9) to 80.1 (1.9) (p = 0.004), with no additional changes from 6 to 12 months [80.1 (1.9)-78.7 (1.9), (n.s.)]. Also, the mean (SE) VAS improved significantly from pre-operative 57.9 (2.6) to 30.0 (2.6) after 3 months (p

  20. Neuromuscular control of scapula muscles during a voluntary task in subjects with Subacromial Impingement Syndrome. A case-control study.

    Science.gov (United States)

    Larsen, C M; Søgaard, K; Chreiteh, S S; Holtermann, A; Juul-Kristensen, B

    2013-10-01

    Imbalance of neuromuscular activity in the scapula stabilizers in subjects with Subacromial Impingement Syndrome (SIS) is described in restricted tasks and specific populations. Our aim was to compare the scapular muscle activity during a voluntary movement task in a general population with and without SIS (n=16, No-SIS=15). Surface electromyography was measured from Serratus anterior (SA) and Trapezius during bilateral arm elevation (no-load, 1kg, 3kg). Mean relative muscle activity was calculated for SA and the upper (UT) and lower part of trapezius (LWT), in addition to activation ratio and time to activity onset. In spite of a tendency to higher activity among SIS 0.10-0.30 between-group differences were not significant neither in ratio of muscle activation 0.80-0.98 nor time to activity onset 0.53-0.98. The hypothesized between-group differences in neuromuscular activity of Trapezius and Serratus was not confirmed. The tendency to a higher relative muscle activity in SIS could be due to a pain-related increase in co-activation or a decrease in maximal activation. The negative findings may display the variation in the specific muscle activation patterns depending on the criteria used to define the population of impingement patients, as well as the methodological procedure being used, and the shoulder movement investigated.

  1. Reliability, Readability and Quality of Online Information about Femoracetabular Impingement

    Directory of Open Access Journals (Sweden)

    Fatih Küçükdurmaz

    2015-07-01

    Conclusion: According to our results, the websites intended to attract patients searching for information regarding femoroacetabular impingement are providing a highly accessible, readable information source, but do not appear to apply a comparable amount of rigor to scientific literature or healthcare practitioner websites in regard to matters such as citing sources for information, supplying methodology and including a publication date. This indicates that while these resources are easily accessed by patients, there is potential for them to be a source of misinformation.

  2. Risk of surgery for subacromial impingement syndrome in relation to neck-shoulder complaints and occupational biomechanical exposures

    DEFF Research Database (Denmark)

    Svendsen, Susanne Wulff; Dalbøge, Annett; Andersen, JH

    2013-01-01

    OBJECTIVES: The aim of this longitudinal study was to evaluate the risk of surgery for subacromial impingement syndrome (SIS) in relation to neck-shoulder complaints and occupational biomechanical shoulder exposures. METHODS: The study was based on the Musculoskeletal Research Database...... at the Danish Ramazzini Centre. We linked baseline questionnaire information from 1993-2004 on neck-shoulder complaints, job titles, psychosocial work factors, body mass index, and smoking with register information on first-time surgery for SIS from 1996-2008. Biomechanical exposure measures were obtained from....... Using no neck-shoulder complaints and low shoulder load at baseline as a reference, no neck-shoulder complaints and high shoulder load showed an adjusted hazard ratio (HR adj) of 2.55 [95% confidence interval (95% CI) 1.59-4.09], while neck-shoulder complaints in combination with high shoulder load...

  3. A new radiological index for assessing asphericity of the femoral head in cam impingement

    DEFF Research Database (Denmark)

    Gosvig, K K; Jacobsen, S; Palm, H;

    2007-01-01

    Femoroacetabular cam impingement is thought to be a cause of premature osteoarthritis of the hip. The presence of cam malformation was determined in 2803 standardised anteroposterior (AP) pelvic radiographs from the Copenhagen Osteoarthritis Study by measuring the alpha (alpha) angle and the tria...

  4. A new radiological index for assessing asphericity of the femoral head in cam impingement

    DEFF Research Database (Denmark)

    Gosvig, K K; Jacobsen, S; Palm, H

    2007-01-01

    Femoroacetabular cam impingement is thought to be a cause of premature osteoarthritis of the hip. The presence of cam malformation was determined in 2803 standardised anteroposterior (AP) pelvic radiographs from the Copenhagen Osteoarthritis Study by measuring the alpha (alpha) angle and the tria...

  5. A new interdisciplinary treatment strategy versus usual medical care for the treatment of subacromial impingement syndrome: a randomized controlled trial

    Directory of Open Access Journals (Sweden)

    van der Meer Klaas

    2007-02-01

    Full Text Available Abstract Background Subacromial impingement syndrome (SIS is the most frequently recorded shoulder disorder. When conservative treatment of SIS fails, a subacromial decompression is warranted. However, the best moment of referral for surgery is not well defined. Both early and late referrals have disadvantages – unnecessary operations and smaller improvements in shoulder function, respectively. This paper describes the design of a new interdisciplinary treatment strategy for SIS (TRANSIT, which comprises rules to treat SIS in primary care and a well-defined moment of referral for surgery. Methods/Design The effectiveness of an arthroscopic subacromial decompression versus usual medical care will be evaluated in a randomized controlled trial (RCT. Patients are eligible for inclusion when experiencing a recurrence of SIS within one year after a first episode of SIS which was successfully treated with a subacromial corticosteroid injection. After inclusion they will receive injection treatment again by their general practitioner. When, after this treatment, there is a second recurrence within a year post-injection, the participants will be randomized to either an arthroscopic subacromial decompression (intervention group or continuation of usual medical care (control group. The latter will be performed by a general practitioner according to the Dutch National Guidelines for Shoulder Problems. At inclusion, at randomization and three, six and 12 months post-randomization an outcome assessment will take place. The primary outcome measure is the patient-reported Shoulder Disability Questionnaire. The secondary outcome measures include both disease-specific and generic measures, and an economic evaluation. Treatment effects will be compared for all measurement points by using a GLM repeated measures analyses. Discussion The rationale and design of an RCT comparing arthroscopic subacromial decompression with usual medical care for subacromial

  6. The impact of subacromial impingement syndrome on muscle activity patterns of the shoulder complex: a systematic review of electromyographic studies

    Directory of Open Access Journals (Sweden)

    Smith Toby O

    2010-03-01

    Full Text Available Abstract Background Subacromial impingement syndrome (SIS is a commonly reported cause of shoulder pain. The purpose of this study was to systematically review the literature to examine whether a difference in electromyographic (EMG activity of the shoulder complex exists between people with SIS and healthy controls. Methods Medline, CINAHL, AMED, EMBASE, and grey literature databases were searched from their inception to November 2008. Inclusion, data extraction and trial quality were assessed in duplicate. Results Nine studies documented in eleven papers, eight comparing EMG intensity and three comparing EMG onset timing, representing 141 people with SIS and 138 controls were included. Between one and five studies investigated each muscle totalling between 20 and 182 participants. The two highest quality studies of five report a significant increase in EMG intensity in upper trapezius during scaption in subjects with SIS. There was evidence from 2 studies of a delayed activation of lower trapezius in patients with SIS. There was otherwise no evidence of a consistent difference in EMG activity between the shoulders of subjects with painful SIS and healthy controls. Conclusions A difference may exist in EMG activity within some muscles, in particular upper and lower trapezius, between people with SIS and healthy controls. These muscles may be targets for clinical interventions aiding rehabilitation for people with SIS. These differences should be investigated in a larger, high quality survey and the effects of therapeutically targeting these muscles in a randomised controlled trial.

  7. Deep gluteal space problems: piriformis syndrome, ischiofemoral impingement and sciatic nerve release

    Science.gov (United States)

    Carro, Luis Perez; Hernando, Moises Fernandez; Cerezal, Luis; Navarro, Ivan Saenz; Fernandez, Ana Alfonso; Castillo, Alexander Ortiz

    2016-01-01

    Summary Background Deep gluteal syndrome (DGS) is an underdiagnosed entity characterized by pain and/or dysesthesias in the buttock area, hip or posterior thigh and/or radicular pain due to a non-discogenic sciatic nerve entrapment in the subgluteal space. Multiple pathologies have been incorporated in this all-included “piriformis syndrome”, a term that has nothing to do with the presence of fibrous bands, obturator internus/gemellus syndrome, quadratus femoris/ischiofemoral pathology, hamstring conditions, gluteal disorders and orthopedic causes. Methods This article describes the subgluteal space anatomy, reviews known and new etiologies of DGS, and assesses the role of the radiologist and orthopaedic surgeons in the diagnosis, treatment and postoperative evaluation of sciatic nerve entrapments. Conclusion DGS is an under-recognized and multifactorial pathology. The development of periarticular hip endoscopy has led to an understanding of the pathophysiological mechanisms underlying piriformis syndrome, which has supported its further classification. The whole sciatic nerve trajectory in the deep gluteal space can be addressed by an endoscopic surgical technique. Endoscopic decompression of the sciatic nerve appears useful in improving function and diminishing hip pain in sciatic nerve entrapments, but requires significant experience and familiarity with the gross and endoscopic anatomy. Level of evidence IV. PMID:28066745

  8. Imaging manifestations and clinical application of subacromial impingement syndrome%肩峰下撞击综合征的影像表现与临床应用

    Institute of Scientific and Technical Information of China (English)

    李志磊; 李黎; 全勇

    2012-01-01

    目的 明确肩峰下撞击综合征的诊治方法及影像学检查的实际临床应用.方法 对27例肩峰下撞击综合征患者的临床和影像学资料进行回顾性分析.结果 肩峰下撞击邻近骨质增生硬化明显,钩型肩峰8例,冈上肌腱撕裂10例;保守治疗18例,手术9例;Neer评分优5例,满意17例.结论 肩峰下撞击综合征在临床诊断的基础上结合实际有效的影像学检查能够进行有效的针对性治疗.%Objective To clear the diagnose and treatment of subacromial impingement syndrome and the actual clinical application of imaging examination.Methods Retrospectivly analyzed the clinical manifestation and imaging data of 27 patients with subacromial impingement syndrome.Results Near the site subacromial impingement bone sclerosis obvious,hook acromion in 8 cases,supraspinatus tendon rupture in 10 cases.Eighteen cases with conservative treatment,9 cases with operation.Neer score,5 cases were excellent,17 cases were satisfactory.Conclusions The subacromial impingement syndrome based on clinical diagnosis,the actual effective imaging examination,we can carry on the effective targeted therapy.

  9. The effects of scapular taping on the surface electromyographic signal amplitude of shoulder girdle muscles during upper extremity elevation in individuals with suspected shoulder impingement syndrome.

    Science.gov (United States)

    Selkowitz, David M; Chaney, Casey; Stuckey, Sandra J; Vlad, Georgeanne

    2007-11-01

    Multifactorial, repeated-measures, within-subjects design. To investigate the immediate effects of scapular taping on surface electromyographic (EMG) signal amplitude of shoulder girdle muscles during upper extremity elevation in individuals with suspected shoulder impingement syndrome. Individuals with shoulder impingement syndrome may present with increased activity of the upper trapezius and inhibition of other shoulder muscles active during upper extremity elevation. Scapular taping is theorized to normalize shoulder girdle function during scapular upward rotation by decreasing upper trapezius activity and increasing the activity of the lower trapezius and other muscles. assessed for each muscle. Upper trapezius activity was significantly lower with tape during shelf task elevation (P = .002), especially above 90 degrees (Pmuscles for the shelf task. During shoulder abduction in the scapular plane, the main effect for upper trapezius showed a significant decrease of EMG signal amplitude (P = .047) for tape versus no tape, but no significant interactions were found among components of this activity, or for other muscles. Scapular taping decreased upper trapezius and increased lower trapezius activity in people with suspected shoulder impingement during a functional overhead-reaching task, and decreased upper trapezius activity during shoulder abduction in the scapular plane. Taping did not affect the other muscles under the loads tested, but it is possible that the activity of these muscles was not deficient at the time of testing.

  10. Surgery for subacromial impingement syndrome in relation to intensities of occupational mechanical exposures across 10-year exposure time windows.

    Science.gov (United States)

    Dalbøge, Annett; Frost, Poul; Andersen, Johan Hviid; Svendsen, Susanne Wulff

    2017-08-20

    We aimed to identify intensities of occupational mechanical exposures (force, arm elevation and repetition) that do not entail an increased risk of surgery for subacromial impingement syndrome (SIS) even after prolonged durations of exposure. Additionally, we wanted to evaluate if exposure to hand-arm vibration (HAV) is an independent risk factor. We used data from a register-based cohort study of the entire Danish working population (n=2 374 403). During follow-up (2003-2008), 14 118 first-time events of surgery for SIS occurred. For each person, we linked register-based occupational codes (1993-2007) to a general population job exposure matrix to obtain year-by-year exposure intensities on measurement scales for force, upper arm elevation >90° and repetition and expert rated intensities of exposure to HAV. For 10-year exposure time windows, we calculated the duration of exposure at specific intensities above minimal (low, medium and high). We used a logistic regression technique equivalent to discrete survival analysis adjusting for cumulative effects of other mechanical exposures. We found indications of safe exposure intensities for repetition (median angular velocity 90° >2 min/day implied an increased risk reaching ORs of 1.7 and 1.5 after 10 years at low intensities. No associations were found for HAV. We found indications of safe exposure intensities for repetition. Any intensities of force and upper arm elevation >90° above minimal implied an increased risk across 10-year exposure time windows. No independent associations were found for HAV. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  11. [Clinical or radiological diagnosis of impingement].

    Science.gov (United States)

    Kloth, J K; Zeifang, F; Weber, M-A

    2015-03-01

    Shoulder impingement syndrome is a clinically common entity involving trapping of tendons or bursa with typical clinical findings. Important radiological procedures are ultrasound, magnetic resonance imaging (MRI) and MR arthrography. Projection radiography and computed tomography (CT) are ideal to identify bony changes and CT arthrography also serves as an alternative method in cases of contraindications for MRI. These modalities support the clinically suspected diagnosis of impingement syndrome and may identify its cause in primary diagnosis. In addition, effects of impingement are determined by imaging. Therapy decisions are based on a synopsis of radiological and clinical findings. The sensitivity and specificity of these imaging modalities with regard to the diagnostics of a clinically evident impingement syndrome are given in this review article. Orthopedic and trauma surgeons express the suspicion of an impingement syndrome based on patient history and physical examination and radiologists confirm structural changes and damage of intra-articular structures using dedicated imaging techniques.

  12. Effect of corticosteroid injections versus physiotherapy on pain, shoulder range of motion and shoulder function in patients with subacromial impingement syndrome: A systematic review and meta-analysis

    Directory of Open Access Journals (Sweden)

    Marlette Burger

    2016-02-01

    Full Text Available Background: Subacromial impingement syndrome (SIS is one of the most common causes of shoulder pain. Limited research has been conducted into the efficacy of corticosteroid injections (CSIs compared to physiotherapy in the management of SIS.Objective: To critically appraise and establish the best available evidence for the effectiveness of CSI in comparison with physiotherapy for the management of pain, shoulder range of motion (ROM and shoulder function in patients with SIS.Methodology:  Seven databases were searched from inception to February 2016, namely PubMed, Science Direct, EBSCO Host: SPORTDiscus, EBSCO Host: CINAHL, Cochrane, Scopus and PEDro. The main search terms were shoulder impingement syndrome and/or subacromial impingement syndrome, corticosteroid injections and/or steroid injections, physical therapy and/or physiotherapy. Only randomised controlled trials (RCTs were considered for inclusion. The articles were appraised according to the PEDro scale. The Revman© Review Manager Software was used to combine the results of shoulder function and the data were illustrated in forest plots.Results: The PEDro scores of the three RCTs that qualified for this review ranged from 7 to 8/10. There is Level II evidence suggesting that besides a significant improvement in shoulder function in favour of CSI at 6–7 weeks follow-up (p < 0.0001, no evidence was found for the superiority of CSIs compared with physiotherapy for pain, ROM and shoulder function in the short- (1–3 months, mid- (6 months and long term (12 months.Conclusion: In patients with SIS only a short term significant improvement in shoulder function was found in favour of CSIs.

  13. TO COMPARE THE EFFICACY OF ULTRASOUND THERAPY WITH EXERCISES VERSUS LASER THERAPY WITH EXERCISES IN THE TREATMENT OF SUBACROMIAL IMPINGEMENT SYNDROME

    Directory of Open Access Journals (Sweden)

    Somashekhar

    2014-09-01

    Full Text Available OBJECTIVES: To compare and measure the effectiveness of Ultrasound therapy with exercises versus Laser therapy with exercises on affected shoulder in reducing pain which can be measured by Visual Analogue Scale in case of SAIS. To compare and measure the effectiveness of Ultrasound therapy with exercises versus Laser therapy with exercises in evaluating the active range of motion using Universal Goniometer. BACKGROUND: Sub acromial impingement syndrome (SAIS is a painful condition resulting from the entrapment of anatomical structures between the antero inferior corner of the acromion and the greater tuberosity of the humerus. Van der Windt et al.,(1995 and Vecchio et al.,(1995 have postulated that Sub acromial impingement syndrome (SAIS of the shoulder is the most common disorder of the shoulder, accounting for 44-65% of all complaints of shoulder pain. Shoulder Impingement syndrome is usually treated conservatively, but sometimes it is treated with arthroscopic surgery or open surgery. Conservative treatment includes rest, cessation of painful activity, ultrasound therapy, laser therapy and physiotherapy focused at maintaining range of movement and avoids shoulder stiffness. NSAID‟s and ice packs may be used for pain relief. Therapeutic injections of corticosteroid and local anaesthetic may be used for persistent impingement syndrome. In this study the researcher would like to compare and see the effectiveness of ultrasound with exercises and laser therapy with exercises on SAIS. METHODS: For this study 60 patients with acute SAIS of both the sex were taken. Patients were randomly divided into group A and group B. Group A were treated with US therapy for 5 minutes along with shoulder exercises and Group B were treated with LLLT of Ga-As for 5-6 minutes along with shoulder exercises to maintain ROM within available pain free range. Both the groups were treated 5 times per week for 2 weeks. Patients were evaluated with VAS and ROM on every 3rd

  14. Co-occurrence of outlet impingement syndrome of the shoulder and restricted range of motion in the thoracic spine - a prospective study with ultrasound-based motion analysis

    Directory of Open Access Journals (Sweden)

    Fuchs-Winkelmann Susanne

    2010-06-01

    Full Text Available Abstract Background Shoulder complaints, and especially the outlet-impingement syndrome, are a common condition. Among other things, poor posture has been discussed as a cause. A correlation between impingement syndrome and restricted mobility of the thoracic spine (T has been described earlier, but there has been no motion analysis of the thoracic spine to show these correlations. In the present prospective study, we intended to find out whether there is a significant difference in the thoracic sagittal range of motion (ROM between patients with a shoulder outlet impingement syndrome and a group of patients who had no shoulder pathology. Secondly, we wanted to clarify whether Ott's sign correlates with ultrasound topometric measurements. Methods Two sex- and age-matched groups (2 × n = 39 underwent a clinical and an ultrasound topometric examination. The postures examined were sitting up straight, sitting in maximal flexion and sitting in maximal extension. The disabilities of the arm, shoulder and hand (DASH score (obtained by means of a self-assessment questionnaire and the Constant score were calculated. Lengthening and shortening of the dorsal projections of the spine in functional positions was measured by tape with Ott's sign. Results On examination of the thoracic kyphosis in the erect seated posture there were no significant differences between the two groups (p = 0.66. With ultrasound topometric measurement it was possible to show a significantly restricted segmental mobility of the thoracic spine in the study group compared with the control group (p = 0.01. An in-depth look at the mobility of the subsegments T1-4, T5-8 and T9-12 revealed that differences between the groups in the mobility in the lower two sections of the thoracic spine were significant (T5-8: p = 0.03; T9-12: p = 0.02. The study group had an average Constant score of 35.1 points and the control group, 85.5 (p Conclusion The mobility of the thoracic spine should

  15. Effects of mobilization with movement on pain and range of motion in patients with unilateral shoulder impingement syndrome: a randomized controlled trial.

    Science.gov (United States)

    Delgado-Gil, José A; Prado-Robles, Eva; Rodrigues-de-Souza, Daiana P; Cleland, Joshua A; Fernández-de-las-Peñas, César; Alburquerque-Sendín, Francisco

    2015-05-01

    The purpose of this study was to compare the immediate effects of mobilization with movement (MWM) to a sham technique in patients with shoulder impingement syndrome. A randomized controlled trial was performed. Forty-two patients (mean ± SD age, 55 ± 9 years; 81% female) satisfied eligibility criteria, agreed to participate, and were randomized into an MWM group (n = 21) or sham manual contact (n = 21). The primary outcome measures including pain intensity, pain during active range of motion, and maximal active range of motion were assessed by a clinician blinded to group allocation. Outcomes were captured at baseline and after 2 weeks of MWM treatment or sham intervention. The primary analysis was the group × time interaction. The 2×2 analysis of variance revealed a significant group × time interaction for pain intensity during shoulder flexion (F = 7.054; P = .011), pain-free shoulder flexion (F = 32.853; P < .001), maximum shoulder flexion (F = 18.791; P < .01), and shoulder external rotation (F = 7.950; P < .01) in favor of the MWM group. No other significant differences were found. Patients with shoulder impingement syndrome who received 4 sessions of MWM exhibited significantly better outcomes for pain during shoulder flexion, pain-free range of shoulder flexion, maximal shoulder flexion, and maximal external rotation than those patients who were in the sham group. Copyright © 2015 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.

  16. Immediate Effects of Mobilization With Movement vs Sham Technique on Range of Motion, Strength, and Function in Patients With Shoulder Impingement Syndrome: Randomized Clinical Trial.

    Science.gov (United States)

    Guimarães, João Flávio; Salvini, Tania Fátima; Siqueira, Aristides Leite; Ribeiro, Ivana Leão; Camargo, Paula Rezende; Alburquerque-Sendín, Francisco

    The purpose of this study was to compare the immediate effects of mobilization with movement (MWM) with sham technique on range of motion (ROM), muscle strength, and function in patients with shoulder impingement syndrome. A randomized clinical study was performed. Participants (mean age ± standard deviation, 31 ± 8 years; 56% women) were divided into 2 groups: group 1 (n = 14), which received the MWM technique in the first 4 sessions and the sham technique in the last 4 sessions; and group 2 (n = 13), which was treated with the opposite order of treatment conditions described for group 1. Shoulder ROM, isometric peak force assessed with a handheld dynamometer, and function as determined through the Disabilities of the Arm, Shoulder and Hand and Shoulder Pain and Disability Index (SPADI) questionnaires were collected at preintervention, interchange, and postintervention moments. Two-way analysis of variance revealed no significant group-by-time interaction for any outcome but did reveal a main time effect for shoulder external rotation (P = .04) and abduction (P = .01) ROM, Disabilities of the Arm, Shoulder and Hand (P movement and SPADI Pain overcame the clinical relevance threshold. The isometric peak force tests revealed no effects. The MWM technique was no more effective than a sham intervention in improving shoulder ROM during external rotation and abduction, pain, and function in patients with shoulder impingement syndrome. Copyright © 2016. Published by Elsevier Inc.

  17. Impingement-free hip motion: the 'normal' angle alpha after osteochondroplasty.

    Science.gov (United States)

    Neumann, Mirjam; Cui, Quanjun; Siebenrock, Klaus A; Beck, Martin

    2009-03-01

    Femoroacetabular impingement is considered a cause of hip osteoarthrosis. In cam impingement, an aspherical head-neck junction is squeezed into the joint and causes acetabular cartilage damage. The anterior offset angle alpha, observed on a lateral crosstable radiograph, reflects the location where the femoral head becomes aspheric. Previous studies reported a mean angle alpha of 42 degrees in asymptomatic patients. Currently, it is believed an angle alpha of 50 degrees to 55 degrees is normal. The aim of this study was to identify that angle alpha which allows impingement-free motion. In 45 patients who underwent surgical treatment for femoroacetabular impingement, we measured the angle alpha preoperatively, immediately postoperatively, and 1 year postoperatively. All hips underwent femoral correction and, if necessary, acetabular correction. The correction was considered sufficient when, in 90 degrees hip flexion, an internal rotation of 20 degrees to 25 degrees was possible. The angle alpha was corrected from a preoperative mean of 66 degrees (range, 45 degrees - 79 degrees) to 43 degrees (range, 34 degrees - 60 degrees) postoperatively. Because the acetabulum is corrected to normal first, the femoral correction is tested against a normal acetabulum. We therefore concluded an angle alpha of 43 degrees achieved surgically and with impingement-free motion, represents the normal angle alpha, an angle lower than that currently considered sufficient.

  18. Kinesiology taping does not alter shoulder strength, shoulder proprioception, or scapular kinematics in healthy, physically active subjects and subjects with Subacromial Impingement Syndrome.

    Science.gov (United States)

    Keenan, Karen A; Akins, Jonathan S; Varnell, Michelle; Abt, John; Lovalekar, Mita; Lephart, Scott; Sell, Timothy C

    2017-03-01

    To examine the effect of kinesiology tape (KT) on shoulder strength, proprioception, and scapular kinematics in healthy and Subacromial Impingement Syndrome (SAIS) subjects. Placebo-controlled quasi-experimental study. Research laboratory. A total of 30 physically active subjects participated. Ten healthy subjects with no previous history of shoulder pathology received KT on the dominant shoulder. Twenty subjects with shoulder pain for a minimum of two weeks and presenting with clinical signs of impingement were allotted to receive KT (n = 10) or placebo taping (PT, n = 10) on the involved shoulder. All participants were tested pre- and post-application. Shoulder internal/external rotation (IR/ER) strength was assessed with isokinetic dynamometry (average peak torque/body weight). Shoulder IR/ER proprioception was assessed through threshold to detect passive motion (mean absolute error in degrees). Scapular position at 90° and 120° of shoulder abduction during arm raising/lowering were assessed using a 3D motion analysis system. No significant within group or between group differences were demonstrated for any measure. Taping does not appear to aid/impair shoulder strength, shoulder proprioception, or scapular kinematics. Future research should explore if the effects of KT are time-dependent and similar in other pathologies. Copyright © 2016 Elsevier Ltd. All rights reserved.

  19. Selective activation of intra-muscular compartments within the trapezius muscle in subjects with Subacromial Impingement Syndrome. A case-control study

    DEFF Research Database (Denmark)

    Larsen, C M; Juul-Kristensen, B; Olsen, H B

    2014-01-01

    Neuromuscular control of the scapular muscles is important in the etiology of shoulder pain. Electromyographical (EMG) biofeedback in healthy people has been shown to support a selective activation of the lower compartment of the trapezius muscle, specifically. The aim of the present paper...... was to investigate whether patients with Subacromial Impingement Syndrome (SIS) were able to selectively activate the individual compartments within the trapezius muscle, with and without EMG biofeedback to the same extent as healthy controls (No-SIS). Fifteen SIS and 15 No-SIS participated in the study. Sessions...... with and without visual biofeedback were conducted. Surface EMG was recorded from four compartments of the trapezius muscle. Selective activation was defined as activation above 12% with other muscle parts below 1.5% or activation ratio at or above 95% of the total activation. Without biofeedback significantly...

  20. Effectiveness of individualized physiotherapy on pain and functioning compared to a standard exercise protocol in patients presenting with clinical signs of subacromial impingement syndrome. A randomized controlled trial

    Directory of Open Access Journals (Sweden)

    de Bie Rob A

    2010-06-01

    Full Text Available Abstract Background Shoulder impingement syndrome is a common musculoskeletal complaint leading to significant reduction of health and disability. Physiotherapy is often the first choice of treatment although its effectiveness is still under debate. Systematic reviews in this field highlight the need for more high quality trials to investigate the effectiveness of physiotherapy interventions in patients with subacromial impingement syndrome. Methods/Design This randomized controlled trial will investigate the effectiveness of individualized physiotherapy in patients presenting with clinical signs and symptoms of subacromial impingement, involving 90 participants aged 18-75. Participants are recruited from outpatient physiotherapy clinics, general practitioners, and orthopaedic surgeons in Germany. Eligible participants will be randomly allocated to either individualized physiotherapy or to a standard exercise protocol using central randomization. The control group will perform the standard exercise protocol aiming to restore muscular deficits in strength, mobility, and coordination of the rotator cuff and the shoulder girdle muscles to unload the subacromial space during active movements. Participants of the intervention group will perform the standard exercise protocol as a home program, and will additionally be treated with individualized physiotherapy based on clinical examination results, and guided by a decision tree. After the intervention phase both groups will continue their home program for another 7 weeks. Outcome will be measured at 5 weeks and at 3 and 12 months after inclusion using the shoulder pain and disability index and patients' global impression of change, the generic patient-specific scale, the average weekly pain score, and patient satisfaction with treatment. Additionally, the fear avoidance beliefs questionnaire, the pain catastrophizing scale, and patients' expectancies of treatment effect are assessed. Participants

  1. The use of evidence-based practices for the management of shoulder impingement syndrome among Indian physical therapists: a cross-sectional survey

    Directory of Open Access Journals (Sweden)

    Vandana Phadke

    2015-12-01

    Full Text Available ABSTRACT Background: The understanding of the pathomechanics of shoulder impingement has evolved over the years. Likewise, assessment techniques and effective treatment strategies have also been developed. Physical therapists should keep up-to-date on the current evidence. Objective: This study explored the practices currently used by Indian physical therapists for the assessment and management of shoulder impingement syndrome (SIS. Method: Using an online questionnaire, therapists were asked to declare the causes, methods of assessment and their choices of physical therapy techniques for the management of SIS. The proportions of therapists using different techniques were analyzed descriptively, and comparisons across gender, experience level, and training were made. Data were analyzed to see if the choices of respondents compared with their responses for etiology. Results: A total of 211 responses were analyzed. Most respondents (>75% believed that overuse and abnormal motion/posture are the most significant causes of SIS. However, fewer respondents reported assessing posture (60.2% and dyskinesis, especially in women (24.2%. Ninety-four percent of the respondents reported using exercises, but exercise prescription was rather generic. Therapists additionally trained in the techniques of joint mobilization or taping declared using these techniques more frequently. The use of interferential therapy and ultrasound was reported by 89.5% and 98.4% of respondents, respectively Conclusion: Most therapists declared awareness of current recommended practices, but patient assessment, exercise prescription, and use of electrotherapy modalities were only partially based on current evidence. The study helps to identify gaps in current physical therapy approaches to SIS in India.

  2. Achilles Impingement Tendinopathy on Magnetic Resonance Imaging.

    Science.gov (United States)

    Bullock, Mark J; Mourelatos, Jan; Mar, Alice

    2017-02-28

    Haglund's syndrome is impingement of the retrocalcaneal bursa and Achilles tendon caused by a prominence of the posterosuperior calcaneus. Radiographic measurements are not sensitive or specific for diagnosing Haglund's deformity. Localization of a bone deformity and tendinopathy in the same sagittal section of a magnetic resonance imaging scan can assist with the diagnosis in equivocal cases. The aim of the present cross-sectional study was to determine the prevalence of Haglund's syndrome in patients presenting with Achilles tendinopathy and note any associated findings to determine the criteria for a diagnosis of Haglund's syndrome. We reviewed 40 magnetic resonance imaging scans with Achilles tendinopathy and 19 magnetic resonance imaging scans with Achilles high-grade tears and/or ruptures. Achilles tendinopathy was often in close proximity to the superior aspect of the calcaneal tuberosity, consistent with impingement (67.5%). Patients with Achilles impingement tendinopathy were more often female (p < .04) and were significantly heavier than patients presenting with noninsertional Achilles tendinopathy (p = .014) or Achilles tendon rupture (p = .010). Impingement tendinopathy occurred medially (8 of 20) and centrally (10 of 20) more often than laterally (2 of 20) and was associated with a posterior prominence or hyperconvexity with a loss of calcaneal recess more often than a superior projection (22 of 27 versus 8 of 27; p < .001). Haglund's deformity should be reserved for defining a posterior prominence or hyperconvexity with loss of calcaneal recess because this corresponds with impingement. Achilles impingement tendinopathy might be more appropriate terminology for Haglund's syndrome, because the bone deformity is often subtle. Of the 27 images with Achilles impingement tendinopathy, 10 (37.0%) extended to a location prone to Achilles tendon rupture. Given these findings, insertional and noninsertional Achilles tendinopathy are not mutually

  3. Posterior ankle impingement.

    Science.gov (United States)

    Giannini, Sandro; Buda, Roberto; Mosca, Massimiliano; Parma, Alessandro; Di Caprio, Francesco

    2013-03-01

    Posterior ankle impingement is a common cause of chronic ankle pain and results from compression of bony or soft tissue structures during ankle plantar flexion. Bony impingement is most commonly related to an os trigonum or prominent trigonal process. Posteromedial soft tissue impingement generally arises from an inversion injury, with compression of the posterior tibiotalar ligament between the medial malleolus and talus. Posterolateral soft tissue impingement is caused by an accessory ligament, the posterior intermalleolar ligament, which spans the posterior ankle between the posterior tibiofibular and posterior talofibular ligaments. Finally, anomalous muscles have also been described as a cause of posterior impingement.

  4. A mountain among molehills: removing an impinging large femoral neck osteochondroma in a man with hereditary multiple exostoses.

    LENUS (Irish Health Repository)

    Fitzgerald, Conall W R

    2014-01-01

    A 31-year-old man with a history of hereditary multiple exostoses (HME) presented with persistent right groin pain and reduced hip range of movement. Examination demonstrated a positive FADIR (flexion, adduction and internal rotation) test suggesting femoroacetabular impingement (FAI). Investigations showed multiple sessile osteochondromata of the right femur with a dominant anterolateral femoral neck osteochondroma causing flexion block. The patient underwent an uncomplicated proximal femoral exostectomy. Six-week postoperative pain, range of movement and daily activity had greatly improved. This case highlights that even in the setting of multiple osteochondromata, excellent impingement relief can be achieved following selective proximal femoral exostectomy.

  5. Anterior internal impingement of the shoulder in rugby players and other overhead athletes

    Directory of Open Access Journals (Sweden)

    Siddharth R. Shah, MBBS, MSc Sports Medicine (UK, MRCS-Ed

    2017-04-01

    Conclusion: This series of anterior internal impingement, which we believe is the largest in the literature to date, demonstrates the value of an to assess and successfully treat overhead athletes with anterior impingement syndrome.

  6. Meralgia paresthetica and femoral acetabular impingement: a possible association.

    Science.gov (United States)

    Ahmed, Aiesha

    2010-12-11

    Meralgia paresthetica consists of pain and dysesthesia in the anterolateral thigh. Etiology is divided into spontaneous and iatrogenic causes. To my knowledge this has never been attributed to femoral acetabular impingement. This case highlights the presence of lateral femoral cutaneous neuropathy in the setting of femoral acetabular impingement syndrome thus raising the possibility of an association. Femoral acetabular impingement; Lateral femoral cutaneous nerve; Dysesthesia; Nerve conduction studies.

  7. Síndrome de pinzamiento femoroacetabular en deportista veterano

    OpenAIRE

    F. Jiménez Borrero; C. Cuenca-González

    2015-01-01

    El síndrome de pinzamiento femoroacetabular (PFA) es una patología común en el adulto joven deportista que cada vez está tomando más relevancia y que se caracteriza por una inadecuada relación femoroacetabular, con una clínica dolorosa e incapacitante de larga evolución, que puede simular otras patologías de la cadera, motivo por el cual, se debe realizar una anamnesis y una exhaustiva exploración física que nos oriente hacia esta patología, confirmando la sospecha diagnóstica mediante prueba...

  8. Unrecognized osteoid osteoma of the proximal femur with associated cam impingement

    Science.gov (United States)

    Ly, Justin A.; Coleman, Erin M.; Cohen, Gary S.; Kropf, Eric J.

    2016-01-01

    Femoro-acetabular impingement is a common cause of hip pain in young athletes. Evaluation typically includes radiographs and magnetic resonance imaging. It is important to appreciate uncommon diagnoses and the role of complimentary imaging. This clinical vignette emphasizes the need complete imaging with CT in select case of atypical hip pain. We present a 19-year old soccer player who underwent seemingly successful arthroscopic FAI surgery but returned with pain. Computed tomography (CT) revealed osteoid osteoma of the lesser trochanter. The lesion was successfully treated with percutaneous CT guided radiofrequency ablation. PMID:27583164

  9. PERBANDINGAN ANTARA KOMBINASI LATIHAN STABILISASI BAHU DAN TRAKSI HUMERUS KE INFERIOR DENGAN KOMBINASI LATIHAN FUNGSIONAL BAHU DAN TRAKSI HUMERUS KE INFERIOR DALAM MENURUNKAN DISABILITAS BAHU DAN LENGAN PADA SUBACROMIAL IMPINGEMENT SYNDROME MAHASISWA AKAD

    Directory of Open Access Journals (Sweden)

    Mawaddah -

    2015-08-01

    Full Text Available Shoulder impingement causing interference on the motion of the shoulder joint activities and result in functional activity disorder. These injuries usually are caused by faulty movement, overuse, poor posture, occupational factors and trauma. This will cause a burden on one part of the body and cause imbalances in anatomy, which will eventually lead to disruption of the body that experienced work. This study aimed to investigate the effect of functional shoulder exercise and traction humerus to inferior with shoulder stabilization exercises and traction humerus to inferior to the decline in the shoulder and arm disabilities in subacromial impingement syndrome. This research method was experimental clinical trials with pre test and post test group design. Population student Academy Physiotherapy Widya Husada Semarang, which consists of 3 men and 12 women, aged between 18-21 years, divided into two groups. Group I was given Shoulder Stabilization exercises and Traction humerus to Inferior (n=7 and group II Functional Shoulder Exercise and Traction humerus to Inferior (n=8. This research was conducted for 3 weeks. Measurement of the value of disability shoulder and arm by using the Shoulder Pain and Disability Index (SPADI. The test results on the group I average value pre 34.17, SB = 6.31, and the average value of post 11.54, SB = 4.02, p = 0.001 found significant differences obtained test results paired sample t-test, and testing group II average value pre 40.18, SB = 3.53, and the average value of post 7.82, SB = 1.57, p = 0.001 found significant differences obtained test results paired sample t-test. Comparison of Group I and II, p = 0.005 there were significant differences, test results obtained independent sample t-test. Conclusions: The combination of shoulder stabilization exercises and traction humerus to inferior can reduce disability shoulder and arm on subacromial impingement syndrome. The combination functional shoulder exercise and

  10. EFFECT OF POSTURAL CORRECTION WITH DIFFERENT TAPING MATERIALS ON SCAPULAR KINEMATICS AND MYOELECTRIC ACTIVITIES OF SCAPULAR ROTATORS IN SUBACROMIAL IMPINGEMENT SYNDROME A RANDOMIZED PLACEBO-CONTROLLED TRIAL

    Directory of Open Access Journals (Sweden)

    Eman Mohamad Abd Al-Gawad

    2016-06-01

    Full Text Available Background: Rigid and kinesio tapings are commonly used in the rehabilitation of subacromial impingement syndrome (SIS. Yet; the effect of postural correction with the two taping materials in SIS has not been extensively studied. The purpose of the study is to examine the effect of postural correction with two different taping materials on scapular kinematics and electromyography of scapular upward rotators in patients with SIS. Methods: Twenty female patients with SIS participated in this study. Their age ranged from 30-60 years. Participants were randomly assigned into: Group I (Kinesio tape, n=10 and Group II (rigid tape, n=10. Thoracic and scapular taping with posture correction was applied to both groups. Scapular upward rotation at 0˚, 60˚, 90˚ and 120˚ of shoulder elevation and the activity level of the upper fibers of trapezius (UT, lower fibers of trapezius (LT and serratus anterior (SA muscles were measured before and immediately after taping application. Results: Both taping materials significantly increased scapular upward rotation at 60°, 90° and 120° angles (P =.004,.002 and .047 respectively after the application of tape as compared to the before. In addition, significantly greater muscle activity of the LT and SA muscles (P =.027 and 0.05 respectively were demonstrated by the kinesio-taping group as compared to rigid taping group during real taping condition. Conclusion: Both taping materials are effective in restoring scapular kinematics. Furthermore, kinesio taping has a facilitatory effect on the LT and SA muscles. Kinesio taping may be considered an alternative to rigid taping in patients with SIS.

  11. Effectiveness of Standardized Physical Therapy Exercises for Patients With Difficulty Returning to Usual Activities After Decompression Surgery for Subacromial Impingement Syndrome: Randomized Controlled Trial.

    Science.gov (United States)

    Christiansen, David Høyrup; Frost, Poul; Falla, Deborah; Haahr, Jens Peder; Frich, Lars Henrik; Andrea, Linda Christie; Svendsen, Susanne Wulff

    2016-06-01

    Little is known about the effectiveness of exercise programs after decompression surgery for subacromial impingement syndrome. For patients with difficulty returning to usual activities, special efforts may be needed to improve shoulder function. The purpose of this study was to evaluate the effectiveness at 3 and 12 months of a standardized physical therapy exercise intervention compared with usual care in patients with difficulty returning to usual activities after subacromial decompression surgery. A multicenter randomized controlled trial was conducted. The study was conducted in 6 public departments of orthopedic surgery, 2 departments of occupational medicine, and 2 physical therapy training centers in Central Denmark Region. One hundred twenty-six patients reporting difficulty returning to usual activities at the postoperative clinical follow-up 8 to 12 weeks after subacromial decompression surgery participated. A standardized exercise program consisting of physical therapist-supervised individual training sessions and home training was used. The primary outcome measure was the Oxford Shoulder Score. Secondary outcome measures were the Constant Score and the Fear-Avoidance Beliefs Questionnaire. At 3 and 12 months, follow-up data were obtained for 92% and 83% of the patients, respectively. Intention-to-treat analyses suggested a between-group difference on the Oxford Shoulder Score favoring the exercise group at 3 months, with an adjusted mean difference of 2.0 (95% confidence interval=-0.5, 4.6), and at 12 months, with an adjusted mean difference of 5.8 (95% confidence interval=2.8, 8.9). Significantly larger improvements for the exercise group were observed for most secondary and supplementary outcome measures. The nature of the exercise intervention did not allow blinding of patients and care providers. The standardized physical therapy exercise intervention resulted in statistically significant and clinically relevant improvement in shoulder pain and

  12. Diagnostic performance of susceptibility-weighted magnetic resonance imaging for the assessment of sub-coracoacromial spurs causing subacromial impingement syndrome

    Energy Technology Data Exchange (ETDEWEB)

    Noerenberg, Dominik; Armbruster, Marco [Munich University Hospitals Campus Grosshadern, Department of Clinical Radiology, Munich (Germany); Bender, Yi-Na; Walter, Thula; Diederichs, Gerd; Hamm, Bernd [Charite - University Medicine Berlin, Department of Radiology, Berlin (Germany); Ebersberger, Hans U. [Heart Center Munich-Bogenhausen, Department of Cardiology and Intensive Care Medicine, Munich (Germany); Ockert, Ben [Munich University Hospitals Campus Grosshadern, Department of Trauma and Orthopedic Surgery, Shoulder and Elbow Service, Munich (Germany); Makowski, Marcus R. [Charite - University Medicine Berlin, Department of Radiology, Berlin (Germany); King' s College London, Division of Imaging Sciences and Biomedical Engineering, London (United Kingdom)

    2017-03-15

    To evaluate the potential of susceptibility-weighted-magnetic-resonance-imaging (SWMR) for the detection of sub-coracoacromial spurs in patients with clinically suspected subacromial impingement syndrome (SAIS), compared to standard MR-sequences and radiographs. Forty-four patients with suspected SAIS were included. All patients underwent radiography, standard MRI of the shoulder and SWMR. Radiograph-based identification of sub-coracoacromial spurs served as goldstandard. Radiographs identified twenty-three spurs in twenty-three patients. Twenty-one patients without spur formation served as reference group. Detection rate, sensitivity/specificity and interobserver-agreements were calculated. Linear regression was applied to determine the relationship between size measurements on radiographs and MRI. Detection rates for spurs on standard MRI and SWMR were 47.8 % and 91.3 % compared to radiography (p<0.001). SWMR demonstrated a sensitivity of 97.7 % (CI=0.92-1) and a specificity of 91.3 % (CI=0.788-1) for the identification of spurs. Standard MR-sequences achieved a sensitivity of 47.8 % (CI=0.185-0.775) and a specificity of 80.8 % (CI=0.642-0.978). Size measurements between SWMR and radiography showed a good correlation (R{sup 2}=0.75;p<0.0001), while overestimating lesion size (5.7±1.2 mm; 4.3±1.3 mm;p<0.0001). Interobserver-agreement for spurs was high on SWMR (R{sup 2}=0.74;p<0.0001), but low on standard MRI (R{sup 2}=0.24;p<0.0001). SWMR allows a reliable detection of sub-coracoacromial spur formation in patients with SAIS and is superior to standard MR-sequences using radiography as goldstandard. (orig.)

  13. Diagnostic accuracy of clinical tests for the diagnosis of hip femoroacetabular impingement/labral tear

    DEFF Research Database (Denmark)

    Reiman, M P; Goode, A P; Cook, C E;

    2015-01-01

    to summarise sensitivities (SN), specificities (SP), diagnostic odds ratio (DOR) and respective confidence intervals (CI). RESULTS: The employed search strategy revealed 21 potential articles, with one demonstrating high quality. Nine articles qualified for meta-analysis. The meta-analysis demonstrated...... surgical decision-making. OBJECTIVE: Summarise/evaluate the current diagnostic accuracy of various clinical tests germane to hip FAI/ALT pathology. METHODS: A computer-assisted literature search of MEDLINE, CINAHL and EMBASE databases using keywords related to diagnostic accuracy of the hip joint, as well...

  14. Radiographic Prevalence of Femoroacetabular Impingement in a Young Population with Hip Complaints Is High

    Science.gov (United States)

    2010-01-27

    by some authors to be a prearthritic condition leading to chondral and labral lesions of the hip , which may progress to degenerative joint disease [6...derangement of joint 717.9 Juvenile osteochondrosis of pelvis 732.1 Cyst of bone pelvis 733.25 Aseptic necrosis of hip 733.42 Other symptoms referable to joint ...719.6 Nonallopathic lesions, not elsewhere classified 739.5 Other bursitis NOS 727.3 Sprain strain hip thigh NOS 843.9 Iliofemoral ligament sprain

  15. Utility of the heated lidocaine/tetracaine patch in the treatment of pain associated with shoulder impingement syndrome: a pilot study

    Science.gov (United States)

    Radnovich, Richard; Marriott, Thomas B

    2013-01-01

    Introduction Pain control is an important first step in the treatment of shoulder impingement syndrome (SIS) because fear of pain must be removed as an obstacle to participation in an appropriate physical therapy program. Methods Adult patients with SIS-associated pain of at least 2 weeks’ duration and who had an average pain score of ≥4 on the zero- to ten-point Numeric Pain Rating Scale were eligible to enroll in this 2-week pilot study. Patients were treated with the heated lidocaine/tetracaine (70 mg/70 mg) patch (HLT patch) placed over the site of shoulder tenderness each morning and evening for a period of 2 to 4 hours. Average and worst pain during the previous 24 hours and shoulder range of motion were assessed at baseline and on Day 14. Results were expressed as change and percent change from baseline to Day 14. This pilot study was not powered for rigorous statistical analysis. Results Twenty patients (seven male, 13 female; average age 51.2 ± 10.8 years [mean ± standard deviation]) enrolled in this study, and 18 patients completed the protocol. The mean average pain score at baseline was 5.5 ± 1.1 (range 4 to 8). In the per-protocol population, average and worst pain scores declined by 2.4 ± 2.0 and 3.7 ± 2.7 points, respectively. Two-thirds of the patients demonstrated a clinically meaningful ≥30% decline in average pain score, and half of the patients demonstrated a ≥50% decline in average pain score. Shoulder internal rotation increased by 29.7° ± 21.8° and abduction increased by 40.0° ± 44.2°. Application-site erythema was reported by ten patients at some time during the study. Conclusion Patients treated with the HLT patch for 14 days demonstrated clinically meaningful improvement in pain intensity and range of motion. Further controlled research is necessary to characterize the efficacy and tolerability of the HLT patch in the treatment of SIS. PMID:23935385

  16. Utility of the heated lidocaine/tetracaine patch in the treatment of pain associated with shoulder impingement syndrome: a pilot study

    Directory of Open Access Journals (Sweden)

    Radnovich R

    2013-07-01

    Full Text Available Richard Radnovich,1 Thomas B Marriott21Injury Care Medical Center, Boise, ID, USA; 2Pain Group, Nuvo Research US, Salt Lake City, UT, USAIntroduction: Pain control is an important first step in the treatment of shoulder impingement syndrome (SIS because fear of pain must be removed as an obstacle to participation in an appropriate physical therapy program.Methods: Adult patients with SIS-associated pain of at least 2 weeks’ duration and who had an average pain score of ≥4 on the zero- to ten-point Numeric Pain Rating Scale were eligible to enroll in this 2-week pilot study. Patients were treated with the heated lidocaine/tetracaine (70 mg/70 mg patch (HLT patch placed over the site of shoulder tenderness each morning and evening for a period of 2 to 4 hours. Average and worst pain during the previous 24 hours and shoulder range of motion were assessed at baseline and on Day 14. Results were expressed as change and percent change from baseline to Day 14. This pilot study was not powered for rigorous statistical analysis.Results: Twenty patients (seven male, 13 female; average age 51.2 ± 10.8 years [mean ± standard deviation] enrolled in this study, and 18 patients completed the protocol. The mean average pain score at baseline was 5.5 ± 1.1 (range 4 to 8. In the per-protocol population, average and worst pain scores declined by 2.4 ± 2.0 and 3.7 ± 2.7 points, respectively. Two-thirds of the patients demonstrated a clinically meaningful ≥30% decline in average pain score, and half of the patients demonstrated a ≥50% decline in average pain score. Shoulder internal rotation increased by 29.7° ± 21.8° and abduction increased by 40.0° ± 44.2°. Application-site erythema was reported by ten patients at some time during the study.Conclusion: Patients treated with the HLT patch for 14 days demonstrated clinically meaningful improvement in pain intensity and range of motion. Further controlled research is necessary to characterize the

  17. Síndrome de pinzamiento femoroacetabular en deportista veterano

    Directory of Open Access Journals (Sweden)

    F. Jiménez Borrero

    2015-12-01

    Full Text Available El síndrome de pinzamiento femoroacetabular (PFA es una patología común en el adulto joven deportista que cada vez está tomando más relevancia y que se caracteriza por una inadecuada relación femoroacetabular, con una clínica dolorosa e incapacitante de larga evolución, que puede simular otras patologías de la cadera, motivo por el cual, se debe realizar una anamnesis y una exhaustiva exploración física que nos oriente hacia esta patología, confirmando la sospecha diagnóstica mediante pruebas complementarias como la radiografía de pelvis y la resonancia magnética (RM. El tratamiento, en general, es quirúrgico. Debemos realizar un diagnóstico temprano ya que es una causa de artrosis precoz en el adulto joven.

  18. TO COMPARE THE EFFECTIVENESS OF THERAPEUTIC KINESIO TAPING AND EXERCISES AND ULTRASOUND WITH THERAPEUTIC KINESIO TAPING AND EXERCISES AND LOW INTENSITY LASER IN TREATING PATIENTS WITH SUBACROMIAL IMPINGEMENT SYNDROME

    Directory of Open Access Journals (Sweden)

    Ravish

    2015-05-01

    Full Text Available BACKGROUND AND OBJECTIVES: Subacromial impingement syndrome (SIAS is a painful condition resulting from the entrapment of anatomical structures between the anterioinferior corner of the acromion and the greater tuberosity of the humerus . Subacromial impingement syndrome (SAIS of the shoulder is the most common disorder of the shoulder , accounting for 44 - 65% of all complaints of shoulder . SAIS is usually treated conservatively , but sometimes it is treated with arthroscopic surgery or open surgery . Conservatively treatment includes rest , cessation of painful activity , ultrasound therapy , laser and physiotherapy focused at maintaining range of movement and avoids shoulder stiffness . NSAIDS’s and ice packs may be u sed for pain relief . Therapeutic injections of corticosteroid and local anesthetic may be used for persistent impingement syndrome . Hence this study aimed to compare and see the effectiveness of ultrasound , kinesio taping and exercises with low level laser , kinesio taping and exercises . STUDY DESIGN : Comparative study design SETTING: Out p atient Department of Orthopedics , Kempegowda Institute of Medical Science Hospital and Research Center , Bangalore. Out p atient Department of Physiotherapy , Kempegowda institute of Physiotherapy , Bangalore . OUTCOME MEASURES: Visual analog scale (VAS for pain , Shoulder ROM , Shoulder pain and disability index (SPADI . METHOD: For this study 60 patients with chronic SAIS of both the sex were randomly divided into group A and group B . Group A were treated with Ultra sound therapy for 5 minutes along with shoulder exercise and kinesio taping 5 times per week . Group B were treated with LLLT for 3 minutes along with exercises and kinesio taping 3 times per week . Both the groups were treated for 3 weeks . Patients were evaluated with VAS , ROM and SPADI score on 1 st day , 1 st week , 2 nd week and 3 rd week . RESULT: Both groups showed clinically and statistically significant

  19. Clinical or radiological diagnosis of impingement; Klinische oder radiologische Diagnose des Impingements

    Energy Technology Data Exchange (ETDEWEB)

    Kloth, J.K.; Weber, M.A. [Universitaetsklinikum Heidelberg, Klinik fuer diagnostische und interventionelle Radiologie, Heidelberg (Germany); Zeifang, F. [Universitaetsklinikum Heidelberg, Zentrum fuer Orthopaedie, Unfallchirurgie und Paraplegiologie, Heidelberg (Germany)

    2015-03-01

    Shoulder impingement syndrome is a clinically common entity involving trapping of tendons or bursa with typical clinical findings. Important radiological procedures are ultrasound, magnetic resonance imaging (MRI) and MR arthrography. Projection radiography and computed tomography (CT) are ideal to identify bony changes and CT arthrography also serves as an alternative method in cases of contraindications for MRI. These modalities support the clinically suspected diagnosis of impingement syndrome and may identify its cause in primary diagnosis. In addition, effects of impingement are determined by imaging. Therapy decisions are based on a synopsis of radiological and clinical findings. The sensitivity and specificity of these imaging modalities with regard to the diagnostics of a clinically evident impingement syndrome are given in this review article. Orthopedic and trauma surgeons express the suspicion of an impingement syndrome based on patient history and physical examination and radiologists confirm structural changes and damage of intra-articular structures using dedicated imaging techniques. (orig.) [German] Das Impingementsyndrom der Schulter ist ein haeufiges Einklemmungsphaenomen von Sehnen oder Bursen mit typischem klinischem Befund. Wichtige radiologische Verfahren sind Sonographie, MRT und MR-Arthrographie. Projektionsradiographie und CT sind ideal, um knoecherne Veraenderungen aufzuzeigen. Die CT-Arthrographie dient zudem als Ersatzverfahren bei Kontraindikationen fuer die MRT. Diese genannten Modalitaeten koennen in der Primaerdiagnostik die Diagnose eines Impingementsyndroms stuetzen und dessen Ursache aufzeigen. Zudem werden bildgebend Folgen der Einklemmung festgestellt und in Zusammenschau von klinischer Symptomatik und radiologischem Befund Therapieentscheidungen getroffen. Die Sensitivitaet und Spezifitaet der zuvor genannten bildgebenden Verfahren in Bezug auf die diagnostische Aufarbeitung einer klinisch evidenten Impingementsymptomatik

  20. Endoscopic treatment of calcaneo-fibular impingement.

    Science.gov (United States)

    Bauer, T; Deranlot, J; Hardy, Ph

    2011-01-01

    The calcaneo-fibular impingement syndrome is frequent after calcaneal fracture and is linked to the decreased space between the tip of the fibula and the lateral wall of the calcaneus. The reasons for the painful symptoms are mixed with both bony and soft tissue involvement. The abnormal bony contact between the lateral calcaneal cortex and the tip of the fibula depends mainly on the size and localization of the lateral exostosis of the calcaneal wall. The soft tissue impingement is due to the fibrosis and scar tissues in the lateral gutter and to the compression of the peroneal tendons in the retromalleolar groove and under the tip of the malleolus. A 2-portal endoscopic technique is described for the treatment of calcaneo-fibular impingement with bone resection, soft tissue debridement and peroneal tendons release. One of the advantages of this endoscopic technique is the possibility of an assessment and treatment of associated lesions in the same procedure. A subtalar joint fusion can be done before if needed under arthroscopic control. As this endoscopic technique is very efficient to relieve symptoms of calcaneo-fibular impingement and is focused on the most relevant symptoms, it can thus be indicated for most of cases of calcaneal malunions, whatever the type of malunion and depending of the painful symptoms.

  1. Clinical Efficacy of Arthroscope to Treat Soft Tissue Impingement Syndrome of Ankle%关节镜治疗踝关节软组织撞击综合征的临床疗效观察

    Institute of Scientific and Technical Information of China (English)

    程桯; 温建民; 林新晓; 吴夏勃; 孙永生; 孙卫东; 蒋科卫; 梁朝; 胡海威

    2012-01-01

    Objective:To explore the clinical features and arthroscopic efficacy of soft tissue impingement syndrome of ankle (ASTIS). MethodS:The impingement tissue of 15 cases with ASTIS (12 to 36 months) was resected by arthroscope from September 2005 to April 2010, and the effect of surgery was assessed by hind foot-ankle scoring of American Orthopedic Foot and Ankle Society CAOFAS). Results:In 15 patients, ten with synovial tissue impingement, two with injury scar tissue impingement of tibiofibular ligament, three with meniscoid tissue impingement, and 12 with articular cartilage damage. All patients were followed up for 12 to 36 months. The main objective and subjective ratings of AOFAS were significantly improved after surgery (65. 3 ± 8. 4 points of preoperative VS 92. 2 ± 5. 2 points of postoperative in objective, P<0. 05, and 17. 7 ± 3. 4 points of preoperative VS 32. 5 ± 5. 7 points of postoperative in subjective, P <0. 05). Conclusion:The ASTIS is mostly secondary of the varus ankle injury. The ankle is commonly repeated sprains in clinic, and which location to the anterolateral of the ankle joint. The impingement tissues are synovium, ligaments, and meniscus-like tissue, and cases are mainly concomitantly articular cartilage injury. Using arthroscope to treat ASTIS is effective if long-term non-surgical treatment was ineffective.%目的:探讨踝关节软组织撞击综合征(ASTIS)的临床特点以及关节镜手术治疗的疗效.方法:2005年9月-2010年4月,15例ASTIS损伤后(12~36个月)的患者,经踝关节镜探查手术,镜下切除撞击组织,术后采用AOFAS(美国足踝外科协会)后足-踝评分法评定手术效果.结果:关节镜下显示15侧中:10例存在滑膜组织撞击;2例存在下胫腓前韧带损伤瘢痕组织撞击;3例存在半月板样组织撞击;12例合并关节软骨损伤.15例术后随访12~36个月,AOFAS主、客观评分术后较术前均明显提高,总体评分术前(65.3±8.4)分,术后(92.2±5.2)

  2. Terrestrial Plume Impingement Testbed Project

    Data.gov (United States)

    National Aeronautics and Space Administration — Masten Space Systems proposes to create a terrestrial plume impingement testbed for generating novel datasets for extraterrestrial robotic missions. This testbed...

  3. Impinging Jet Dynamics

    CERN Document Server

    Chen, Xiaodong

    2012-01-01

    In this fluid dynamics video, Ray-tracing data visualization technique was used to obtain realistic and detailed flow motions during impinging of two liquid jets. Different patterns of sheet and rim configurations were presented to shed light into the underlying physics, including liquid chain, closed rim, open rim, unstable rim and flapping sheet. In addition, stationary asymmetrical waves were observed and compared with existing theories. The generation of stationary capillary wave in respect to the liquid rim were explained by the classic shallow water wave theory. The atomization process caused by development of the impact waves were observed in detail, including fragmentation of liquid sheet, formation of liquid ligaments, and breakup of ligament into droplet. The locking-on feature of the wavelength of impact wave were also found to be similar to that of perturbed free shear layers.

  4. 急性滑脱性髌股关节撞击症的影像学表现%The imaging performance and mechanism of acute slipped patellofemoral joint impingent syndrome

    Institute of Scientific and Technical Information of China (English)

    李敏; 邓德茂; 米昆; 袁文昭; 万荣超; 何欣; 武莹莹

    2014-01-01

    目的:探讨急性滑脱性髌股关节撞击症的影像学特征。方法回顾性分析10例经临床证实的急性滑脱性髌股关节撞击症临床及影像学资料。结果10例患者均有明确屈曲外翻扭伤病史。10例患者中,髌骨脱位或者半脱位改变,DR 发现9例, MRI 发现10例;髌骨急性滑脱所致髌骨内侧骨折或骨软骨骨折,DR 发现1例,MRI 发现2例3处;MRI 发现10例髌内侧支持带损伤,与手术所见一致;9例患者 MRI 在特定部位(股骨外髁前外侧面及髌骨内下侧)发现软骨损伤及软骨下骨髓水肿,1例髌骨内下侧出现软骨损伤及软骨下骨髓水肿,软骨损伤与关节镜所见一致;3例患者 MRI 发现前交叉或后交叉韧带损伤,4例外侧半月板撕裂,所有患者均有不同程度关节积液,与关节镜所见一致。结论 MRI 能较好地显示急性滑脱性髌股关节撞击所致特征性软骨损伤及软骨下骨髓水肿,有助于临床早期诊断及治疗。%Objective To study the imaging performance and mechanism of acute patellofemoral joint impingent syndrome.Meth-ods The MR images and clinical data of acute patellofemoral joint impingent syndrome were analysed retrospectively in 10 patients, which were confirmed by clinic .MRI and DR examination were performed in all patients,in which 6 patients had complete knee ar-throscopy material.The imaging performance and mechanism of acute patellofemoral joint impingent syndrome were summarized re-spectively.Results All cases had clear history of buckling ectropion trauma;Patellar dislocation or subluxation were detected in 9 cases on DR examination,10 cases on MRI;Patellar medial fracture or osteochondral fracture caused by acute slipped patella was de-tected in 1 case on DR examination,2 cases (3 places)on MRI;Medial patellar retinaculum injury were detected in 10 cases on MRI,which were corresponding to that on surgery.Articular injury and subchondral marrow edema in particular parts of

  5. 肩峰下间隙药物注射治疗肩关节撞击综合征疗效%Analysis on the curative effects of subacromial space drug injection therapy on shoulder impingement syndrome

    Institute of Scientific and Technical Information of China (English)

    郁凯; 杨剑; 刘敏; 杨杰; 杨人军; 张殿英

    2015-01-01

    目的:比较曲安奈德、派瑞昔布钠肩峰下间隙注射治疗肩关节撞击综合征的疗效。方法59例确诊为肩关节撞击综合征患者随机分为激素组和非甾体消炎药(NSAID)组,激素组注射曲安奈德40 mg,NSAID 组注射派瑞昔布钠40 mg,每位患者注射前后分别进行疼痛(VAS 评分)和肩关节功能评价(HSS 评分、外展度)。结果37例最终获得随访,3周后随访,两组患者活动度与疼痛均明显改善。肩关节 HSS 评分 NSAID 组和激素组注射后30 min 均明显优于注射前,3周随访时NSAID 组优于注射前,激素组与注射前比较差异无统计学意义。肩关节外展,NSAID 组和激素组注射后30 min 均明显优于注射前,3周随访时 NSAID 组优于激素组,差异有统计学意义。结论肩峰下注射激素和 NSAID 药物均有助于减轻肩关节撞击综合征患者的疼痛,NSAID 组肩关节活动度和HSS 评分优于激素组。%Background The common symptoms of shoulder impingement syndrome include shoulder pain and shoulder activity limitation,and shoulder pain is the chief complaint of majority of patients.There are many causes for shoulder pain,and the common causes include bursitis and tendon degeneration which are resulted from the impingement between subacromial bursa/rotator cuff and humerus/ acromion in the abduction activity of shoulder.The abnormal activity of humeral head and scapula which is resulted from rotator cuff injury may also cause shoulder impingement and generate symptoms.To alleviate pain and increase joint range of motion,such methods as no-load rest,cold compress,physical therapy,oral administration of nonsteroidalanti-inflammatory drugs (NSAID)and injection of cortical hormone are adopted for non-operational treatment of shoulder impingement.An international multicenter study shows that,injection of cortical hormone is an effective means for the patients for whom the other methods such as rest are ineffective without

  6. Radiotherapy for shoulder impingement; Bestrahlung beim Impingementsyndrom des Schultergelenks

    Energy Technology Data Exchange (ETDEWEB)

    Adamietz, B. [Universitaetsklinikum Erlangen (Germany). Inst. fuer Radiologie; Sauer, R.; Keilholz, L. [Universitaetsklinikum Erlangen (Germany). Strahlentherapeutische Klinik

    2008-05-15

    Background and Purpose: Up to now, degenerative shoulder diseases were summarized by the term 'periarthritis humeroscapularis'. Actual shoulder diseases can be differentiated etiopathologically according to a primary and secondary impingement syndrome. Narrowing of the subacromial space, which is caused by an osseous shape variant, leads to primary impingement. Secondary impingement develops, when the subacromial space is reduced by swelling tissue below the osseous shoulder roof. This study aimed for the exact diagnosis to indicate therapy and to classify the results according to the Constant score. Patients and Methods: From August 1999 to September 2002, 102 patients with 115 shoulder joint conditions underwent radiation therapy (RT). All joints received two RT series (6 x 0.5 Gy/series) applied in two to three weekly fractions, totaling a dosage of 6.0 Gy (250 kV, 15 mAs, 1-mm Cu filter). The second RT course started 6 weeks after the end of the first. 115 shoulders were examined before RT, 6 weeks after the second RT course and, finally, during the follow-up from January to May 2003. Results: Pain relief was achieved in 94/115 shoulder joints (82%) after 18-month follow-up (median). A significant difference existed between secondary impingement and primary/non-impingement according to response. Tendinosis calcarea, bursitis subdeltoidea, tendovaginitis of the long biceps tendon, and capsulitis adhaesiva responded well to therapy. Conclusion: Shoulder diseases of secondary impingement demonstrate a good response to RT. Less or no benefit was found in primary impingement syndrome or complete rotator cuff disruption and acute shoulder injuries, respectively. (orig.)

  7. Study of Several Impinging Jets

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    Impinging Jets are frequently adapted for cooling overheated parts.With the film cooling technique,this process improves thermal exchanges between walls and fluid.However if many works have concerned only the thermal aspect of this problem[1],its dynamic field has been rarely studied especially for multiple impingements.As the two phenomena caanot be totally dissociated.we have undertaken the aerodynamic and thermal study of jets impinging on a aplane wall,Various techniques,have been used as visualizations(spreading over method.LASER sheet visualizations),LDA measurements to propose a topology schema of the flow and infraed thermography.

  8. 急性滑脱性髌股关节撞击综合征的关节镜下治疗%The arthroscopic diagnosis and treatment of acute patellofemoral joint impingement syndrome

    Institute of Scientific and Technical Information of China (English)

    朱波; 赵力; 赵金岩; 王增亮

    2015-01-01

    目的 探讨急性滑脱性髌股关节撞击综合征的损伤机制、MRI诊断特征以及关节镜下诊治方法.方法 2005年9月至2012年10月应用改良髌内侧支持带紧缩缝合治疗急性滑脱性髌股关节撞击综合征46例,男9例,女37例;年龄15~31岁,平均21.6岁.术前常规行膝关节X线及MR检查,测量Q角、外侧髌股角及髌骨外移度.MRI髌内侧支持带损伤按照Schweitzer分级标准:Ⅰ度15例、Ⅱ度18例、Ⅲ度8例、Ⅳ度5例.手术于关节镜监视下施行,清除关节内积血,关节内探查,取出游离软骨和骨软骨碎片,软骨成形,修整损伤软骨面.对髌内侧支持带Ⅰ度损伤者行关节镜下清理及髌内侧支持带固缩.对髌内侧支持带Ⅱ~Ⅲ度损伤伴明显髌骨移位者采用改良髌内侧支持带紧缩缝合术,对受伤时间超过2周的9例同时行髌外侧支持带松解.对髌内侧支持带Ⅳ度损伤者行切开加固缝合.结果 急性滑脱性髌股关节撞击综合征的关节镜下表现包括关节内血肿46例、股骨外髁和髌骨内侧骨软骨损伤37例、游离体形成28例及髌内侧支持带撕裂46例.所有病例均获得随访,随访时间12~36个月,平均18.2个月,无感染、神经血管损伤和再脱位等并发症发生.手术前后Lysholm膝关节评分、Tegner膝关节运动水平评分、AAOS膝关节评分、外侧髌股角及髌骨外移度的差异有统计学意义,患者运动功能均较术前有所改善.结论 关节镜下改良髌内侧支持带紧缩缝合辅助髌外侧支持带松解术,是治疗急性滑脱性髌股关节撞击综合征髌内侧支持带Ⅱ~Ⅲ度损伤的有效方法,有利于恢复膝关节功能,近期疗效好.%Objective To explore the mechanism and characteristics of MRI of acute patellofemoral joint impingement syndrome as well as its arthroscopic diagnosis and treatment.Methods There were a total of 46 cases (9 males and 37 females)with acute patellofemoral joint impingement

  9. Diagnostic imaging of shoulder impingement; Bildgebende Diagnostik des Schultergelenkes bei Impingement

    Energy Technology Data Exchange (ETDEWEB)

    Merl, T. [Technische Univ. Muenchen (Germany). Inst. fuer Roentgendiagnostik; Weinhardt, H. [Klinikum Rechts der Isar, Muenchen (Germany). Klinik und Poliklinik fuer Orthopaedie; Oettl, G. [Klinikum Rechts der Isar, Muenchen (Germany). Klinik und Poliklinik fuer Orthopaedie; Lenz, M. [Technische Univ. Muenchen (Germany). Inst. fuer Roentgendiagnostik; Riel, K.A. [Klinikum Rechts der Isar, Muenchen (Germany). Klinik und Poliklinik fuer Orthopaedie

    1996-01-01

    Magnetic resonance imaging is a method that has been advancing in the last few years to the modality of choice for diagnostic evaluation of the bone joints, as the method is capable of imaging not only the ossous but also the soft tissue components of the joint. MRI likewise has become an accepted method for diagnostic evaluation of syndromes of the shoulder, with high diagnostic accuracy in detecting rotator cuff lesions, or as an efficient MRI arthrography for evaluation of the instability or lesions of the labrocapsular complex. In the evaluation of early stages of shoulder impingement, the conventional MRI technique as a static technique yields indirect signs which in many cases do not provide the diagnostic certainty required in order to do justice to the functional nature of the syndrome. In these cases, functional MRI for imaging of the arm in abducted position and in rotational movement may offer a chance to early detect impingement and thus identify patients who will profit from treatment at an early stage. [Deutsch] Die Magnetresonanztomographie hat sich in den letzten Jahren zur Methode der Wahl in der Diagnostik der Gelenke entwickelt, sie erlaubt neben der Abbildung aller knoechernen auch die Abbildung aller Weichteilelemente eines Gelenkes. Auch in der Diagnostik der Schultergelenkserkrankungen besitzt die Magnetresonanztomographie einen festen Stellenwert mit hoher diagnostischer Treffsicherheit in der Beurteilung der Rotatorenmanschette, als MR-Arthrographie auch in der Beurteilung der Instabilitaet bzw von Laesionen des labrokapsulaeren Komplexes. In der Bewertung frueher Stadien des Impingement ist die klassische Magnetresonanztomographie als statische Methode auf indirekte Zeichen angewiesen, die in vielen Faellen nicht ausreichende Sicherheit bieten und dem funktionellen Charakter des Krankheitsbildes nicht ausreichend Rechnung tragen. Hier koennte die funktionelle Magnetresonanztomographie unter Abbildung des Arms in Abduktion und Rotation eine

  10. Application of Supraspinatus Outlet in Diagnosis of Subacromial Impingement Syndrome%肩关节冈上肌出口位在肩关节撞击综合征诊断中的应用

    Institute of Scientific and Technical Information of China (English)

    梁卫东

    2013-01-01

    Objective:To discuss the application of supraspinatus outlet in the treatment of subacromial impingement syndrome(SIS).Method:Forty patients with diagnosis of shoulder impingement in our hospital were retrospectively analyzed in 2009-2011.Examined the patients with standard X-ray with supraspinatus outlet view and classified the acromion on the basis of the Bigliani criteria in the same manner. The acromion humerus distance (A-H distance)was measured at the same time.Result:After the classification,obtained in 7 patients with type Ⅰacromion(17.5%),15 cases of typeⅡpatients(37.5%),18 cases of typeⅢpatients(45.0%).By measuring A-H value judgment:17 patients with narrow gap under the acromion (42.5%),12 patients with shoulder joint bone hyperplasia(30.0%),humerus big 3 cases of patients with tuberous sclerosis(7.5%),8 patients with calcified supraspinatus tendons(20.0%).Conclusion:The X-ray radiographs of supraspinatus outlet provide significant information for the classification of acromion and the selection of clinical therapy in diagnosis of SIS.Supraspinatus outlet plays an important role in diagnosis of SIS.%目的:探讨肩关节冈上肌出口位在诊断肩关节撞击综合征中的应用。方法:回顾性分析本院2009年-2011年确诊为肩关节撞击综合征患者40例,分析其冈上肌出口位的X线平片,依据Bigliani等人提出的肩峰分型方法分类,并测量肩峰-肱骨头值(A-H值)。结果:经分类后,获得Ⅰ型肩峰患者7例(17.5%),Ⅱ型患者15例(37.5%),Ⅲ型患者18例(45.0%)。经测量A-H值可判断:肩峰下间隙狭窄患者17例(42.5%),肩关节骨质增生患者12例(30.0%),肱骨大结节硬化患者3例(7.5%),冈上肌肌腱钙化患者8例(20.0%)。结论:在肩关节撞击综合征的临床诊断中,冈上肌出口位的X线平片可为肩峰分型及临床治疗方案的选择提供依据,肩关节冈上肌出口位在肩关节撞击综合

  11. Is there a pathological alpha angle for hip impingement? A diagnostic test study.

    Science.gov (United States)

    Barrientos, Cristián; Barahona, Maximiliano; Diaz, Jorge; Brañes, Julian; Chaparro, Felipe; Hinzpeter, Jaime

    2016-08-01

    The normal value of alpha angle is controversial. The aim of this study was to compare the alpha angle in asymptomatic volunteers versus patients who had undergone surgery for symptomatic cam-type femoroacetabular impingement (FAI) and determine a diagnostic cut-off value for symptomatic cam impingement. This is a diagnostic test study. Cases were defined as those patients who had undergone surgery for symptomatic cam or mixed type FAI. Controls were defined as asymptomatic volunteers, with no history of hip pain who had undergone a computed tomography (CT) scan of the abdomen and pelvis for a non-joint or bone-related reason. In both groups, the alpha angle was measured in an oblique axial CT reconstruction of the femoral neck. A logistic regression model was first estimated and a receiver operating characteristics (ROC) curve was then calculated. The diagnostic cut-off value selected was the one that maximizes sensitivity and specificity. Data were analysed from 38 consecutive cases of cam or mixed FAI and 101 controls. The average alpha angle was 67°(±12°) among cases and 48°°(±5°) among controls. An odds ratio of 1.28 [1.18-1.39] was obtained. A ROC curve of 0.96 [0.93-0.99] was calculated, and using an alpha angle of 57° as the diagnostic cut-off value, provided a sensitivity of 92% and a specificity of 95%. If a patient complains of hip pain and an alpha angle of 57° is found in CT, strongly suggest that cam impingement is causing the pain.

  12. Impingement of lesser trochanter on ischium as a potential cause for hip pain

    Energy Technology Data Exchange (ETDEWEB)

    Patti, Jay W.; Ouellette, Hugue; Bredella, Miriam A.; Torriani, Martin [Massachusetts General Hospital and Harvard Medical School, Division of Musculoskeletal Radiology, Boston, MA (United States)

    2008-10-15

    The bony anatomy of the hip leads to a limited array of impingement syndromes, more frequently resulting from abnormal contact between the femoral neck and acetabulum. We report an unusual case of osseous impingement between the lesser trochanter and ischium, with involvement of the intervening quadratus femoris muscle. While the prevalence and etiology of this finding is unclear, it may represent a cause for hip pain. (orig.)

  13. Subacromial impingement in patients with whiplash injury to the cervical spine

    Directory of Open Access Journals (Sweden)

    Giddins Grey E

    2008-06-01

    Full Text Available Abstract Background Impingement syndrome and shoulder pain have been reported to occur in a proportion of patients following whiplash injuries to the neck. In this study we aim to examine these findings to establish the association between subacromial impingement and whiplash injuries to the cervical spine. Methods and results We examined 220 patients who had presented to the senior author for a medico-legal report following a whiplash injury to the neck. All patients were assessed for clinical evidence of subacromial impingement. 56/220 patients (26% had developed shoulder pain following the injury; of these, 11/220 (5% had clinical evidence of impingement syndrome. Only 3/11 patients (27% had the diagnosis made prior to evaluation for their medico-legal report. In the majority, other clinicians had overlooked the diagnosis. The seatbelt shoulder was involved in 83% of cases (p Conclusion After a neck injury a significant proportion of patients present with shoulder pain, some of whom have treatable shoulder pathology such as impingement syndrome. The diagnosis is, however, frequently overlooked and shoulder pain is attributed to pain radiating from the neck resulting in long delays before treatment. It is important that this is appreciated and patients are specifically examined for signs of subacromial impingement after whiplash injuries to the neck. Direct seatbelt trauma to the shoulder is one possible explanation for its aetiology.

  14. Value of supraspinatus outlet radiographs in diagnosis of subacromial impingement syndrome%冈上肌出口位摄片诊断肩峰下撞击综合征的价值

    Institute of Scientific and Technical Information of China (English)

    赵春阳; 龚建平; 钱铭辉; 张博; 李勇; 田岚

    2012-01-01

    Objective:To explore the value of supraspinatus outlet radiographs (SORs) in diagnosis of subacromial impingement syndrome (SIS). Methods.The clinical and imaging data of 58 patients with SIS were collected and retrospec tively reviewed. All patients were examined by standard X rays using supraspinatus outlet view and classified on the basis of the Bigliani criteria in the same manner, A H distance (A cromion Humerus distance) was measured. Results; Among 58 pa tients,there were 11 of type Ⅰ (18. 96%) ,21 of type Ⅱ (36. 21 %) ,26 of type Ⅲ (44. 83%). 27 patients had subacromial space narrowing,12 patients had acromioclavicular joint osteoarthritis and 6 patients had calcification in the supraspinatus tendon. Conclusion:The SORs can evaluate the shape of the acromion directly,because its shape had been suggested to be a predisposing factor to SIS. SORs can also display the subacromial space, acromioclavicular joint osteoarthritis and the calcifi cation in supraspinatus tendon,to some degree it plays an important role in choosing therapeutic approach for orthopedist.%目的:探讨冈上肌出口位X线片在诊断肩峰下撞击综合征中的应用价值.方法:回顾性分析58例经.临床证实为肩峰下撞击综合征患者的冈上肌出口位X线表现,根据Bigliani肩峰分型标准进行分型,测量肩峰-肱骨头(A-H)值.结果:58例患者中,Ⅰ型11例(18.96%),Ⅱ型21例(36.21%),Ⅲ型26例(44.83%).肩峰下间隙狭窄27例(A-H值

  15. Electrical Aspects of Impinging Flames

    Science.gov (United States)

    Chien, Yu-Chien

    This dissertation examines the use of electric fields as one mechanism for controlling combustion as flames are partially extinguished when impinging on nearby surfaces. Electrical aspects of flames, specifically, the production of chemi-ions in hydrocarbon flames and the use of convective flows driven by these ions, have been investigated in a wide range of applications in prior work but despite this fairly comprehensive effort to study electrical aspects of combustion, relatively little research has focused on electrical phenomena near flame extinguishment, nor for flames near impingement surfaces. Electrical impinging flames have complex properties under global influences of ion-driven winds and flow field disturbances from the impingement surface. Challenges of measurements when an electric field is applied in the system have limited an understanding of changes to the flame behavior and species concentrations caused by the field. This research initially characterizes the ability of high voltage power supplies to respond on sufficiently short time scales to permit real time electrical flame actuation. The study then characterizes the influence of an electric field on the impinging flame shape, ion current and flow field of the thermal plume associated with the flame. The more significant further examinations can be separated into two parts: 1) the potential for using electric fields to control the release of carbon monoxide (CO) from surface-impinging flames, and 2) an investigation of controlling electrically the heat transfer to a plate on which the flame impinges. Carbon monoxide (CO) results from the incomplete oxidation of hydrocarbon fuels and, while CO can be desirable in some syngas processes, it is usually a dangerous emission from forest fires, gas heaters, gas stoves, or furnaces where insufficient oxygen in the core reaction does not fully oxidize the fuel to carbon dioxide and water. Determining how carbon monoxide is released and how heat transfer

  16. Psoas impingement causing labrum tear: a series from three tertiary hip arthroscopy centers.

    Science.gov (United States)

    Cascio, Brett M; King, David; Yen, Yi-Meng

    2013-01-01

    The term hip impingement is usually associated with psoas impingement after arthroplasty or femoroacetabular impingement (FAI). A recently, less commonly described mechanism of impingement and labrum pathology is the psoas tendon applying pressure to the acetabular labrum more medial to the typical FAI labrum lesion. Much is still unkown about the anatomy, pathology, and treatment of this entity. This paper describes the successful arthroscopic treatment of a series of patients with a recently recognized cause of hip pain in the young athletic population without significant bony pathology or coxa saltans. Awareness of this entity is important to allow appropriate treatment of the labrum and psoas tendon. Seven hundred hip arthroscopies by three surgeons at different centers were retrospectively reviewed. Athletes with labrum tears from the two to three o'clock position were evaluated for inclusion in the study. Patients with osteoarthritis, crossover sign, coxa profunda, CAM lesion, acute trauma, or coxa saltans were excluded. All authors were the primary surgeons and are fellowship-trained hip arthroscopists working in tertiary hip arthroscopy centers. Pre- and postoperative Harris Hip scores were obtained. Patients underwent diagnostic and therapeutic hip arthroscopy. The psoas tendon was released in all patients at the level of the capsule via a transcapsular approach. Labrum repairs were performed when deemed beneficial by the operative surgeon. Twenty-two patients (26 hips, 4 bilateral) were identified with a labrum tear apparently caused by psoas impingement and had no other significant hip abnormalities. All but one were female. Average age was 19 (12-25 years). Labral repair was performed in all but two patients. Average anchors used were 1.2 per hip. Pre- and postoperative Harris hip scores were obtained with a minimum follow-up of six months for 16 patients. Average Harris hip score improved from 70 preop to 94 postop. There were no significant

  17. Nanofluid impingement jet heat transfer.

    Science.gov (United States)

    Zeitoun, Obida; Ali, Mohamed

    2012-02-17

    Experimental investigation to study the heat transfer between a vertical round alumina-water nanofluid jet and a horizontal circular round surface is carried out. Different jet flow rates, jet nozzle diameters, various circular disk diameters and three nanoparticles concentrations (0, 6.6 and 10%, respectively) are used. The experimental results indicate that using nanofluid as a heat transfer carrier can enhance the heat transfer process. For the same Reynolds number, the experimental data show an increase in the Nusselt numbers as the nanoparticle concentration increases. Size of heating disk diameters shows reverse effect on heat transfer. It is also found that presenting the data in terms of Reynolds number at impingement jet diameter can take into account on both effects of jet heights and nozzle diameter. Presenting the data in terms of Peclet numbers, at fixed impingement nozzle diameter, makes the data less sensitive to the percentage change of the nanoparticle concentrations. Finally, general heat transfer correlation is obtained verses Peclet numbers using nanoparticle concentrations and the nozzle diameter ratio as parameters.

  18. Turbulent Impinging Jets into Porous Materials

    CERN Document Server

    de Lemos, Marcelo J S

    2012-01-01

    This short book deals with the mathematical modeling of jets impinging porous media. It starts with a short introduction to models describing turbulences in porous media as well as turbulent heat transfer. In its main part, the book presents the heat transfer of impinging jets using a local and a non-local thermal equilibrium approach.

  19. Fluorescence Imaging Study of Impinging Underexpanded Jets

    Science.gov (United States)

    Inman, Jennifer A.; Danehy, Paul M.; Nowak, Robert J.; Alderfer, David W.

    2008-01-01

    An experiment was designed to create a simplified simulation of the flow through a hole in the surface of a hypersonic aerospace vehicle and the subsequent impingement of the flow on internal structures. In addition to planar laser-induced fluorescence (PLIF) flow visualization, pressure measurements were recorded on the surface of an impingement target. The PLIF images themselves provide quantitative spatial information about structure of the impinging jets. The images also help in the interpretation of impingement surface pressure profiles by highlighting the flow structures corresponding to distinctive features of these pressure profiles. The shape of the pressure distribution along the impingement surface was found to be double-peaked in cases with a sufficiently high jet-exit-to-ambient pressure ratio so as to have a Mach disk, as well as in cases where a flow feature called a recirculation bubble formed at the impingement surface. The formation of a recirculation bubble was in turn found to depend very sensitively upon the jet-exit-to-ambient pressure ratio. The pressure measured at the surface was typically less than half the nozzle plenum pressure at low jet pressure ratios and decreased with increasing jet pressure ratios. Angled impingement cases showed that impingement at a 60deg angle resulted in up to a factor of three increase in maximum pressure at the plate compared to normal incidence.

  20. Impingement jet cooling in gas turbines

    CERN Document Server

    Amano, R S

    2014-01-01

    Due to the requirement for enhanced cooling technologies on modern gas turbine engines, advanced research and development has had to take place in field of thermal engineering. Impingement jet cooling is one of the most effective in terms of cooling, manufacturability and cost. This is the first to book to focus on impingement cooling alone.

  1. Enhancements of Impinging Flame by Pulsation

    Institute of Scientific and Technical Information of China (English)

    AySu; Ying-ChiehLiu

    2000-01-01

    Experimental investigations on the pulsating jet-impinging diffusion flame were executed.A soleoid valve was aligned upstream of the jet orifice and the methane fuel was controlled in open-closed cycles from 0 Hz to 20Hz.Results show that the open-closed cycles,indeed increase the fluctuations of the methane fuel obviously.The evolutions of pulsating flame therefore develop faster than the continuous impinging flame.The optimized pulating frequencies are near 9 to 11 hz from the Re=170 to 283.The temperature differences between that under optimized pulsating rate and full open condition(no pulsation)are ranging from 100 to 150 degree.The pulsating effect is more singnificant at low Reynolds number.The cross section of continuous impinging flame behaves as elliptic shape with axial ratio equals to 2/3.The tip of the impinging flame obviously crosses at 42mm above the impinging point.ecause of the phenomenon of pulsation flame,the flame sheet or flame front may not be identified clearly in the averaged temperature contours.Results shows that the averaged end-contour of pulsation flame rears at 38mm above the impinging point.By observation and experiment,the pulsating flame behaves more stable and efficient than the continuous impinging flame.

  2. Statistics of fully turbulent impinging jets

    CERN Document Server

    Wilke, Robert

    2016-01-01

    Direct numerical simulations of sub- and supersonic impinging jets with Reynolds numbers of 3300 and 8000 are carried out to analyse their statistical properties. The influence of the parameters Mach number, Reynolds number and ambient temperature on the mean velocity and temperature fields are studied. For the compressible subsonic cold impinging jets into a heated environment, different Reynolds analogies are assesses. It is shown, that the (original) Reynolds analogy as well as the Chilton Colburn analogy are in good agreement with the DNS data outside the impinging area. The generalised Reynolds analogy (GRA) and the Crocco-Busemann relation are not suited for the estimation of the mean temperature field based on the mean velocity field of impinging jets. Furthermore, the prediction of fluctuating temperatures according to the GRA fails. On the contrary, the linear relation between thermodynamic fluctuations of entropy, density and temperature as suggested by Lechner et al. (2001) can be confirmed for the...

  3. Tratamiento del choque femoroacetabular mediante miniabordaje anterior. Resultados a corto plazo

    OpenAIRE

    Diranzo García, J.; Estrems Díaz, V.; Hernández Ferrando, L.; Castillo Ruiperez, L.; Brú Pomer, Antonio

    2015-01-01

    El tratamiento quirúrgico del choque femoroacetabular (CFA) es un práctica clínica cada vez más frecuente en nuestra especialidad. Objetivo. Analizar los resultados clínicos y radiológicos de una primera serie de pacientes diagnosticados de CFA intervenidos mediante miniabordaje anterior. Material y métodos. Estudio prospectivo de 30 pacientes con una edad media de 36,2 años y un seguimiento mínimo de 12 meses. La valoración clínica se ha realizado mediante las escalas SF-36, WOMAC y NAHS. Ev...

  4. Internal Impingement of the Shoulder: A Risk of False Positive Test Outcomes in External Impingement Tests?

    Directory of Open Access Journals (Sweden)

    Tim Leschinger

    2017-01-01

    Full Text Available Background. External impingement tests are considered as being particularly reliable for identifying subacromial and coracoid shoulder impingement mechanisms. The purpose of the present study was to evaluate if these tests are likely to provoke an internal shoulder impingement mechanism which, in cases of a pathologic condition, can lead to a positive test result. Method. In 37 subjects, the mechanical contact between the glenoid rim and the rotator cuff (RC was measured quantitatively and qualitatively in external impingement test positions using an open MRI system. Results. Mechanical contact of the supraspinatus with the posterosuperior glenoid was present in 30 subjects in the Neer test. In the Hawkins test, the subscapularis was in contact with the anterosuperior glenoid in 33 subjects and the supraspinatus in 18. In the horizontal impingement test, anterosuperior contact of the supraspinatus with the glenoid was identified in 35 subjects. Conclusion. The Neer, Hawkins, and horizontal impingement tests are likely to provoke the mechanism of an internal shoulder impingement. A posterosuperior internal impingement mechanism is being provoked predominately in the Neer test. The Hawkins test narrows the distance between the insertions of the subscapularis and supraspinatus and the anterosuperior labrum, which leads to an anterosuperior impingement mechanism.

  5. Coupled Lagrangian impingement spray model for doublet impinging injectors under liquid rocket engine operating conditions

    Directory of Open Access Journals (Sweden)

    Qiang WEI

    2017-08-01

    Full Text Available To predict the effect of the liquid rocket engine combustion chamber conditions on the impingement spray, the conventional uncoupled spray model for impinging injectors is extended by considering the coupling of the jet impingement process and the ambient gas field. The new coupled model consists of the plain-orifice sub-model, the jet-jet impingement sub-model and the droplet collision sub-model. The parameters of the child droplet are determined with the jet-jet impingement sub-model using correlations about the liquid jet parameters and the chamber conditions. The overall model is benchmarked under various impingement angles, jet momentum and off-center ratios. Agreement with the published experimental data validates the ability of the model to predict the key spray characteristics, such as the mass flux and mixture ratio distributions in quiescent air. Besides, impinging sprays under changing ambient pressure and non-uniform gas flow are investigated to explore the effect of liquid rocket engine chamber conditions. First, a transient impingement spray during engine start-up phase is simulated with prescribed pressure profile. The minimum average droplet diameter is achieved when the orifices work in cavitation state, and is about 30% smaller than the steady single phase state. Second, the effect of non-uniform gas flow produces off-center impingement and the rotated spray fan by 38°. The proposed model suggests more reasonable impingement spray characteristics than the uncoupled one and can be used as the first step in the complex simulation of coupling impingement spray and combustion in liquid rocket engines.

  6. Pelvic morphology in ischiofemoral impingement

    Energy Technology Data Exchange (ETDEWEB)

    Bredella, Miriam A.; Azevedo, Debora C.; Oliveira, Adriana L.; Simeone, Frank J.; Chang, Connie Y.; Torriani, Martin [Massachusetts General Hospital, Department of Radiology, Musculoskeletal Imaging and Intervention, Boston, MA (United States); Stubbs, Allston J. [Wake Forest University School of Medicine, Department of Orthopedic Surgery, Division of Sports Medicine, Winston-Salem, NC (United States)

    2014-11-06

    To assess MRI measures to quantify pelvic morphology that may predispose to ischiofemoral impingement (IFI). We hypothesized that patients with IFI have a wider interischial distance and an increased femoral neck angle compared with normal controls. The study was IRB-approved and complied with HIPAA guidelines. IFI was diagnosed based on clinical findings (hip or buttock pain) and ipsilateral edema of the quadratus femoris muscle on MRI. Control subjects did not report isolated hip/buttock pain and underwent MRI for surveillance of neoplasms or to exclude pelvic fractures. Two MSK radiologists measured the ischiofemoral (IF) and quadratus femoris (QF) distance, the ischial angle as a measure of inter-ischial distance, and the femoral neck angle. The quadratus femoris muscle was evaluated for edema. Groups were compared using ANOVA. Multivariate standard least-squares regression modeling was used to control for age and gender. The study group comprised 84 patients with IFI (53 ± 16 years, 73 female, 11 male) and 51 controls (52 ± 16 years, 33 female, 18 male). Thirteen out of 84 patients (15 %) had bilateral IFI. Patients with IFI had decreased IF and QF distance (p < 0.0001), increased ischial angle (p = 0.004), and increased femoral neck angle (p = 0.02) compared with controls, independent of age and gender. Patients with IFI have increased ischial and femoral neck angles compared with controls. These anatomical variations in pelvic morphology may predispose to IFI. MRI is a useful method of not only assessing the osseous and soft-tissue abnormalities associated with IFI, but also of quantifying anatomical variations in pelvic morphology that can predispose to IFI. (orig.)

  7. Spray formation processes of impinging jet injectors

    Science.gov (United States)

    Anderson, W. E.; Ryan, H. M.; Pal, S.; Santoro, R. J.

    1993-11-01

    A study examining impinging liquid jets has been underway to determine physical mechanisms responsible for combustion instabilities in liquid bi-propellant rocket engines. Primary atomization has been identified as an important process. Measurements of atomization length, wave structure, and drop size and velocity distribution were made under various ambient conditions. Test parameters included geometric effects and flow effects. It was observed that pre-impingement jet conditions, specifically whether they were laminar or turbulent, had the major effect on primary atomization. Comparison of the measurements with results from a two dimensional linear aerodynamic stability model of a thinning, viscous sheet were made. Measured turbulent impinging jet characteristics were contrary to model predictions; the structure of waves generated near the point of jet impingement were dependent primarily on jet diameter and independent of jet velocity. It has been postulated that these impact waves are related to pressure and momentum fluctuations near the impingement region and control the eventual disintegration of the liquid sheet into ligaments. Examination of the temporal characteristics of primary atomization (ligament shedding frequency) strongly suggests that the periodic nature of primary atomization is a key process in combustion instability.

  8. Experiments on free and impinging supersonic microjets

    Energy Technology Data Exchange (ETDEWEB)

    Phalnikar, K.A.; Kumar, R.; Alvi, F.S. [Florida A and M University and Florida State University, Department of Mechanical Engineering, Tallahassee, FL (United States)

    2008-05-15

    The fluid dynamics of microflows has recently commanded considerable attention because of their potential applications. Until now, with a few exceptions, most of the studies have been limited to low speed flows. This experimental study examines supersonic microjets of 100-1,000 {mu}m in size with exit velocities in the range of 300-500 m/s. Such microjets are presently being used to actively control larger supersonic impinging jets, which occur in STOVL (short takeoff and vertical landing) aircraft, cavity flows, and flow separation. Flow properties of free as well as impinging supersonic microjets have been experimentally investigated over a range of geometric and flow parameters. The flowfield is visualized using a micro-schlieren system with a high magnification. These schlieren images clearly show the characteristic shock cell structure typically observed in larger supersonic jets. Quantitative measurements of the jet decay and spreading rates as well as shock cell spacing are obtained using micro-pitot probe surveys. In general, the mean flow features of free microjets are similar to larger supersonic jets operating at higher Reynolds numbers. However, some differences are also observed, most likely due to pronounced viscous effects associated with jets at these small scales. Limited studies of impinging microjets were also conducted. They reveal that, similar to the behavior of free microjets, the flow structure of impinging microjets strongly resembles that of larger supersonic impinging jets. (orig.)

  9. Experiments on free and impinging supersonic microjets

    Science.gov (United States)

    Phalnikar, K. A.; Kumar, R.; Alvi, F. S.

    2008-05-01

    The fluid dynamics of microflows has recently commanded considerable attention because of their potential applications. Until now, with a few exceptions, most of the studies have been limited to low speed flows. This experimental study examines supersonic microjets of 100-1,000 μm in size with exit velocities in the range of 300-500 m/s. Such microjets are presently being used to actively control larger supersonic impinging jets, which occur in STOVL (short takeoff and vertical landing) aircraft, cavity flows, and flow separation. Flow properties of free as well as impinging supersonic microjets have been experimentally investigated over a range of geometric and flow parameters. The flowfield is visualized using a micro-schlieren system with a high magnification. These schlieren images clearly show the characteristic shock cell structure typically observed in larger supersonic jets. Quantitative measurements of the jet decay and spreading rates as well as shock cell spacing are obtained using micro-pitot probe surveys. In general, the mean flow features of free microjets are similar to larger supersonic jets operating at higher Reynolds numbers. However, some differences are also observed, most likely due to pronounced viscous effects associated with jets at these small scales. Limited studies of impinging microjets were also conducted. They reveal that, similar to the behavior of free microjets, the flow structure of impinging microjets strongly resembles that of larger supersonic impinging jets.

  10. Why large-head metal-on-metal hip replacements are painful: the anatomical basis of psoas impingement on the femoral head-neck junction.

    Science.gov (United States)

    Cobb, J P; Davda, K; Ahmad, A; Harris, S J; Masjedi, M; Hart, A J

    2011-07-01

    Large-head metal-on-metal total hip replacement has a failure rate of almost 8% at five years, three times the revision rate of conventional hip replacement. Unexplained pain remains a feature of this type of arthroplasty. All designs of the femoral component of large-head metal-on-metal total hip replacements share a unique characteristic: a subtended angle of 120° defining the proportion of a sphere that the head represents. Using MRI, we measured the contact area of the iliopsoas tendon on the femoral head in sagittal reconstruction of 20 hips of patients with symptomatic femoroacetabular impingement. We also measured the articular extent of the femoral head on 40 normal hips and ten with cam-type deformities. Finally, we performed virtual hip resurfacing on normal and cam-type hips, avoiding overhang of the metal rim inferomedially. The articular surface of the femoral head has a subtended angle of 120° anteriorly and posteriorly, but only 100° medially. Virtual surgery in a normally shaped femoral head showed a 20° skirt of metal protruding medially where iliopsoas articulates. The excessive extent of the large-diameter femoral components may cause iliopsoas impingement independently of the acetabular component. This may be the cause of postoperative pain with these implants.

  11. Industrial stator vane with sequential impingement cooling inserts

    Science.gov (United States)

    Jones, Russell B; Fedock, John A; Goebel, Gloria E; Krueger, Judson J; Rawlings, Christopher K; Memmen, Robert L

    2013-08-06

    A turbine stator vane for an industrial engine, the vane having two impingement cooling inserts that produce a series of impingement cooling from the pressure side to the suction side of the vane walls. Each insert includes a spar with a row of alternating impingement cooling channels and return air channels extending in a radial direction. Impingement cooling plates cover the two sides of the insert and having rows of impingement cooling holes aligned with the impingement cooling channels and return air openings aligned with the return air channel.

  12. Microtextured Surfaces for Turbine Blade Impingement Cooling

    Science.gov (United States)

    Fryer, Jack

    2014-01-01

    Gas turbine engine technology is constantly challenged to operate at higher combustor outlet temperatures. In a modern gas turbine engine, these temperatures can exceed the blade and disk material limits by 600 F or more, necessitating both internal and film cooling schemes in addition to the use of thermal barrier coatings. Internal convective cooling is inadequate in many blade locations, and both internal and film cooling approaches can lead to significant performance penalties in the engine. Micro Cooling Concepts, Inc., has developed a turbine blade cooling concept that provides enhanced internal impingement cooling effectiveness via the use of microstructured impingement surfaces. These surfaces significantly increase the cooling capability of the impinging flow, as compared to a conventional untextured surface. This approach can be combined with microchannel cooling and external film cooling to tailor the cooling capability per the external heating profile. The cooling system then can be optimized to minimize impact on engine performance.

  13. Nontraumatic glenohumeral instability and coracoacromial impingement in swimmers.

    Science.gov (United States)

    Bak, K

    1996-06-01

    Competitive swimming is one of the most demanding and time-consuming sports. Swimmers at elite level practice 20-30 h per week. During 1 year's practice, the average top level swimmer performs more than 500,000 stroke revolutions per arm. These innumerable repetitions over many years of hard training together with an increasing muscular imbalance around the shoulder girdle seem to be the main etiological factors in the development of the over-use syndrome swimmer's shoulder. Shoulder pain in swimmers has in general been regarded as synonymous with coracoacromial impingement, i.e. anterior shoulder pain due to rotator cuff tendinitis, but new knowledge suggests that a concomitant glenohumeral instability plays an additional role. The diagnostic complexity of the problem is as challenging as the search for the gold standard of treatment. The condition should ideally be diagnosed as early as possible, and intensive functional rehabilitation of the shoulder girdle including the scapular muscles should be started in order to restore muscle balance. The surgical possibilities include subacromial decompression in cases of purely mechanical impingement. If a painful glenohumeral instability persists after intensive functional rehabilitation, anterior capsulolabral reconstruction can be performed. Still, however, short- and long-term results show that surgery is less successful in elite athletes involved in overhead sports. Prevention protocols include education of coaches in primary injury prophylaxis and the institution of resistance strength training in prepubescent swimmers. Emphasis should be made to improve muscular balance around the glenohumeral and scapulothoracic joints.

  14. MAGNETIC RESONANCE IMAGING EVALUATION OF ROTATOR CUFF IMPINGEMENT

    Directory of Open Access Journals (Sweden)

    Chandrakanth K. S

    2017-06-01

    Full Text Available BACKGROUND Shoulder pain is a common clinical problem. Impingement syndrome of the shoulder is believed to be the most common cause of shoulder pain. The term ‘impingement syndrome’ was first used by Neer to describe a condition of shoulder pain associated with chronic bursitis and partial thickness tear of Rotator Cuff (RC. The incidence of Rotator Cuff (RC tear is estimated to be about 20.7% in the general population. This study is intended to analyse various extrinsic and intrinsic causes of shoulder impingement. MATERIALS AND METHODS 110 consecutive patients referred for MRI with clinical suspicion of shoulder impingement were prospectively studied. All the patients were evaluated for Rotator Cuff (RC degeneration and various extrinsic factors that lead to degeneration like acromial shape, down-sloping acromion, Acromioclavicular (AC joint degeneration and acromial enthesophyte. Intrinsic factors like degeneration and its correlation with age of the patients were evaluated. RESULTS Of the total 110 patients, 19 (17.3% patients had FT RC tear and 31 (28.2% had PT (both bursal and articular surface tears. There was no statistically significant correlation (p=0.76 between acromion types and RC tear. Down-sloping acromion and enthesophytes had statistically significant association with RC tear (p=0.008 and 0.008, respectively. Statistically significant (0.008 correlation between the severity of AC joint degeneration and RC tears was noted. AC joint degeneration and RC pathologies also showed a correlation with the age of the patients with p values of <0.001 and 0.001, respectively. CONCLUSION No statistically significant correlation between RC pathologies with hooked acromion was found, that makes the role played by hooked acromion in FT RC tear questionable. AC joint degeneration association with RC tear is due to the association of both RC tear and AC joint degeneration with age of the patient. Down-sloping acromion, AC joint degeneration

  15. Current concepts in the diagnosis and treatment of shoulder impingement

    Directory of Open Access Journals (Sweden)

    Bijayendra Singh

    2017-01-01

    Full Text Available Subacromial impingement syndrome (SIS is a very common cause of shoulder pain in the young adults. It can cause debilitating pain, dysfunction, and affects the activities of daily living. It represents a spectrum of pathology ranging from bursitis to rotator cuff tendinopathy which can ultimately lead to degenerative tear of the rotator cuff. Various theories and concepts have been described and it is still a matter of debate. However, most published studies suggest that both extrinsic and intrinsic factors have a role in the development of SIS. The management is controversial as both nonoperative and operative treatments have shown to provide good results. This article aims to provide a comprehensive current concepts review of the pathogenesis, etiologies, clinical diagnosis, appropriate use of investigations, and discussion on the management of SIS.

  16. Accuracy of non-arthrographic 3T MR imaging in evaluation of intra-articular pathology of the hip in femoroacetabular impingement

    Energy Technology Data Exchange (ETDEWEB)

    Linda, Dorota D. [University of Toronto, Department of Medical Imaging, Joint Department of Medical Imaging, Division of Musculoskeletal Imaging, Toronto (Canada); Mount Sinai Hospital, Toronto, ON (Canada); Naraghi, Ali; White, Lawrence M. [University of Toronto, Department of Medical Imaging, Joint Department of Medical Imaging, Division of Musculoskeletal Imaging, Toronto (Canada); Murnaghan, Lucas; Whelan, Daniel [University of Toronto, Department of Surgery, Division of Orthopedics, Toronto (Canada)

    2017-03-15

    To investigate the accuracy of non-arthrographic 3-T MRI compared to hip arthroscopy in the assessment of labral and cartilaginous pathology in patients with suspected FAI. Following IRB approval and waived consent, 42 consecutive cases of suspected FAI with non-arthrographic 3-T MRI and arthroscopy of the hip were reviewed. High-resolution TSE MR imaging was evaluated in consensus by two musculoskeletal radiologists, blinded to arthroscopic findings, for the presence of labral tears and articular cartilage lesions. Acetabular cartilage was categorized as normal, degeneration/fissuring, delamination, or denudation. MRI findings were compared to arthroscopy. Sensitivity, specificity, accuracy, and predictive values for MRI were calculated using arthroscopy as the standard of reference. Forty-two hips in 38 patients with a mean age of 29 (range 13-45 years) were assessed. Mean interval between MRI and arthroscopy was 154 days (range 27-472 days). MRI depicted 41 cases with labral tears (sensitivity 100%, specificity 50%, accuracy 98%, PPV 98%, NPV 100%), 11 cases with femoral cartilage abnormalities (sensitivity 85%, specificity 100%, accuracy 95%, PPV 100%, NPV 94%), and 36 cases with acetabular cartilage lesions (sensitivity 94% specificity 67%, accuracy 90%, PPV 94%, NPV 67%). Of the 36 cases with acetabular cartilage lesions on MRI, 7 were characterized as degeneration/fissuring, 26 as delamination, and 3 as denudation, with discordant results between MRI and arthroscopy for grading of articular cartilage in ten cases. Non-arthrographic 3-T MR imaging is a highly accurate technique for evaluation of the labrum and cartilage in patients with clinically suspected FAI. (orig.)

  17. Vortex rings impinging on permeable boundaries

    Science.gov (United States)

    Mujal-Colilles, Anna; Dalziel, Stuart B.; Bateman, Allen

    2015-01-01

    Experiments with vortex rings impinging permeable and solid boundaries are presented in order to investigate the influence of permeability. Utilizing Particle Image Velocimetry, we compared the behaviour of a vortex ring impinging four different reticulated foams (with permeability k ˜ 26 - 85 × 10-8 m2) and a solid boundary. Results show how permeability affects the stretching phenomena of the vortex ring and the formation and evolution of the secondary vortex ring with opposite sign. Moreover, permeability also affects the macroscopic no-slip boundary condition found on the solid boundary, turning it into an apparent slip boundary condition for the most permeable boundary. The apparent slip-boundary condition and the flux exchange between the ambient fluid and the foam are jointly responsible for both the modified formation of the secondary vortex and changes on the vortex ring diameter increase.

  18. Circular and Elliptic Submerged Impinging Water Jets

    Science.gov (United States)

    Claudey, Eric; Benedicto, Olivier; Ravier, Emmanuel; Gutmark, Ephraim

    1999-11-01

    Experiments and CFD have been performed to study circular and elliptic jets in a submerged water jet facility. The tests included discharge coefficient measurement to evaluate pressure losses encountered in noncircular nozzles compared to circular ones. Three-dimensional pressure mappings on the impingement surface and PIV measurement of the jet mean and turbulent velocity have been performed at different compound impingement angles relative to the impingement surface and at different stand-off distances. The objective was to investigate the effect of the non-circular geometry on the flow field and on the impact region. The tests were performed in a close loop system in which the water was pumped through the nozzles into a clear Plexiglas tank. The Reynolds numbers were typically in the range of 250000. Discharge coefficients of the elliptic nozzle was somewhat lower than that of the circular jet but spreading rate and turbulence level were higher. Pressure mapping showed that the nozzle exit geometry had an effect on the pressure distribution in the impact region and that high-pressure zones were generated at specific impact points. PIV measurements showed that for a same total exit area, the elliptic jets affected a surface area that is 8the equivalent circular. The turbulence level in the elliptic jet tripled due to the nozzle design. Results of the CFD model were in good agreement with the experimental data.

  19. Guideline for diagnosis and treatment of subacromial pain syndrome

    NARCIS (Netherlands)

    Diercks, Ronald; Bron, Carel; Dorrestijn, Oscar; Meskers, Carel; Naber, René; de Ruiter, Tjerk; Willems, Jaap; Winters, Jan; van der Woude, Henk Jan

    2014-01-01

    Treatment of "subacromial impingement syndrome" of the shoulder has changed drastically in the past decade. The anatomical explanation as "impingement" of the rotator cuff is not sufficient to cover the pathology. "Subacromial pain syndrome", SAPS, describes the condition better. A working group for

  20. Guideline for diagnosis and treatment of subacromial pain syndrome

    NARCIS (Netherlands)

    Diercks, Ronald; Bron, Carel; Dorrestijn, Oscar; Meskers, Carel; Naber, René; de Ruiter, Tjerk; Willems, Jaap; Winters, Jan; van der Woude, Henk Jan

    2014-01-01

    Treatment of "subacromial impingement syndrome" of the shoulder has changed drastically in the past decade. The anatomical explanation as "impingement" of the rotator cuff is not sufficient to cover the pathology. "Subacromial pain syndrome", SAPS, describes the condition better. A working group for

  1. Guideline for diagnosis and treatment of subacromial pain syndrome

    NARCIS (Netherlands)

    Diercks, Ronald; Bron, Carel; Dorrestijn, Oscar; Meskers, Carel; Naber, René; de Ruiter, Tjerk; Willems, Jaap; Winters, Jan; van der Woude, Henk Jan

    Treatment of "subacromial impingement syndrome" of the shoulder has changed drastically in the past decade. The anatomical explanation as "impingement" of the rotator cuff is not sufficient to cover the pathology. "Subacromial pain syndrome", SAPS, describes the condition better. A working group

  2. Modelling of jet-impingement cooling for power electronics

    OpenAIRE

    Rizvi, M.J.; Skuriat, R.; Tilford, Tim; Bailey, Christopher; Johnson, C. Mark; Lu, Hua

    2009-01-01

    The use of an innovative jet impingement cooling system in a power electronics application is investigated using numerical analysis. The jet impingement system, outlined by Skuriat et al, consists of a series of cells each containing an array of holes. Cooling fluid is forced through the device, forming an array of impingement jets. The jets are arranged in a manner, which induces a high degree of mixing in the interface boundary layer. This increase in turbulent mixing is intended to induce ...

  3. Clinical outcome of arthroscopic subacromial decompression (ASD) for treatment of subacromial impingement syndrome%关节镜肩峰下间隙减压术治疗肩峰下撞击综合征临床疗效分析

    Institute of Scientific and Technical Information of China (English)

    刘海鹏; 徐雅强; 刘振刚; 张培训

    2016-01-01

    目的:评价关节镜肩峰下间隙减压术(arthroscopic subacromial decompression,ASD)治疗肩峰下撞击综合征的方法及效果。方法回顾性分析2013年6月至2015年1月应用 ASD 治疗肩峰下撞击综合征患者32例,其中男14例,女18例;年龄31~76岁,平均51.3岁;左肩11例,右肩21例;术前常规拍摄肩关节前后位、冈上肌出口位和腋位 X 线片。19例行 MRI 检查。Ⅰ型肩峰5例,Ⅱ型肩峰12例,Ⅲ型肩峰15例。应用 ASD,32例均行前肩峰成形术,17例同时行关节镜下肩袖缝合术。采用 UCLA 评分标准评价疗效。结果随访时间12~24个月,平均16.4个月。UCLA 评分术前为(16.8±4.1)分,术后(32.4±1.5)分,两者差异有统计学意义(t =-14.107,P <0.01)。优11例,良18例,可3例,差0例,优良率为90.6%。结论 ASD 治疗肩峰下撞击综合征能达到减压要求,效果满意,且可同时处理关节内其他病变,创伤小,恢复快,应作为治疗肩峰下撞击综合征的首选。%Background The concept of subacromial impingement syndrome was proposed by Neer through autopsy and clinical research in 1 972,and it is a common cause of pain and dysfunction of the shoulder joint.With the continuous improvement of arthroscopic techniques,the gradual application of shoulder arthroscopy in the treatment of shoulder disorders has been widely approved. This paper aims to retrospectively observe and evaluate the treatment of subacromial impingement syndrome with arthroscopic subacromial decompression (ASD)and its clinical outcome.Methods (1) General information.32 cases were selected in the group from June 2013 to January 201 5.The course of disease ranged from 6 to 48 months and the mean time was 22 months;there were 8 cases with trauma history.All the patients underwent conservative treatment for 3 to 6 months before operation, including rest,physical therapy,oral anti-inflammatory drug therapy and enhanced muscle strength exercises, and the conservative treatment

  4. ANATOMIC STUDY OF THE PROXIMAL THIRD OF THE FEMUR: FEMOROACETABULAR IMPACT AND THE CAM EFFECT

    Science.gov (United States)

    Labronici, Pedro José; Alves, Sergio Delmonte; da Silva, Anselmo Fernandes; Giuberti, Gilberto Ribeiro; de Azevedo Neto, Justino Nóbrega; Mezzalira Penedo, Jorge Luiz

    2015-01-01

    To analyze anatomical variations of the proximal end of femur that could cause a femoroacetabular impact. Methods: 199 skeletically mature anatomical specimens of femurs were used. The femurs were measured in order to determine the anteversion angle of the femoral neck, neckshaft angle, sphericity of the femoral head at anteroposterior and superoinferior, angle between epiphysis and the anterior femoral neck, angle between epiphysis and the neck at lateral plane, anteroposterior distance at 5mm of the head and neck junction and anteroposterior distance of the neck base. Results: we found that the impact subgroup presented a significantly larger junction diameter of 5mm (p = 0.0001) and cam-head (%) (p= 0.0001), while base-cam (%) (p = 0.0001) showed a significantly smaller diameter than the subgroup without impact. It was identified that cam-head (%) ≤ 80 e base-cam (%) ≤ 73 were identified as the optimal impact points. Conclusion: our study showed that the effect cam, caused by anatomical variations of the proximal femoral end focused the head-neck junction and base of the neck-junction head-neck. These rates can be predictive factors of the impact. PMID:26998462

  5. Anterior iliopsoas impingement after total hip arthroplasty.

    Science.gov (United States)

    Trousdale, R T; Cabanela, M E; Berry, D J

    1995-08-01

    Pain after total hip arthroplasty (THA) can be caused by a multitude of conditions, including infection, aseptic loosening, heterotopic ossification, and referred pain. It is also recognized that soft tissue inflammation about the hip, such as trochanteric bursitis, can lead to hip pain after THA. Two cases of persistent iliopsoas tendinitis following THA are reported, which are believed to be caused by psoas tendon impingement against a malpositioned, uncemented, metal-backed acetabular component. The authors are unaware of previous reports of this problem, and suggest that the problem be considered in the differential diagnosis of groin pain following THA.

  6. SCALE EFFECT OF IMPINGING PRESSURE CAUSED BY SUBMERGED JET

    Institute of Scientific and Technical Information of China (English)

    TIAN Zhong; XU Wei-lin; WANG Wei; LIU Shan-jun; DONG Jian-wei

    2005-01-01

    The characteristics of the impinging pressure at the jet equipment where the maximum jet velocity can reach 50m/s were studied. By comparing the impinging pressure with the one measured at the low velocity conditions, two conclusions of the scale effect are drawn: firstly, the velocity attenuation degree is smaller than that of low-velocity jet, and secondly, the relative impinging width is narrower than that of low-velocity jet. The reasons of the scale effect of the impinging pressure were elucidated through numerical simulation.

  7. Pain in workers with shoulder impingement syndrome: an assessment using the DASH and McGill pain questionnaires Dor em trabalhadores portadores da síndrome do impacto do ombro: uma avaliação através dos questionários DASH e McGill de dor

    Directory of Open Access Journals (Sweden)

    PR Camargo

    2007-04-01

    Full Text Available OBJECTIVE: This study assessed physical function and pain in male and female workers with shoulder impingement syndrome using the Brazilian Portuguese versions of the Disabilities of the Arm, Shoulder and Hand (DASH and McGill pain questionnaires. METHODS: Twenty-seven assembly line workers (18 men and 9 women; mean age of 33.26 ± 6.49 years in the school supply industry were evaluated. The duration of the shoulder impingement pain was 31.74 ± 32.92 months and the amount of time of the workers in this industry was 11.08 ± 6.41 years. The DASH questionnaire was used to evaluate functional status and symptoms of the upper limbs of the workers. Using the McGill Pain Questionnaire, the pain was quantified by the number of words chosen and by the pain rating index (PRI. RESULTS: The women presented higher scores (POBJETIVO: Este estudo avaliou função física e dor em trabalhadores com síndrome do impacto através das versões brasileiras dos questionários "Disabilities of the Arm, Shoulder and Hand" (DASH e McGill de dor. MÉTODO: Vinte e sete trabalhadores (18 homens e 9 mulheres; idade média de 33,26 ± 6,49 anos de uma linha de produção de uma indústria de material escolar foram avaliados. O tempo de duração de dor no ombro era de 31,74 ± 32,92 meses e o tempo de trabalho na indústria era de 11,08 ± 6,41 anos. O questionário DASH foi utilizado para avaliar o estado funcional e os sintomas dos membros superiores dos trabalhadores. Através do questionário McGill de dor, a dor foi quantificada pelo número de palavras escolhidas e pelo índice de classificação da dor (ICD. RESULTADOS: As mulheres apresentaram maiores escores (P< 0,05 que os homens para ambos os módulos do DASH. As mulheres escolheram mais palavras (17,00 ± 2,59 que os homens (13,33 ± 3,16 e também apresentaram o maior ICD total (P< 0,05. CONCLUSÃO: Os resultados obtidos neste grupo de trabalhadores brasileiros com síndrome do impacto do ombro identificam os

  8. Modelling of soft impingement during solidification

    Indian Academy of Sciences (India)

    K T Kashyap; S Yamdagni

    2007-08-01

    It has been well established that spheroidal grain morphology in the microstructure forms during stir casting (rheocasting) and grain refinement of magnesium alloys by zirconium addition. This curious microstructure has been of interest both commercially from enhanced mechanical properties and also scientific interest in explaining the mechanism of spheroidal grain formation. Vogel and Doherty proposed a model describing the fracturing of dendrite arms during stir casting to produce a high density of nuclei which they presume to give rise to spheroidal grains. They proposed that there is soft impingement of diffusion fields of neighbouring nuclei, which reduces the concentration gradient ahead of the planar solid and liquid interface, which in turn negates shape instability. In this paper, the Vogel and Doherty model is pursued by quantitative modeling of soft impingement problem and related to shape instability by constitutional supercooling theory. This analysis correctly predicts the spheroidal grain formation during stir casting or rheocasting. This model can also be used to explain the grain refinement of magnesium alloys by zirconium addition wherein spheroidal grains are formed.

  9. Sessile drop deformations under an impinging jet

    Science.gov (United States)

    Feng, James Q.

    2015-08-01

    The problem of steady axisymmetric deformations of a liquid sessile drop on a flat solid surface under an impinging gas jet is of interest for understanding the fundamental behavior of free surface flows as well as for establishing the theoretical basis in process design for the Aerosol direct-write technology. It is studied here numerically using a Galerkin finite-element method, by computing solutions of Navier-Stokes equations. For effective material deposition in Aerosol printing, the desired value of Reynolds number for the laminar gas jet is found to be greater than ~500. The sessile drop can be severely deformed by an impinging gas jet when the capillary number is approaching a critical value beyond which no steady axisymmetric free surface deformation can exist. Solution branches in a parameter space show turning points at the critical values of capillary number, which typically indicate the onset of free surface shape instability. By tracking solution branches around turning points with an arc-length continuation algorithm, critical values of capillary number can be accurately determined. Near turning points, all the free surface profiles in various parameter settings take a common shape with a dimple at the center and bulge near the contact line. An empirical formula for the critical capillary number for sessile drops with contact angle is derived for typical ranges of jet Reynolds number and relative drop sizes especially pertinent to Aerosol printing.

  10. Flow Characteristics of Rectangular Underexpanded Impinging Jets

    Institute of Scientific and Technical Information of China (English)

    Minoru YAGA; Yoshio KINJO; Masumi TAMASHIRO; Kenyu OYAKAWA

    2006-01-01

    In this paper, the flow fields of underexpanded impinging jet issued from rectangular nozzles of aspect ratio 1,3 and 5 are numerically and experimentally studied. Two dimensional temperature and pressure distributions are measured by using infrared camera and the combination of a pressure scanning device and a stepping motor, respectively. The variation of the stagnation pressure on the impinging plate reveals that a hystcretic phenomenon exists during the increasing and decreasing of the pressure ratio for the aspect ratio of 3.0 and 5.0. It is also found that the nozzle of aspect ratio 1.0 caused the largest total pressure loss pc/p0 = 0.27 at the pressure ratio of p0/pb, = 6.5, where pc is the stagnation center pressure on the wall, p0 the upstream stagnation pressure, pb the ambient pressure. The other two nozzles showed that the pressure loss pc / p0=0.52 and 0.55 were achieved by the nozzles of the aspect ratio 3,0 and 5.0, respectively. The comparison between the calculations and experiments is fairly good, showing the three dimensional streamlines and structures of the shock waves in the jets. However, the hysteresis of the pressure variations observed in the experiments between the pressure ratio of 3.5 and 4.5 cannot be confirmed in the calculations.

  11. Rehabilitation for Subacromial Impingement Starts at the Scapula

    Directory of Open Access Journals (Sweden)

    Peggy A. Houglum

    2013-12-01

    Full Text Available Subacromial impingement, especially secondary subacromial impingement, is a common malady of athletes and non-athletes alike. Although several pathologies may lead to impingement, they all relate back to poor posture. Over time, postural changes increase stress to soft tissue structures to change both alignment and performance. Injury results as low-level stresses impact weakening tissues to the point of overload. Crucial to effective treatment of secondary subacromial impingement is the identification and correction of all causes. Basic to successful treatment is correction of posture, including scapular posture and muscles which control, stabilize, and move the scapula. An evidence-based approach to not only identifying the causes but also creating a treatment regimen to effectively resolve secondary subacromial impingement is presented.

  12. Technique of Arthroscopic Treatment of Impingement After Total Ankle Arthroplasty.

    Science.gov (United States)

    Gross, Christopher E; Neumann, Julie A; Godin, Jonathan A; DeOrio, James K

    2016-04-01

    Rates of medial and/or lateral gutter impingement after total ankle replacement are not insignificant. If impingement should occur, it typically arises an average of 17 months after total ankle replacement. Our patient underwent treatment for right ankle medial gutter bony impingement with arthroscopic debridement 5 years after her initial total ankle replacement. Standard anteromedial and anterolateral portals and a 30° 2.7-mm-diameter arthroscope were used. An aggressive soft-tissue and bony resection was performed using a combination of curettes, a 3.5-mm shaver, a 5.5-mm unsheathed burr, a drill, and a radiofrequency ablator. This case shows that arthroscopic treatment is an effective and potentially advantageous alternative to open treatment of impingement after total ankle replacement. In addition, symptoms of impingement often improve in a short amount of time after arthroscopic debridement of the medial and/or lateral gutter.

  13. Magnetic Resonance Velocimetry analysis of an angled impinging jet

    Science.gov (United States)

    Irhoud, Alexandre; Benson, Michael; Verhulst, Claire; van Poppel, Bret; Elkins, Chris; Helmer, David

    2016-11-01

    Impinging jets are used to achieve high heat transfer rates in applications ranging from gas turbine engines to electronics. Despite the importance and relative simplicity of the geometry, simulations historically fail to accurately predict the flow behavior in the vicinity of the flow impingement. In this work, we present results from a novel experimental technique, Magnetic Resonance Velocimetry (MRV), which measures three-dimensional time-averaged velocity without the need for optical access. The geometry considered in this study is a circular jet angled at 45 degrees and impinging on a flat plate, with a separation of approximately seven jet diameters between the jet exit and the impingement location. Two flow conditions are considered, with Reynolds numbers of roughly 800 and 14,000. Measurements from the MRV experiment are compared to predictions from Reynolds Averaged Navier Stokes (RANS) simulations, thus demonstrating the utility of MRV for validation of numerical analyses of impinging jet flow.

  14. Electron impinging on metallic thin film targets

    Energy Technology Data Exchange (ETDEWEB)

    Rouabah, Z. [Laboratoire de Physique Moleculaire et des Collisions, ICPMB (FR CNRS 2843), Institut de Physique, Universite Paul Verlaine-Metz, Metz Cedex 3 (France); Laboratoire Materiaux et Systemes Electroniques, Centre Universitaire de Bordj-Bou-Arreridj, El-Anasser, 34265 Bordj-Bou-Arreridj (Algeria); Bouarissa, N., E-mail: N_Bouarissa@yahoo.fr [Department of Physics, Faculty of Science, King Khalid University, Abha, P.O.Box 9004 (Saudi Arabia); Champion, C. [Laboratoire de Physique Moleculaire et des Collisions, ICPMB (FR CNRS 2843), Institut de Physique, Universite Paul Verlaine-Metz, Metz Cedex 3 (France)

    2010-03-15

    Based on the Vicanek and Urbassek theory [M. Vicanek, H.M. Urbassek, Phys. Rev. B 44 (1991) 7234] combined to a home-made Monte Carlo simulation, the present work deals with backscattering coefficients, mean penetration depths and stopping profiles for 1-4 keV electrons normally incident impinging on Al and Cu thin film targets. The cross-sections used to describe the electron transport are calculated via the appropriate analytical expression given by Jablonski [A. Jablonski, Phys. Rev. B 58 (1998) 16470] whose new improved version has been recently given [Z. Rouabah, N. Bouarissa, C. Champion, N. Bouaouadja, Appl. Surf. Sci. 255 (2009) 6217]. The behavior of the backscattering coefficient, mean penetration depth and stopping profiles versus the metallic film thickness at the nanometric scale and beyond is here analyzed and discussed.

  15. Impinging Water Droplets on Inclined Glass Surfaces.

    Energy Technology Data Exchange (ETDEWEB)

    Armijo, Kenneth Miguel; Lance, Blake; Ho, Clifford K.

    2017-09-01

    Multiphase computational models and tests of falling water droplets on inclined glass surfaces were developed to investigate the physics of impingement and potential of these droplets to self-clean glass surfaces for photovoltaic modules and heliostats. A multiphase volume-of-fluid model was developed in ANSYS Fluent to simulate the impinging droplets. The simulations considered different droplet sizes (1 mm and 3 mm), tilt angles (0deg, 10deg, and 45deg), droplet velocities (1 m/s and 3 m/s), and wetting characteristics (wetting=47deg contact angle and non-wetting = 93deg contact angle). Results showed that the spread factor (maximum droplet diameter during impact divided by the initial droplet diameter) decreased with increasing inclination angle due to the reduced normal force on the surface. The hydrophilic surface yielded greater spread factors than the hydrophobic surface in all cases. With regard to impact forces, the greater surface tilt angles yielded lower normal forces, but higher shear forces. Experiments showed that the experimentally observed spread factor (maximum droplet diameter during impact divided by the initial droplet diameter) was significantly larger than the simulated spread factor. Observed spread factors were on the order of 5 - 6 for droplet velocities of %7E3 m/s, whereas the simulated spread factors were on the order of 2. Droplets were observed to be mobile following impact only for the cases with 45deg tilt angle, which matched the simulations. An interesting phenomenon that was observed was that shortly after being released from the nozzle, the water droplet oscillated (like a trampoline) due to the "snapback" caused by the surface tension of the water droplet being released from the nozzle. This oscillation impacted the velocity immediately after the release. Future work should evaluate the impact of parameters such as tilt angle and surface wettability on the impact of particle/soiling uptake and removal to investigate ways that

  16. Experimental and Computational Study of Underexpanded Jet Impingement Heat Transfer

    Science.gov (United States)

    Rufer, Shann J.; Nowak, Robert J.; Daryabeigi, Kamran; Picetti, Donald

    2009-01-01

    An experiment was performed to assess CFD modeling of a hypersonic-vehicle breach, boundary-layer flow ingestion and internal surface impingement. Tests were conducted in the NASA Langley Research Center 31-Inch Mach 10 Tunnel. Four simulated breaches were tested and impingement heat flux data was obtained for each case using both phosphor thermography and thin film gages on targets placed inside the model. A separate target was used to measure the surface pressure distribution. The measured jet impingement width and peak location are in good agreement with CFD analysis.

  17. Impinging Jet Resonant Modes at Mach 1.5

    CERN Document Server

    Davis, Timothy

    2013-01-01

    High speed impinging jets have been the focus of several studies owing to their practical application and resonance dominated flow-field. The current study focuses on the identification and visualization of the resonant modes at certain critical impingement heights for a Mach 1.5 normally impinging jet. These modes are associated with high amplitude, discrete peaks in the power spectra and can be identified as having either axisymmetric or azimuthal modes. Their visualization is accomplished through phase-locked Schlieren imaging and fast-response pressure sensitive paint (PC-PSP) applied to the ground plane.

  18. NUMERICAL SIMULATION OF LAMINAR SQUARE IMPINGING JET FLOWS

    Institute of Scientific and Technical Information of China (English)

    CHEN Qing-guang; XU Zhong; WU Yu-lin; ZHANG Yong-jian

    2005-01-01

    A theoretical study has been undertaken to determine the flow characteristics associated with a three-dimensional laminar impinging jet issuing from a square pipe nozzle. Interesting flow structures around the jet are detected. The numerical result reveals the existence of four streamwise velocity off-center peaks near the impingement plate, which is different from the rectangular jet impingement. The mechanism of the formation of the off-center velocity peaks and the parameters affecting the flow-field characteristics are discussed by comparison of the computed results with different nozzle-to-plate spacings and Reynolds numbers.

  19. KOMBINASI ULTRASOUND DAN TRAKSI BAHU KE ARAH KAUDAL TERBUKTI SAMA EFEKTIFNYA DENGAN KOMBINASI ULTRASOUND DAN LATIHAN CODMAN PENDULUM DALAM MENURUNKAN NYERI DAN MENINGKATKAN KEMAMPUAN AKTIFITAS FUNGSIONALSENDI BAHU PADA PENDERITA SINDROMA IMPINGEMENT SUBAK

    Directory of Open Access Journals (Sweden)

    Dwi Setiyawati

    2013-11-01

    Full Text Available Subacromial impingement syndrome is pain caused the emphasis of the supraspinatus muscle tendon between the acromion and the humeral tuberosity. Pain in subacromial impingement syndrome cause reduction of shoulder functional activity. Handling the problem of impingement syndrome, many modalities are heating, electrical stimulation, manual therapy and exercise therapy. This study aimed to compare result between the combination of ultrasound therapy and traction shoulder toward caudal (group 1 and combination of ultrasound therapy and Codman pendular exercise (group 2. The duration of treatment was given 3 times a week for 2 weeks long. Sampling of this research was 32 people each group of 16 people. This research was true experimental study using pre test and post test design with measurement SPADI (Shoulder Pain and Disability Index Result of hypothesis testing using independent t-test is found p > 0.05 showed no significant differences between group 1 and group 2. Conclusions in this research that combining of ultrasound therapy and traction shoulder to caudal are proven equally effective with ultrasound therapy and codman pendular exercise to reduce pain and improve functional shoulder joint activity in patient with impingement subacromial syndrome. There for the further study it is recommended a multicentre study using three combination therapy (Ultrasound, traction and pendular exercise for reducing pain and improving functional shoulder joint activity with impingement subacromial syndrome

  20. Intra and inter-examiner reliability of the subacromial impingement index

    Energy Technology Data Exchange (ETDEWEB)

    Ramos, Carlos Eduardo Sala; Ferreira, Felipe Varella; Carvalho Sposito, Guilherme de; Nogueira-Barbosa, Marcello Henrique; Oliveira, Anamaria Siriani de [University of Sao Paulo, Ribeirao Preto School of Medicine, Ribeirao Preto, SP (Brazil)

    2010-01-15

    The present study aimed to assess the reliability of intra and inter-examiner subacromial impingement index (SII) measures obtained from radiographs. Thirty-six individuals were enrolled and divided into two groups: control group, composed of 18 volunteers in good general health without shoulder problems, and a group of 18 patients with subacromial impingement syndrome (SIS). Radiographic images were taken with the dominant upper limb in neutral rotation, while the volunteers held their arm at 90 of abduction in the frontal plane. The beam of radiation at 30 craniocaudal inclination was used to provide an antero-posterior image view. Three blinded examiners each performed three measurements from the subacromial space (SS) and the anatomical neck of the humerus (NH). The SII was calculated as the ratio of the SS and the NH measures. The mean values of SII were compared using t-tests. The intra-class correlation coefficient (ICC) was used to assess intra- and inter-examiner reliability of the measures. The mean values of SII were greater for the control group (0.12) than for the SIS group (0.08; p = 0.0071). SII measurements showed excellent intra (0.96-0.99) and inter-examiner reliability (0.94) for both the control and SIS group. The results of this study show the potential use of the SII; a greater mean value for the control group compared to the SIS group and excellent reliability for intra- and inter-examiner measurement. Validation studies of the index should be conducted to correlate the index with clinical findings from subacromial impingement syndrome. (orig.)

  1. Low EUV Luminosities Impinging on Protoplanetary Disks

    CERN Document Server

    Pascucci, I; Gorti, U; Hollenbach, D; Hendler, N P; Brooks, K J; Contreras, Y

    2014-01-01

    The amount of high-energy stellar radiation reaching the surface of protoplanetary disks is essential to determine their chemistry and physical evolution. Here, we use millimetric and centimetric radio data to constrain the EUV luminosity impinging on 14 disks around young (~2-10Myr) sun-like stars. For each object we identify the long-wavelength emission in excess to the dust thermal emission, attribute that to free-free disk emission, and thereby compute an upper limit to the EUV reaching the disk. We find upper limits lower than 10$^{42}$ photons/s for all sources without jets and lower than $5 \\times 10^{40}$ photons/s for the three older sources in our sample. These latter values are low for EUV-driven photoevaporation alone to clear out protoplanetary material in the timescale inferred by observations. In addition, our EUV upper limits are too low to reproduce the [NeII] 12.81 micron luminosities from three disks with slow [NeII]-detected winds. This indicates that the [NeII] line in these sources prima...

  2. On the origin of impinging tones at low supersonic flow

    CERN Document Server

    Wilke, Robert

    2016-01-01

    Impinging compressible jets may cause deafness and material fatigue due to immensely loud tonal noise. It is generally accepted that a feedback mechanism similar to the screech feedback loop is responsible for impinging tones. The close of the loop remained unclear. One hypothesis hold up in the literature explains the emanated sound with the direct interaction of vortices and the wall. Other explanations name the standoff shock oscillations as the origin of the tones. Using direct numerical simulations (DNS) we were able to identify the source mechanism for under-expanded impinging jets with a nozzle pressure ratio (NPR) of 2.15 and a plate distance of 5 diameters. We found two different types of interactions between vortices and shocks to be responsible for the generation of the impinging tones. They are not related to screech.

  3. Talar Osteochondroma Fracture Presenting as Posterior Ankle Impingement.

    Science.gov (United States)

    Ercin, Ersin; Bilgili, Mustafa Gokhan; Gamsizkan, Mehmet; Avsar, Serdar

    2016-05-01

    Osteochondromas are the most common benign bone tumors. They are usually asymptomatic and found incidentally. When symptomatic, the symptoms are usually due to its location and size. Fracture of an osteochondroma presenting as posterior ankle impingement is a rare condition. We describe a 22-year-old man with solitary exostosis who presented with a posterior ankle mass and posterior ankle impingement with 2 years of follow-up. Surgical intervention was the treatment of choice in this patient, and histologic examination revealed a benign osteochondroma. Osteochondromas found in the posterior aspect of the talus can be complicated by fracture due to persistent motion of the ankle. Talar osteochondroma should be included in the differential diagnosis of posterior ankle impingement causes. Posterior talar osteochondromas, especially when a stalk is present, should be treated surgically before it is more complicated by a fracture and posterior ankle impingement.

  4. Numerical simulation of circular jet impinging on hot steel plate

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    Flow structure and heat transfer characteristics of an axisymmetric circular jet impinging on a hot 1Cr18Ni9Ti medium plate have been simulated numerically using computational fluid dynamic (CFD) code. The relation between flow field of jet impingement and its heat transfer capability is analyzed, and the phenomenon that heat transfer at stagnation point is smaller than that of points directly around is discussed. The simulation result provides boundary conditions for thermalanalysis of medium plate quenching.

  5. SUBMERGED IMPINGING JETS WITHIN A FINITE WATER DEPTH

    Institute of Scientific and Technical Information of China (English)

    2002-01-01

    By use of the sheet of laser light and the trac-ing particle technology, flow visualization tests of complexflow structures for submerged impinging jets within finite wa-ter depths are conducted. Typical flow patterns of submergeimpinging jets are analysed by the singular topology method.In order to reveal the mechanism of these flows, the diffusivecharacteristics and turbulent fluctuations of submerged impin-ging jets are measured by the hot-film anemometer.

  6. Simulating regolith ejecta due to gas impingement

    Science.gov (United States)

    Chambers, Wesley Allen; Metzger, Philip; Dove, Adrienne; Britt, Daniel

    2016-10-01

    Space missions operating at or near the surface of a planet or small body must consider possible gas-regolith interactions, as they can cause hazardous effects or, conversely, be employed to accomplish mission goals. They are also directly related to a body's surface properties; thus understanding these interactions could provide an additional tool to analyze mission data. The Python Regolith Interaction Calculator (PyRIC), built upon a computational technique developed in the Apollo era, was used to assess interactions between rocket exhaust and an asteroid's surface. It focused specifically on threshold conditions for causing regolith ejecta. To improve this model, and learn more about the underlying physics, we have begun ground-based experiments studying the interaction between gas impingement and regolith simulant. Compressed air, initially standing in for rocket exhaust, is directed through a rocket nozzle at a bed of simulant. We assess the qualitative behavior of various simulants when subjected to a known maximum surface pressure, both in atmosphere and in a chamber initially at vacuum. These behaviors are compared to prior computational results, and possible flow patterns are inferred. Our future work will continue these experiments in microgravity through the use of a drop tower. These will use several simulant types and various pressure levels to observe the effects gas flow can have on target surfaces. Combining this with a characterization of the surface pressure distribution, tighter bounds can be set on the cohesive threshold necessary to maintain regolith integrity. This will aid the characterization of actual regolith distributions, as well as informing the surface operation phase of mission design.

  7. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association

    NARCIS (Netherlands)

    Diercks, R.; Bron, C.; Dorrestijn, O.; Meskers, C.; Naber, R.; Ruiter, T. de; Willems, J.; Winters, J.; Woude, H.J. van der

    2014-01-01

    Treatment of "subacromial impingement syndrome" of the shoulder has changed drastically in the past decade. The anatomical explanation as "impingement" of the rotator cuff is not sufficient to cover the pathology. "Subacromial pain syndrome", SAPS, describes the condition better. A working group for

  8. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association

    NARCIS (Netherlands)

    Diercks, R.; Bron, C.; Dorrestijn, O.; Meskers, C.; Naber, R.; Ruiter, T. de; Willems, J.; Winters, J.; Woude, H.J. van der

    2014-01-01

    Treatment of "subacromial impingement syndrome" of the shoulder has changed drastically in the past decade. The anatomical explanation as "impingement" of the rotator cuff is not sufficient to cover the pathology. "Subacromial pain syndrome", SAPS, describes the condition better. A working group for

  9. Guideline for diagnosis and treatment of subacromial pain syndrome: a multidisciplinary review by the Dutch Orthopaedic Association

    NARCIS (Netherlands)

    Diercks, R.; Bron, C.; Dorrestijn, O.; Meskers, C.; Naber, R.; Ruiter, T. de; Willems, J.; Winters, J.; Woude, H.J. van der

    2014-01-01

    Treatment of "subacromial impingement syndrome" of the shoulder has changed drastically in the past decade. The anatomical explanation as "impingement" of the rotator cuff is not sufficient to cover the pathology. "Subacromial pain syndrome", SAPS, describes the condition better. A working group

  10. Exercises versus arthroscopic decompression in patients with subacromial impingement: a randomised, controlled study in 90 cases with a one year follow up

    DEFF Research Database (Denmark)

    Haahr, J. P.; Ostergaard, S.; Dalsgaard, J.

    2005-01-01

    OBJECTIVES: To compare the effect of graded physiotherapeutic training of the rotator cuff versus arthroscopic subacromial decompression in patients with subacromial impingement. METHODS: Randomised controlled trial with 12 months' follow up in a hospital setting. Ninety consecutive patients aged...... 18 to 55 years were enrolled. Symptom duration was between six months and three years. All fulfilled a set of diagnostic criteria for rotator cuff disease, including a positive impingement sign. Patients were randomised either to arthroscopic subacromial decompression, or to physiotherapy......, the difference being non-significant. No group differences in mean pain and dysfunction score improvement were found. CONCLUSIONS: Surgical treatment of rotator cuff syndrome with subacromial impingement was not superior to physiotherapy with training. Further studies are needed to qualify treatment choice...

  11. Muscle trigger points and pressure pain hyperalgesia in the shoulder muscles in patients with unilateral shoulder impingement: a blinded, controlled study.

    Science.gov (United States)

    Hidalgo-Lozano, Amparo; Fernández-de-las-Peñas, César; Alonso-Blanco, Cristina; Ge, Hong-You; Arendt-Nielsen, Lars; Arroyo-Morales, Manuel

    2010-05-01

    Our aim was to describe the differences in the presence of trigger points (TrPs) in the shoulder muscles and to investigate the presence of mechanical hypersensitivity in patients with unilateral shoulder impingement and healthy controls. Twelve patients with strictly unilateral shoulder impingement and 10 matched controls were recruited. TrPs in the levator scapula, supraspinatus, infraspinatus, subscapularis, pectoralis major, and biceps brachii muscles were explored. TrPs were considered active if the local and referred pain reproduced the pain symptoms and the patient recognized the pain as a familiar pain. Pressure pain thresholds (PPT) were assessed over the levator scapulae, supraspinatus, infraspinatus, pectoralis major, biceps brachii, and tibialis anterior muscles. Both explorations were randomly done by an assessor blinded to the subjects' condition. Patients with shoulder impingement have a greater number of active (mean +/- SD: 2.5 +/- 1; P muscles were the most prevalent in the patient group. Patients showed a significant lower PPT in all muscles when compared to controls (P muscles were associated to greater pain intensity and lower PPTs when compared to those with latent TrPs in the same muscles (P shoulder impingement showed widespread pressure hypersensitivity and active TrPs in the shoulder muscles, which reproduce their clinical pain symptoms. Our results suggest both peripheral and central sensitisation mechanisms in patients with shoulder impingement syndrome.

  12. Evaluation and management of ischiofemoral impingement: a pathophysiologic, radiologic, and therapeutic approach to a complex diagnosis.

    Science.gov (United States)

    Hernando, Moisés Fernández; Cerezal, Luis; Pérez-Carro, Luis; Canga, Ana; González, Raquel Prada

    2016-06-01

    Ischiofemoral impingement syndrome (IFI) is an underrecognized form of atypical, extra-articular hip impingement defined by hip pain related to narrowing of the space between the ischial tuberosity and the femur. The etiology of IFI is multifactorial and potential sources of ischiofemoral engagement include anatomic variants of the proximal femur or pelvis, functional disorders as hip instability, pelvic/spinal instability, or abductor/adductor imbalance, ischial tuberosity enthesopathies, trauma/overuse or extreme hip motion, iatrogenic conditions, tumors and other pathologies. Magnetic resonance imaging (MRI) is the diagnostic procedure of choice for assessing IFI and may substantially influence patient management. The injection test of the ischiofemoral space (IFS) has both a diagnostic and therapeutic function. Endoscopic decompression of the IFS appears useful in improving function and diminishing hip pain in patients with IFI but conservative treatment is always the first step in the treatment algorithm. Because of the ever-increasing use of advanced MRI techniques, the frequent response to conservative treatment, and the excellent outcomes of new endoscopic treatment, radiologists must be aware of factors that predispose or cause IFI. In addition, focused treatment in these conditions is often more important than in secondary impingement. In this article, we briefly describe the anatomy of the IFS, review the clinical examination and symptoms, assess the diagnostic imaging criteria and pathophysiological mechanisms, and develop an understandable classification of IFI, with particular focus on its etiology, predisposing factors, and associated musculoskeletal abnormalities. We also assess the role of the radiologist in the diagnosis, treatment, and preoperative evaluation of both primary and secondary IFI.

  13. Micromixing in the Submerged Circulative Impinging Stream Reactor

    Institute of Scientific and Technical Information of China (English)

    伍沅; 肖杨; 周玉新

    2003-01-01

    Micromixing in the submerged circulative impinging stream reactor (SCISR) developed by the authors is investigated with the Bourne's reaction scheme. The values measured for the impinging velocity, u0, under the conditions of SCISR normal operation, only is of the order of 0.1m·s-1, are much slower than that inferred,suggesting low power requirement for operation. The values of the characteristic time constant for micromixing,tM, determined in the impinging velocity range of 0.184m·s-1 < u0 < 0.326m·s-1 are ranged from 192ms to 87 ms, showing that impinging streams promotes micromixing very efficiently. The data follow approximately the relationship of tM∝ u0-1.5. A comparative study shows that the micromixing performance of SCISR is much better than that of the traditional stirred tank reactor. The tM values predicted with the existing theoretical model are systematically longer than those measured by about 2--3 times, implying that the regularity of impinging streams promoting micromixing is unclear yet.

  14. Thermal-hydraulic performance of convective boiling jet array impingement

    Science.gov (United States)

    Jenkins, R.; De Brún, C.; Kempers, R.; Lupoi, R.; Robinson, A. J.

    2016-09-01

    Jet impingement boiling is investigated with regard to heat transfer and pressure drop performance using a novel laser sintered 3D printed jet impingement manifold design. Water was the working fluid at atmospheric pressure with inlet subcooling of 7oC. The convective boiling performance of the impinging jet system was investigated for a flat copper target surface for 2700≤Re≤5400. The results indicate that the heat transfer performance of the impinging jet is independent of Reynolds number for fully developed boiling. Also, the investigation of nozzle to plate spacing shows that low spacing delays the onset of nucleate boiling causing a superheat overshoot that is not observed with larger gaps. However, no sensitivity to the gap spacing was measured once boiling was fully developed. The assessment of the pressure drop performance showed that the design effectively transfers heat with low pumping power requirements. In particular, owing to the insensitivity of the heat transfer to flow rate during fully developed boiling, the coefficient of performance of jet impingement boiling in the fully developed boiling regime deteriorates with increased flow rate due to the increase in pumping power flux.

  15. The effect of liquid film on liquid droplet impingement erosion

    Energy Technology Data Exchange (ETDEWEB)

    Fujisawa, Nobuyuki, E-mail: fujisawa@eng.niigata-u.ac.jp [Visualization Research Center, Niigata University, 8050, Ikarashi 2-Nocho, Nishi-ku, Niigata 950-2181 (Japan); Yamagata, Takayuki, E-mail: yamagata@eng.niigata-u.ac.jp [Visualization Research Center, Niigata University, 8050, Ikarashi 2-Nocho, Nishi-ku, Niigata 950-2181 (Japan); Saito, Kengo; Hayashi, Kanto [Graduate School of Science and Technology, Niigata University, 8050, Ikarashi 2-Nocho, Nishi-ku, Niigata 950-2181 (Japan)

    2013-12-15

    Highlights: • Liquid droplet impingement erosion is studied experimentally using high-speed conical spray. • Erosion rate is increased with decreasing the liquid film thickness. • Erosion model is proposed considering the influence of liquid film thickness. -- Abstract: In the present paper, the pipe-wall thinning due to liquid droplet impingement erosion is studied experimentally by using a high-speed conical spray under the influences of liquid film on the target specimen. The size of the droplets considered is an order of tens of micrometers in diameter, which is the same order as those expected in the pipeline of nuclear/fossil power plants. In order to evaluate the erosion rate by the liquid droplet impingement under the influence of liquid film, the experiments are conducted by various combinations of the specimen diameters and the standoff distances of the spray from the nozzle. The experimental results show that the erosion depth increases linearly with the local flow volume, indicating the presence of terminal stage of erosion. The present results indicate that the erosion rate increases with decreasing the specimen diameter and increases slightly with increasing the standoff distance. This result combined with the theoretical consideration of the liquid film on the specimen leads to the conclusion that the erosion rate increases with decreasing the liquid film thickness, which supports the numerical result of liquid droplet impingement erosion in literature. Then, the erosion model for predicting the erosion rate by the liquid droplet impingement is proposed considering the influence of the liquid film.

  16. Efficacy of exercise combined with elecrotherapy in painful shoulder syndromes

    OpenAIRE

    2004-01-01

    One of the most common causes of shoulder pain is the "impingement syndrome". After evaluation by physical examination and radiologic tecniques, 15 patients with diagnoses of impingement syndrome, admitted to Physical Therapy and Rehabilitation and Orthopedics and Traumatology Department of Trakya University were included in this study. Accoding to Neer Classificahon 5 patients (33.3%) were identified as Stage I and 10 patients (66. 7%) as Stage II. After aplication of diatermy therapy combin...

  17. Virtual prototype simulation on underwater hydraulic impingement shovel

    Institute of Scientific and Technical Information of China (English)

    LIU He-ping; LUO A-ni; MENG Qing-xin

    2007-01-01

    The virtual prototype technology is applied to the design of the hydraulic impingement shovel,which is to increase the reliability of the design. The work principle of hydraulic impingement shovel is expatiated, and its dynamic equations are established. The 3D model of virtual prototype is built by PRO/E. Then the couple between the mechanical body of prototype and the hydraulic system is completed by virtue of ADAMS. Finally, the simulation is made on the virtual prototype. The simulation results show that the design of underwater hydraulic impingement shovel is rational. The virtual prototype technology could lay sound foundation of successful manufacturing of physical prototype for the first time and offer highly effective and feasible means for the design and production of underwater equipments.

  18. Influence of Liquid Viscosity on Droplet Impingement on Superhydrophobic Surfaces

    CERN Document Server

    Pearson, John T; Webb, Brent W

    2010-01-01

    This fluid dynamics video describes droplet impingement experiments performed on superhydrophobic surfaces. When droplets of pure water are impinged upon superhydrophobic surfaces, a region of thin coherent jets are observed for Weber numbers between 5 and 15. Also, peripheral splashing is observed for Weber numbers above about 200. When the viscosity of the droplet is increased by mixing glycerol with the water, the thin jets are not observed and peripheral splashing is delayed somewhat. In the Weber number range where pure water droplets are observed to splash peripherally, the water/glycerol droplets are observed to have two-pronged jets.

  19. Cold plate with combined inclined impingement and ribbed channels

    Energy Technology Data Exchange (ETDEWEB)

    Parida, Pritish R.

    2015-12-22

    Heat transfer devices and methods for making the same that include a first enclosure having at least one inlet port; a second enclosure having a bottom plate and one or more dividing walls to establish channels, at least one internal surface of each channel having rib structures to create turbulence in a fluid flow; and a jet plate connecting the first enclosure and the second enclosure having impinging jets that convey fluid from the first enclosure to the channels, said impinging jets being set at an angular deviation from normal to cause local acceleration of fluid and to increase a local heat transfer rate.

  20. Eccentric training for shoulder abductors improves pain, function and isokinetic performance in subjects with shoulder impingement syndrome: a case series Treino excêntrico para abdutores do ombro melhora dor, função e desempenho isocinético em sujeitos com síndrome do impacto: série de casos

    Directory of Open Access Journals (Sweden)

    Paula R. Camargo

    2012-02-01

    Full Text Available BACKGROUND: Conservative treatments have been proposed for people with shoulder impingement syndrome (SIS, such as strengthening of the rotator cuff and scapular muscles and stretching of the soft tissues of the shoulder. However, there is a lack of studies analyzing the effectiveness of eccentric training in the treatment of SIS. OBJECTIVES: To evaluate the effects of eccentric training for shoulder abductors on pain, function, and isokinetic performance during concentric and eccentric abduction of the shoulder in subjects with SIS. METHODS: Twenty subjects (7 females, 34.2 SD 10.2 years, 1.7 SD 0.1 m, 78.0 SD 16.3 kg with unilateral SIS completed the study protocol. Bilateral isokinetic eccentric training at 60º/s for shoulder abductors was performed for six consecutive weeks, twice a week, on alternate days. For each training day, three sets of 10 repetitions were performed with a 3-minute rest period between the sets for each side. The range of motion trained was 60° (ranging from 80° to 20°. The Disabilities of the Arm, Shoulder and Hand (DASH questionnaire was used to evaluate functional status and symptoms of the upper limbs. Peak torque, total work and acceleration time were measured during concentric and eccentric abduction of the arm at 60º/s and 180º/s using an isokinetic dynamometer. RESULTS: DASH scores, peak torque, total work and acceleration time improved (pCONTEXTUALIZAÇÃO: Tratamentos conservadores têm sido propostos para pessoas com síndrome do impacto (SI do ombro, como fortalecimento do manguito rotador e dos músculos escapulares e alongamento dos tecidos moles do ombro. No entanto, são escassos os estudos que analisaram a eficácia do treinamento excêntrico no tratamento da SI. OBJETIVOS: Avaliar os efeitos do treinamento excêntrico para abdutores do ombro na dor, função e desempenho isocinético durante a abdução concêntrica e excêntrica do ombro em indivíduos com SI. MÉTODOS: Vinte indivíduos (sete

  1. Flume length and post-exercise impingement affect anaerobic metabolism in brook charr Salvelinus fontinalis.

    Science.gov (United States)

    Tudorache, C; O'Keefe, R A; Benfey, T J

    2010-02-01

    The effect of flume length and impingement time on post-exercise lactate concentrations in brook charr Salvelinus fontinalis were examined. Swimming in longer flumes increased lactate concentrations, as does impingement after swimming in short flumes.

  2. Quantifying Cell Adhesion through Impingement of a Controlled Microjet

    NARCIS (Netherlands)

    Visser, Claas Willem; Gielen, Marise V.; Hao, Zhenxia; Gac, Le Severine; Lohse, Detlef; Sun, Chao

    2015-01-01

    The impingement of a submerged, liquid jet onto a cell-covered surface allows assessing cell attachment on surfaces in a straightforward and quantitative manner and in real time, yielding valuable information on cell adhesion. However, this approach is insufficiently characterized for reliable and r

  3. Liquid jet impinging orthogonally on a wettability-patterned surface

    Science.gov (United States)

    Koukoravas, Theodore; Ghosh, Aritra; Sinha Mahapatra, Pallab; Ganguly, Ranjan; Megaridis, Constantine

    2016-11-01

    Jet impingement has many technological applications because of its numerous merits, especially those related to the ability of liquids to carry away heat very efficiently. The present study introduces a new configuration employing a wettability-patterning approach to divert an orthogonally-impinging laminar water jet onto a predetermined portion of the target surface. Diverging wettable tracks on a superhydrophobic background provide the means to re-direct the impinging jet along paths determined by the shape of these tracks on the solid surface. In a heat transfer example of this method, an open-surface heat exchanger is constructed and its heat transfer performance is characterized. Since this approach facilitates prolonged liquid contact with the underlying heated surface through thin-film spreading, evaporative cooling is also promoted. We demonstrate flow cases extracting 100 W/cm2 at water flow rates of O(10 mL/min). By comparing with other jet-impingement cooling approaches, the present method provides roughly four times more efficient cooling by using less amount of coolant. The reduced coolant use, combined with the gravity-independent character of this technique, offer a new paradigm for compact heat transfer devices designed to operate in reduced- or zero-gravity environments.

  4. Hindfoot endoscopy for posterior ankle impingement. Surgical technique

    NARCIS (Netherlands)

    van Dijk, C.N.; de Leeuw, P.A.J.; Scholten, P.E.

    2009-01-01

    BACKGROUND: The surgical treatment of posterior ankle impingement is associated with a high rate of complications and a substantial time to recover. An endoscopic approach to the posterior ankle (hindfoot endoscopy) may lack these disadvantages. We hypothesized that hindfoot endoscopy causes less mo

  5. Experimental and Theoretical Analysis of the Impinging Stream Drying

    Institute of Scientific and Technical Information of China (English)

    淮秀兰; SHIGERU; Koyama; 等

    2003-01-01

    The experiments of one-stage semi-circular and two-stage semi-circular impinging stream drying as well as the vertical and semi-cricular combined impinging stream drying were carried out.The velocity distribution and the mean residence time of particles,and the influence of various factors on drying characteristics were studied.A mathematical model of granular material drying in a semi-circular impinging stream dryer was proposed,in which the flow characteristics as well as the heat and mass transfer mechanisms were considered.Reasonable numerical methods were used to solve the equations.Under various conditons,the calculated results of drying rate and moisture content versus time were obtained.The results indicate that constant drying rate period does not exist in a semi-circular impinging stream dryer.Appropriate semi-cricular stage number and curvature radius,flow-rate ratio,air velocity,and higher inlet air temperature should be used for enhancing the drying process.

  6. Anterior Inferior Iliac Spine (AIIS) and Subspine Hip Impingement

    Science.gov (United States)

    Carton, Patrick; Filan, David

    2016-01-01

    Summary Background Abnormal morphology of the anterior inferior iliac spine (AIIS) and the subspine region of the acetabular rim are increasingly being recognised as a source of symptomatic extra-articular hip impingement. This review article aims to highlight important differences in the pathogenesis, clinical presentation and management of extra-articular hip impingement from both the AIIS and subspine bony regions, and the outcome following surgical intervention. Methods A literature review was undertaken to examine the supporting evidence for AIIS and subspine hip impingement. A narrative account of the Author’s professional experience in this area, including operative technique for arthroscopic correction, is also presented. Results Abnormal morphology of the AIIS and subspine region has been classified using cadaveric, radiological and arthroscopic means; the clinical presentation and operative treatment has been documented in several case series studies. Dual pathology is often present - recognition and treatment of both intra- and extra-articular components are necessary for good postoperative outcome. Conclusions AIIS and sub-spine hip impingement should be considered as distinct pathological entities, which may also co-exist. Symptom relief can be expected following arthroscopic deformity correction with the treatment of concomitant intra-articular pathology. Failure to recognise and treat the extra-articular component may affect postoperative outcome. Level of evidence V. PMID:28066737

  7. Gaskinetic Modeling on Dilute Gaseous Plume Impingement Flows

    Directory of Open Access Journals (Sweden)

    Chunpei Cai

    2016-12-01

    Full Text Available This paper briefly reviews recent work on gaseous plume impingement flows. As the major part of this paper, also included are new comprehensive studies on high-speed, collisionless, gaseous, circular jet impinging on a three-dimensional, inclined, diffuse or specular flat plate. Gaskinetic theories are adopted to study the problems, and several crucial geometry-location and velocity-direction relations are used. The final complete results include impingement surface properties such as pressure, shear stress, and heat flux. From these surface properties, averaged coefficients of pressure, friction, heat flux, moment over the entire flat plate, and the distance from the moment center to the flat plate center are obtained. The final results include accurate integrations involving the geometry and specific speed ratios, inclination angle, and the temperature ratio. Several numerical simulations with the direct simulation Monte Carlo method validate these analytical results, and the results are essentially identical. The gaskinetic method and processes are heuristic and can be used to investigate other external high Knudsen (Kn number impingement flow problems, including the flow field and surface properties for a high Knudsen number jet from an exit and flat plate of arbitrary shapes. The results are expected to find many engineering applications, especially in aerospace and space engineering.

  8. Measurements of a single pulse impinging jet. A CFD reference

    Directory of Open Access Journals (Sweden)

    Bovo Mirko

    2014-03-01

    Full Text Available This paper reports three sets of measurements of a single pulse impinging jet. The purpose is to serve as a reference for CFD validation. A gas injector generates a single pulse jet at Re ~90000. The jet impinges on a temperature controlled flat target at different angles (0º, 30º, 45º and 60º. The jet velocity field is measured with PIV. The evolution of the jet velocity profile in time is reported at two different locations (suitable as CFD inlet conditions. At the same locations also turbulence quantities are reported. The impingement wall temperature is measured with fast responding thermocouples and infrared camera. These give high time and space resolution respectively. Results are reported in a format suitable for comparison with CFD simulations. The results show that the heat transfer effects are highest for the jet impinging normally on the target. Target inclination has remarkable effects on the jet penetration rate and repeatability. Even small target inclinations result creates a preferential direction for the jet flow and cause a shift in the position of the stagnation region.

  9. Extra-articular hip impingement: a narrative review of the literature

    Science.gov (United States)

    Cheatham, Scott W.

    2016-01-01

    There is growing subgroup of patients with poor outcomes after hip arthroscopy for intra-articular pathology suggesting unrecognized cause(s) of impingement may exist. Extra-articular hip impingement (EHI) is an emerging group of conditions that have been associated with intra-articular causes of impingement and may be an unrecognized source of pain. EHI is caused by abnormal contact between the extra-articular regions of the proximal femur and pelvis. This review discusses the most common forms for EHI including: central iliopsoas impingement, subspine impingement, ischiofemoral impingement, and greater trochanteric-pelvic impingement. The clinical presentation of each pathology will be discussed since EHI conditions share similar clinical features as the intra-articular pathology but also contain some unique characteristics. PMID:27069266

  10. Particle streak velocimetry and its application to impinging laminar jets

    Science.gov (United States)

    Bergthorson, Jeff; Dimotakis, Paul

    2002-11-01

    The technique of Particle Streak Velocimetry (PSV) was improved to include digital imaging and image processing, allowing it to compete with PIV or LDV in terms of accuracy and ease of implementation. PSV provides advantages over other techniques, such as low particle mass loading, short run time experiments, and high accuracy velocity data through the direct measurement of Lagrangian trajectories. PSV, coupled with measurements of the static (Bernoulli) pressure drop across a well designed nozzle contraction, provided redundancy in the measurement of the axisymmetric impinging laminar jet. The impinging laminar jet was studied in the intermediate regime where the existence of a stagnation plate will affect the flow out of the nozzle. This nozzle separation to diameter ratio, L/d_j, regime has not been well characterized. The results indicate that a one-dimensional streamfunction formulation is not sufficient to characterize this flow.

  11. Experimental comparative study of doublet and triplet impinging atomization of gelled fuel based on PIV

    Science.gov (United States)

    Yang, Jian-lu; Li, Ning; Weng, Chun-sheng

    2016-10-01

    Gelled propellant is promising for future aerospace application because of its combination of the advantages of solid propellants and liquid propellants. An effort was made to reveal the atomization properties of gelled fuel by particle image velocimetry (PIV) system. The gelled fuel which was formed by gasoline and Nano-silica was atomized using a like-doublet impingement injector and an axisymmetric like-triplet impingement injector. The orifice diameter and length of the nozzle used in this work were of 0.8mm, 4.8mm, respectively. In the impinging spray process, the impingement angles were set at 90° and 120°, and the injection pressures were of 0.50MPa and 1.00MPa. The distance from the exit of the orifice to the impingement point was fixed at 9.6mm. In this study, high-speed visualization and temporal resolution particle image velocimetry techniques were employed to investigate the impingement atomization characteristics. The experimental investigation demonstrated that a long narrow high speed droplets belt formed around the axis of symmetry in the like-doublet impinging atomization area. However, there was no obvious high-speed belt with impingement angle 2θ = 90° and two high-speed belts appeared with impingement angle 2θ = 120° in the like-doublet impingement spray field. The high droplet velocity zone of the like-doublet impingement atomization symmetrically distributed around the central axis, and that of the like-triplet impingement spray deflected to the left of the central axis - opposite of injector. Although the droplets velocity distribution was asymmetry of like-triplet impingement atomization, the injectors were arranged like axisymmetric conical shape, and the cross section of spray area was similar to a circle rather than a narrow rectangle like the like-doublet impingement atomization.

  12. Radial heat transfer behavior of impinging submerged circular jets

    Energy Technology Data Exchange (ETDEWEB)

    Zhou, D.W.; Ma, C.F. [Enhanced Heat Transfer and Energy Conservation, The Key Laboratory of Ministry of Education (China)

    2006-05-15

    Experiments were performed to investigate the radial heat transfer behaviors of impinging submerged circular jets. Local heat transfer rate at several fixed radial locations and different nozzle-to-plate spacings were correlated and compared. Results reveal that with the jet being far from the stagnation point, the coefficient in the correlation NuRe decreases while the exponent characterizing the flow pattern of the working liquid increases. (author)

  13. Modeling 2-D jets impinging on Stirling regenerators

    Science.gov (United States)

    Gedeon, David

    1989-01-01

    The extent to which flow leaving Stirling coolers or heaters in the form of high-velocity jets penetrate the regenerator matrix is visually modeled using a computer program. Two-dimensional laminar jets are shown impinging on regenerator samples of variable permeability ranging from no matrix at all to matrices dense enough to stop the jet dead on. The results lend credibility to a simple tension for flow uniformity as a function of penetration depth.

  14. The influence of material hardness on liquid droplet impingement erosion

    Energy Technology Data Exchange (ETDEWEB)

    Fujisawa, Nobuyuki, E-mail: fujisawa@eng.niigata-u.ac.jp [Visualization Research Center, Niigata University, 8050, Ikarashi 2-Nocho, Nishi-ku, Niigata 950-2181 (Japan); Yamagata, Takayuki, E-mail: yamagata@eng.niigata-u.ac.jp [Visualization Research Center, Niigata University, 8050, Ikarashi 2-Nocho, Nishi-ku, Niigata 950-2181 (Japan); Takano, Shotaro; Saito, Kengo [Graduate School of Science and Technology, Niigata University, 8050, Ikarashi 2-Nocho, Nishi-ku, Niigata 950-2181 (Japan); Morita, Ryo; Fujiwara, Kazutoshi; Inada, Fumio [Central Research Institute of Electric Power Industry, 2-11-1, Iwatokita, Komae, Tokyo 201-8511 (Japan)

    2015-07-15

    Highlights: • Liquid droplet impingement erosion is studied for various metal materials. • Average power dependency on droplet velocity is found as 7. • Power dependency on Vickers hardness is found as −4.5. • An empirical formula is constructed for erosion rates of metal materials. • Predicted erosion rate is well correlated with experiment within a factor of 1.5. - Abstract: This paper describes the experimental study on the liquid droplet impingement erosion of metal materials to understand the influence of material hardness on the erosion rate. The experiment is carried out using a water spray jet apparatus with a condition of relatively thin liquid film thickness. The metal materials tested are pure aluminum, aluminum alloy, brass, mild steel, carbon steel and stainless steel. The liquid droplets considered are 30 ± 5 μm in volume average diameter of water, which is the same order of droplet diameter in the actual pipeline in nuclear/fossil power plants. In order to understand the influence of material hardness on the liquid droplet impingement erosion, the scanning electron microscope (SEM) observation on the eroded surface and the measurement of erosion rate are carried out in the terminal stage of erosion. The experimental results indicate that the erosion rates are expressed by the droplet velocity, volume flux, Vickers hardness and the liquid film thickness, which are fundamentals of the liquid droplet impingement erosion. The empirical formula shows that the power index for droplet velocity dependency is found to be 7 with a scattering from 5 to 9 depending on the materials, while the power index for Vickers hardness dependency is found as −4.5.

  15. Reduction of glycine particle size by impinging jet crystallization.

    Science.gov (United States)

    Tari, Tímea; Fekete, Zoltán; Szabó-Révész, Piroska; Aigner, Zoltán

    2015-01-15

    The parameters of crystallization processes determine the habit and particle size distribution of the products. A narrow particle size distribution and a small average particle size are crucial for the bioavailability of poorly water-soluble pharmacons. Thus, particle size reduction is often required during crystallization processes. Impinging jet crystallization is a method that results in a product with a reduced particle size due to the homogeneous and high degree of supersaturation at the impingement point. In this work, the applicability of the impinging jet technique as a new approach in crystallization was investigated for the antisolvent crystallization of glycine. A factorial design was applied to choose the relevant crystallization factors. The results were analysed by means of a statistical program. The particle size distribution of the crystallized products was investigated with a laser diffraction particle size analyser. The roundness and morphology were determined with the use of a light microscopic image analysis system and a scanning electron microscope. Polymorphism was characterized by differential scanning calorimetry and powder X-ray diffraction. Headspace gas chromatography was utilized to determine the residual solvent content. Impinging jet crystallization proved to reduce the particle size of glycine. The particle size distribution was appropriate, and the average particle size was an order of magnitude smaller (d(0.5)=8-35 μm) than that achieved with conventional crystallization (d(0.5)=82-680 μm). The polymorphic forms of the products were influenced by the solvent ratio. The quantity of residual solvent in the crystallized products was in compliance with the requirements of the International Conference on Harmonization.

  16. Brachial plexus impingement: an unusual complication of bilateral breast augmentation.

    Science.gov (United States)

    Berry, M G; Stanek, J J

    2008-03-01

    Breast augmentation is one of the most commonly performed aesthetic procedures, with many studies documenting the early and long-term complications that might be expected. This report describes the case of an active young woman who experienced severe pain, particularly with movement. Surgical exploration showed the cause of this pain to be impingement of the patient's lower brachial plexus by the mammary prosthesis. Such a complication has not, to the authors' knowledge, been reported previously.

  17. Directional transport of impinging capillary jet on wettability engineered surfaces

    Science.gov (United States)

    Ghosh, Aritra; Chatterjee, Souvick; Sinha Mahapatra, Pallab; Ganguly, Ranjan; Megaridis, Constantine

    2015-11-01

    Impingement of capillary jet on a surface is important for applications like heat transfer, or for liquid manipulation in bio-microfluidic devices. Using wettability engineered surfaces, we demonstrate pump-less and directional transport of capillary jet on a flat surface. Spatial contrast of surface energy and a wedge-shape geometry of the wettability confined track on the substrate facilitate formation of instantaneous spherical bulges upon jet impingement; these bulges are further transported along the superhydrophilic tracks due to Laplace pressure gradient. Critical condition warranted for formation of liquid bulge along the varying width of the superhydrophilic track is calculated analytically and verified experimentally. The work throws light on novel fluid phenomena of unidirectional jet impingement on wettability confined surfaces and provides a platform for innovative liquid manipulation technique for further application. By varying the geometry and wettability contrast on the surface, one can achieve volume flow rates of ~ O(100 μL/sec) and directionally guided transport of the jet liquid, pumplessly at speeds of ~ O(10cm/sec).

  18. CFD study of turbulent jet impingement on curved surface

    Institute of Scientific and Technical Information of China (English)

    Javad Taghinia; Md Mizanur Rahman; Timo Siikonen

    2016-01-01

    The heat transfer and flow characteristics of air jet impingement on a curved surface are investigated with com-putational fluid dynamics (CFD) approach. The first applied model is a one-equation SGS model for large eddy simulation (LES) and the second one is the SST-SAS hybrid RANS-LES. These models are utilized to study the flow physics in impinging process on a curved surface for different jet-to-surface (h/B) distances at two Reynolds numbers namely, 2960 and 4740 based on the jet exit velocity (Ue) and the hydraulic diameter (2B). The predic-tions are compared with the experimental data in the literature and also the results from RANS k-εmodel. Com-parisons show that both models can produce relatively good results. However, one-equation model (OEM) produced more accurate results especial y at impingement region at lower jet-to-surface distances. In terms of heat transfer, the OEM also predicted better at different jet-to-surface spacings. It is also observed that both models show similar performance at higher h/B ratios.

  19. Apollo Video Photogrammetry Estimation Of Plume Impingement Effects

    Science.gov (United States)

    Immer, Christopher; Lane, John; Metzger, Philip T.; Clements, Sandra

    2008-01-01

    The Constellation Project's planned return to the moon requires numerous landings at the same site. Since the top few centimeters are loosely packed regolith, plume impingement from the Lander ejects the granular material at high velocities. Much work is needed to understand the physics of plume impingement during landing in order to protect hardware surrounding the landing sites. While mostly qualitative in nature, the Apollo Lunar Module landing videos can provide a wealth of quantitative information using modem photogrammetry techniques. The authors have used the digitized videos to quantify plume impingement effects of the landing exhaust on the lunar surface. The dust ejection angle from the plume is estimated at 1-3 degrees. The lofted particle density is estimated at 10(exp 8)- 10(exp 13) particles per cubic meter. Additionally, evidence for ejection of large 10-15 cm sized objects and a dependence of ejection angle on thrust are presented. Further work is ongoing to continue quantitative analysis of the landing videos.

  20. Cross-cultural adaptation to Swedish and validation of the Copenhagen Hip and Groin Outcome Score (HAGOS) for pain, symptoms and physical function in patients with hip and groin disability due to femoro-acetabular impingement

    DEFF Research Database (Denmark)

    Thomeé, Roland; Jónasson, Pall; Thorborg, Kristian;

    2014-01-01

    version was evaluated for reliability, validity and responsiveness. Five hundred and two patients (337 men and 167 women, mean age 37, range 15-75) were included in the study. RESULTS: Cronbach's alpha for the six HAGOS-S subscales ranged from 0.77 to 0.89. Significant correlations were obtained...... with the international Hip Outcome Tool average score (r s = 0.37-0.68; p total score (r s = 0.40-0.60, p = 0.01), for use as a measurement of health outcome. Test-retest reliability (intraclass correlation coefficient) ranged from 0.81 to 0.87 for the six HAGOS......, reliable and responsive instrument that can be used both for research and in the clinical setting at individual and group level....

  1. Exercises versus arthroscopic decompression in patients with subacromial impingement: a randomised, controlled study in 90 cases with a one year follow up

    DEFF Research Database (Denmark)

    Haahr, J. P.; Ostergaard, S.; Dalsgaard, J.

    2005-01-01

    , the difference being non-significant. No group differences in mean pain and dysfunction score improvement were found. CONCLUSIONS: Surgical treatment of rotator cuff syndrome with subacromial impingement was not superior to physiotherapy with training. Further studies are needed to qualify treatment choice......OBJECTIVES: To compare the effect of graded physiotherapeutic training of the rotator cuff versus arthroscopic subacromial decompression in patients with subacromial impingement. METHODS: Randomised controlled trial with 12 months' follow up in a hospital setting. Ninety consecutive patients aged...... estimation analysis. RESULTS: Of 90 patients enrolled, 84 completed follow up (41 in the surgery group, 43 in the training group). The mean Constant score at baseline was 34.8 in the training group and 33.7 in the surgery group. After 12 months the mean scores improved to 57.0 and 52.7, respectively...

  2. Numerical study of a confined slot impinging jet with nanofluids.

    Science.gov (United States)

    Manca, Oronzio; Mesolella, Paolo; Nardini, Sergio; Ricci, Daniele

    2011-03-01

    Heat transfer enhancement technology concerns with the aim of developing more efficient systems to satisfy the increasing demands of many applications in the fields of automotive, aerospace, electronic and process industry. A solution for obtaining efficient cooling systems is represented by the use of confined or unconfined impinging jets. Moreover, the possibility of increasing the thermal performances of the working fluids can be taken into account, and the introduction of nanoparticles in a base fluid can be considered. In this article, a numerical investigation on confined impinging slot jet working with a mixture of water and Al2O3 nanoparticles is described. The flow is turbulent and a constant temperature is applied on the impinging. A single-phase model approach has been adopted. Different geometric ratios, particle volume concentrations and Reynolds number have been considered to study the behavior of the system in terms of average and local Nusselt number, convective heat transfer coefficient and required pumping power profiles, temperature fields and stream function contours. The dimensionless stream function contours show that the intensity and size of the vortex structures depend on the confining effects, given by H/W ratio, Reynolds number and particle concentrations. Furthermore, for increasing concentrations, nanofluids realize increasing fluid bulk temperature, as a result of the elevated thermal conductivity of mixtures. The local Nusselt number profiles show the highest values at the stagnation point, and the lowest at the end of the heated plate. The average Nusselt number increases for increasing particle concentrations and Reynolds numbers; moreover, the highest values are observed for H/W = 10, and a maximum increase of 18% is detected at a concentration equal to 6%. The required pumping power as well as Reynolds number increases and particle concentrations grow, which is almost 4.8 times greater than the values calculated in the case of

  3. Numerical study of a confined slot impinging jet with nanofluids

    Directory of Open Access Journals (Sweden)

    Manca Oronzio

    2011-01-01

    Full Text Available Abstract Background Heat transfer enhancement technology concerns with the aim of developing more efficient systems to satisfy the increasing demands of many applications in the fields of automotive, aerospace, electronic and process industry. A solution for obtaining efficient cooling systems is represented by the use of confined or unconfined impinging jets. Moreover, the possibility of increasing the thermal performances of the working fluids can be taken into account, and the introduction of nanoparticles in a base fluid can be considered. Results In this article, a numerical investigation on confined impinging slot jet working with a mixture of water and Al2O3 nanoparticles is described. The flow is turbulent and a constant temperature is applied on the impinging. A single-phase model approach has been adopted. Different geometric ratios, particle volume concentrations and Reynolds number have been considered to study the behavior of the system in terms of average and local Nusselt number, convective heat transfer coefficient and required pumping power profiles, temperature fields and stream function contours. Conclusions The dimensionless stream function contours show that the intensity and size of the vortex structures depend on the confining effects, given by H/W ratio, Reynolds number and particle concentrations. Furthermore, for increasing concentrations, nanofluids realize increasing fluid bulk temperature, as a result of the elevated thermal conductivity of mixtures. The local Nusselt number profiles show the highest values at the stagnation point, and the lowest at the end of the heated plate. The average Nusselt number increases for increasing particle concentrations and Reynolds numbers; moreover, the highest values are observed for H/W = 10, and a maximum increase of 18% is detected at a concentration equal to 6%. The required pumping power as well as Reynolds number increases and particle concentrations grow, which is almost 4

  4. Optimization of a GO2/GH2 Impinging Injector Element

    Science.gov (United States)

    Tucker, P. Kevin; Shyy, Wei; Vaidyanathan, Rajkumar

    2001-01-01

    An injector optimization methodology, method i, is used to investigate optimal design points for a gaseous oxygen/gaseous hydrogen (GO2/GH2) impinging injector element. The unlike impinging element, a fuel-oxidizer- fuel (F-O-F) triplet, is optimized in terms of design variables such as fuel pressure drop, (Delta)P(sub f), oxidizer pressure drop, (Delta)P(sub o), combustor length, L(sub comb), and impingement half-angle, alpha, for a given mixture ratio and chamber pressure. Dependent variables such as energy release efficiency, ERE, wall heat flux, Q(sub w), injector heat flux, Q(sub inj), relative combustor weight, W(sub rel), and relative injector cost, C(sub rel), are calculated and then correlated with the design variables. An empirical design methodology is used to generate these responses for 163 combinations of input variables. Method i is then used to generate response surfaces for each dependent variable. Desirability functions based on dependent variable constraints are created and used to facilitate development of composite response surfaces representing some, or all, of the five dependent variables in terms of the input variables. Three examples illustrating the utility and flexibility of method i are discussed in detail. First, joint response surfaces are constructed by sequentially adding dependent variables. Optimum designs are identified after addition of each variable and the effect each variable has on the design is shown. This stepwise demonstration also highlights the importance of including variables such as weight and cost early in the design process. Secondly, using the composite response surface which includes all five dependent variables, unequal weights are assigned to emphasize certain variables relative to others. Here, method i is used to enable objective trade studies on design issues such as component life and thrust to weight ratio. Finally, specific variable weights are further increased to illustrate the high marginal cost of

  5. Study of Plume Impingement Effects in the Lunar Lander Environment

    Science.gov (United States)

    Marichalar, Jeremiah; Prisbell, A.; Lumpkin, F.; LeBeau, G.

    2010-01-01

    Plume impingement effects from the descent and ascent engine firings of the Lunar Lander were analyzed in support of the Lunar Architecture Team under the Constellation Program. The descent stage analysis was performed to obtain shear and pressure forces on the lunar surface as well as velocity and density profiles in the flow field in an effort to understand lunar soil erosion and ejected soil impact damage which was analyzed as part of a separate study. A CFD/DSMC decoupled methodology was used with the Bird continuum breakdown parameter to distinguish the continuum flow from the rarefied flow. The ascent stage analysis was performed to ascertain the forces and moments acting on the Lunar Lander Ascent Module due to the firing of the main engine on take-off. The Reacting and Multiphase Program (RAMP) method of characteristics (MOC) code was used to model the continuum region of the nozzle plume, and the Direct Simulation Monte Carlo (DSMC) Analysis Code (DAC) was used to model the impingement results in the rarefied region. The ascent module (AM) was analyzed for various pitch and yaw rotations and for various heights in relation to the descent module (DM). For the ascent stage analysis, the plume inflow boundary was located near the nozzle exit plane in a region where the flow number density was large enough to make the DSMC solution computationally expensive. Therefore, a scaling coefficient was used to make the DSMC solution more computationally manageable. An analysis of the effectiveness of this scaling technique was performed by investigating various scaling parameters for a single height and rotation of the AM. Because the inflow boundary was near the nozzle exit plane, another analysis was performed investigating three different inflow contours to determine the effects of the flow expansion around the nozzle lip on the final plume impingement results.

  6. Unsteady conjugate heat transfer analysis for impinging jet cooling

    Science.gov (United States)

    Tejero, F.; Flaszyński, P.; Szwaba, R.; Telega, J.

    2016-10-01

    The paper presents the numerical investigations of the heat transfer on a flat plate cooled by a single impinging jet. The thermal conductivity of the plate was modified from a high thermal case (steel -λ= 35 W/m/K) to a low one (steel alloy Inconel -λ= 9.8 W/m/K). The numerical simulations results are compared with the experimental data from the Institute of Fluid-Flow Machinery Polish Academy of Sciences, Gdansk (Poland). The numerical simulations are carried out by means of Ansys/Fluent and k-ω SST turbulence model and the temperature evolution on the target plate is investigated by conjugated heat transfer computations.

  7. Wall jets created by single and twin high pressure jet impingement

    Science.gov (United States)

    Miller, P.; Wilson, M.

    1993-03-01

    An extensive experimental investigation into the nature of the wall jets produced by single and twin normal jet impingement has been undertaken. Wall jet velocity profiles have been recorded up to 70 jet diameters from the impingement point, at pressures representative of current VStol technology. The tests used fixed convergent nozzles, with nozzle height and spacing and jet pressure being varied. Single jet impingement displays a consistent effect of nozzle height on wall jet development. For twin jet cases a powerful reinforcement exists along the wall jet interaction plane. Remote from the interaction plane the wall jets are weaker than those produced by a single jet impingement.

  8. Current UK practices in the management of subacromial impingement

    Science.gov (United States)

    Drury, Colin; Tait, Gavin R

    2015-01-01

    Background Controversy presently exists surrounding the management of patients with subacromial impingement. This study aims to highlight current UK practices in the management of these patients. Methods BESS members were invited to complete a questionnaire and responses were received from 157 consultant shoulder surgeons. Results Physiotherapy is an integral part of management for 93% of surgeons with a minimum period of 12 weeks being most popular prior to consideration of arthroscopic subacromial decompression. Subacromial steroid injection is used by 95% and 86% repeat this if the patient has failed to respond to a previous injection by the general practioner. From initial presentation, 77% felt there should be at least 3 months of conservative management before proceeding to surgery. Good but transient response to subacromial injection was considered the best predictor of good surgical outcome by 77%. The coracoacromial ligament is fully released by 78%, although there was greater variation in how aggressive surgeons were with acromioplasty. Most (59%) do not include the nontender acromioclavicular joint to any extent in routine acromioplasty. Hospital physiotherapy protocols are used by 63% for postoperative rehabilitation. Conclusions Variation exists in the management regimes offered to patients with subacromial impingement, but most employ a minimum period of 12 weeks of conservative management incorporating physiotherapy and at least 2 subacromial steriod injections. PMID:27582972

  9. Laser impingement on bare and encased high explosives: safety limits

    Energy Technology Data Exchange (ETDEWEB)

    Roeske, F

    1999-03-15

    During the course of experiments involving high explosives, (HE), alignment lasers are often employed where the laser beam impinges upon a metal encased HE sample or on the bare HE itself during manned operations. While most alignment lasers are of low enough power so as not to be of concern, safety questions arise when considering the maximum credible power output of the laser in a failure mode, or when multiple laser spots are focused onto the experiment simultaneously. Safety questions also arise when the focused laser spot size becomes very small, on the order of 100 {micro}m or less. This paper addresses these concerns by describing a methodology for determining safety margins for laser impingement on metal encased HE as well as one for bare HE. A variety of explosives encased in Al, Cu, Ta and stainless steel were tested using the first of these techniques. Additional experiments were performed using the second method where the laser beam was focused directly on eight different samples of pressed-powder HE.

  10. Modeling a Midlatitude Cyclone Impinging on Localized Orography

    Science.gov (United States)

    Menchaca, Maximo Q.

    Idealized studies of mountain waves have primarily focused on the steady state response to horizontally uniform flows encountering an obstacle. In this research, we extend previous studies of nonsteady mountain waves to examine their generation, propagation, and dissipation when forced by a midlatitude cyclone impinging on an isolated ridge. The cyclone is obtained by superimposing a localized finite amplitude potential vorticity anomaly on a baroclinically unstable jet. We minimize transient gravity waves with the use of a digital filter. Localized terrain is placed in an initially quiescent region of the flow, away from the initial PV anomaly. The maturing cyclone propagates towards the terrain, generating gravity waves exhibiting strong time dependent behavior that is affected by the changing flow. Significant wave genesis is tied to the passage of surface fronts and their accompanying jet streaks and stronger surface winds. Wave packets advect downstream after front passage, causing noticeable wave-mean flow interaction. Waves generated by cold fronts impinging on terrain are compared with mountain waves generated by warm fronts, allowing for exploration into the influence of directional shear on the waves. Mountain waves produced by warm fronts have shorter horizontal and vertical wavelength and do not propagate far from their source compared with mountain waves produced by cold fronts. These simulations also produce many other realistic features, including wave breaking and downslope windstorms.

  11. Impingement of hollow cone spray on hot porous medium

    Institute of Scientific and Technical Information of China (English)

    Zhiguo ZHAO; Maozhao XIE

    2008-01-01

    To have a good understanding of the formation of homogenous mixture in a porous medium engine, the interaction between hollow cone spray and hot porous med-ium was studied numerically by using an improved version of KIVA-3V code. The improved KIVA-3V code is incor-porated with an impingement model, heat transfer model and linearized instability sheet atomization (LISA) model to simulate the hollow cone spray. The reasonability of the impingement model and heat transfer model was validated. With a simple model to describe the structure of the porous medium, the interaction between hollow cone spray and hot porous medium was simulated under different ambient pressures and spray cone angles. Computational results show that the fuel spray could be divided into smaller ones, which provides conditions for the quick evaporation of fuel droplets and the mixing of fuel vapor with air. Differences in ambient pressure and spray cone angle affect the distri-bution of droplets in the porous medium.

  12. Global mode decomposition of supersonic impinging jet noise

    Science.gov (United States)

    Hildebrand, Nathaniel; Nichols, Joseph W.

    2015-11-01

    We apply global stability analysis to an ideally expanded, Mach 1.5, turbulent jet that impinges on a flat surface. The analysis extracts axisymmetric and helical instability modes, involving coherent vortices, shocks, and acoustic feedback, which we use to help explain and predict the effectiveness of microjet control. High-fidelity large eddy simulations (LES) were performed at nozzle-to-wall distances of 4 and 4.5 throat diameters with and without sixteen microjets positioned uniformly around the nozzle lip. These flow configurations conform exactly to experiments performed at Florida State University. Stability analysis about LES mean fields predicted the least stable global mode with a frequency that matched the impingement tone observed in experiments at a nozzle-to-wall distance of 4 throat diameters. The Reynolds-averaged Navier-Stokes (RANS) equations were solved at five nozzle-to-wall distances to create base flows that were used to investigate the influence of this parameter. A comparison of the eigenvalue spectra computed from the stability analysis about LES and RANS base flows resulted in good agreement. We also investigate the effect of the boundary layer state as it emerges from the nozzle using a multi-block global mode solver. Computational resources were provided by the Argonne Leadership Computing Facility.

  13. Multiple impinging jet arrays. An experimental study on flow and heat transfer

    NARCIS (Netherlands)

    Geers, L.F.G.

    2004-01-01

    Because of their high efficiency and their ability to provide high heat transfer rates, impinging jets are applied for rapid cooling and heating in a wide variety of industrial processes. However, the physical phenomena controlling the heat transfer from impinging jets are to a large degree unknown.

  14. Investigation of heat transfer processes involved liquid impingement jets: a review

    Directory of Open Access Journals (Sweden)

    M. Molana

    2013-09-01

    Full Text Available This review reports research on liquid impingement jets and the abilities, limitations and features of this method of heat transfer. Some available and important correlations for Nusselt number are collected here. Also we demonstrate the capability of nanofluids to be applied in heat transfer processes involved liquid impingement jets.

  15. Modular jet impingement assemblies with passive and active flow control for electronics cooling

    Science.gov (United States)

    Zhou, Feng; Dede, Ercan Mehmet; Joshi, Shailesh

    2016-09-13

    Power electronics modules having modular jet impingement assembly utilized to cool heat generating devices are disclosed. The modular jet impingement assemblies include a modular manifold having a distribution recess, one or more angled inlet connection tubes positioned at an inlet end of the modular manifold that fluidly couple the inlet tube to the distribution recess and one or more outlet connection tubes positioned at an outlet end of the modular manifold that fluidly coupling the outlet tube to the distribution recess. The modular jet impingement assemblies include a manifold insert removably positioned within the distribution recess and include one or more inlet branch channels each including an impinging slot and one or more outlet branch channels each including a collecting slot. Further a heat transfer plate coupled to the modular manifold, the heat transfer plate comprising an impingement surface including an array of fins that extend toward the manifold insert.

  16. Study on diesel cylinder-head cooling using nanofluid coolant with jet impingement

    Directory of Open Access Journals (Sweden)

    Su Zhong-Gen

    2015-01-01

    Full Text Available To improve the heat-transfer performance of a diesel-engine cylinder head, nanofluid coolant as a new fluid was investigated, and jet impingement technology was then used to study on how to better improve heat-transfer coefficient at the nose bridge area in the diesel-engine cylinder head. Computational fluid dynamic simulation and experiments results demonstrated that using the same jet impingement parameters, the different volume shares of nanofluids showed better cooling effect than traditional coolant, but the good effect of the new cooling method was unsuitable for high volume share of nanofluid. At the same volume share of nanofluid, different jet impingement parameters such as jet angles showed different heat-transfer performance. This result implies that a strong association exists between jet impingement parameters and heat-transfer coefficient. The increase in coolant viscosity of the nanofluid coolant using jet impingement requires the expense of more drive-power cost.

  17. Methods for obtaining and reducing experimental droplet impingement data on arbitrary bodies

    Science.gov (United States)

    Papadakis, Michael; Elangovan, R.; Freund, George A., Jr.; Breer, Marlin D.

    1991-01-01

    Experimental water droplet impingement data are used to validate particle trajectory computer codes used in the analysis and certification of aircraft de-icing/anti-icing systems. Water droplet impingement characteristics of aerodynamic surfaces are usually obtained from wind-tunnel dye tracer experiments. This paper presents a dye tracer method for measuring water droplet impingement characteristics on arbitrary geometries and a new data reduction method, based on laser reflectance measurements, for extracting impingement data. Extraction of impingement data has been a very time-consuming process in the past. The new data reduction method developed is at least an order of magnitude more efficient than the method previously used. The accuracy of the method is discussed and results obtained are presented.

  18. Immunohistological analysis of extracted anterior cruciate ligament graft impinged against posterior cruciate ligament

    Directory of Open Access Journals (Sweden)

    Kato So

    2011-11-01

    Full Text Available Abstract A young female athlete suffered from the residual instability of the knee after anterior cruciate ligament (ACL reconstruction with hamstring autograft. The 3-dimensional (3-D CT scan showed the "high noon" positioning of the primary femoral bone tunnel. The revision surgery with anatomic double-bundle technique was performed two years after the primary surgery and the femoral tunnels were created with the assistance of the 3-D fluoroscopy-based navigation. An arthroscopic examination confirmed the ACL graft impingement against posterior cruciate ligament (PCL when the knee was deeply flexed. The histological analysis of the resected primary ACL graft showed local inflammatory infiltration, enhanced synovial coverage and vascularization at the impinged site. The enhanced expression of vascular endothelial growth factor (VEGF at the impinged area when compared with non-impinged area was observed on immunohistochemical analysis. Abnormal mechanical stress by the impingement against PCL might have induced chronic inflammation and VEGF overexpression.

  19. The slipping rib syndrome in children.

    Science.gov (United States)

    Saltzman, D A; Schmitz, M L; Smith, S D; Wagner, C W; Jackson, R J; Harp, S

    2001-11-01

    The slipping rib syndrome is an infrequent cause of thoracic and upper abdominal pain and is thought to arise from the inadequacy or rupture of the interchondral fibrous attachments of the anterior ribs. This disruption allows the costal cartilage tips to sublux, impinging on the intercostal nerves. Children with this entity are seldom described in the literature. We present a retrospective review of 12 children and young adults with slipping rib syndrome and a systematic approach for evaluation and treatment.

  20. Heat transfer due to impinging double free circular jets

    Directory of Open Access Journals (Sweden)

    Mohamed A. Teamah

    2015-09-01

    Full Text Available The heat transfer and fluid flow between a horizontal heated plate and impinging circular double jets were studied experimentally. The parameters investigated are the Reynolds number of each jet and jet-to-jet spacing. Experiments are carried out covering a range for Reynolds number from 7100 to 30,800 for each jet, the dimensionless jet-to-jet spacing from 22.73 to 90.1. During experimental phases, the right jet Reynolds number was higher than the left jet Reynolds number. The isothermal contours were plotted for different cases as well as the distribution of water film thickness over the heated plate. The results indicated that increasing the Reynolds number of one jet than the other increases both local and average Nusselt numbers. In addition, increasing the jet-to-jet spacing at the same Reynolds number increases the average Nusselt number.

  1. Radiologic analysis of femoral acetabular impingement: from radiography to MRI

    Energy Technology Data Exchange (ETDEWEB)

    Dwek, Jerry R. [University of California at San Diego, Department of Radiology, Rady Children' s Hospital and Health Center, San Diego, CA (United States); San Diego Imaging, San Diego, CA (United States); Monazzam, Shafagh [Rady Children' s Hospital and Health Center, Department of Orthopedics, San Diego, CA (United States); Chung, Christine B. [University of California at San Diego, Department of Radiology, San Diego, CA (United States)

    2013-03-15

    Femoral acetabular impingement is a set of morphologic abnormalities that are considered to be a major cause of degenerative disease in the hip joint. Early changes are already present in adolescence when it is the pediatric radiologist who must assess current damage with the aim of averting progression to more severe and debilitating osteoarthritis. A multimodality approach is used for diagnosis, that includes conventional radiography and CT to assess the osseous structures. MR arthrography is the primary advanced imaging modality for assessment of morphologic changes as well as injuries of the labrum and articular cartilage. Details of radiologic imaging are offered to guide the radiologist and provide an avenue for the accurate description of the osseous and articular alterations and injury. (orig.)

  2. Turbulent heat transport and its anisotropy in an impinging jet

    Directory of Open Access Journals (Sweden)

    Petera Karel

    2015-01-01

    Full Text Available The turbulent heat transport is anisotropic in many cases as reported by several researchers. RANS-based turbulence models use the turbulent viscosity when expressing the turbulent heat flux in the energy balance (analogy of the Reynolds stresses in the momentum balance. The turbulent (eddy viscosity calculation comes from the Boussinesq analogy mainly and it represents just a scalar value, hence a possible anisotropy in the turbulent flow field cannot be simply transferred to the temperature field. The computational cost of a LES-based approach can be too prohibitive in complex cases, therefore simpler explicit algebraic heat flux models describing the turbulent heat flux in the time-averaged energy equation could be used to get more accurate CFD results. This paper compares several turbulence models for the case of a turbulent impinging jet and deals with a methodology of implementing a user-defined function describing the anisotropic turbulent heat flux in a CFD code.

  3. Thermal Characterization of porous graphitic foam ? convection in impinging flow

    Energy Technology Data Exchange (ETDEWEB)

    Sultan, K [University of Western Ontario, The; DeGroot, CT [University of Western Ontario, The; Straatman, Anthony G [ORNL; Gallego, Nidia C [ORNL; Hangan, H [University of Western Ontario, The

    2009-01-01

    An experimental study has been undertaken to explore the convective heat transfer enhancement that can be achieved in an impinging airflow arrangement by bonding layers of graphitic foam to a heated metal substrate. The effects of foam protrusion, foam thickness and foam properties were explored in this study. The results show that surfaces with a layer of foam protruding upward with open edges had the highest convective enhancement over that of the bare substrate under the same conditions. For the protruding cases, convective enhancements of 30-70% were observed for airflows ranging from 7-11 m/s, for foam thicknesses in the range 2-10 mm. The highest enhancements were observed for foam specimens with the most open, interconnected void structure.

  4. Large Eddy Simulation of Coherent Structure of Impinging Jet

    Institute of Scientific and Technical Information of China (English)

    Mingzhou YU; Lihua CHEN; Hanhui JIN; Jianren FAN

    2005-01-01

    @@ The flow field of a rectangular exit, semi-confined and submerged turbulent jet impinging orthogonally on a flat plate with Reynolds number 8500 was studied by large eddy simulation (LES). A dynamic sub-grid stress model has been used for the small scales of turbulence. The evolvements such as the forming, developing, moving,pairing and merging of the coherent structures of vortex in the whole regions were obtained. The results revealed that the primary vortex structures were generated periodically, which was the key factor to make the secondary vortices generate in the wall jet region. In addition, the eddy intensity of the primary vortices and the secondary vortices induced by the primary vortices along with the time were also analyzed.

  5. Study on the breakup length of circular impinging jet

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Circular impinging jet, which is widely used in accelerated control cooling (ACC) equipment to accelerate the cooling of hot rolled plates, is subject to breakup, and may result in undesirable cooling effect. Therefore, the jet breakup should be avoided as possible in industrial production. The objective of this study is to find the relation of the processing parameters of the ACC equipment versus the breakup length of jet with weaker turbulence. To obtain quantitative findings, not only relative experimental study but also numerical simulation was carried out. For a weaker turbulent water jet, the breakup length increases with the increase of jet diameter, as well as with the jet velocity; jet diameter has a significant effect on the breakup length for a certain flow rate when compared with jet velocity; finally a suggested correlation of the jet breakup length versus jet Weber number is presented in this study.

  6. Heat transfer and phase change in an impinging droplet

    Science.gov (United States)

    Rangchian, Aysan; Shirazi, Nikki L.; Kavehpour, H. Pirouz

    2016-11-01

    Non isothermal droplet impact on solid surfaces has several industrial applications such as spray cooling and 3D printing. Impinging of a droplet on a surface involves an initial phase of spreading followed by a subsequent return to the equilibrium shape. Thermal energy exchanged within the droplet fluid as well as between liquid/solid during the impact has been studied using an ultra high speed infrared camera. Variable parameters in the experiment include droplet temperature and kinetic energy of the droplet during the impact. The evolution of droplet shape viewed by IR camera is similar to what previously observed by high speed photography. The thermal map of droplet over time in these experiments agrees with previously reported numerical simulation. In addition, spacial and temporal temperature variations of liquid droplets on a surface as they solidify are presented. IR camera provides an accurate temperature diagram as the phase change occurs, which is essential for understanding the physics of 3D printing.

  7. Muscle impingement: MR imaging of a painful complication of osteochondromas

    Energy Technology Data Exchange (ETDEWEB)

    Uri, D.S. [Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 (United States); Dalinka, M.K. [Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 (United States); Kneeland, J.B. [Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 (United States)

    1996-10-01

    The purpose of this study was to describe the magnetic resonance (MR) appearance of a newly recognized complication of osteochondromas. Two patients presented with pain and swelling over known osteochondromas. Plain radiographic studies were unrevealing. MR examinations were obtained to characterize the exostoses further and evaluate areas of palpable fullness. Increased signal was present in the muscles on T2-weighted images, which correlated with physical findings and was believed to represent muscle injury due to the osteochondroma. Pain and fullness may result from a number of osteochondroma-related complications, the most worrisome of which is malignant degeneration. Muscular impingement and injury should be considered in the differential diagnosis of pain and swelling in the region of an exostosis. MR imaging allows distinction of this entity, which may be radiographically occult and confused clinically with fracture, bursitis, or malignant degeneration. (orig.). With 2 figs.

  8. A simple confined impingement jets mixer for flash nanoprecipitation.

    Science.gov (United States)

    Han, Jing; Zhu, Zhengxi; Qian, Haitao; Wohl, Adam R; Beaman, Charles J; Hoye, Thomas R; Macosko, Christopher W

    2012-10-01

    Johnson and Prud'homme (2003. AICHE J 49:2264-2282) introduced the confined impingement jets (CIJ) mixer to prepare nanoparticles loaded with hydrophobic compounds (e.g., drugs, inks, fragrances, or pheromones) via flash nanoprecipitation (FNP). We have modified the original CIJ design to allow hand operation, eliminating the need for a syringe pump, and we added a second antisolvent dilution stage. Impingement mixing requires equal flow momentum from two opposing jets, one containing the drug in organic solvent and the other containing an antisolvent, typically water. The subsequent dilution step in the new design allows rapid quenching with high antisolvent concentration that enhances nanoparticle stability. This new CIJ with dilution (CIJ-D) mixer is a simple, cheap, and efficient device to produce nanoparticles. We have made 55 nm diameter β-carotene nanoparticles using the CIJ-D mixer. They are stable and reproducible in terms of particle size and distribution. We have also compared the performance of our CIJ-D mixer with the vortex mixer, which can operate at unequal flow rates (Liu et al., 2008. Chem Eng Sci 63:2829-2842), to make β-carotene-containing particles over a series of turbulent conditions. On the basis of dynamic light scattering measurements, the new CIJ-D mixer produces stable particles of a size similar to the vortex mixer. Our CIJ-D design requires less volume and provides an easily operated and inexpensive tool to produce nanoparticles via FNP and to evaluate new nanoparticle formulation. Copyright © 2012 Wiley Periodicals, Inc.

  9. Changes in pain and pressure pain sensitivity after manual treatment of active trigger points in patients with unilateral shoulder impingement: a case series.

    Science.gov (United States)

    Hidalgo-Lozano, Amparo; Fernández-de-las-Peñas, César; Díaz-Rodríguez, Lourdes; González-Iglesias, Javier; Palacios-Ceña, Domingo; Arroyo-Morales, Manuel

    2011-10-01

    The aim of this case series was to investigate changes in pain and pressure pain sensitivity after manual treatment of active trigger points (TrPs) in the shoulder muscles in individuals with unilateral shoulder impingement. Twelve patients (7 men, 5 women, age: 25 ± 9 years) diagnosed with unilateral shoulder impingement attended 4 sessions for 2 weeks (2 sessions/week). They received TrP pressure release and neuromuscular interventions over each active TrP that was found. The outcome measures were pain during arm elevation (visual analogue scale, VAS) and pressure pain thresholds (PPT) over levator scapulae, supraspinatus infraspinatus, pectoralis major, and tibialis anterior muscles. Pain was captured pre-intervention and at a 1-month follow-up, whereas PPT were assessed pre- and post-treatment, and at a 1-month follow-up. Patients experienced a significant (P  1). In addition, patients also experienced a significant increase in PPT immediate after the treatment (P  1).A significant negative association (r(s) = -0.525; P = 0.049) between the increase in PPT over the supraspinatus muscle and the decrease in pain was found: the greater the decrease in pain, the greater the increase in PPT. This case series has shown that manual treatment of active muscle TrPs can help to reduce shoulder pain and pressure sensitivity in shoulder impingement. Current findings suggest that active TrPs in the shoulder musculature may contribute directly to shoulder complaint and sensitization in patients with shoulder impingement syndrome, although future randomized controlled trials are required.

  10. Biomass and number of fish impinged at a nuclear power plant by the Baltic Sea.

    Science.gov (United States)

    Bryhn, Andreas C; Bergenius, Mikaela A J; Dimberg, Peter H; Adill, Anders

    2013-12-01

    The main aim of this study was to investigate the number and biomass of impinged fish at Forsmark Nuclear Power Plant in Sweden, located on the coast of the Baltic Sea. Of particular interest was the number of impinged individuals of the critically endangered European eel (Anguilla anguilla) which is regularly caught in the cooling system. Another aim was to determine the comparability of the results from Forsmark and results from impingement studies in other types of waters. Cross-systems studies make it possible to (1) estimate fish loss at plants where fish is not counted, and (2) to predict changes in fish loss from changes in electricity production or cooling water use. In 2010, 31,300,000 fish with a total biomass of 62,600 kg were impinged at Forsmark. In 2011, 27,300,000 fish weighing 38,500 kg were impinged. The maximum peak in total fish number and biomass occurred in spring. The most critical period for herring was in late summer and early autumn. Regarding eel, the largest impingement losses were recorded in November. The number of fish agreed with earlier established quantities of impinged fish in both freshwater and marine ecosystems. The study also estimated that 1,300 critically endangered eels could survive at Forsmark each year if a fish return system would be constructed to allow the passage of fish from the plant back to the Baltic Sea.

  11. A Single Parameter to Characterize Wall Shear Stress Developed from an Underexpanded Axisymmetric Impinging Jet

    Science.gov (United States)

    Fillingham, Patrick; Murali, Harikrishnan

    2016-11-01

    Wall shear stress is characterized for underexpanded axisymmetric impinging jets for the application of aerodynamic particle resuspension from a surface. Analysis of the flow field and the wall shear stress resulted from normally impinging axisymmetric jets is conducted using Computational Fluid Dynamics. A normally impinging jet is modeled with a constant area nozzle, while varying height to diameter ratio (H/D) and inlet pressures. Schlieren photography is used to visualize the density gradient of the flow field for validation of the CFD. The Dimensionless Jet Parameter (DJP) is developed to describe flow regimes and characterize the shear stress. The DJP is defined as being proportional to the jet pressure ratio divided by the H/D ratio squared. Maximum wall shear stress is examined as a function of DJP with three distinct regimes: (i) subsonic impingement (DJP2). Due to the jet energy dissipation in shock structures, which become a dominant dissipation mechanism in the supersonic impingement regime, wall shear stress is limited to a finite value. Additionally, formation of shock structures in the wall flow were observed for DJP>2 resulting in difficulties with dimensionless analysis. In the subsonic impingement and transitional regimes equations as a function of the DJP are obtained for the maximum wall shear stress magnitude, maximum shear stress location, and shear stress decay. Using these relationships wall shear stress can be predicted at all locations along the impingement surface.

  12. How "healthy" is circuit resistance training following paraplegia? Kinematic analysis associated with shoulder mechanical impingement risk

    Directory of Open Access Journals (Sweden)

    Deborah A. Nawoczenski, PT, PhD

    2013-08-01

    Full Text Available The purpose of the study was to determine whether wheelchair-based circuit resistance training (CRT exercises place the shoulder at risk for mechanical impingement. Using a novel approach, we created a mechanical impingement risk score for each exercise by combining scapular and glenohumeral kinematic and exposure data. In a case series design, 18 individuals (25–76 yr old with paraplegia and without substantial shoulder pain participated. The mean mechanical impingement risk scores at 45–60 degrees humerothoracic elevation were rank-ordered from lowest to highest risk as per subacromial mechanical impingement risk: overhead press (0.6 +/– 0.5 points, lat pulldown (1.2 +/– 0.5 points, chest press (2.4 +/– 2.8 points, row (2.7 +/– 1.6 points, and rickshaw (3.4 +/– 2.3 points. The mean mechanical impingement risk scores at 105–120 degrees humerothoracic elevation were rank-ordered from lowest to highest risk as per internal mechanical impingement risk: lat pulldown (1.2 +/– 0.5 points and overhead press (1.3 +/– 0.5 points. In conclusion, mechanical impingement risk scores provided a mechanism to capture risk associated with CRT. The rickshaw had the highest subacromial mechanical risk, whereas the overhead press and lat pulldown had the highest internal mechanical impingement risk. The rickshaw was highlighted as the most concerning exercise because it had the greatest combination of magnitude and exposure corresponding with increased subacromial mechanical impingement risk.

  13. Peroneal spastic flatfoot in adolescents with accessory talar facet impingement: a preliminary report.

    Science.gov (United States)

    Niki, Hisateru; Aoki, Haruhito; Hirano, Takaaki; Akiyama, Yui; Fujiya, Hiroto

    2015-07-01

    This study analyzed imaging, arthroscopic findings, and treatment responses for peroneal spastic flatfoot (PSFF) caused by talocalcaneal impingement at the accessory anterolateral talar facet (AALTF) (accessory talar facet impingement) in 13 adolescents without histories of trauma and tarsal coalition. The AALTF was determined with computed tomography and MRI. Focal abutting bone marrow edema (FABME) on MRI around the AALTF was confirmed. In seven patients who underwent AALTF resection, subtalar arthroscopy was performed. All experienced alleviation PSFF after treatment; reduction in FABME was observed. AALTF resection alone is beneficial for PSFF caused by accessory talar facet impingement when peroneal spasms are restored by an injection of local anesthesia.

  14. Numerical Analysis of the Flow Field of an Inclined Turbulent Impinging Jet

    Institute of Scientific and Technical Information of China (English)

    WEI Hong-jing

    2013-01-01

    A three-dimensional numerical study has been applied to examine the effects of impinging angle of incline impinging jet on heat transfer and flow field characteristic. Other parameters such as nozzle to plate distance and jet velocity and temperature are also examined to investigate their influences on jet flow. The impinging angle in range of 900-650, the nozzle exit-to-plate spacing (H/D) in range of 2 to 10, the Reynolds number in range of 1.27x102 to 1.27x104 and the jet temperature in range of 323K to 773K have been considered in this project.

  15. Slipping rib syndrome in childhood.

    Science.gov (United States)

    Mooney, D P; Shorter, N A

    1997-07-01

    Slipping rib syndrome is an unusual cause of lower chest and upper abdominal pain in children not mentioned in major pediatric surgical texts. The syndrome occurs when the medial fibrous attachments of the eighth, ninth, or tenth ribs are inadequate or ruptured, allowing their cartilage tip to slip superiorly and impinge on the intervening intercostal nerve. This may cause a variety of somatic and visceral complaints. Although the diagnosis may be made based on history and physical examination, lack of recognition of this disorder frequently leads to extensive diagnostic evaluations before definitive therapy. The authors report on four children who have this disorder.

  16. Low extreme-ultraviolet luminosities impinging on protoplanetary disks

    Energy Technology Data Exchange (ETDEWEB)

    Pascucci, I.; Hendler, N. P. [Lunar and Planetary Laboratory, The University of Arizona, Tucson, AZ 85721 (United States); Ricci, L. [Department of Astronomy, California Institute of Technology, MC 249-17, Pasadena, CA 91125 (United States); Gorti, U.; Hollenbach, D. [SETI Institute, 189 Bernardo Ave., Mountain View, CA 94043 (United States); Brooks, K. J.; Contreras, Y., E-mail: pascucci@lpl.arizona.edu [Australia Telescope National Facility, P.O. Box 76, Epping, NSW 1710 (Australia)

    2014-11-01

    The amount of high-energy stellar radiation reaching the surface of protoplanetary disks is essential to determine their chemistry and physical evolution. Here, we use millimetric and centimetric radio data to constrain the extreme-ultraviolet (EUV) luminosity impinging on 14 disks around young (∼2-10 Myr) sun-like stars. For each object we identify the long-wavelength emission in excess to the dust thermal emission, attribute that to free-free disk emission, and thereby compute an upper limit to the EUV reaching the disk. We find upper limits lower than 10{sup 42} photons s{sup –1} for all sources without jets and lower than 5 × 10{sup 40} photons s{sup –1} for the three older sources in our sample. These latter values are low for EUV-driven photoevaporation alone to clear out protoplanetary material in the timescale inferred by observations. In addition, our EUV upper limits are too low to reproduce the [Ne II] 12.81 μm luminosities from three disks with slow [Ne II]-detected winds. This indicates that the [Ne II] line in these sources primarily traces a mostly neutral wind where Ne is ionized by 1 keV X-ray photons, implying higher photoevaporative mass loss rates than those predicted by EUV-driven models alone. In summary, our results suggest that high-energy stellar photons other than EUV may dominate the dispersal of protoplanetary disks around sun-like stars.

  17. CFD Approaches for Modelling Bubble Entrainment by an Impinging Jet

    Directory of Open Access Journals (Sweden)

    Martin Schmidtke

    2009-01-01

    Full Text Available This contribution presents different approaches for the modeling of gas entrainment under water by a plunging jet. Since the generation of bubbles happens on a scale which is smaller than the bubbles, this process cannot be resolved in meso-scale simulations, which include the full length of the jet and its environment. This is why the gas entrainment has to be modeled in meso-scale simulations. In the frame of a Euler-Euler simulation, the local morphology of the phases has to be considered in the drag model. For example, the gas is a continuous phase above the water level but bubbly below the water level. Various drag models are tested and their influence on the gas void fraction below the water level is discussed. The algebraic interface area density (AIAD model applies a drag coefficient for bubbles and a different drag coefficient for the free surface. If the AIAD model is used for the simulation of impinging jets, the gas entrainment depends on the free parameters included in this model. The calculated gas entrainment can be adapted via these parameters. Therefore, an advanced AIAD approach could be used in future for the implementation of models (e.g., correlations for the gas entrainment.

  18. Absorption of impinging water droplet in porous stones.

    Science.gov (United States)

    Lee, J B; Radu, A I; Vontobel, P; Derome, D; Carmeliet, J

    2016-06-01

    This paper presents an experimental investigation and numerical analysis of the absorption of water droplets impacting porous stones. The absorption process of an impinging droplet is here fully characterized from spreading to evaporation in terms of absorbed mass during droplet depletion and moisture content distribution in a time-resolved manner for three different natural stones. High-speed imaging and neutron radiography are used to quantify moisture absorption in porous stones of varying moisture properties from deposition until depletion. During impact and spreading, the droplet exhibits a dynamic non-wetting behavior. At maximum spreading, the droplet undergoes pinning, resulting into the contact radius remaining constant until droplet depletion. Absorption undergoes two phases: initially, absorption is hindered due a contact resistance attributed to entrapped air; afterwards, a more perfect capillary contact occurs and absorption goes on until depletion, concurrently with evaporation and further redistribution. A finite-element numerical model for isothermal unsaturated moisture transport in porous media captures the phases of mass absorption in good agreement with the experimental data. Droplet spreading and absorption are highly determined by the impact velocity of the droplet, while moisture content redistribution after depletion is much less dependent on impact conditions.

  19. Experimental and Numerical Study of Twin Underexpanded Impinging Jets

    Institute of Scientific and Technical Information of China (English)

    Minoru Yaga; Minoru Okano; Masumi Tamashiro; Kenyu Oyakawa

    2003-01-01

    In this paper, the dual underexpanded impinging jets are experimentally and numerically studied. The experiments were performed by measuring the unsteady and averaged wall static pressures and by visualizing density fields using schlieren method. Numerical calculations were also conducted by solving unsteady three dimensional compressible Navier-Stokes equations with Baldwin-Lomax turbulence model. The main parameters for the dual jets are the non-dimensional distance between the two nozzle centers H/D covering 1.5, 2.0, the nozzle to plate separation L/D 2.0, 3.0,4.0 and 5.0 and the pressure ratio defined by Po/Pb 1.0~6.0, where D is the diameter of each nozzle exit, Po the stagnation pressure and Pb the back pressure. It is found that the agreement between the experiments and the calculations is good. The fountain flow at the middle of the two jets is observed both in the experiments and the calculation. According to FFT analysis of the experiments for the twin jets,relatively low frequency (up to 5 kHz) is dominant for H/D =1.5, L/D =2.0 and pressure ratio Po/Pb =3.0 and 5.0,which is confirmed by the experiments.

  20. Quantifying shoulder rotation weakness in patients with shoulder impingement.

    Science.gov (United States)

    Tyler, Timothy F; Nahow, Rachael C; Nicholas, Stephen J; McHugh, Malachy P

    2005-01-01

    The purpose of this study was to determine whether strength deficits could be detected in individuals with and without shoulder impingement, all of whom had normal shoulder strength bilaterally according to grading of manual muscle testing. Strength of the internal rotators and external rotators was tested isokinetically at 60 degrees /s and 180 degrees /s, as well as manually with a handheld dynamometer (HHD) in 17 patients and 22 control subjects. Testing was performed with the shoulder positioned in the scapular plane and in 90 degrees of shoulder abduction with 90 degrees of elbow flexion (90-90). The peak torque was determined for each movement. The strength deficit between the involved and uninvolved arms (patients) and the dominant and nondominant arms (control subjects) was calculated for each subject. Comparisons were made for the scapular-plane and 90-90 positions between isokinetic and HHD testing. Despite a normal muscle grade, patients had marked weakness (28% deficit, P weakness was not evident with isokinetic testing at the 90-90 position (60 degrees /s and 180 degrees /s, 0% deficit, P = .99). In control subjects, greater internal rotator strength in the dominant compared with the nondominant arm was evident with the HHD at the 90-90 position (11%, P muscle testing can quantify shoulder strength deficits that may not be apparent with isokinetic testing. By using an HHD during shoulder testing, clinicians can identify weakness that may have been presumed normal.

  1. Impingement heat sinks for air cooled high power electronic modules

    Energy Technology Data Exchange (ETDEWEB)

    Kang, S.S.; Holahan, M.F. [IBM Corp., Rochester, MN (United States)

    1995-12-31

    The subject of the present work is a parallel plate heat sink that is designed so that the air flow impinges at the fin tips and exhausts over the two open side faces. This type of design attempts to achieve an air flow direction that is substantially opposite to the heat flow direction within the fins so as to exploit the greater heat transfer effectiveness of counterflow heat exchange. A one dimensional model of the heat sink was developed with the assumption of air flow from the fin tips to the fin base. This simplified model was used to identify an initial heat sink geometry to cool a specific multichip module. Computational Fluid Dynamics models that account for the actual flow pattern within the heat sink were used to study a range of variations to the initial geometry and to identify the best geometry over the range examined. Experimental heat transfer and pressure drop data is reported for two heat sink prototypes. The test data is in good agreement with CFD predictions. Suitable correlations for the heat sink thermal resistance and pressure drop versus the air flow rate are developed. The developed heat sink demonstrated an area specific thermal resistance better than 8.7 C (W/cm{sup 2}).

  2. Cooling Performance of an Impingement Cooling Device Combined with Pins

    Institute of Scientific and Technical Information of China (English)

    Dongliang QUAN; Songling LIU; Jianghai LI; Gaowen LIU

    2005-01-01

    Experimental study and one dimensional model analysis were conducted to investigate cooling performance of an integrated impingement and pin fin cooling device. A typical configuration specimen was made and tested in a large scale low speed closed-looped wind tunnel. Detailed two-dimensional contour maps of the temperature and cooling effectiveness were obtained for different pressure ratios and therefore different coolant flow-rates through the tested specimen. The experimental results showed that very high cooling effectiveness can be achieved by this cooling device with relatively small amount of coolant flow. Based on the theory of transpiration cooling in porous material, a one dimensional heat transfer model was established to analyze the effect of various parameters on cooling effectiveness. It was found from this model that the variation of heat transfer on the gas side, including heat transfer coefficient and film cooling effectiveness, of the specimen created much more effect on its cooling effectiveness than that of the coolant side. The predictions of the one-dimensional mode were compared and agreed well with the experimental data.

  3. Convective Heat Transfer Enhancement of a Rectangular Flat Plate by an Impinging Jet in Cross Flow

    Institute of Scientific and Technical Information of China (English)

    李国能; 郑友取; 胡桂林; 张治国

    2014-01-01

    Experiments were carried out to study the heat transfer performance of an impinging jet in a cross flow. Several parameters including the jet-to-cross-flow mass ratio (X=2%-8%), the Reynolds number (Red=1434-5735) and the jet diameter (d=2-4 mm) were explored. The heat transfer enhancement factor was found to increase with the jet-to-cross-flow mass ratio and the Reynolds number, but decrease with the jet diameter when other parameters maintain fixed. The presence of a cross flow was observed to degrade the heat transfer performance in respect to the effect of impinging jet to the target surface only. In addition, an impinging jet was confirmed to be capable of en-hancing the heat transfer process in considerable amplitude even though the jet was not designed to impinge on the target surface.

  4. A SIMULATION STUDY OF DEPOSITION UNDER TWO TYPES OF IMPINGING TRAJECTORIES

    Institute of Scientific and Technical Information of China (English)

    X.Q. Wei; L. Zhou

    2004-01-01

    A model coupling particle aggregation and randomwalk surface diffusion has been developed for 2D simulation of depositionalgrowth, in which impinging particles follow either a straight-line trajectory of cosine distribution, representing typically sputter deposition, or a scattered trajectory, representing typically electrochemical deposition.Simulations of the growth under various impinging conditions and effective surface diffusivity have been carried out. Pattern and defect development in deposition on flat,trenched and ridged substrates have been investigated. We found that on flat and ridged substrates, both types of trajectories yield similar features, including formation of cone-like defects on surface ridges. While on trenched substrate, the straight-line impingement yielded more uniform step coverage than the scattered impingement.

  5. Conjugate heat transfer study of a turbulent slot jet impinging on a moving plate

    Science.gov (United States)

    Achari, A. Madhusudana; Das, Manab Kumar

    2017-03-01

    Numerical simulation of the flow field and conjugate heat transfer in an impinging jet with moving impingement plate is one of the important problems as it mimics closely with practical applications in industries. The Yang-Shih version of low Reynolds number k-ɛ model has been used to resolve the flow field and the temperature field in a two-dimensional, steady, incompressible, confined, turbulent slot jet impinging normally on a moving flat plate of finite thickness. The turbulence intensity and the Reynolds number considered at the inlet are 2 % and 15,000, respectively. The bottom face of the impingement plate has been maintained at a constant temperature higher than the nozzle exit temperature. The confinement plate has been considered to be adiabatic. The nozzle-to-surface spacing for the above study has been taken to be 6 and the surface-to-jet velocity ratios have been taken over a range of 0.25-1. The effects of impingement plate motion on the flow field and temperature field have been discussed elaborately with reference to stationary impingement plate. The dependence of flow field and fluid temperature field on impingement plate motion has been analyzed by plotting streamlines, isotherms for different plate speeds. A thorough study of flow characteristics for different surface-to-jet velocity ratios has been carried out by plotting profiles of mean vertical and horizontal components of velocity, pressure distribution, local shear stress distribution. The isotherms in the impingement plate of finite thickness, the distributions of solid-fluid interface temperature, the local Nusselt number, and the local heat flux for different surface-to-jet velocity ratios added to the understanding of conjugate heat transfer phenomenon.

  6. Shoulder Impingement, An Uncommon Complication of Distal Clavicle Fracture Treated Arthroscopically: A Case Report

    Directory of Open Access Journals (Sweden)

    CS Wang

    2013-11-01

    Full Text Available Clavicle fracture is commonly treated conservatively. However uncommon complication can arise causing impingement. We report a patient who sustained distal clavicle fracture and was treated conservatively. However he developed persistent shoulder pain that affected his daily life. Shoulder impingement was diagnosed and arthroscopic subacromioclavicular decompression was done. Following early physiotherapy the early recovery was good with full range of motion of the shoulder.

  7. Characterization of Reaerosolization From Impingers in an Effort to Improve Airborne Virus Sampling

    Science.gov (United States)

    2009-04-01

    the resultant deposition is therefore dictated by αi. A study on reaerosolization of Bacillus cereus bacterial spores from liquid impingers...impinger collection liquid can be expected to antagonize airborne virus collection efficiency, although the extent of this effect is not known. Therefore...concentration of Pseudomonas fluorescens vegetative cells and Bacillus subtilis spores from the BioSampler was about 20% of that from the AGI-30. The

  8. Hydrodynamics and PIV study in the impingement zone formed by a droplet train

    Science.gov (United States)

    Kanjirakat, Anoop; Sadr, Reza; Zhang, Taolue; Muthusamy, Jayaveera; Alvarado, Jorge; Texas A; M University at Qatar Collaboration; Texas A; M University College Station Collaboration

    2016-11-01

    Droplet impingement is encountered in numerous technical applications, such as ink jet printing, spray cooling, and fuel injection in internal combustion engines. Even though many studies in droplet impingement were conducted in past, not many have measured the near-wall velocities in the droplet impingement zone. With the goal of gaining a better understanding of the hydrodynamics in the impingement zone, well-controlled experiments are performed in combination with micro-PIV measurements and numerical simulations. Hydrodynamics of HFE-7100 droplets generated using a piezoelectric droplet generator, impinging on a pre-wetted surface is investigated. Micro-PIV studies in the high-velocity impingement zone are performed using one-micron meter fluorescent particles dispersed in HFE-7100 along with the double exposed images. Three-dimensional and 2D-axisymmetric numerical modeling for a transient droplet crown development is performed. The interface between the gas and the liquid is modeled using a Volume of Fluid (VOF) method. Numerical simulation results obtained are observed to be in good agreement with that of the experimental observations. Supported by National Priority Research Program (NPRP) of Qatar National Research Fund (QNRF), Grant No.: NPRP 6-1304-2-525.

  9. Oil-in-water emulsification using confined impinging jets.

    Science.gov (United States)

    Siddiqui, Shad W; Norton, Ian T

    2012-07-01

    A confined impinging jet mixing device has been used to investigate the continuous sunflower oil/water emulsification process under turbulent flow conditions with oil contents between 5% (v/v) and 10% (v/v). Various emulsifiers (Tween20, Span80, Whey Protein, Lecithin and Sodium Dodecylsulphate) varying in molecular weights have been studied. Mean droplet sizes varied with the emulsifiers used and smallest droplets were obtained under fully turbulent flow regime, i.e. at the highest jet flow rate and highest jet Reynolds Number conditions. Sodium Dodecylsulfate (SDS) produced droplets in the range of 3.8 μm while 6 μm droplets were obtained with Whey Protein. Similar droplet sizes were obtained under fully turbulent flow conditions (610 mL/min; Reynolds Number=13,000) for oil content varying between 5% (v/v) and 10% (v/v). To investigate the smallest droplet size possible in the device, the emulsion was passed through the geometry multiple times. Multi-pass emulsification resulted in reduction in droplet size indicating that longer residence in the flow field under high shear condition allowed for breakage of droplets as well as the time for the emulsifier to stabilize the newly formed droplets, decreasing the impact of coalescence. This was confirmed by timescale analysis of the involved process steps for the droplet data obtained via experiments. Dependence of mean droplet size on the o/w interfacial tension and peak energy dissipation was also investigated. Copyright © 2012 Elsevier Inc. All rights reserved.

  10. Water Impingement Erosion of Deep-Rolled Ti64

    Directory of Open Access Journals (Sweden)

    Dina Ma

    2015-08-01

    Full Text Available In this work, the Liquid Impingement Erosion (LIE performances of deep-rolling (DR treated and non-treated Ti64 were investigated. Various erosion stages, from the incubation to the terminal erosion stages, could be observed. A full factorial design of experiments was used to study the effect of DR process parameters (Feed Rate, Spindle Velocity, Number of Passes, Pressure on the residual stress distribution, microhardness and surface roughness of the treated Ti64 specimens. The DR-treated Ti64 specimens exhibited improved surface microhardness, surface roughness, and large magnitude of compressive residual stresses, which were attributed to the amount of cold work induced by the DR process. Although DR improved the mechanical properties of the Ti64, the results showed that the treatment has little or no effect on the LIE performance of Ti64 but different damage modes were observed in these two cases. Evolution of the erosion stages was described based on water-hammer pressure, stress waves, radial wall jetting, and hydraulic penetration modes. The initial erosion stages were mainly influenced by water-hammer pressure and stress waves, whereas the intermediate erosion stages were influenced by the combination of the four modes together. The final erosion stages contain the four modes, however the erosion was greatly driven by the radial jetting and hydraulic penetration modes, where more material was removed. The failure mechanism of the final stages of the LIE test of both DR-treated and non-treated Ti64 was characterized as fatigue fracture. However, a brittle fracture behavior was observed in the initial and intermediate erosion stages of the DR-treated Ti64, whereas a ductile fracture behavior was observed in the non-treated Ti64. This was concluded from the micrographs of the LIE damage through different erosion stages.

  11. Droplet impaction on solid surfaces exposed to impinging jet fires

    Energy Technology Data Exchange (ETDEWEB)

    Kazemi, Zia

    2005-12-15

    The thermal response of hot surfaces exposed to impinging jet fire and subsequent impacting water droplets is investigated. The research was done mainly experimentally by utilizing three different concepts. This included experiments on a laboratory scale steel plate and large outdoor fire tests with a quadratic steel channel and steel plates. Besides the horizontal jet flame itself was characterized in a comprehensive study. As a comparative study, the last three types of the experiment were additionally modeled by the CFD-code Kameleon FireEx for validation of results. The purpose of the experiments done on bench scale steel plate (L x W x T : 300 x 200 x 8 mm) was mainly to map data on wetting temperature, water droplet size, droplet impingement angle, and droplet velocity prior to large scale jet fire tests. The droplet release angle normal to hot surface gives best cooling effect, when the surface is oriented in upright position. The partial wetting begins at about 165 degrees C. When the surface is positioned in horizontal plane, the droplet of about 5 mm in diameter wets the hot surface partially at around 240-250 degrees C within an impaction distance of 20 cm. At about 150 degrees C, the droplet is entirely attached to the surface with almost zero contact angle, and cools down the solid at a critical heat flux equivalent to 1750 kW/m{sup 2}. The cooling effectiveness is about 8 % with a Weber number of 68. Although in the event of horizontal channel (L x W x T : 1000 x 200 x 8 mm) water droplets were not applied, however, the knowledge gained with jet fire tests gave valuable information about temperature progress in solids (steels and insulation) and their response to impinging jet fire during long duration experiments. The temperature of the insulated area of the channel keeps 200 degrees C below that of the exposed surface, as long as the insulation material remained intact. Upon long test fire durations, the insulation either burns or degrades despite

  12. Droplet impaction on solid surfaces exposed to impinging jet fires

    Energy Technology Data Exchange (ETDEWEB)

    Kazemi, Zia

    2005-12-15

    The thermal response of hot surfaces exposed to impinging jet fire and subsequent impacting water droplets is investigated. The research was done mainly experimentally by utilizing three different concepts. This included experiments on a laboratory scale steel plate and large outdoor fire tests with a quadratic steel channel and steel plates. Besides the horizontal jet flame itself was characterized in a comprehensive study. As a comparative study, the last three types of the experiment were additionally modeled by the CFD-code Kameleon FireEx for validation of results. The purpose of the experiments done on bench scale steel plate (L x W x T : 300 x 200 x 8 mm) was mainly to map data on wetting temperature, water droplet size, droplet impingement angle, and droplet velocity prior to large scale jet fire tests. The droplet release angle normal to hot surface gives best cooling effect, when the surface is oriented in upright position. The partial wetting begins at about 165 degrees C. When the surface is positioned in horizontal plane, the droplet of about 5 mm in diameter wets the hot surface partially at around 240-250 degrees C within an impaction distance of 20 cm. At about 150 degrees C, the droplet is entirely attached to the surface with almost zero contact angle, and cools down the solid at a critical heat flux equivalent to 1750 kW/m{sup 2}. The cooling effectiveness is about 8 % with a Weber number of 68. Although in the event of horizontal channel (L x W x T : 1000 x 200 x 8 mm) water droplets were not applied, however, the knowledge gained with jet fire tests gave valuable information about temperature progress in solids (steels and insulation) and their response to impinging jet fire during long duration experiments. The temperature of the insulated area of the channel keeps 200 degrees C below that of the exposed surface, as long as the insulation material remained intact. Upon long test fire durations, the insulation either burns or degrades despite

  13. Severe impingement of lumbar disc replacements increases the functional biological activity of polyethylene wear debris.

    Science.gov (United States)

    Baxter, Ryan M; Macdonald, Daniel W; Kurtz, Steven M; Steinbeck, Marla J

    2013-06-05

    Wear, oxidation, and particularly rim impingement damage of ultra-high molecular weight polyethylene total disc replacement components have been observed following surgical revision. However, neither in vitro testing nor retrieval-based evidence has shown the effect(s) of impingement on the characteristics of polyethylene wear debris. Thus, we sought to determine (1) differences in polyethylene particle size, shape, number, or biological activity that correspond to mild or severe rim impingement and (2) in an analysis of all total disc replacements, regardless of impingement classification, whether there are correlations between the extent of regional damage and the characteristics of polyethylene wear debris. The extent of dome and rim damage was characterized for eleven retrieved polyethylene cores obtained at revision surgery after an average duration of implantation of 9.7 years (range, 4.6 to 16.1 years). Polyethylene wear debris was isolated from periprosthetic tissues with use of nitric acid and was imaged with use of environmental scanning electron microscopy. Subsequently, particle size, shape, number, biological activity, and chronic inflammation scores were determined. Grouping of particles by size ranges that represented high biological relevance (<0.1 to 1-μm particles), intermediate biological relevance (1 to 10-μm particles), and low biological relevance (>10-μm particles) revealed an increased volume fraction of particles in the <0.1 to 1-μm and 1 to 10-μm size ranges in the mild-impingement cohort as compared with the severe-impingement cohort. The increased volume fractions resulted in a higher specific biological activity per unit particle volume in the mild-impingement cohort than in the severe-impingement cohort. However, functional biological activity, which is normalized by particle volume (mm3/g of tissue), was significantly higher in the severe-impingement cohort. This increase was due to a larger volume of particles in all three size

  14. Severe Impingement of Lumbar Disc Replacements Increases the Functional Biological Activity of Polyethylene Wear Debris

    Science.gov (United States)

    Baxter, Ryan M.; MacDonald, Daniel W.; Kurtz, Steven M.; Steinbeck, Marla J.

    2013-01-01

    Background: Wear, oxidation, and particularly rim impingement damage of ultra-high molecular weight polyethylene total disc replacement components have been observed following surgical revision. However, neither in vitro testing nor retrieval-based evidence has shown the effect(s) of impingement on the characteristics of polyethylene wear debris. Thus, we sought to determine (1) differences in polyethylene particle size, shape, number, or biological activity that correspond to mild or severe rim impingement and (2) in an analysis of all total disc replacements, regardless of impingement classification, whether there are correlations between the extent of regional damage and the characteristics of polyethylene wear debris. Methods: The extent of dome and rim damage was characterized for eleven retrieved polyethylene cores obtained at revision surgery after an average duration of implantation of 9.7 years (range, 4.6 to 16.1 years). Polyethylene wear debris was isolated from periprosthetic tissues with use of nitric acid and was imaged with use of environmental scanning electron microscopy. Subsequently, particle size, shape, number, biological activity, and chronic inflammation scores were determined. Results: Grouping of particles by size ranges that represented high biological relevance (10-μm particles) revealed an increased volume fraction of particles in the <0.1 to 1-μm and 1 to 10-μm size ranges in the mild-impingement cohort as compared with the severe-impingement cohort. The increased volume fractions resulted in a higher specific biological activity per unit particle volume in the mild-impingement cohort than in the severe-impingement cohort. However, functional biological activity, which is normalized by particle volume (mm3/g of tissue), was significantly higher in the severe-impingement cohort. This increase was due to a larger volume of particles in all three size ranges. In both cohorts, the functional biological activity correlated with the

  15. Traction Drive Inverter Cooling with Submerged Liquid Jet Impingement on Microfinned Enhanced Surfaces (Presentation)

    Energy Technology Data Exchange (ETDEWEB)

    Waye, S.; Narumanchi, S.; Moreno, G.

    2014-09-01

    Jet impingement is one means to improve thermal management for power electronics in electric-drive traction vehicles. Jet impingement on microfin-enhanced surfaces further augments heat transfer and thermal performance. A channel flow heat exchanger from a commercial inverter was characterized as a baseline system for comparison with two new prototype designs using liquid jet impingement on plain and microfinned enhanced surfaces. The submerged jets can target areas with the highest heat flux to provide local cooling, such as areas under insulated-gate bipolar transistors and diode devices. Low power experiments, where four diodes were powered, dissipated 105 W of heat and were used to validate computational fluid dynamics modeling of the baseline and prototype designs. Experiments and modeling used typical automotive flow rates using water-ethylene glycol as a coolant (50%-50% by volume). The computational fluid dynamics model was used to predict full inverter power heat dissipation. The channel flow and jet impingement configurations were tested at full inverter power of 40 to 100 kW (output power) on a dynamometer, translating to an approximate heat dissipation of 1 to 2 kW. With jet impingement, the cold plate material is not critical for the thermal pathway. A high-temperature plastic was used that could eventually be injection molded or formed, with the jets formed from a basic aluminum plate with orifices acting as nozzles. Long-term reliability of the jet nozzles and impingement on enhanced surfaces was examined. For jet impingement on microfinned surfaces, thermal performance increased 17%. Along with a weight reduction of approximately 3 kg, the specific power (kW/kg) increased by 36%, with an increase in power density (kW/L) of 12% compared with the baseline channel flow configuration.

  16. Propedêutica radiológica do impacto femoroacetabular em tempos de tomografia computadorizada e ressonância magnética: o que o radiologista precisa saber

    OpenAIRE

    Rafael Borges Nunes; Denise Tokechi Amaral; Valesca Sarkis de Oliveira

    2011-01-01

    Após breve descrição dos tipos de impacto femoroacetabular, este trabalho demonstra o protocolo de radiologia convencional, tomografia computadorizada e ressonância magnética para os casos de impacto, desenvolvido nos últimos oito anos em parceria com serviços de referência em ortopedia. Demonstra-se a propedêutica radiológica básica de cada método, revisando os aspectos mais relevantes na avaliação do quadril.

  17. THREE-DIMENSIONAL MEAN AND TURBULENCE CHARACTERISTICS OF AN IMPINGING DENSITY JET IN A CONFINED CROSSFLOW IN NEAR FIELD

    Institute of Scientific and Technical Information of China (English)

    FAN Jing-yu; WANG Dao-zeng; ZHANG Yan

    2004-01-01

    The three-dimensional mean and turbulence characteristics of an impinging density jet in a confined crossflow were numerically investigated using the RNG turbulence model. The comparison of the subregion structures and gross features between the numerical results and the experimental data show good agreement. The velocity, Turbulent Kinetic Energy (TKE) and concentration distributions of the impinging jet in near field were obtained and analyzed. The results indicate that the flow and concentration fields of the impinging jet in the crossflow exhibit distinguished three-dimensionality in the near field. There exist upstream wall vortices and downstream wall jet zones in the impinging region, and the TKE and concentration decays are asymmetrical in relation to the stagnation point. The lateral concentration distribution range in the impinging region spreads considerably. The enhanced entrainment and mixing of the impinging jet in the confined crossflow are mostly associated with the impinging action and lateral expansion in the impinging region. The presence of the bottom wall restrains the formation of the spanwise rollers in the transverse jet region and vertical entrainment and mixing in the impinging region and the transition region.

  18. Eagle syndrome revisited: cerebrovascular complications.

    Science.gov (United States)

    Todo, Tsuyoshi; Alexander, Michael; Stokol, Colin; Lyden, Patrick; Braunstein, Glenn; Gewertz, Bruce

    2012-07-01

    Cervical pain caused by the elongation of the styloid process (Eagle syndrome) is well known to otolaryngologists but is rarely considered by vascular surgeons. We report two patients with cerebrovascular symptoms of Eagle syndrome treated in our medical center in the past year. Case 1: an 80-year-old man with acromegaly presented with dizziness and syncope with neck rotation. The patient was noted to have bilateral elongated styloid processes impinging on the internal carotid arteries. After staged resections of the styloid processes through cervical approaches, the symptoms resolved completely. Case 2: a 57-year-old man presented with acute-onset left-sided neck pain radiating to his head immediately after a vigorous neck massage. Hospital course was complicated by a 15-minute transient ischemic attack resulting in aphasia. Angiography revealed bilateral dissections of his internal carotid arteries, with a dissecting aneurysm on the right. Both injuries were immediately adjacent to the bilateral elongated styloid processes. Despite immediate anticoagulation therapy, he experienced aphasia and right hemiparesis associated with an occlusion of his left carotid artery. He underwent emergent catheter thrombectomy and carotid stent placement, with near-complete resolution of his symptoms. Elongated styloid processes characteristic of Eagle syndrome can result in both temporary impingement and permanent injury to the extracranial carotid arteries. Although rare, Eagle syndrome should be considered in the differential diagnosis in patients with cerebrovascular symptoms, especially those induced by positional change.

  19. Experimental study of turbulence in isothermal jet impingement at intermediate plate spacings

    Science.gov (United States)

    Landfried, D. Tyler; Valentino, Alex; Mazumdar, Sagnik; Jana, Anirban; Kimber, Mark

    2013-11-01

    One fundamental problem in fluid dynamics is that of the axisymmetric round flow impinging on a plate placed some distance downstream of the jet. Impinging jets have a rich history of applications including small plate spacings, H/D ~ 1, such as encountered in electronics cooling, or large plate spacings, H/D ~ 102, such as vertical takeoff aircrafts and rocket engines. However, intermediate plate spacings, such as the lower plenum of the next generation nuclear reactors, are not typically studied. In this paper, an experimental study is conducted investigating the effect of the impingement plate on the flow behavior compared to the near free jet behavior when the plate is removed. Using air as the working fluid, a single jet is considered at jet Reynolds numbers of 10000, 20000, and 30000. A three-wire anemometer probe is used to quantify the mean components of velocities as well as the Reynolds stress and the third-order moments in the flow field at various distances between the jet outlet and the impingement plate. When present, the impingement plate is placed a distance of 8, 11, 14, and 17 diameters downstream of the jet. Additionally trends in the kinetic energy and dissipation are investigated for validation with numerical models.

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

    Science.gov (United States)

    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.

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

    Science.gov (United States)

    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.

  2. Is there a relationship between psoas impingement and increased trochanteric retroversion?

    Science.gov (United States)

    Gómez-Hoyos, Juan; Schröder, Ricardo; Reddy, Manoj; Palmer, Ian J; Khoury, Anthony; Martin, Hal David

    2015-07-01

    The concept of psoas impingement secondary to a tight or inflamed iliopsoas tendon causing impingement of the anterior labrum during hip extension has been suggested. The purpose of this study was to assess the relationship between the lesser trochanteric version (LTV) in symptomatic patients with psoas impingement as compared with asymptomatic hips. The femoral neck version (FNV) and LTV were evaluated on axial magnetic resonance imaging, as well as the angle between LTV and FNV. Data from 12 symptomatic patients and 250 asymptomatic patients were analysed. The mean, range and standard deviations were calculated. Independent t-tests were used to determine differences between groups. The lesser trochanteric retroversion was significantly increased in patients with psoas impingement as compared with asymptomatic hips (-31.1° SD ± 6.5 versus -24.2° ± 11.5, P  0.05) and the angle between FNV and LTV (40.2° ± 9.7 versus 38.3° ± 9.6, P > 0.05) were not significantly different between groups. In conclusion, the lesser trochanteric retroversion is significantly increased in patients with psoas impingement as compared with asymptomatic hips.

  3. Investigation of impinging jet resonant modes using unsteady pressure-sensitive paint measurements

    Science.gov (United States)

    Davis, Timothy; Edstrand, Adam; Alvi, Farrukh; Cattafesta, Louis; Yorita, Daisuke; Asai, Keisuke

    2015-05-01

    At given nozzle to plate spacings, the flow field of high-speed impinging jets is known to be characterized by a resonance phenomenon. Large coherent structures that convect downstream and impinge on the surface create strong acoustic waves that interact with the inherently unstable shear layer at the nozzle exit. This feedback mechanism, driven by the coherent structures in the jet shear layer, can either be axisymmetric or helical in nature. Fast-response pressure-sensitive paint (PSP) is applied to the impingement surface to map the unsteady pressure distribution associated with these resonant modes. Phase-averaged results acquired at several kHz are obtained using a flush mounted unsteady pressure transducer on the impingement plate as a reference signal. Tests are conducted on a Mach 1.5 jet at nozzle to plate spacings of . The resulting phase-averaged distribution reveals dramatically different flow fields at the corresponding impingement heights. The existence of a purely axisymmetric mode with a frequency of 6.3 kHz is identified at and is characterized by concentric rings of higher/lower pressure that propagate radially with increasing phase. Two simultaneous modes are observed at with one being a dominant symmetric mode at 7.1 kHz and the second a sub-dominant helical mode at 4.3 kHz. Complimentary phase-conditioned Schlieren images are also obtained visualizing the flow structures associated with each mode and are consistent with the PSP results.

  4. Experimental and numerical investigation of liquid jet impingement on superhydrophobic and hydrophobic convex surfaces

    Science.gov (United States)

    Kibar, Ali

    2017-02-01

    Experiments and numerical simulations were carried out to examine the vertical impingement a round liquid jet on the edges of horizontal convex surfaces that were either superhydrophobic or hydrophobic. The experiments examine the effects on the flow behaviour of curvature, wettability, inertia of the jet, and the impingement rate. Three copper pipes with outer diameters of 15, 22, and 35 mm were investigated. The pipes were wrapped with a piece of a Brassica oleracea leaf or a smooth Teflon sheet, which have apparent contact angles of 160° and 113°. The Reynolds number ranged from 1000 to 4500, and the impingement rates of the liquid jets were varied. Numerical results show good agreement with the experimental results for explaining flow and provide detailed information about the impingement on the surfaces. The liquid jet reflected off the superhydrophobic surfaces for all conditions. However, the jet reflected or deflected off the hydrophobic surface, depending on the inertia of the jet, the curvature of the surface, and the impingement rate. The results suggest that pressure is not the main reason for the bending of the jet around the curved hydrophobic surface.

  5. Impact of impingement on the Hudson River white perch population. Final report

    Energy Technology Data Exchange (ETDEWEB)

    Barnthouse, L.W.; Van Winkle, W.; Kirk, B.L.; Vaughan, D.S.

    1982-02-01

    This report summarizes a series of analyses of the magnitude and biological significance of the impingement of white perch at the Indian Point Nuclear Generating Station and other Hudson River power plants. Included in these analyses were evaluations of: (1) two independent lines of evidence relating to the magnitude of impingement impacts on the Hudson River white perch population; (2) the additional impact caused by entrainment of white perch; (3) data relating to density-dependent growth among young-of-the-year white perch; (4) the feasibility of performing population-level analyses of impingement impacts on the white perch populations of Chesapeake Bay and the Delaware River; and (5) the feasibility of using simple food chain and food web models to evaluate community-level effects of impingement and entrainment. Estimated reductions in the abundances of the 1974 and 1975 white perch year classes, caused by impingement and entrainment, were high enough that the possibility of adverse long-term effects cannot be excluded.

  6. Mathematical modeling of a gas jet impinging on a two phase bath

    Science.gov (United States)

    Delgado-Álvárez, J.; Ramírez-Argáez, Marco A.; González-Rivera, C.

    2012-09-01

    In this work a three phase 3D mathematical model was developed using the Volume Of Fluid (VOF) algorithm, which is able to accurately describe the cavity geometry and size as well as the liquid flow patterns created when a gas jet impinges on a two phase liquid free surface. These phenomena are commonly found in steelmaking operations such as in the Electric Arc Furnace (EAF) and the Basic Oxygen Furnace (BOF) where oxygen jets impinge on a steel bath and they control heat, momentum and mass transfer. The cavity formed in the liquids by the impinging jet depends on a force balance at the free surface where the inertial force of the jet governs these phenomena. The inertial force of the jet and its angle play important roles, being the lowest angle the best choice to shear the bath and promote stronger circulation and better mixing in the liquids.

  7. Long-term monitoring dataset of fish assemblages impinged at nuclear power plants in northern Taiwan.

    Science.gov (United States)

    Chen, Hungyen; Liao, Yun-Chih; Chen, Ching-Yi; Tsai, Jeng-I; Chen, Lee-Sea; Shao, Kwang-Tsao

    2015-12-08

    The long-term species diversity patterns in marine fish communities are garnering increasing attention from ecologists and conservation biologists. However, current databases on quantitative abundance information lack consistent long-term time series, which are particularly important in exploring the possible underlying mechanism of community changes and evaluating the effectiveness of biodiversity conservation measures. Here we describe an impinged fish assemblage dataset containing 1, 283, 707 individuals from 439 taxa. Once a month over 19 years (1987-1990 and 2000-2014), we systematically collected the fish killed by impingement upon cooling water intake screens at two nuclear power plants on the northern coast of Taiwan. Because impingement surveys have low sampling errors and can be carried out over many years, they serve as an ideal sampling tool for monitoring how fish diversity and community structure vary over an extended period of time.

  8. "Simultaneous measurement of flame impingement and piston surface temperatures in an optically accessible spark ignition engine"

    Science.gov (United States)

    Ding, Carl-Philipp; Honza, Rene; Böhm, Benjamin; Dreizler, Andreas

    2017-04-01

    This paper shows the results of spatially resolved temperature measurements of the piston surface of an optically accessible direct injection spark ignition engine during flame impingement. High-speed thermographic phosphor thermometry (TPT), using Gd3Ga5O12:Cr,Ce, and planar laser-induced fluorescence of the hydroxyl radical (OH-PLIF) were used to investigate the temperature increase and the time and position of flame impingement at the piston surface. Measurements were conducted at two operating cases and showed heating rates of up to 16,000 K/s. The OH-PLIF measurements were used to localize flame impingement and calculate conditioned statistics of the temperature profiles. The TPT coating was characterized and its influence on the temperature measurements evaluated.

  9. Rotation Effect on Jet Impingement Heat Transfer in Smooth Rectangular Channels with Film Coolant Extraction

    Directory of Open Access Journals (Sweden)

    James A. Parsons

    2001-01-01

    Full Text Available The effect of channel rotation on jet impingement cooling by arrays of circular jets in twin channels was studied. Impinging jet flows were in the direction of rotation in one channel and opposite to the direction of rotation in the other channel. The jets impinged normally on the smooth, heated target wall in each channel. The spent air exited the channels through extraction holes in each target wall, which eliminates cross flow on other jets. Jet rotation numbers and jet Reynolds numbers varied from 0.0 to 0.0028 and 5000 to 10,000, respectively. For the target walls with jet flow in the direction of rotation (or opposite to the direction of rotation, as rotation number increases heat transfer decreases up to 25% (or 15% as compared to corresponding results for non-rotating conditions. This is due to the changes in flow distribution and rotation induced Coriolis and centrifugal forces.

  10. Flow pulsation in the near-wall layer of impinging jets

    Science.gov (United States)

    Tesař, V.

    2013-04-01

    Pulsation of impinging jets promises to become a useful way towards achieving the highest possible rate of passive scalar convective transport between fluid and a wall. Author investigated experimentally steady and pulsated impingement by hot-wire anemometer traversing along a radial line at a small height above the impingement wall. The data have shown two conspicuous local maxima of fluctuation intensity. In an attempt to reach understanding of these phenomena, numerical flowfield computations were also made, fitted to the experimental conditions. Despite simplification (isotropic handling of unsteadiness, eddies computed as Reynolds-type phase averages) the synergetic approach (experiment & computation) revealed interesting correlation and resulted in useful interpretations of the old problem of the off-axis extremes - and also brings new views on their behaviour in the pulsating jet case.

  11. Self—Induced Oscillation of Supersonic Jet During Impingement on Cylindrical Body

    Institute of Scientific and Technical Information of China (English)

    HideoKashimura; ShenYu; 等

    1998-01-01

    The phenomena of the interaction between a supersonic jet and an obstacle are related to the problems of the aeronautical and other industrial engineerings.When a supersonic jet impinges on an obstacle,the self induced oscillation occurs under several conditions.The flow charactersitics caused by the impingement of underexpanded supersonic jet on an obstacle have been investigated.However,it seems that the mechanism of self induced oscillation and the factor which dominates if have not been detailed in the published papers,The characteristics of the self induced oscillation of the supersonic jet during the impingement on a cylindrical body are investigated using the visualization of flow fields and the numerical calculations in this study.

  12. Nanofluid jet impingement heat transfer characteristics in the rectangular mini-fin heat sink

    Science.gov (United States)

    Naphon, Paisarn; Nakharintr, Lursukd

    2012-11-01

    The nanofluid jet impingement heat transfer characteristics in a rectangular mini-fin heat sink are studied. The heat sink is fabricated from aluminum by a wire electrical discharge machine. The nanofluid is a mixture of deionized water and nanoscale TiO2 particles with a volume nanoparticle concentration of 0.2%. The results obtained for nanofluid jet impingement cooling in the rectangular mini-fin heat sink are compared with those found in the water jet impingement cooling. The effects of the inlet temperature of the nanofluid, its Reynolds number, and the heat flux on the heat transfer characteristics of the rectangular mini-fin heat sink are considered. It is found that the average heat transfer rates for the nanofluid as coolant are higher than those for deionized water.

  13. Neuromuscular function in patients with Subacromial Impingement Syndrome and clinical assessment of scapular kinematics

    DEFF Research Database (Denmark)

    Larsen, Camilla Marie; Lund, Hans; Juul-Kristensen, Birgit

    a voluntary arm movement task and 2) selective activation tasks during sessions with and without on-line biofeedback, in a general population consisting of 16 SIS patients and 15 controls (No-SIS). Furthermore, 3) a systematic review was conducted of all available clinical scapular assessment methods...... parts were below 1.5% activity or (ii) an activation ratio above 95% of the total activity of all muscles, significantly fewer SIS subjects than No-SIS subjects achieved selective activation of individual scapular muscle compartments without on-line biofeedback of muscle activity from each muscle...... in neuromuscular activity of scapular stabilising muscles were observed, 2) and when provided with visual EMG feedback, the SIS group performed equally well as the No-SIS group, However, when assessing the neuromuscular function with and without the use of biofeedback, the findings show that without biofeedback...

  14. Neuromuscular function in patients with Subacromial Impingement Syndrome and clinical assessment of scapular kinematics

    DEFF Research Database (Denmark)

    Larsen, Camilla Marie

    muskeldele.I det andet studie blev evnen til selektiv aktivering af de individuelle skapulære muskeldele undersøgt hos 15patienter med SIS under en session med og uden visuel biofeedback, sammenlignet med denne evne hos 15raske kontroller. Med udgangspunkt i præ-definerede kriterier for selektiv aktivering...... kontrolpersonerne opnåede selektiv aktiveringaf individuelle skapulære muskeldele, når de ikke modtog visuel biofeedback af muskelaktiviteten af deenkelte muskeldele.I det tredje studie blev der udarbejdet et systematisk review af alle tilgængelige kliniske målemetoder tilvurdering af skapulas position og bevægelse...... den neuromuskulære aktivitet blandt SIS patienter ograske kontrolpersoner ikke fundet. Derimod viste undersøgelsen af den neuromuskulære funktion med og udenbrug af visuel biofeedback, at uden brug af biofeedback havde kontrolgruppen en bedre kontrol af deskapulære muskler. Dog præsterede SIS...

  15. Surgery for subacromial impingement syndrome in relation to occupational exposures, lifestyle factors and diabetes mellitus

    DEFF Research Database (Denmark)

    Dalbøge, Annett; Frost, Poul; Andersen, Johan Hviid

    2017-01-01

    intensities on measurement scales. Ten-year cumulative exposures to upper arm elevation >90°, repetitive shoulder movements, forceful shoulder exertions and hand-arm vibrations (HAVs) were estimated. We used conditional logistic regression. RESULTS: There were 5396 persons (60%) who answered the questionnaire...

  16. Progressive resistance training in patients with shoulder impingement syndrome: literature review

    Directory of Open Access Journals (Sweden)

    A. Jones

    2011-06-01

    Full Text Available The upper limbs perform diverse functions related to activities of daily living and labor activities. This occurs due to the considerable range of motion of the shoulder (1. The shoulder is a complex of muscles, bone articulations and functional articulations that allow greater mobility than in any other joint in the human body. However, this mobility is achieved at the cost of structural stability (2. Shoulder conditions are among the most common peripheral complications (3, 4. Activities that employ the arms or hands are known to increase the risk of the development of shoulder pain (3....

  17. Exploration of Impinging Water Spray Heat Transfer at System Pressures Near the Triple Point

    Science.gov (United States)

    Golliher, Eric L.; Yao, Shi-Chune

    2013-01-01

    The heat transfer of a water spray impinging upon a surface in a very low pressure environment is of interest to cooling of space vehicles during launch and re-entry, and to industrial processes where flash evaporation occurs. At very low pressure, the process occurs near the triple point of water, and there exists a transient multiphase transport problem of ice, water and water vapor. At the impingement location, there are three heat transfer mechanisms: evaporation, freezing and sublimation. A preliminary heat transfer model was developed to explore the interaction of these mechanisms at the surface and within the spray.

  18. Convective heat transfer under unsteady impinging jets: the effect of the shape of the unsteadiness

    Science.gov (United States)

    Middelberg, G.; Herwig, H.

    2009-10-01

    Unsteady impinging jets are systematically controlled with respect to their time dependence in order to investigate the influence of unsteadiness on the heat transfer performance. This is achieved by a special mass flow control device, which allows almost arbitrary shapes of unsteadiness to be imposed onto the impinging jet. Three different standard signals (sinusoidal, triangular, rectangular) and two specially designed signals are applied and their influence on heat transfer is determined in terms of an enhancement factor. Heat transfer augmentation up to 30% was found and could be physically explained with the help of PIV and hot-wire measurements of the flow field.

  19. Scheie syndrome

    Science.gov (United States)

    ... Hurler syndrome) MPS II (Hunter syndrome) MPS IV (Morquio syndrome) MPS III (Sanfilippo syndrome) Causes Scheie syndrome ... Autosomal recessive Cloudy cornea Hearing loss Hurler syndrome Morquio syndrome Review Date 4/20/2015 Updated by: ...

  20. Thermal chip fabrication with arrays of sensors and heaters for micro-scale impingement cooling heat transfer analysis and measurements.

    Science.gov (United States)

    Shen, C H; Gau, C

    2004-07-30

    The design and fabrication for a thermal chip with an array of temperature sensors and heaters for study of micro-jet impingement cooling heat transfer process are presented. This thermal chip can minimize the heat loss from the system to the ambient and provide a uniform heat flux along the wall, thus local heat transfer processes along the wall can be measured and obtained. The fabrication procedure presented can reach a chip yield of 100%, and every one of the sensors and heaters on the chip is in good condition. In addition, micro-jet impingement cooling experiments are performed to obtain the micro-scale local heat transfer Nusselt number along the wall. Flow visualization for the micro-impinging jet is also made. The experimental results indicate that both the micro-scale impinging jet flow structure and the heat transfer process along the wall is significantly different from the case of large-scale jet impingement cooling process.

  1. Computational Analysis of Droplet Mass and Size Effect on Mist/Air Impingement Cooling Performance

    Directory of Open Access Journals (Sweden)

    Zhenglei Yu

    2013-01-01

    Full Text Available Impingement cooling has been widely employed to cool gas turbine hot components such as combustor liners, combustor transition pieces, turbine vanes, and blades. A promising technology is proposed to enhance impingement cooling with water droplets injection. However, previous studies were conducted on blade shower head film cooling, and less attention was given to the transition piece cooling. As a continuous effort to develop a realistic mist impingement cooling scheme, this paper focuses on simulating mist impingement cooling under typical gas turbine operating conditions of high temperature and pressure in a double chamber model. Furthermore, the paper presents the effect of cooling effectiveness by changing the mass and size of the droplets. Based on the heat-mass transfer analogy, the results of these experiments prove that the mass of 3E – 3 kg/s droplets with diameters of 5–35 μm could enhance 90% cooling effectiveness and reduce 122 K of wall temperature. The results of this paper can provide guidance for corresponding experiments and serve as the qualification reference for future more complicated studies with convex surface cooling.

  2. Noise Characteristics of a Four-Jet Impingement Device Inside a Broadband Engine Noise Simulator

    Science.gov (United States)

    Brehm, Christoph; Housman, Jeffrey A.; Kiris, Cetin C.; Hutcheson, Florence V.

    2015-01-01

    The noise generation mechanisms for four directly impinging supersonic jets are investigated employing implicit large eddy simulations with a higher-order accurate weighted essentially non-oscillatory shock-capturing scheme. Impinging jet devices are often used as an experimental apparatus to emulate a broadband noise source. Although such devices have been used in many experiments, a detailed investigation of the noise generation mechanisms has not been conducted before. Thus, the underlying physical mechanisms that are responsible for the generation of sound waves are not well understood. The flow field is highly complex and contains a wide range of temporal and spatial scales relevant for noise generation. Proper orthogonal decomposition of the flow field is utilized to characterize the unsteady nature of the flow field involving unsteady shock oscillations, large coherent turbulent flow structures, and the sporadic appearance of vortex tubes in the center of the impingement region. The causality method based on Lighthill's acoustic analogy is applied to link fluctuations of flow quantities inside the source region to the acoustic pressure in the far field. It will be demonstrated that the entropy fluctuation term in the Lighthill's stress tensor plays a vital role in the noise generation process. Consequently, the understanding of the noise generation mechanisms is employed to develop a reduced-order linear acoustic model of the four-jet impingement device. Finally, three linear acoustic FJID models are used as broadband noise sources inside an engine nacelle and the acoustic scattering results are validated against far-field acoustic experimental data.

  3. An Experimental Method for Measuring Water Droplet Impingement Efficiency on Two- and Three-dimensional Bodies

    Science.gov (United States)

    Papadakis, M.; Zumwalt, G. W.; Elangonan, R.; Freund, G. A., Jr.; Breer, M.; Whitmer, L.

    1989-01-01

    An experimental method was developed to determine the droplet impingement characteristics on 2-D and 3-D bodies. The experimental results provide the essential droplet impingement data required to validate water droplet trajectory codes, which are used in the analysis of aircraft icing. A body, whose water droplet impingement characteristics are required, is covered at strategic locations by thin strips of moisture absorbing (blotter) paper, and is exposed to an air stream containing a water dye solution spray cloud. Water droplet impingement data are extracted from the dyed blotter strips by measuring the optical reflectance of the dye deposit on the strips, using an automated reflectometer. Models tested include a 4-inch diameter cylinder, a NACA 652015 airfoil section, a MS(1)-0317 supercritical airfoil section, three simulated ice shapes, an axisymmetric inlet and a Boeing 737-300 inlet model. Detailed descriptions of the dye tracer technique, instrumentation, data reduction method and the results obtained are presented. Analytical predictions of collection efficiency characteristics for most test configurations are included for comparison.

  4. Ice growth and interface oscillation of water droplets impinged on a cooling surface

    Science.gov (United States)

    Hagiwara, Yoshimichi; Ishikawa, Shoji; Kimura, Ryota; Toyohara, Kazumasa

    2017-06-01

    We focused on the attenuation of air-water interface oscillation for impinged water droplets freezing on a cooling surface. We carried out not only experiments but also two-dimensional numerical simulation on the droplets using a Phase-field method and an immersed boundary method. The Reynolds number and Weber number were in the range of 35-129 and 1.6-22, respectively. The experimental and computational results showed that the height of the impinged droplets on the symmetrical axis started to oscillate as a result of the impact of the collision of droplets with the surfaces in all the cases that we investigated. The measured frequency of the oscillations in the case of the adiabatic droplets was equal to the frequency estimated from the equation for the capillary-gravity waves on sessile droplets (Temperton, 2013) [30]. The oscillations converged rapidly in all impinged water droplets that froze on the cooling surface. This is due partly to the growth of ice shells along the air-water interface and partly to decreases in water volume as a result of the ice growth mainly on the cooling surface. In addition, the thermal field was disturbed not only by the latent heat transfer but also by the upward component of recirculating flow induced by the droplet impingement.

  5. Electron emission yields from boron-like Ar ions impinging on Au(100)

    NARCIS (Netherlands)

    Bodewits, E.; Bekker, H.; de Nijs, A. J.; Hoekstra, R.; Winklehner, D.; Daniel, B.; Kowarik, G.; Dobes, K.; Aumayr, F.

    2011-01-01

    Using a new experimental station to be installed at the HITRAP facility at GSI we studied electron emission yields of Ar13+ ions impinging on a clean Au(1 00) surface. By taking data under different incidence angles and at different initial kinetic energies, contributions from kinetic and potential

  6. Analysis of disagreement between numerically predicted and experimental heat transfer data of impinging jet

    Institute of Scientific and Technical Information of China (English)

    ZHOU Ping; YE Liang-chun; ZHOU Jie-min; YANG Ying

    2006-01-01

    The method of numerical simulation was applied to investigate the effects of jet impinging plate thickness and its thermal conductivity on the local heat flux distribution along the impinging plate. The results show that the two factors have great effects on the heat flux distribution. The non-uniformity of the local heat-flux on the impinging plate surface gets more profound as the plate becomes thicker and thermal conductivity gets larger. When Reynand even for the plate with only 25 μm in thickness, the non-uniformity of the heat flux cannot be neglected. When approximately treated as an iso-heat-flux boundary. In the experimental research, a real non-iso-heat-flux boundary is treated as an iso-heat-flux boundary, which would result in under-estimated Nusselt number value in the stagnation zone and an over-estimated value outside. Such an experimental Nusselt number distribution is taken to evaluate turbulent model, and the conclusion would be drawn that the turbulent model over-predicts the stagnation heat transfer. This is one of the important reasons why many literatures reported that k-ε turbulent model dramatically over-predicts the impinging jet heat transfer in the stagnation region.

  7. Role of kinetic energy of impinging molecules in the α-sexithiophene growth

    NARCIS (Netherlands)

    Tonezzer, M.; Rigo, E.; Gottardi, S.; Bettotti, P.; Pavesi, L.; Iannotta, S.; Toccoli, T.

    2011-01-01

    We report on the α-sexithiophene sub-monolayer growth with supersonic molecular beam deposition by investigating how the kinetic energy of the impinging molecules influences the growth on substrates with different surface wettabilities and temperatures. The results show that the energy of the

  8. Analytical Study on Impingement Heat Transfer with Single—Phase Free—Surface Circular Liquid Jets

    Institute of Scientific and Technical Information of China (English)

    C.F.Ma; T.Masuoka; 等

    1996-01-01

    An analytical research was conducted to study heat transfer from horizontal surfaces to normally impinging circular jets under arbitrary-heat-flux conditions.The laminar thermal and hydraulic bound ary layers were divided into five regions of flow.General expressions of heat transfer coefficients were obtained in all the four regions of stagnation and wall jet zones before the hydraulic jump.

  9. Numerical investigation of mist/air impingement cooling on ribbed blade leading-edge surface.

    Science.gov (United States)

    Bian, Qingfei; Wang, Jin; Chen, Yi-Tung; Wang, Qiuwang; Zeng, Min

    2017-05-23

    The working gas turbine blades are exposed to the environment of high temperature, especially in the leading-edge region. The mist/air two-phase impingement cooling has been adopted to enhance the heat transfer on blade surfaces and investigate the leading-edge cooling effectiveness. An Euler-Lagrange particle tracking method is used to simulate the two-phase impingement cooling on the blade leading-edge. The mesh dependency test has been carried out and the numerical method is validated based on the available experimental data of mist/air cooling with jet impingement on a concave surface. The cooling effectiveness on three target surfaces is investigated, including the smooth and the ribbed surface with convex/concave columnar ribs. The results show that the cooling effectiveness of the mist/air two-phase flow is better than that of the single-phase flow. When the ribbed surfaces are used, the heat transfer enhancement is significant, the surface cooling effectiveness becomes higher and the convex ribbed surface presents a better performance. With the enhancement of the surface heat transfer, the pressure drop in the impingement zone increases, but the incremental factor of the flow friction is smaller than that of the heat transfer enhancement. Copyright © 2017 Elsevier Ltd. All rights reserved.

  10. Role of the confinement of a root canal on jet impingement during endodontic irrigation

    NARCIS (Netherlands)

    Verhaagen, B.; Boutsioukis, C.; Heijnen, G. L.; van der Sluis, L. W. M.; Versluis, M.

    2012-01-01

    During a root canal treatment the root canal is irrigated with an antimicrobial fluid, commonly performed with a needle and a syringe. Irrigation of a root canal with two different types of needles can be modeled as an impinging axisymmetric or non-axisymmetric jet. These jets are investigated exper

  11. Subacute posteromedial impingement of the ankle in athletes: MR imaging evaluation and ultrasound guided therapy

    Energy Technology Data Exchange (ETDEWEB)

    Messiou, Christina; Robinson, Philip; O' Connor, Philip J.; Grainger, Andrew [Leeds Teaching Hospitals, St. James University Hospital, Department of Radiology, Leeds (United Kingdom)

    2006-02-15

    To describe the use of MR imaging and efficacy of ultrasound-guided steroid injection in the diagnosis and management of athletes with clinical posteromedial impingement of the ankle. A retrospective analysis of imaging findings on MR was undertaken in nine elite athletes with clinical posteromedial ankle impingement. MR studies from six professional athletes with posterolateral pain were also reviewed as an imaging control group. The two reviewing radiologists were blinded to the clinical details and the proportion of control and study subjects. The nine study athletes also underwent diagnostic ultrasound and ultrasound-guided injection of steroid and anaesthetic into the posteromedial capsular abnormality. Follow-up was by telephone interview. Posteromedial capsular thickening was seen only in athletes with posteromedial impingement (7/9). Posteromedial synovitis was present in all athletes with posteromedial impingement; however, posterior and posterolateral synovitis was also seen in these athletes. Mild posteromedial synovitis was present in two control athletes. Ultrasound identified abnormal posteromedial soft tissue thickening deep to tibialis posterior between the medial malleolus and talus in all nine athletes. After injection all athletes returned to their previous level of sport, with eight of the nine not experiencing any residual or recurrent symptoms. If MR imaging excludes significant coexistent abnormality, ultrasound can localise posteromedial soft tissue abnormality and guide injection therapy, allowing return to athletic activity without surgical intervention. (orig.)

  12. Detection of airborne Legionella while showering using liquid impingement and fluorescent in situ hybridization (FISH).

    Science.gov (United States)

    Deloge-Abarkan, Magali; Ha, Thi-Lan; Robine, Enric; Zmirou-Navier, Denis; Mathieu, Laurence

    2007-01-01

    Aerosols of water contaminated with Legionella bacteria constitute the only mode of exposure for humans. However, the prevention strategy against this pathogenic bacteria risk is managed through the survey of water contamination. No relationship linked the Legionella bacteria water concentration and their airborne abundance. Therefore, new approaches in the field of the metrological aspects of Legionella bioaerosols are required. This study was aimed at testing the main principles for bioaerosol collection (solid impaction, liquid impingement and filtration) and the in situ hybridization (FISH) method, both in laboratory and field assays, with the intention of applying such methodologies for airborne Legionella bacteria detection while showering. An aerosolization chamber was developed to generate controlled and reproducible L. pneumophila aerosols. This tool allowed the identification of the liquid impingement method as the most appropriate one for collecting airborne Legionella bacteria. The culturable fraction of airborne L. pneumophila recovered with the liquid impingement principle was 4 and 700 times higher compared to the impaction and filtration techniques, respectively. Moreover, the concentrations of airborne L. pneumophila in the impinger fluid were on average 7.0 x 10(5) FISH-cells m(-3) air with the fluorescent in situ hybridization (FISH) method versus 9.0 x 10(4) CFU m(-3) air with the culture method. These results, recorded under well-controlled conditions, were confirmed during the field experiments performed on aerosols generated by hot water showers in health institutions. This new approach may provide a more accurate characterization of aerobiocontamination by Legionella bacteria.

  13. Iliopsoas impingement after revision total hip arthroplasty treated with iliopsoas muscle transection.

    Science.gov (United States)

    Morohashi, Itaru; Homma, Yasuhiro; Kanda, Akio; Yamamoto, Yasuhiro; Obata, Hiroyuki; Mogami, Atsuhiko; Obayashi, Osamu; Kaneko, Kazuo

    2016-05-01

    Iliopsoas tendinitis after revision total hip arthroplasty (THA) is rare and its etiology and optimal treatment are still unclear. We report a case of iliopsoas impingement after revision THA with a Kerboull acetabular reinforcement device requiring two-level iliopsoas muscle transection. A 70-year-old woman presented to our hospital complaining of debilitating right groin pain after revision THA with a Kerboull reinforcement device. She had undergone multiple hip operations after experiencing a pelvic fracture in a motor vehicle accident. A lidocaine nerve block at the level of the Kerboull device resulted in temporary but marked reduction in pain and a diagnosis of psoas impingent. We performed surgery via an anterior approach to release the iliopsoas muscle from the lesser trochanter. After iliopsoas tenotomy was performed, the muscle was still under high tension because of dense adhesions. Repeat transection of the iliopsoas muscle at the level of the anterior branch of the Kerboull device resulted in loosening of the iliopsoas muscle and resolution of impingement. Postoperatively, the patient's groin pain completely disappeared, and she can now walk with a single cane and is satisfied with her result. Adhesions around the iliopsoas muscle likely contributed to the patient's groin pain. Open surgery to perform complete release of iliopsoas muscle impingement should be considered in patients with pain after revision THA. We reported a patient with Iliopsoas tendinitis after revision THA requiring two-level iliopsoas muscle transection.

  14. Impinging jet study of the deposition of colloidal particles on synthetic polymer (Zeonor)

    DEFF Research Database (Denmark)

    Vlček, Jakub; Lapčík, Lubomír; Cech, Jiri

    2014-01-01

    In this study, an impinging jet deposition experiments were performed on synthetic polymer (Zeonor) original and by micro-embossing modified substrates with exactly defined topology as confirmed by AFM and SEM. Deposition experiments were performed at ambient temperature and at selected flow regime...

  15. LES, RANS and combined simulation of impinging flows and heat transfer

    NARCIS (Netherlands)

    Hadziabdic, M.

    2006-01-01

    This thesis reports on a numerical study of a round, isothermal turbulent jet of incompressible fluid, impinging normally on a flat wall at a different temperature. The aim was to generate detailed information about the ime-dependent three-dimensional velocity and temperature field, and, based on

  16. Modeling of soft impingement effect during solid-state partitioning phase transformations in binary alloys

    NARCIS (Netherlands)

    Chen, H.; Van der Zwaag, S.

    2010-01-01

    The soft impingement effect at the later stage of partitioning phase transformations has been modeled both for the diffusion-controlled growth model and for the mixed-mode model. Instead of the linear and exponential approximations for the concentration gradient in front of the interface used in the

  17. Flow characteristics in free impinging jet reactor by particle image velocimetry (PIV) investigation

    Science.gov (United States)

    Zhang, Jun; Liu, Youzhi; Qi, Guisheng; Jiao, Weizhou; Yuan, Zhiguo

    2016-08-01

    The flow characteristics in free impinging jet reactors (FIJRs) were investigated using particle image velocimetry (PIV). The effects of the Reynolds number (Re) and the ratio of jet distance to jet diameter (w/d) on flow behavior were discussed for equal volumetric flow rates of the two jets. The impingement plane, instantaneous velocity, mean velocity, and turbulent kinetic energy (TKE) distribution of FIJRs are measured from captured images using the PIV technique. As Re increases, the average diameter of the impingement plane linearly increases. The instability of the liquid is closely related to the jet velocity or the Re. However, the stagnation point is insensitive to the variation of the Re. The droplets break up from the turbulent liquid in the ‘wall-free’ environment of FIJRs, so that the liquid back-flow found in confined impinging jet reactors (CIJRs) is not observed. Increasing the Re from 1800-4100 or decreasing the w/d from 20-6 plays a similar role in increasing the TKE values and intensifying turbulence, which promotes the momentum transfer and mixing efficiency in FIJRs.

  18. Short-Term Effectiveness of Precut Kinesiology Tape Versus an NSAID as Adjuvant Treatment to Exercise for Subacromial Impingement: A Randomized Controlled Trial.

    Science.gov (United States)

    Devereaux, Moira; Velanoski, Kinny Quan; Pennings, Amanda; Elmaraghy, Amr

    2016-01-01

    To compare the short-term effectiveness of precut kinesiology tape (PCT) to a nonsteroidal anti-inflammatory drug (NSAID) as adjuvant treatment to exercise physiotherapy in improving pain and function in patients with shoulder impingement. Randomized, controlled assessor-blind parallel-design trial with 3 groups. Academic-community hospital. One hundred patients (mean age: 48 ± 12.3, 61 men, 39 women) with a diagnosis of subacromial impingement (SAI) syndrome were randomized to a treatment group from October 2009 to June 2012. Eighty-one patients completed the study. Patients were randomized to one of the 3 treatment groups: PCT and Exercise (n = 33), NSAID and Exercise (n = 29), or Exercise only (n = 38) for a 4 session 2-week intervention with a registered physiotherapist. Numeric pain rating scales for pain at rest and pain with arm elevation, the Simple Shoulder Test (SST), and the Constant Score were assessed pretreatment and post-treatment. A statistically significant reduction in pain at rest and pain with arm elevation, as well as improvement in SST and Constant Score were observed in all 3 treatment groups, with minimal clinically important differences shown on pain with elevation and SST scores. Between-group differences on all outcome measures were not statistically significant or clinically meaningful. The improvements in pain and function observed with an NSAID or PCT as adjuvant treatments were no greater than with rehabilitation exercise alone. If adjuvant treatment is desired, PCT seems to be better tolerated than an NSAID, although the difference did not reach significance. The routine addition of adjuvant treatment is not supported by the results of this study. As adjuvant therapy, PCT seems to be better tolerated than an NSAID. If desired, clinicians may consider incorporating PCT along with an exercise component in the conservative treatment of SAI syndrome.

  19. Astrium Approach For Plume Flow And Impingement Of 10 N Bipropellant Thruster

    Science.gov (United States)

    Theroude, Christophe; Scremin, G.; Wartelski, Matias

    2011-05-01

    Plume impingement on spacecraft surfaces due to chemical propulsion is a major concern during satellite operations. Indeed, thrusters plume induces disturbing forces and torques, contamination as well as thermal fluxes on sensitive surfaces. These effects, that have to be accurately predicted, influence the satellite design: thrusters orientation, MLI design, instruments protections, etc. In order to implement an efficient process of analysis, Astrium uses a two steps approach: first the thruster undisturbed flow field is computed, then the impingement on spacecraft surfaces is evaluated. In this paper, Plumflow, the Astrium Satellites software for undisturbed thrusters’ plume computation, is presented. This software is made of several modules in order to accurately compute the flow field in the different parts of the plume. A first module computes the chemistry in the chamber, then Navier-Stokes equations are solved inside the nozzle where the flow is continuous. After that a DSMC code is used for the transitional regime near the thruster lip and finally an hybrid TPMC/source-flow method computes the free molecular far flow field. The studied case is the Astrium GmbH 10 N bipropellant thruster. Some comparisons are presented between Plumflow and Professor G.A. Bird DSMC software DS2V and with DLR experimental data. These comparisons have shown very satisfactory results. Finally, aiming at computing plume impingement, the plume flow field generated with Plumflow has been interfaced with Professor G.A. Bird 3D DSMC software DS3V. The plume impingement simulation is performed by introducing the undisturbed flow field at a boundary of DS3V computational domain. It allows us to evaluate thermal flux distribution due to Astrium 10 N thruster on a plate adjacent to the thruster and to compare with the Astrium plume impingement software.

  20. Ablation characteristics of special concrete due to an impinging zirconium-dioxide melt jet

    Energy Technology Data Exchange (ETDEWEB)

    An, S.M., E-mail: sangmoan@kaeri.re.kr; Ha, K.S.; Min, B.T.; Kim, H.Y.; Song, J.H.

    2015-04-01

    Highlights: • The jet impingement tests were performed for a special concrete of core-catcher. • The ablation rate and depth were measured 1.59 mm/s and 4.33 mm, respectively. • The experimental results were estimated well between the model prediction bounds. • The material ablation was described reasonably by a convective heat transfer model. - Abstract: Jet impingement experiments were performed to investigate the ablation characteristics of special concrete, which has been developed as one of the candidate protecting materials for the EU-APR1400 ex-vessel core catcher. In order to simulate the jet impingement phenomenon owing to the reactor vessel failure during a severe core meltdown accident, the experimental facility was established and the experimental conditions were determined based on parametric studies. The special concrete specimen was manufactured in accordance with the standard procedures, and its microstructures and physicochemical properties were analyzed to verify the requirements for the qualification. An induction melting technique in a cold crucible was employed to generate the zirconium-dioxide melt as a simulant of the corium melt. The special concrete was ablated uniformly over the impact area by jet impingement, and the average ablation depth was measured to be 4.33 mm. The average ablation rate in depth was evaluated as 1.59 mm/s using the temperature measurements of the specimen. As compared with the predictions by the models based on the convective and radiative heat transfer analysis, both the measured ablation rate and depth were estimated appropriately within the bounds of their limits. However, the convective heat transfer model turned out to predict the ablation characteristics of the special concrete more reasonably during the jet impingement even though some water content within the special concrete could lead to a sudden generation of the steam layer through which the material ablation is attenuated substantially by the

  1. Numerical Investigation on Jet Impingement Behaviors Affected by a Vertically Rotating Disk Suspended Close to the Surface

    Directory of Open Access Journals (Sweden)

    Liu Bo

    2014-01-01

    Full Text Available A simplified physical model is built up to study the swirl flow effect induced by a rotating disk on the jet impingement behaviors, which is adopted to simulate the grinding process. To solve the definition problem of the interface between a rotating disk and a stationary plate in the computational simulation, a tiny gap is set between the rotating disk and the stationary plate. The results show that the rotating disk suspended above the surface adds more complexity to the flow field of jet impingement on a stationary plate. The swirling flow around the rotating disk obstructs the impinging jet flow to penetrate into the interfacial contact zone and forces the wall jet across the rotating disk to flow along transverse directions. For the given jet impinging velocity and nozzle orientation, as the disk rotational speed increases, the effect of the rotating disk on the impinging jet flow behaves more significantly. The impinging jet with small inject velocity is difficult to penetrate through the interfacial contact zone to follow by the disk swirl flows. For smaller jet impinging distance or larger oblique angle, the flow recirculation away from the interfacial contact zone becomes stronger.

  2. Outdoor Performance Analysis of a Photovoltaic Thermal (PVT Collector with Jet Impingement and Compound Parabolic Concentrator (CPC

    Directory of Open Access Journals (Sweden)

    Ahed Hameed Jaaz

    2017-08-01

    Full Text Available This paper discusses the effect of jet impingement of water on a photovoltaic thermal (PVT collector and compound parabolic concentrators (CPC on electrical efficiency, thermal efficiency and power production of a PVT system. A prototype of a PVT solar water collector installed with a jet impingement and CPC has been designed, fabricated and experimentally investigated. The efficiency of the system can be improved by using jet impingement of water to decrease the temperature of the solar cells. The electrical efficiency and power output are directly correlated with the mass flow rate. The results show that electrical efficiency was improved by 7% when using CPC and jet impingement cooling in a PVT solar collector at 1:00 p.m. (solar irradiance of 1050 W/m2 and an ambient temperature of 33.5 °C. It can also be seen that the power output improved by 36% when using jet impingement cooling with CPC, and 20% without CPC in the photovoltaic (PV module at 1:30 p.m. The short-circuit current ISC of the PV module experienced an improvement of ~28% when using jet impingement cooling with CPC, and 11.7% without CPC. The output of the PV module was enhanced by 31% when using jet impingement cooling with CPC, and 16% without CPC.

  3. Outdoor Performance Analysis of a Photovoltaic Thermal (PVT) Collector with Jet Impingement and Compound Parabolic Concentrator (CPC)

    Science.gov (United States)

    Jaaz, Ahed Hameed; Hasan, Husam Abdulrasool; Sopian, Kamaruzzaman; Kadhum, Abdul Amir H.; Gaaz, Tayser Sumer

    2017-01-01

    This paper discusses the effect of jet impingement of water on a photovoltaic thermal (PVT) collector and compound parabolic concentrators (CPC) on electrical efficiency, thermal efficiency and power production of a PVT system. A prototype of a PVT solar water collector installed with a jet impingement and CPC has been designed, fabricated and experimentally investigated. The efficiency of the system can be improved by using jet impingement of water to decrease the temperature of the solar cells. The electrical efficiency and power output are directly correlated with the mass flow rate. The results show that electrical efficiency was improved by 7% when using CPC and jet impingement cooling in a PVT solar collector at 1:00 p.m. (solar irradiance of 1050 W/m2 and an ambient temperature of 33.5 °C). It can also be seen that the power output improved by 36% when using jet impingement cooling with CPC, and 20% without CPC in the photovoltaic (PV) module at 1:30 p.m. The short-circuit current ISC of the PV module experienced an improvement of ~28% when using jet impingement cooling with CPC, and 11.7% without CPC. The output of the PV module was enhanced by 31% when using jet impingement cooling with CPC, and 16% without CPC. PMID:28763048

  4. Physical Modelling of Axisymmetric Turbulent Impinging Jets as used within the Nuclear Industry for Mobilisation of Sludges

    Energy Technology Data Exchange (ETDEWEB)

    McKendrick, D.; Biggs, S.R.; Fairweather, M. [Institute of Particle Science and Engineering, University of Leeds, Leeds (United Kingdom); Rhodes, D. [Nexia Solutions, Sellafield, Seascale, Cumbria (United Kingdom)

    2008-07-01

    The impingement of a fluid jet onto a surface has broad applications across many industries. Within the UK nuclear industry, during the final stages of fuel reprocessing, impinging fluid jets are utilised to mobilise settled sludge material within storage tanks and ponds in preparation for transfer and ultimate immobilisation through vitrification. Despite the extensive applications of impinging jets within the nuclear and other industries, the study of two-phase, solid loaded, impinging jets is limited, and generally restricted to computational modelling. Surprisingly, very little fundamental understanding of the turbulence structure within such fluid flows through experimental investigation is found within the literature. The physical modelling of impinging jet systems could successfully serve to aid computer model validation, determine operating requirements, evaluate plant throughput requirements, optimise process operations and support design. Within this project a method is illustrated, capable of exploring the effects of process and material variables on flow phenomena of impinging jets. This is achieved via the use of non-intrusive measurement techniques Particle Image Velocimetry (PIV), Ultrasonic Doppler Velocity Profiler (UDVP) and high speed imaging. The turbulence structure for impinging jets, and their resultant radial wall jets, is presented at different jet-to-plate ratios, jet Reynolds numbers and jet outlet diameters. (authors)

  5. Outdoor Performance Analysis of a Photovoltaic Thermal (PVT) Collector with Jet Impingement and Compound Parabolic Concentrator (CPC).

    Science.gov (United States)

    Jaaz, Ahed Hameed; Hasan, Husam Abdulrasool; Sopian, Kamaruzzaman; Kadhum, Abdul Amir H; Gaaz, Tayser Sumer; Al-Amiery, Ahmed A

    2017-08-01

    This paper discusses the effect of jet impingement of water on a photovoltaic thermal (PVT) collector and compound parabolic concentrators (CPC) on electrical efficiency, thermal efficiency and power production of a PVT system. A prototype of a PVT solar water collector installed with a jet impingement and CPC has been designed, fabricated and experimentally investigated. The efficiency of the system can be improved by using jet impingement of water to decrease the temperature of the solar cells. The electrical efficiency and power output are directly correlated with the mass flow rate. The results show that electrical efficiency was improved by 7% when using CPC and jet impingement cooling in a PVT solar collector at 1:00 p.m. (solar irradiance of 1050 W/m² and an ambient temperature of 33.5 °C). It can also be seen that the power output improved by 36% when using jet impingement cooling with CPC, and 20% without CPC in the photovoltaic (PV) module at 1:30 p.m. The short-circuit current ISC of the PV module experienced an improvement of ~28% when using jet impingement cooling with CPC, and 11.7% without CPC. The output of the PV module was enhanced by 31% when using jet impingement cooling with CPC, and 16% without CPC.

  6. 膝前方撞击的关节镜下病因分析%Etiological analysis of anterior knee impingement under athroscopy

    Institute of Scientific and Technical Information of China (English)

    王英明; 徐斌; 徐洪港; 周亮; 钱三祥

    2011-01-01

    Aim To investigate the etiology of anterior knee impingement. Methods We reviewed 137 cases of arthroscopic surgery patients who suffered from either or both of knee extension limitation and anterior knee pain before operation from May 2007 to May 2008 ,121 cases ( accounting for 88. 3% of the total) of which were found of anterior knee impingement,including 68 male and 53 female and the mean age was 36. 5 years old ( rangine from 8 to 72 years old) . The reasons of anterior knee impingement were identified by arthroscopic examination. Results Arthroscopic findings were osteophytes formation in the femoral intercondylar notch or patella inferior pole or in the anterior marginal part of the tibial intercondylar eminence ,meniscus injury , anterior cruciate ligament( ACL) injury ,joint loose bodies , patellar tilt or subluxation . avulsion fracture in the tibial intercondylar eminence , plica syndrome , completed anterior cruciate ligament reconstruction ,intra-articular tumor, ACL ' s cyst. Conclusion Anterior knee impingement is a very important factor of knee extension limitation and anterior knee pain. The very common causes of anterior knee impingement are meniscus injury , anterior cruciate ligament injury or osteophytes formation.%目的 探讨膝关节前方撞击的病因机制.方法 2007年5月~2008年5月对137例该院收治伸膝受限、膝前痛患者行关节镜手术,其中121例患者关节(占88.3%)存在撞击,对此进行回顾性分析.结果 撞击病因有:膝关节退变性骨赘形成41例(包括髌骨下极骨赘、胫骨髁间嵴骨赘、髁间窝骨赘,ACL胫骨止点前缘骨赘等),半月板损伤 30 例,前交叉韧带(ACL)断裂26例,关节游离体22例,髌骨外侧倾斜12例、髌骨半脱位2例,胫骨髁间嵴撕脱性骨折9例,滑膜皱襞综合征6例,ACL重建术后5例,关节内肿瘤4例,ACL囊肿3例.结论 膝前方撞击是导致膝前痛及伸直受限的重要因素之一.造成撞击的较常见原因为半月

  7. Relationship between calcifying tendinitis and subacromial impingement: a prospective radiography and magnetic resonance imaging study.

    Science.gov (United States)

    Loew, M; Sabo, D; Wehrle, M; Mau, H

    1996-01-01

    In a prospective study radiographs and magnetic resonance images of 75 patients with calcifying tendinitis of the rotator cuff were analyzed. The aim was to evaluate any relation between calcifying tendinitis and subacromial impingement. A total of 83% of the calcifications were located in the supraspinatus or the adjoining part of the subscapularis tendon. On T1-weighted images they could be demonstrated with high accuracy as areas of decreased signal intensity. A magnetic resonance imaging categorization of the calcium deposits was carried out by means of a differentiation of form, outline, and density. A partial rotator cuff tear was found in one shoulder; in 11% variable aspects of degenerative alteration of the affected tendon were seen. By analysis of the radiographic outlet view 16% of the cases had a type III acromion. In conclusion, little correlation exists between calcifying tendinitis and additional findings associated with subacromial impingement.

  8. Computational flow and heat transfer of a row of circular jets impinging on a concave surface

    Energy Technology Data Exchange (ETDEWEB)

    Kumar, B.V.N.R.; Prasad, B.V.S.S.S. [Indian Institute of Technology Madras, Thermal Turbomachines Lab, Chennai (India)

    2008-04-15

    A computational investigation is carried out to study the flow and heat transfer from a row of circular jets impinging on a concave surface. The computational domain simulates the impingement cooling zone of a gas turbine nozzle guide vane. The parameters, which are varied in the study include jet Reynolds number (Re{sub d} = 5000-67800), inter-jet distance to jet diameter ratio (c/d = 3.33 and 4.67) and target plate distance to jet diameter ratio (H/d = 1, 3 and 4). The flow field, predicted with K-{omega} turbulence model and using Fluent 6.2.16, is characterized with the presence of a pair of counter rotating vortices, an upwash fountain flow and entrainment. The local pressure coefficient and Nusselt number variations along the concave plate are presented and these values are found to under predict the available experimental data by about 12%. (orig.)

  9. Experimental investigation of impingement heat transfer from a round rib-roughened surface

    Science.gov (United States)

    Isman, Mustafa Kemal; Can, Muhiddin

    2017-04-01

    An experimental investigation on impingement heat transfer from a rib-roughened surface is performed. Single, double, and triple rib configurations are tested. The rib is also located at three different positions for a single rib case. The Reynolds number is varied from 10,000 to 50,000 whereas the dimensionless jet-to-surface distance (z/D) is kept constant as 8. Results show that, the Nusselt number decreases just before a rib. After the rib, however, the Nusselt number decreases by a larger amount. Since ribs cause a reincreasing in the Nusselt number after the stagnation point and since the stagnation point Nusselt number is not affected by ribs, they can be used to enhance heat transfer especially for spot cooling applications. It is also obtained that using ribs is more useful for low speed impinging jets, when heat transfer from the whole surface is considered.

  10. Laser-Induced Fluorescence Velocity Measurements in Supersonic Underexpanded Impinging Jets

    Science.gov (United States)

    Inman, Jennifer A.; Danehy, Paul M.; Barthel, Brett; Alderfer, David W.; Novak, Robert J.

    2010-01-01

    We report on an application of nitric oxide (NO) flow-tagging velocimetry to impinging underexpanded jet flows issuing from a Mach 2.6 nozzle. The technique reported herein utilizes a single laser, single camera system to obtain planar maps of the streamwise component of velocity. Whereas typical applications of this technique involve comparing two images acquired at different time delays, this application uses a single image and time delay. The technique extracts velocity by assuming that particular regions outside the jet flowfield have negligible velocity and may therefore serve as a stationary reference against which to measure motion of the jet flowfield. By taking the average of measurements made in 100 single-shot images for each flow condition, streamwise velocities of between -200 and +1,000 m/s with accuracies of between 15 and 50 m/s are reported within the jets. Velocity measurements are shown to explain otherwise seemingly anomalous impingement surface pressure measurements.

  11. LARGE-SCALE VORTICAL STRUCTURES PRODUCED BY AN IMPINGING DENSITY JET IN SHALLOW CROSSFLOW

    Institute of Scientific and Technical Information of China (English)

    2006-01-01

    The large-scale vortical structures produced by an impinging density jet in shallow crossflow were numerically investigated in detail using RNG turbulence model.The scales, formation mechanism and evolution feature of the upstream wall vortex in relation to stagnation point and the Scarf vortex in near field were analyzed. The computed characteristic scales of the upstream vortex show distinguished three-dimensionality and vary with the velocity ratio and the water depth. The Scarf vortex in the near field plays an important role in the lateral concentration distributions of the impinging jet in crossflow. When the velocity ratio is relatively small, there exists a distinct lateral high concentration aggregation zone at the lateral edge between the bottom layer wall jet and the ambient crossflow, which is dominated by the Scarf vortex in the near field.

  12. Impingement capability of high-pressure submerged water jet:Numerical prediction and experimental verification

    Institute of Scientific and Technical Information of China (English)

    刘海霞; 邵启明; 康灿; 龚辰

    2015-01-01

    At jet pressures ranging from 80 to 120 MPa, submerged water jets are investigated by numerical simulation and experiment. Numerical simulation enables a systematic analysis of major flow parameters such as jet velocity, turbulent kinetic energy as well as void fraction of cavitation. Experiments facilitate an objective assessment of surface morphology, micro hardness and surface roughness of the impinged samples. A comparison is implemented between submerged and non-submerged water jets. The results show that submerged water jet is characterized by low velocity magnitudes relative to non-submerged water jet at the same jet pressure. Shear effect serves as a key factor underlying the inception of cavitation in submerged water jet stream. Predicted annular shape of cavity zone is substantiated by local height distributions associated with experimentally obtained footprints. As jet pressure increases, joint contribution of jet kinetic energy and cavitation is demonstrated. While for non-submerged water jet, impingement force stems exclusively from flow velocity.

  13. Water Droplet Impingement on Simulated Glaze, Mixed, and Rime Ice Accretions

    Science.gov (United States)

    Papadakis, Michael; Rachman, Arief; Wong, See-Cheuk; Yeong, Hsiung-Wei; Hung, Kuohsing E.; Vu, Giao T.; Bidwell, Colin S.

    2007-01-01

    Water droplet impingement data were obtained at the NASA Glenn Icing Research Tunnel (IRT) for a 36-in. chord NACA 23012 airfoil with and without simulated ice using a dye-tracer method. The simulated ice shapes were defined with the NASA Glenn LEWICE 2.2 ice accretion program and including one rime, four mixed and five glaze ice shapes. The impingement experiments were performed with spray clouds having median volumetric diameters of 20, 52, 111, 154, and 236 micron. Comparisons to the experimental data were generated which showed good agreement for the rime and mixed shapes at lower drop sizes. For larger drops sizes LEWICE 2.2 over predicted the collection efficiencies due to droplet splashing effects which were not modeled in the program. Also for the more complex glaze ice shapes interpolation errors resulted in the over prediction of collection efficiencies in cove or shadow regions of ice shapes.

  14. Standard test method for conducting erosion tests by solid particle impingement using gas jets

    CERN Document Server

    American Society for Testing and Materials. Philadelphia

    2007-01-01

    1.1 This test method covers the determination of material loss by gas-entrained solid particle impingement erosion with jetnozzle type erosion equipment. This test method may be used in the laboratory to measure the solid particle erosion of different materials and has been used as a screening test for ranking solid particle erosion rates of materials in simulated service environments (1,2 ). Actual erosion service involves particle sizes, velocities, attack angles, environments, and so forth, that will vary over a wide range (3-5). Hence, any single laboratory test may not be sufficient to evaluate expected service performance. This test method describes one well characterized procedure for solid particle impingement erosion measurement for which interlaboratory test results are available. This standard does not purport to address all of the safety concerns, if any, associated with its use. It is the responsibility of the user of this standard to establish appropriate safety and health practices and determi...

  15. Influence of Wall Position on Flow Characteristics of an Impinging Jet

    Directory of Open Access Journals (Sweden)

    Pratik Tiwari,

    2014-03-01

    Full Text Available The study intends physical insight into heterogeneous phenomena of efflux from a small opening impinging on a surface. The work aims at understanding the role of wall location and orientation on flow characteristics of an impinging jet. Experiments were performed on an existing cascade tunnel with flow ejected at a velocity of 37 m/s from a small opening of (30 cm × 9 cm and corresponding flow features were analyzed. Results show that outside the core region, the flow experiences a monotonic reduction with increase in distance along streamline and radial direction. The orientation of wall is more efficient in bringing substantial change when placed closer to the exit (low velocity losses. The wall orientation primarily governs the chances of strong flow deflection or back flow losses. Wall placed far away from exit results in diminishing returns with a critical value beyond which the flow characteristics become insensitive of wall orientation.

  16. Review of fluid flow and convective heat transfer within rotating disk cavities with impinging jet

    CERN Document Server

    Harmand, Souad; Poncet, Sébastien; Shevchuk, Igor V; 10.1016/j.ijthermalsci.2012.11.009

    2013-01-01

    Fluid flow and convective heat transfer in rotor-stator configurations, which are of great importance in different engineering applications, are treated in details in this review. The review focuses on convective heat transfer in predominantly outward air flow in the rotor-stator geometries with and without impinging jets and incorporates two main parts, namely, experimental/theoretical methodologies and geometries/results. Experimental methodologies include naphthalene sublimation techniques, steady state (thin layer) and transient (thermochromic liquid crystals) thermal measurements, thermocouples and infra-red cameras, hot-wire anemometry, laser Doppler and particle image velocimetry, laser plane and smoke generator. Theoretical approaches incorporate modern CFD computational tools (DNS, LES, RANS etc). Geometries and results part being mentioned starting from simple to complex elucidates cases of a free rotating disk, a single disk in the crossflow, single jets impinging onto stationary and rotating disk,...

  17. Dynamics of fine particles during impingement of jets on a body with a needle

    Science.gov (United States)

    Alkhimov*, A. P.; Bedarev, I. A.; Fedorov, A. V.

    2013-07-01

    Numerical simulation of the impingement of a jet of a two-phase mixture of a gas with submicron metal particles on an obstacle with a needle located in front of it is carried out. The structure of a separated flow formed on impingement of a supersonic jet on a body with a needle has been studied. A comparison of various approximations for the law of resistance of spherical particles is made. It is shown that particles whose size exceeds 5 μm practically have a rectilinear trajectory and velocity sufficient for cold gas-dynamical deposition, whereas particles of diameter less than 0.2 μm envelope the separation zone being formed near the needle, and their velocity is much smaller than the critical one.

  18. Numerical simulation on submerged gas jet scouring pit morphology in impingement water bath dust removers

    Institute of Scientific and Technical Information of China (English)

    GAO Huijie; WU Xuan; ZHAO Yuxiang; WU Wenfei; LI Baowei

    2014-01-01

    The VOF interface tracking method was adopted to simulate the two-dimensional submerged gas jet scouring pit morphology in an impingement water bath dust remover.The interaction of gas/liquid two-phase was obtained by force balance and momentum exchange.On the self-designed impingement water bath dust remover test bench,the submerged gas jet flushing with different gas velocities was simulated. The results show that,the gas inlet velocity is one of the main factors affecting the submerged gas jet scou-ring pit characteristics.The unique nature of gas/liquid two-phase determines their unique way of move-ment,thus affects the morphological character of the scouring pit in the expansion lag phase.Within the study range,the characteristic radius and impact depth of the scouring pit increases with the gas velocity, and so are their growth rates.

  19. Survey of fish impingement at power plants in the United States. Volume I. The Great Lakes

    Energy Technology Data Exchange (ETDEWEB)

    Sharma, Rajendra K.; Freeman, III, Richard F.

    1977-03-01

    Impingement of fish at cooling-water intakes of 20 power plants located on the Great Lakes has been surveyed and data are presented. Descriptions of site, plant, and intake design and operation are provided. Reports in this volume summarize impingement data for individual plants in tabular and histogram formats. Information was available from differing sources such as the utilities themselves, public documents, regulatory agencies, and others. Thus, the extent of detail in the reports varies greatly from plant to plant. Histogram preparation involved an extrapolation procedure that has inadequacies. The reader is cautioned in the use of information presented in this volume to determine intake-design acceptability or intensity of impacts on ecosystems. No conclusions are presented herein; data comparisons are made in Volume IV.

  20. Survey of fish impingement at power plants in the United States. Volume II. Inland waters

    Energy Technology Data Exchange (ETDEWEB)

    Freeman, III, Richard F.; Sharma, Rajendra K.

    1977-03-01

    Impingement of fish at cooling-water intakes of 33 power plants located on inland waters other than the Great Lakes has been surveyed and data are presented. Descriptions of site, plant, and intake design and operation are provided. Reports in this volume summarize impingement data for individual plants in tabular and histogram formats. Information was available from differing sources such as the utilities themselves, public documents, regulatory agencies, and others. Thus, the extent of detail in the reports varies greatly from plant to plant. Histogram preparation involved an extrapolation procedure that has inadequacies. The reader is cautioned in the use of information presented in this volume to determine intake-design acceptability or intensity of impacts on ecosystems. No conclusions are presented herein; data comparisons are made in Volume IV.

  1. On the slip number choice in computations of liquid droplet impinging on a hydrophilic surface

    CERN Document Server

    Ganesan, Sashikumaar

    2015-01-01

    A mesh-dependent relation for the slip number in the Navier-slip with friction boundary condition for computations of impinging droplets is proposed. The relation is obtained as a function of the Reynolds number, the Weber number and the mesh size. The proposed relation is validated for several test cases by comparing the numerically obtained wetting diameter with the experimental results. Further, the computationally obtained maximum wetting diameter using the proposed slip relation is verified with the theoretical predictions. The relative error between the computationally obtained maximum wetting diameter and the theoretical predictions is less than 10\\% for impinging droplet on a hydrophilic surface, and the error increases in the case of hydrophobic surface.

  2. Droplet impinging behavior on surfaces: Part II - Water on aluminium and cast iron surfaces

    Science.gov (United States)

    Sangavi, S.; Balaji, S.; Mithran, N.; Venkatesan, M.

    2016-09-01

    Droplet cooling of metal surfaces is an important area of research in industrial applications such as material quenching, nozzle spraying, etc. Fluids (water) act as an excellent agent in heat transfer to remove excess heat in various processes by convection and conduction. Such cooling process varies the material properties. The bubbles formed during droplet impinging on the surface act as heat sink and causes variation of height and spreading radius of the droplet with increase in temperature. In the present work, an experimental study of the droplet impinging behavior on Aluminium and Cast iron surfaces is reported. The water droplets are made to fall on the surface of the specimens from a specific height, which also influences the spreading radius. The effect of temperature on droplet height and droplet spreading radius is detailed.

  3. AN EXPERIMENTAL OBSERVATION OF A SOLITARY WAVE IMPINGEMENT, RUN-UP AND OVERTOPPING ON A SEAWALL

    Institute of Scientific and Technical Information of China (English)

    LIN Ting-Chieh; HWANG Kao-Shu; HSIAO Shih-Chun; YANG Ray-Yeng

    2012-01-01

    A sequence of laboratory experiments using solitary waves was performed to model the effect of leading form of three types of tsunamis (a bore,an impinging wave and an overtopping wave) on a seawall on a sloping beach.The wave evolution process,impinging pressure along the seawall surface,total overtopping discharge behind the seawall and the maximum run-up height on the rear slope were measured and compared.Laboratory data were employed to re-examine relevant empirical formulae in the literature.The effect of the presence of the seawall in reducing maximum run-up height using the present setup was briefly discussed.The present data can be used for calibrating numerical and mathematical models.

  4. Cryogenic Impinging Jets Subjected to High Frequency Transverse Acoustic Forcing in a High Pressure Environment

    Science.gov (United States)

    2016-07-27

    Forcing in a High Pressure Environment 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) Mario Roa, S. Alex Schumaker...disclose the work. PA Clearance Number: 16308 Clearance Date: 6/17/2016 13. SUPPLEMENTARY NOTES For presentation at AIAA Propulsion and Energy; Salt...the coupling between the impact waves created by impinging jets and high frequency acoustic pressure perturbations. High speed, backlit imaging was

  5. An experimental method for measuring droplet impingement efficiency on two- and three-dimensional bodies

    Science.gov (United States)

    Papadakis, M.; Zumwalt, G. W.; Kim, J. J.; Elangovan, R.; Freund, G. A., Jr.

    1986-01-01

    An efficient and accurate method is described for extracting water droplet impingement efficiency data from dye impregnated blotter paper samples obtained by employing a dye-tracer technique in wind tunnel spray tests. The method is based on laser reflectance spectroscopy. A brief description of the test method, instrumentation, and data reduction system is also presented. Preliminary test results and analyses are included for a cylinder and a 65(2)015 airfoil.

  6. Advanced Liquid Cooling for a Traction Drive Inverter Using Jet Impingement and Microfinned Enhanced Surfaces: Preprint

    Energy Technology Data Exchange (ETDEWEB)

    Waye, S. K.; Narumanchi, S.; Mihalic, M.; Moreno, G.; Bennion, K.; Jeffers, J.

    2014-08-01

    Jet impingement on plain and micro-finned enhanced surfaces was compared to a traditional channel flow configuration. The jets provide localized cooling to areas heated by the insulated-gate bipolar transistor and diode devices. Enhanced microfinned surfaces increase surface area and thermal performance. Using lighter materials and designing the fluid path to manage pressure losses increases overall performance while reducing weight, volume, and cost. Powering four diodes in the center power module of the inverter and computational fluid dynamics (CFD) modeling was used to characterize the baseline as well as jet-impingement-based heat exchangers. CFD modeling showed the thermal performance improvements should hold for a fully powered inverter. Increased thermal performance was observed for the jet-impingement configurations when tested at full inverter power (40 to 100 kW output power) on a dynamometer. The reliability of the jets and enhanced surfaces over time was also investigated. Experimentally, the junction-to- coolant thermal resistance was reduced by up to 12.5% for jet impingement on enhanced surfaces s compared to the baseline channel flow configuration. Base plate-to-coolant (convective) resistance was reduced by up to 37.0% for the jet-based configuration compared to the baseline, suggesting that while improvements to the cooling side reduce overall resistance, reducing the passive stack resistance may contribute to lowering overall junction-to-coolant resistance. Full inverter power testing showed reduced thermal resistance from the middle of the module baseplate to coolant of up to 16.5%. Between the improvement in thermal performance and pumping power, the coefficient of performance improved by up to 13% for the jet-based configuration.

  7. Zero Secular Torque on Asteroids from Impinging Solar Photons in the YORP Effect: A Simple Proof

    Science.gov (United States)

    Rubincam, David Perry; Paddack, Stephen J.

    2010-01-01

    YORP torques, where "YORP" stands for "Yarokovsky-O'Keefe-Radzievskii-Paddack." arise mainly from sun light reflected off a Solar System object and the infrared radiation emi tted by it. We show here, through the most elementary demonstration that we Can devise, that secular torques from impinging solar photons are generally negligible and thus cause little secular evolution of an asteroid's obliquity or spin rate.

  8. Assessment of analytical techniques for predicting solid propellant exhaust plumes and plume impingement environments

    Science.gov (United States)

    Tevepaugh, J. A.; Smith, S. D.; Penny, M. M.

    1977-01-01

    An analysis of experimental nozzle, exhaust plume, and exhaust plume impingement data is presented. The data were obtained for subscale solid propellant motors with propellant Al loadings of 2, 10 and 15% exhausting to simulated altitudes of 50,000, 100,000 and 112,000 ft. Analytical predictions were made using a fully coupled two-phase method of characteristics numerical solution and a technique for defining thermal and pressure environments experienced by bodies immersed in two-phase exhaust plumes.

  9. The Effect of Reaction Control System Thruster Plume Impingement on Orion Service Module Solar Array Power Production

    Science.gov (United States)

    Bury, Kristen M.; Kerslake, Thomas W.

    2008-01-01

    NASA's new Orion Crew Exploration Vehicle has geometry that orients the reaction control system (RCS) thrusters such that they can impinge upon the surface of Orion's solar array wings (SAW). Plume impingement can cause Paschen discharge, chemical contamination, thermal loading, erosion, and force loading on the SAW surface, especially when the SAWs are in a worst-case orientation (pointed 45 towards the aft end of the vehicle). Preliminary plume impingement assessment methods were needed to determine whether in-depth, timeconsuming calculations were required to assess power loss. Simple methods for assessing power loss as a result of these anomalies were developed to determine whether plume impingement induced power losses were below the assumed contamination loss budget of 2 percent. This paper details the methods that were developed and applies them to Orion's worst-case orientation.

  10. Biological evaluation of devices used for reducing entrainment and impingement losses at thermal power plants

    Energy Technology Data Exchange (ETDEWEB)

    Cada, G.F.; Szluha, A.T.

    1978-01-01

    A preliminary survey of fish protection devices either in use or proposed for water intake structures was conducted for the purpose of assessing their potential for reducing impingement and entrainment. All the designs examined can be divided into two basic categories: behavioral screening systems and physical screening systems. The behavioral screening devices rely upon the ability of fish to sense artificial stimuli and respond by swimming away from hazardous areas. These systems are of little or no value in protecting planktonic fish eggs, larvae, and disoriented, heat-shocked, or lethargic adult fishes. Many of the physical screening devices, on the other hand, require the impingement of organisms against a screen before they can be removed from the intake system, thus subjecting survival. Some of the designs incorporate both behavioral and physical sceening concepts. Six devices were selected for further consideration based on their potential or demonstrated effectiveness in reducing impingement and entrainment losses at a variety of intake situations. The structures evaluated were modified vertical traveling screens, louvers, angled vertical traveling screens, horizontal traveling screens, center-flow screens, and wedge-wire screens. Since some of these intake structures represent new concepts, few laboratory or in situ biological studies have been carried out. For others, actual reductions in fish losses have been demonstrated. The design features and status of biological testing is discussed for each device, and an evaluation of their fish protection potential is presented.

  11. Enhancement of Heat Transfer with Pool and Spray Impingement Boiling on Microporous and Nanowire Surface Coatings

    Energy Technology Data Exchange (ETDEWEB)

    Thiagarajan, S. J.; Wang, W.; Yang, R.; Narumanchi, S.; King, C.

    2010-09-01

    The DOE National Renewable Energy Laboratory (NREL) is leading a national effort to develop next-generation cooling technologies for hybrid vehicle electronics. The goal is to reduce the size, weight, and cost of power electronic modules that convert direct current from batteries to alternating current for the motor, and vice versa. Aggressive thermal management techniques help to increase power density and reduce weight and volume, while keeping chip temperatures within acceptable limits. The viability of aggressive cooling schemes such as spray and jet impingement in conjunction with enhanced surfaces is being explored. Here, we present results from a series of experiments with pool and spray boiling on enhanced surfaces, such as a microporous layer of copper and copper nanowires, using HFE-7100 as the working fluid. Spray impingement on the microporous coated surface showed an enhancement of 100%-300% in the heat transfer coefficient at a given wall superheat with respect to spray impingement on a plain surface under similar operating conditions. Critical heat flux also increased by 7%-20%, depending on flow rates.

  12. Reactive Impinging-Flow Technique for Polymer-Electrolyte-Fuel-Cell Electrode-Defect Detection

    Energy Technology Data Exchange (ETDEWEB)

    Zenyuk, Iryna V.; Englund, Nicholas; Bender, Guido; Weber, Adam Z.; Ulsh, Michael

    2016-11-15

    Reactive impinging flow (RIF) is a novel quality-control method for defect detection (i.e., reduction in Pt catalyst loading) in gas-diffusion electrodes (GDEs) on weblines. The technique uses infrared thermography to detect temperature of a nonflammable (<4% H2) reactive mixture of H2/O2 in N2 impinging and reacting on a Pt catalytic surface. In this paper, different GDE size defects (with catalyst-loading reductions of 25, 50, and 100%) are detected at various webline speeds (3.048 and 9.144 m min-1) and gas flowrates (32.5 or 50 standard L min-1). Furthermore, a model is developed and validated for the technique, and it is subsequently used to optimize operating conditions and explore the applicability of the technique to a range of defects. The model suggests that increased detection can be achieved by recting more of the impinging H2, which can be accomplished by placing blocking substrates on the top, bottom, or both of the GDE; placing a substrate on both results in a factor of four increase in the temperature differential, which is needed for smaller defect detection. Overall, the RIF technique is shown to be a promising route for in-line, high-speed, large-area detection of GDE defects on moving weblines.

  13. Effect of controlling parameters on heat transfer during spray impingement cooling of steel plate

    Directory of Open Access Journals (Sweden)

    Purna C. Mishra

    2013-09-01

    Full Text Available The heat transfer characteristics of air-water spray impingement cooling of stationary steel plate was experimentally investigated. Experiments were conducted on an electrically heated flat stationary steel plate of dimension 120 mm x 120 mm x 4 mm. The controlling parameters taken during the experiments were airwater pressures, water flow rate, nozzle tip to target distance and mass impingement density. The effects of the controlling parameters on the cooling rates were critically examined during spray impingement cooling. Air assisted DM water was used as the quenchant media in the work. The cooling rates were calculated from the time dependent temperature profiles were recorded by NI-cRIO DAS at the desired locations of the bottom surface of the plate embedded with K-type thermocouples. By using MS-EXCEL the effects of these cooling rate parameters were analysed The results obtained in the study confirmed the higher efficiency of the spray cooling system and the cooling strategy was found advantageous over the conventional cooling methods in the present steel industries

  14. PIV measurements of isothermal plane turbulent impinging jets at moderate Reynolds numbers

    Science.gov (United States)

    Khayrullina, A.; van Hooff, T.; Blocken, B.; van Heijst, G. J. F.

    2017-04-01

    This paper contains a detailed experimental analysis of an isothermal plane turbulent impinging jet (PTIJ) for two jet widths at moderate Reynolds numbers (7200-13,500) issued on a horizontal plane at fixed relative distances equal to 22.5 and 45 jet widths. The available literature on such flows is scarce. Previous studies on plane turbulent jets mainly focused on free jets, while most studies on impinging jets focused on the heat transfer between the jet and an impingement plane, disregarding jet development. The present study focuses on isothermal PTIJs at moderate Reynolds numbers characteristic of air curtains. Flow visualisations with fluorescent dye and 2D particle image velocimetry (PIV) measurements have been performed. A comparison is made with previous studies of isothermal free turbulent jets at moderate Reynolds numbers. Mean and instantaneous velocity and vorticity, turbulence intensity, and Reynolds shear stress are analysed. The jet issued from the nozzle with higher aspect ratio shows more intensive entrainment and a faster decay of the centreline velocity compared to the jet of lower aspect ratio for the same value of jet Reynolds number. The profiles of centreline and cross-jet velocity and turbulence intensity show that the PTIJs behave as a free plane turbulent jet until 70-75% of the total jet height. Alongside the information obtained on the jet dynamics, the data will be useful for the validation of numerical simulations.

  15. Heat transfer of impinging jet-array over convex-dimpled surface

    Energy Technology Data Exchange (ETDEWEB)

    Chang, Shyy Woei [Thermal Fluids Laboratory, National Kaohsiung Marine University, No. 142, Haijhuan Road, Nanzih District, Kaohsiung City 81143, Taiwan (China); Jan, Yih Jena; Chang, Shuen Fei [Department of Marine Engineering, National Kaohsiung Marine University, No. 142, Haijhuan Road, Nanzih District, Kaohsiung City 81143, Taiwan (China)

    2006-08-15

    A detailed heat transfer measurement over a convex-dimpled surface of impinging jet-array with three eccentricities (E/H) between jet-centre and dimple-centre is performed. These surface dimples considerably modify heat transfers from smooth-walled scenarios due to different impinging topologies for jet array with modified inter-jet reactions. Heat transfer variations caused by adjusting jet Reynolds number (Re) and separation distance (S/D{sub j}) over the ranges of 5000=impinging surface. (author)

  16. Numerical study of metal foam heat sinks under uniform impinging flow

    Science.gov (United States)

    Andreozzi, A.; Bianco, N.; Iasiello, M.; Naso, V.

    2017-01-01

    The ever-increasing demand for performance improvement and miniaturization of electronics has led to a significant generation of waste heat that must be dissipated to ensure a reliable device operation. The miniaturization of the components complicates this task. In fact, reducing the heat transfer area, at the same required heat rate, it is necessary to increase the heat flux, so that the materials operate in a temperature range suitable to its proper functioning. Traditional heat sinks are no longer capable of dissipating the generated heat and innovative approaches are needed to address the emerging thermal management challenges. Recently, heat transfer in open-cell metal foams under an impinging jet has received attention due to the considerable heat transfer potential of combining two cooling technologies: impinging jet and porous medium. This paper presents a numerical study on Finned Metal Foam (FMF) and Metal Foam (MF) heat sinks under impinging air jet cooling. The analysis is carried out by means of the commercial software COMSOL Multiphysics®. The purpose is to analyze the thermal performance of the metal foam heat sink, finned or not, varying its geometric parameters. Results are presented in terms of predicted dissipated heat rate, convective heat transfer coefficient and pressure losses.

  17. Orion Service Module Reaction Control System Plume Impingement Analysis Using PLIMP/RAMP2

    Science.gov (United States)

    Wang, Xiao-Yen; Lumpkin, Forrest E., III; Gati, Frank; Yuko, James R.; Motil, Brian J.

    2009-01-01

    The Orion Crew Exploration Vehicle Service Module Reaction Control System engine plume impingement was computed using the plume impingement program (PLIMP). PLIMP uses the plume solution from RAMP2, which is the refined version of the reacting and multiphase program (RAMP) code. The heating rate and pressure (force and moment) on surfaces or components of the Service Module were computed. The RAMP2 solution of the flow field inside the engine and the plume was compared with those computed using GASP, a computational fluid dynamics code, showing reasonable agreement. The computed heating rate and pressure using PLIMP were compared with the Reaction Control System plume model (RPM) solution and the plume impingement dynamics (PIDYN) solution. RPM uses the GASP-based plume solution, whereas PIDYN uses the SCARF plume solution. Three sets of the heating rate and pressure solutions agree well. Further thermal analysis on the avionic ring of the Service Module was performed using MSC Patran/Pthermal. The obtained temperature results showed that thermal protection is necessary because of significant heating from the plume.

  18. Spray-Wall Impingement of Diesel-CNG Dual Fuel Jet using Schlieren Imaging Technique

    Directory of Open Access Journals (Sweden)

    Ismael Mhadi Abaker

    2014-07-01

    Full Text Available Natural gas is a low cost fuel with high availability in nature. However, it cannot be used by itself in conventional diesel engines due to its low flame speed and high ignition temperature. The addition of a secondary fuel to enhance the mixture formation and combustion process facilitate its wider use as an alternative fuel. An experimental study was performed to investigate the diesel-CNG dual fuel jet-wall impingement. A constant volume optical chamber was designed to facilitate maximum optical access for the study of the jet-wall impingement at different injection pressures, temperatures and injector-wall distances. The bottom plate of the test rig was made of aluminum (piston material and it was heated up to 500 K at ambient pressure. An injector driver was used to control the single-hole nozzle diesel injector combined with a natural gas injector. The injection timing of both injectors was synchronized with a camera trigger. The jet-wall impingement of diesel and diesel-CNG dual fuel jets was recorded with a high speed camera using Schlieren imaging technique and associated image processing software. The measurements of the jet radial penetration were higher in diesel-CNG dual fuel while the jet height travel along were higher in the case of diesel single fuel.

  19. NUMERICAL SIMULATION OF THE FORMATION OF NANOPARTICLES IN AN IMPINGING TWIN-JET

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    The Large Eddy Simulation (LES) method has been used to solve the fluid momentum equations coupled with a convection-diffusion equation to study the formation of pollutant nanoparticles in a vehicular exhaust with impinging twin-jet. The functions of the space (S) between the two jets and the distance (H) from the exit of nozzle to the impingement plane are evaluated according to the distributions of pollutant nanoparticles. The results show that the nucleation produces a large number of nanoparticles, and gas-to-nanoparticle conversion mostly takes place in the interface region of the two jets, the circumambience of the jets, and region near the plane. The maximal particle size and maximal number concentration produced by both nucleation and coagulation appear around the region of free jet and the region near the plane, respectively. The significant differences for various spaces between the two jets are the number concentration and size distributions in the interface region of the two jets. For the case with larger space, more nanoparticles are produced by nucleation and coagulation. The more the distance from the exit of nozzle to the impingement plane, the lower is the number concentration and the fewer the particles distribute near the plane. Increasing the distance from nozzle to plane is beneficial to the reduction of nanoparticle formation.

  20. Experimental study of slot jet impingement heat transfer on a wedge-shaped surface

    Science.gov (United States)

    Rahimi, Mostafa; Irani, Mohammad

    2012-12-01

    An experimental investigation was conducted to study the convective heat transfer rate from a wedge-shaped surface to a rectangular subsonic air jet impinging onto the apex of the wedge. The jet Reynolds number, nozzle-to-surface distance and the wedge angle were considered as the main parameters. Jet Reynolds number was ranged from 5,000 to 20,000 and two dimensionless nozzle-to-surface distances h/w = 4 and 10 were examined. The apex angle of the wedge ranged from 30° to 180° where the latter case corresponds with that of a flat surface. Velocity profile and turbulence intensity were provided for free jet flow using hot wire anemometer. Local and average Nusselt numbers on the impinged surface are presented for all the configurations. Based on the results presented, the local Nusselt number at the stagnation region increases as the wedge angle is decreased but, it then decreases over the remaining area of the impinged surface. Average Nusselt number over the whole surface is maximum when the wedge angle is 180° (i.e. plane surface) for any jet and nozzle-to-surface configuration.

  1. Obturator nerve impingement as a severe late complication of bilateral triple pelvic osteotomy.

    Science.gov (United States)

    Tong, K; Hayashi, K

    2012-01-01

    A four-year-old female spayed Labrador Retriever, which had undergone bilateral triple pelvic osteotomy (TPO) at the age of eight months, was presented with severe progressive shifting pelvic limb lameness for a duration of three months prior to presentation. The dog had multiple episodes of showing signs of excruciating pain, as well as an inability to rise or ambulate, inappetance, and lethargy. Orthopaedic examination revealed severe bilateral pelvic limb muscular atrophy, and signs of severe pain on abduction of the pelvic limbs, on rectal palpation ventrally, and on palpation of the region of the iliopsoas and pectineus muscles bilaterally. Surgery was indicated to explore the region and to release the pectineus and iliopsoas muscles. During surgery, callus tissue and the free section of pubic bone were found to be impinging on the obturator nerve at the previous TPO pubic osteotomy site bilaterally. On both sides, a 1 to 2 cm segment of pubis and fibrous callus tissue were excised and the obturator nerves were freed from the impingement. Immediately after the surgery, the patient's stance and gait were dramatically improved. The dog could maintain a much broader based stance and make longer strides with the pelvic limbs. At the two month follow-up examination, there were not any signs of lameness noted. Obturator nerve impingement can be a serious potential complication of TPO and may manifest clinically as marked pelvic limb lameness years after surgery.

  2. Turbulent heat transfer for impinging jet flowing inside a cylindrical hot cavity

    Directory of Open Access Journals (Sweden)

    Halouane Yacine

    2015-01-01

    Full Text Available Convective heat transfer from an isothermal hot cylindrical cavity due to a turbulent round jet impingement is investigated numerically. Three-dimensional turbulent flow is considered in this work. The Reynolds stress second order turbulence model with wall standard treatment is used for the turbulence predictions the problem parameters are the jet exit Reynolds number, ranging from 2x104 to 105and the normalized impinging distance to the cavity bottom and the jet exit Lf, ranging from 4 to 35. The computed flow patterns and isotherms for various combinations of these parameters are analyzed in order to understand the effect of the cavity confinement on the heat transfer phenomena. The flow in the cavity is divided into three parts, the area of free jet, and the area of the jet interaction with the reverse flow and the semi-quiescent flow in the region of the cavity bottom. The distribution of the local and mean Nusselt numbers along the cavity walls for above combinations of the flow parameters are detailed. Results are compared against to corresponding cases for impinging jet on a plate for the case of the bottom wall. The analysis reveals that the average Nusselt number increases considerably with the jet exit Reynolds number. Finally, it was found that the average Nusselt number at the stagnation point could be correlated by a relationship in the form Nu=f(Lf,Re.

  3. Investigation of extraction fraction in confined impinging jet reactors for tri-butyl-phosphate extracting butyric acid process☆

    Institute of Scientific and Technical Information of China (English)

    Zhengming Gao; Manting Zhao; Yun Yu; Zhipeng Li; Jing Han

    2016-01-01

    The extraction fraction E and overall volumetric mass transfer coefficient kLa of TBP extracting butyric acid pro-cess in confined impinging jet reactors (CIJR) with two jets were investigated. The main variables tested were the concentration of tri-butyl-phosphate (TBP) and butyric acid, the impinging velocity V, the impinging velocity ratio of two phases Vorg/Vaq, the nozzle inner diameter di and the distance L between the jet axes and the top wall of the impinging chamber. The results showed that E and kLa increase with an increase of the impinging ve-locity V, the concentration of TBP Corg, and the impinging velocity ratio Vorg/Vaq. However, E and kLa decrease with an increase of the inner diameter di from 1 to 2 mm, the concentration of butyric acid Caq from 0.5%(v/v) to 2%(v/v). The factor L ranging from 3 to 11 mm has a negligible effect on E and kLa. A correlation on these variables and kLa was proposed based on the experimental data. These results indicated good mass transfer performance of CIJR in the extraction operation.

  4. Analysis of Impingement between Patella Bone and Bearing Post in Cruciate-Substituting High-Flexion Total Knee Arthroplasty.

    Science.gov (United States)

    Chon, Jegyun; Lee, Bongju; Shin, Sangyeop; Jang, Gunil; Jeon, Taehyeon

    2016-06-01

    We investigated the causes of impingement between the patella bone and the bearing post during high flexion in cruciate-substituting total knee arthroplasty and proposed a treatment strategy. This prospective cohort study included 218 cases that had undergone cruciate-substituting total knee arthroplasty from February 2014 to January 2015; a single surgeon performed the operation using the same method without patellar resurfacing in all patients. In these patients, the occurrence of impingement was determined by performing more than 120° high knee flexion after inserting a bearing perioperatively. The incidence of impingement was significantly associated with bearing design, femoral implant size, patella bone length, and patella inferior pole angle (p patella bone. In the cruciate-substituting high-flexion total knee arthroplasty, impingement between the patella bone and bearing post was more common in patients with mobile bearing, small-size femoral component, and a long patella or a large inferior pole angle. In cases of intraoperative impingement between the patella bone and the bearing post, resection in the lower portion of the patella prevented impingement of the bearing with soft tissue or the patella by widening the space between the patella and the bearing post, which in turn prevented postoperative reduction in range of motion.

  5. Dumping Syndrome

    Science.gov (United States)

    ... System & How it Works Digestive Diseases A-Z Dumping Syndrome What is dumping syndrome? Dumping syndrome occurs when food, especially sugar, ... the colon and rectum—and anus. What causes dumping syndrome? Dumping syndrome is caused by problems with ...

  6. Micrometer-sized water droplet impingement dynamics and evaporation on a flat dry surface.

    Science.gov (United States)

    Briones, Alejandro M; Ervin, Jamie S; Putnam, Shawn A; Byrd, Larry W; Gschwender, Lois

    2010-08-17

    A comprehensive numerical and experimental investigation on micrometer-sized water droplet impact dynamics and evaporation on an unheated, flat, dry surface is conducted from the standpoint of spray-cooling technology. The axisymmetric time-dependent governing equations of continuity, momentum, energy, and species are solved. Surface tension, wall adhesion effect, gravitational body force, contact line dynamics, and evaporation are accounted for in the governing equations. The explicit volume of fluid (VOF) model with dynamic meshing and variable-time stepping in serial and parallel processors is used to capture the time-dependent liquid-gas interface motion throughout the computational domain. The numerical model includes temperature- and species-dependent thermodynamic and transport properties. The contact line dynamics and the evaporation rate are predicted using Blake's and Schrage's molecular kinetic models, respectively. An extensive grid independence study was conducted. Droplet impingement and evaporation data are acquired with a standard dispensing/imaging system and high-speed photography. The numerical results are compared with measurements reported in the literature for millimeter-size droplets and with current microdroplet experiments in terms of instantaneous droplet shape and temporal spread (R/D(0) or R/R(E)), flatness ratio (H/D(0)), and height (H/H(E)) profiles, as well as temporal volume (inverted A) profile. The Weber numbers (We) for impinging droplets vary from 1.4 to 35.2 at nearly constant Ohnesorge number (Oh) of approximately 0.025-0.029. Both numerical and experimental results show that there is air bubble entrapment due to impingement. Numerical results indicate that Blake's formulation provides better results than the static (SCA) and dynamic contact angle (DCA) approach in terms of temporal evolution of R/D(0) and H/D(0) (especially at the initial stages of spreading) and equilibrium flatness ratio (H(E)/D(0)). Blake's contact line

  7. Imaging flow during impingement of differentially heated jets over a flat surface

    Energy Technology Data Exchange (ETDEWEB)

    Rathee, Yogender; Vinoth, B.R.; Panigrahi, P.K., E-mail: panig@iitk.ac.in; Muralidhar, K.

    2015-12-01

    Highlights: • We carried out experiments to model thermal striping phenomenon in LMFBR. • We examined temperature fluctuation in flow field using shadowgraphy. • We correlated the wall temperature fluctuations to flow fluctuations. • The PIV measurements showed a distinct recirculation zone for equal velocity jets. • Equal velocity jets show highest temperature fluctuations. - Abstract: The present study investigates thermal fluctuations occurring in the mixing region of two adjacent differentially heated water jets impinging on a horizontal stainless steel surface. The nozzle diameters of the individual jets are equal. The jets are immersed in a pool of water at the ambient temperature. The Reynolds number range considered in the experiments is 2.09 × 10{sup 3}–2.51 × 10{sup 4} for each jet, while the Richardson number is in the range of 9.58 × 10{sup −3}–1.38 × 10{sup −2}. Light intensity fluctuations in the interfacial region of the jets are imaged using the shadowgraph technique. Particle image velocimetry (PIV) has been carried out in a plane passing across the two jets. The effect of various flow rates near the nozzles and the impingement plate are visualized. Time-averaged and RMS temperature fluctuations on the exposed face of the impingement plate are measured using thermocouples. Spectra of light intensity fluctuations determined from the shadowgraph data are correlated with those in wall temperature. Light intensity spectra grow in amplitude in the flow direction, as additional jet instabilities set in. The spectra are broadband with distinct peaks, typical of high Reynolds number jets. Time-averaged and RMS wall temperature distribution are quite distinct from those of light intensity within the impinging jets. Consistent with a wall-jet behavior, the largest RMS wall temperature occurs near the stagnation point and decays away from it. The gradient in the time-averaged wall temperature is the highest for equal velocity jets and

  8. Characterization of an inline row impingement channel for turbine blade cooling applications

    Science.gov (United States)

    Ricklick, Mark A.

    Gas turbines have become an intricate part of today's society. Besides powering practically all 200,000+ passenger aircraft in use today, they are also a predominate form of power generation when coupled with a generator. The fact that they are highly efficient, and capable of large power to weight ratios, makes gas turbines an ideal solution for many power requirement issues faced today. Designers have even been able to develop small, 'micro' turbines capable of producing efficient portable power. Part of the turbine's success is the fact that their efficiency levels have continuously risen since their introduction in the early 1800's. Along with improvements in our understanding and designs of the aerodynamic components of the turbine, as well as improvements in the areas of material design and combustion control, advances in component cooling techniques have predominantly contributed to this success. This is the result of a simple thermodynamic concept; as the turbine inlet temperature is increased, the overall efficiency of the machine increases as well. Designers have exploited this fact to the extent that modern gas turbines produce rotor inlet temperatures beyond the melting point of the sophisticated materials used within them. This has only been possible through the use of sophisticated cooling techniques, particularly in the 1st stage vanes and blades. Some of the cooling techniques employed today have been internal cooling channels enhanced with various features, film and showerhead cooling, as well as internal impingement cooling scenarios. Impingement cooling has proven to be one of the most capable heat removal processes, and the combination of this cooling feature with that of channel flow, as is done in impingement channel cooling, creates a scenario that has understandably received a great deal of attention in recent years. This study has investigated several of the unpublished characteristics of these impingement channels, including the channel

  9. Cushing syndrome

    Science.gov (United States)

    Hypercortisolism; Cortisol excess; Glucocorticoid excess - Cushing syndrome ... The most common cause of Cushing syndrome is taking too much ... exogenous Cushing syndrome . Prednisone, dexamethasone, and ...

  10. Serotonin syndrome

    Science.gov (United States)

    Hyperserotonemia; Serotonergic syndrome; Serotonin toxicity; SSRI - serotonin syndrome; MAO - serotonin syndrome ... two medicines that affect the body's level of serotonin are taken together at the same time. The ...

  11. Navigation is Equal to Estimation by Eye and Palpation in Preventing Psoas Impingement in THA.

    Science.gov (United States)

    Weber, Markus; Woerner, Michael; Messmer, Benedikt; Grifka, Joachim; Renkawitz, Tobias

    2017-01-01

    Iliopsoas tendon impingement is one possible reason for persistent groin pain and diminished functional outcome after THA. So far, estimation by eye and palpation is the standard procedure to intraoperatively assess the distance of the cup to the anterior rim. However, novel technologies such as imageless navigation enable intraoperative measurements of the cup in relation to the psoas tendon and bony landmarks. We asked whether psoas impingement (1) can be reduced using imageless navigation compared with the standard technique and (2) is associated with specific patient characteristics. Furthermore, we investigated (3) if anterior cup protrusion (overhang) is associated with lower outcome scores for pain and function. The current study is a reanalysis of data from a randomized controlled trial evaluating navigation for THA; 135 patients were randomized for surgery with or without the use of imageless navigation. The risk for anterior protrusion of the cup above the acetabular rim and thus potential psoas impingement, defined as an overhang of the cup above the anterior acetabular rim as measured on postoperative CT, was either controlled with the help of navigation or standard control by eye and palpation intraoperatively. Postoperatively, the anterior protrusion of the cup above the acetabular rim was measured on three-dimensional (3-D) CT by a blinded, external institute. In addition to patient-related outcome measures, the Harris hip score, Hip disability and Osteoarthritis Outcome Score, and EuroQol were obtained 1 year postoperatively. Altogether 123 data sets were available for primary analysis and 115 were available for 1-year followup. There was no difference, with the numbers available, between the navigated and the control groups in terms of the mean distance of the cup below the anterosuperior acetabular rim (3.9 mm; -5.3 to 12.6 mm versus 4.4 mm; -7.9 to 13.7 mm; p = 0.72) or the anteroinferior acetabular rim (4.7 mm; -6.2 to 14.8 mm versus 4.2 mm; -7

  12. Multiple hereditary exostoses and ischiofemoral impingement: a case-control study

    Energy Technology Data Exchange (ETDEWEB)

    Yoong, Philip; Mansour, Ramy; Teh, James L. [Nuffield Orthopaedic Centre, Department of Radiology, Oxford (United Kingdom)

    2014-09-15

    To assess whether there is a significant difference in the ischiofemoral space in patients with multiple hereditary exostoses affecting the proximal femora compared to normal patients. Ischiofemoral impingement is an increasingly recognized cause of hip and buttock pain. This causes narrowing of the ischiofemoral space resulting in an abnormal quadratus femoris muscle. We performed a retrospective search for individuals with MHE with proximal femoral involvement on pelvic MRI over a 7-year period (2006-2013). Suitable patients were age- and sex-matched with a control group. The minimum ischiofemoral space (MIFS) was recorded in each hip, as was the presence of edema and atrophy of quadratus femoris and concomitant hip osteoarthrosis. MRI features suggestive of ischiofemoral impingement were defined as MIFS less than 10 mm or an abnormal quadratus femoris muscle. Twenty-one hips in 11 individuals with MHE were included in the study. A total of 42 hips were analyzed. The mean age was 37 years (range, 13-72 years) and 55 % were male. There was a significant difference (p < 0.05) in the MIHS in individuals with MHE (mean, 10.7 mm, range, 0-21 mm) compared to a control group (mean, 18.1 mm, range, 10.5-26.5 mm). MRI features suggestive of ischiofemoral impingement were seen in 13/21 (62 %) hips in the MHE group and 0/21 (0 %) in the control group. The reduced ischiofemoral space and associated quadratus femoris abnormalities in patients with MHE involving the proximal femora may account for hip/buttock symptoms in the absence of significant degenerative change. (orig.)

  13. Novel method for the measurement of liquid film thickness during fuel spray impingement on surfaces.

    Science.gov (United States)

    Henkel, S; Beyrau, F; Hardalupas, Y; Taylor, A M K P

    2016-02-01

    This paper describes the development and application of a novel optical technique for the measurement of liquid film thickness formed on surfaces during the impingement of automotive fuel sprays. The technique makes use of the change of the light scattering characteristics of a metal surface with known roughness, when liquid is deposited. Important advantages of the technique over previously established methods are the ability to measure the time-dependent spatial distribution of the liquid film without a need to add a fluorescent tracer to the liquid, while the measurement principle is not influenced by changes of the pressure and temperature of the liquid or the surrounding gas phase. Also, there is no need for non-fluorescing surrogate fuels. However, an in situ calibration of the dependence of signal intensity on liquid film thickness is required. The developed method can be applied to measure the time-dependent and two-dimensional distribution of the liquid fuel film thickness on the piston or the liner of gasoline direct injection (GDI) engines. The applicability of this technique was evaluated with impinging sprays of several linear alkanes and alcohols with different thermo-physical properties. The surface temperature of the impingement plate was controlled to simulate the range of piston surface temperatures inside a GDI engine. Two sets of liquid film thickness measurements were obtained. During the first set, the surface temperature of the plate was kept constant, while the spray of different fuels interacted with the surface. In the second set, the plate temperature was adjusted to match the boiling temperature of each fuel. In this way, the influence of the surface temperature on the liquid film created by the spray of different fuels and their evaporation characteristics could be demonstrated.

  14. EFFECT OF SCAPULAR STABILISATION EXERCISES FOR TYPE 2 SCAPULAR DYSKINESIS IN SUBJECTS WITH SHOULDER IMPINGEMENT

    Directory of Open Access Journals (Sweden)

    Pradeep Shankar

    2016-02-01

    Full Text Available Background: Abnormal altered scapular position during rest or motion have been termed as Scapular Dyskinesia. Scapula Dyskinesia Type-2 is one type of dyskinesia in which there is a visual prominence of entire medial border of scapula that occurs due to weakness of the serratus anterior and tightness of posterior shoulder joint capsule that results in reduction in glenohumeral flexion and abduction, resulting in decreased acromial elevation. This type of dyskinesia is commonly seen in Secondary impingement of shoulder. Rehabilitation generally begins and focused on axio-humeral and scapula- humeral than axio-scapular muscle. Early application of closed kinetic exercises on scapular stabilization and its effect of application on scapular dyskinesia type 2 is unknown. The study was proposed to find the effect of scapular stabilization exercise for type 2 Scapular Dyskinesia in subjects with shoulder impingement. Methods: An experimental study design, 7 male patients with mean age 37 years diagnosed with Shoulder impingement associated with Type 2 scapular dyskinesia were included in the study. The protocol includes closed kinematic chain exercises (scapula clock, Black burn exercises, Sleepers stretch, and thera band exercises aimed to balance force couple of upper, lower trapezius and serratus anterior. Duration of intervention was 3 sessions per week for 2 weeks. Outcome measurements such as Lateral scapular slide test and SPADI were measured pre and post interventions. Results: Analysis using Paired ‘t’ test as a parametric test found that there is statistically significant difference p<0.000 when pre to post interventions means were compared within the groups showing significant improvement in post SPADI and lateral scapular slide test. Conclusion: It is concluded that Scapula stabilization exercise protocol found to be effective in Scapular type-2 Dyskinesia.

  15. RESEARCH ON STABILITY OF LIQUID FILM ON HOT SOLID SURFACE IMPINGED BY SMALL DROPLETS

    Institute of Scientific and Technical Information of China (English)

    GUO Jia-hong; DAI Shi-qiang

    2007-01-01

    A heat and mass transfer model was proposed for the thin liquid film on the hot solid surface cooled by the impinging small droplets, with consideration of the effect of the droplet impact, surface tension, thermocapillary, evaporation/condensation, and van der Waals attraction. The nondimensional equation for predicting the evolution of the interface of the thin liquid film was derived in the presented model with the relevant boundary conditions. The stability of the thin liquid film impacted by cool small droplets is discussed.

  16. Experiments and Modeling of Impinging Jets and Premixed Hydrocarbon Stagnation Flames

    Science.gov (United States)

    2005-05-26

    coupling of the acoustic properties of the two jets could lead to oscillations and instabilities in the flames. Impinging-jet flames are found to be more...the Knudsen-Weber slip correction factor [see Eq. (A.10)], τS is the Stokes time, and σ = dup/dx ∼= duf /dx is the (local) velocity gradient [see...that act on a particle in a typical flow are ΣF = FPG + FFI + FUD + FG + FSD + FTP , (A.2) where FPG = ρf ρp mp duf dt (A.3) is the pressure-gradient

  17. Conformal mapping technique for two-dimensional porous media and jet impingement heat transfer

    Science.gov (United States)

    Siegel, R.

    1974-01-01

    Transpiration cooling and liquid metals both provide highly effective heat transfer. Using Darcy's law in porous media and the inviscid approximation for liquid metals, the local fluid velocity in these flows equals the gradient of a potential. The energy equation and flow region are simplified when transformed into potential plane coordinates. In these coordinates, the present problems are reduced to heat conduction solutions which are mapped into the physical geometry. Results are obtained for a porous region with simultaneously prescribed surface temperature and heat flux, heat transfer in a two-dimensional porous bed, and heat transfer for two liquid metal slot jets impinging on a heated plate.

  18. Rupture of thin liquid films induced by impinging air-jets.

    Science.gov (United States)

    Berendsen, Christian W J; Zeegers, Jos C H; Kruis, Geerit C F L; Riepen, Michel; Darhuber, Anton A

    2012-07-01

    Thin liquid films on partially wetting substrates are subjected to laminar axisymmetric air-jets impinging at normal incidence. We measured the time at which film rupture occurs and dewetting commences as a function of diameter and Reynolds number of the air-jet. We developed numerical models for the air flow as well as the height evolution of the thin liquid film. The experimental results were compared with numerical simulations based on the lubrication approximation and a phenomenological expression for the disjoining pressure. We achieved quantitative agreement for the rupture times. We found that the film thickness profiles were highly sensitive to the presence of minute quantities of surface-active contaminants.

  19. Heat transfer from impinging jets to a flat plate with conical and ring protuberances

    Science.gov (United States)

    Hrycak, P.

    1984-01-01

    An experimental investigation of heat transfer from round jets, impinging normally on a flat plate with exchangeable, heat transfer enhancing protuberances, has been carried out, and the pertinent literature surveyed, for Reynolds numbers ranging from 14,000 to 67,000, and nozzle diameters from 3.18 to 9.52 mm. The experimental data at the stagnation point indicated laminar flow, and a significant enhancement of heat transfer there, due to the introduction of the spike protuberance; the ring protuberance reduced the local heat flux somewhat. Data have also been correlated by means of dimensional analysis and compared with the conical flow theory.

  20. Mice produce ultrasonic vocalizations by intra-laryngeal planar impinging jets

    DEFF Research Database (Denmark)

    Mahrt, Elena; Agarwal, Anurag; Perkel, David

    2016-01-01

    and experimental evidence for an alternative and novel vocal production mechanism: a glottal jet impinging onto the laryngeal inner planar wall. Our data provide a framework for future research on the neuromuscular control of mouse vocal production and for interpreting mouse vocal behavior phenotypes.......Rodent ultrasonic vocalizations (USVs) are a vital tool for linking gene mutations to behavior in mouse models of communication disorders, such as autism [1]. However, we currently lack an understanding of how physiological and physical mechanisms combine to generate acoustic features...

  1. Experimental investigation of influence of Reynolds number on synthetic jet vortex rings impinging onto a solid wall

    Science.gov (United States)

    Xu, Yang; He, GuoSheng; Kulkarni, Varun; Wang, JinJun

    2017-01-01

    Time-resolved particle image velocimetry was employed to study the effect of Reynolds number ( Re sj) on synthetic jet vortex rings impinging onto a solid wall. Four Reynolds numbers ranging from 166 to 664 were investigated for comparison while other parameters were kept constant. It is found that the Reynolds number has a significant impact on the spatial evolution of near-wall vortical structures of the impinging synthetic jet. Velocity triple decomposition reveals that periodic Reynolds shear stresses produced by both impinging and secondary vortex rings agree well with a four-quadrant-type distribution rule, and the random velocity fluctuations are strengthened as Re sj increases. For radial wall jet, radial velocity profiles exhibit a self-similar behavior for all Re sj, and this self-similar profile gradually deviates from the laminar solution as Re sj is increased. In particular, the self-similar profile for low Re sj (166) coincides with the laminar solution indicating that periodic velocity fluctuations produced by vortex rings have little effect on the velocity profile of the laminar wall jet. This also provides evidence that the impinging synthetic jet is more effective in mixing than the continuous jet for the laminar flow. For the high Re sj, the mean skin friction coefficient has a slower decay rate after reaching peak, and the radial momentum flux has a higher value at locations far away from the impingement region, both of these can be attributed to the enhanced random fluctuations.

  2. Fluid dynamics and convective heat transfer in impinging jets through implementation of a high resolution liquid crystal technique

    Science.gov (United States)

    Kim, K.; Wiedner, B.; Camci, C.

    1993-01-01

    A combined convective heat transfer and fluid dynamics investigation in a turbulent round jet impinging on a flat surface is presented. The experimental study uses a high resolution liquid crystal technique for the determination of the convective heat transfer coefficients on the impingement plate. The heat transfer experiments are performed using a transient heat transfer method. The mean flow and the character of turbulent flow in the free jet is presented through five hole probe and hot wire measurements, respectively. The flow field character of the region near the impingement plate plays an important role in the amount of convective heat transfer. Detailed surveys obtained from five hole probe and hot wire measurements are provided. An extensive validation of the liquid crystal based heat transfer method against a conventional technique is also presented. After a complete documentation of the mean and turbulent flow field, the convective heat transfer coefficient distributions on the impingement plate are presented. The near wall of the impingement plate and the free jet region is treated separately. The current heat transfer distributions are compared to other studies available from the literature. The present paper contains complete sets of information on the three dimensional mean flow, turbulent velocity fluctuations, and convective heat transfer to the plate. The experiments also prove that the present nonintrusive heat transfer method is highly effective in obtaining high resolution heat transfer maps with a heat transfer coefficient uncertainty of 5.7 percent.

  3. Gardner Syndrome

    Science.gov (United States)

    ... Home > Types of Cancer > Gardner Syndrome Request Permissions Gardner Syndrome Approved by the Cancer.Net Editorial Board , 06/2014 What is Gardner syndrome? Gardner syndrome is a subtype of familial ...

  4. Erosion onset of a cohesionless granular medium by an immersed impinging round jet

    Science.gov (United States)

    Brunier-Coulin, Florian; Cuéllar, Pablo; Philippe, Pierre

    2017-03-01

    Among different devices developed quite recently to quantify the resistance to erosion of natural soil within the broader context of dyke safety, the most commonly used is probably the jet erosion test in which a scouring crater is induced by impingement of an immersed water jet. A comprehensive experimental investigation on the jet erosion in the specific situation of a cohesionless granular material is presented here. The tests were performed by combining special optical techniques allowing for an accurate measurement of the scouring onset and evolution inside an artificially translucent granular sample. The impinging jet hydrodynamics are also analyzed, empirically validating the use of a self-similar theoretical framework for the laminar round jet. The critical conditions at the onset of erosion appear to be best described by a dimensionless Shields number based on the inertial drag force created by the fluid flow on the eroded particles rather than on the pressure gradients around them. To conclude, a tentative empirical model for the maximal flow velocity initiating erosion at the bottom of the scoured crater is put forward and discussed in the light of some preliminary results.

  5. Detailed heat transfer measurements of impinging jet arrays issued from grooved surfaces

    Energy Technology Data Exchange (ETDEWEB)

    Su, Lo May; Chang, Shyy Woei [Department of Marine Engineering National Kaohsiung Institute of Marine Technology, Kaohsiung, Taiwan (China)

    2002-07-01

    Heat transfer augmentation of impinging jet-array with very small separation distances (S/D{sub j}<1) is attempted by using the grooved orifice plate through which the nozzles with different diameters are fitted. The combined effects of groove and nozzle-size distribution in an array have demonstrated considerable influences on heat transfers via their impacts on inter-jet reactions. With a specified coolant flow rate; the detailed heat transfer distributions over the impinging surfaces of three tested arrays are compared to reveal the optimal selections of separation distance and array configuration. Heat transfer modifications caused by varying jet Reynolds number (Re) and separation distance (S/D{sub j}) over the ranges of 1000{<=}Re{<=}4000 and 0.1{<=}S/D{sub j}{<=}8 are examined for each test array. In conformity with the experimentally revealed heat transfer physics, a regression-type analysis is performed to develop the correlations of spatially-averaged Nusselt numbers, which permit the individual and interactive effect of Re and S/D{sub j} to be evaluated. (authors)

  6. LARGE EDDY SIMULATION OF VERTICAL JET IMPINGEMENT WITH A FREE SURFACE

    Institute of Scientific and Technical Information of China (English)

    CHEN Yong-ping; LI Chi-wai; ZHANG Chang-kuang

    2006-01-01

    The flow characteristics of a 2D slot jet vertically impinging on free surfaces are numerically investigated by the Large Eddy Simulation (LES) with a dynamic Sub-Grid Scale (SGS) model. The σ-coordinate transformation is introduced to map the depth-variable physical domain to a depth-uniform computational domain. The split-operator scheme, which splits the solution procedure into advection, diffusion and pressure propagation steps, is employed to solve the instantaneous velocity and pressure field. A fully nonlinear Lagrange-Euler method is used to compute the free surface elevation. The numerical results show that the jet retains good self-similarity in the Zone of Eestablished Flow (ZEF), while the turbulence of jet shifts gradually from isotropic to anisotropic in the Zone of Surface Impingement (ZSI). When the jet approaches the free surface, the centerline velocity decreases rapidly and the flow is deflected by the free surface. Two symmetrical surface jets are formed in the Zone of Horizontal Jets (ZHJ). An approximate Guassian distribution of super-elevation is also formed on the free surface. The computed results are in good agreement with the available experimental data.

  7. Micromixing efficiency in a T-shaped confined impinging jet reactor☆

    Institute of Scientific and Technical Information of China (English)

    Zhengming Gao; Jing Han; Yuyun Bao; Zhipeng Li

    2015-01-01

    Confined impinging jet reactor (CIJR) offers advantages for chemical rapid processes and has become an important new reactor used in the chemical industry. The micromixing efficiency in a T-shaped CIJR for two tubes of inner diameter of 3 mm was studied by using a parallel competing iodide–iodate reaction as the working system. In this work, the effects of different operating conditions, such as impinging velocity and acid concentration, on segregation index were investigated. In addition, the effects of the inner nozzles diameter and the distance L between the jet axis and the top wal of the mixing chamber on the micromixing efficiency were also considered. It is concluded that the best range of L in this CIJR is 6.5–12.5 mm. Based on the incorporation model, the estimated minimum micromixing time tm of CIJR approximately equals to 2 × 10−4 s. These experimental results indicate clearly that CIJR possesses a much better micromixing performance compared with the conventional stirred tank (micromixing time of 2 × 10−3 to 2 × 10−2 s). Hence, it can be envisioned that CIJR has more promising applications in various industrial processes.

  8. Axisymmetric rotational stagnation-point flow impinging on a rotating disk

    Science.gov (United States)

    Weidman, Patrick

    2015-12-01

    Agrawal's (Q J Mech Appl Math, 10:42-44, 1957) stagnation-point flow problem is extended to flow impingement normal to a uniformly rotating disk. This is the analog of the extension of Homann's (Z Angew Math Mech (ZAMM), 16:153-164, 1936) stagnation flow when impinging on a rotating disk as reported by Hannah (Rep Mem Aerosp Res Coun Lond 2772, 1947). While both oncoming stagnation flows are axisymmetric, in the far field Homann's stagnation flow is irrotational while Agrawal's is rotational. A similarity reduction of the Navier-Stokes equations yields a pair of coupled ordinary differential equations governed by a dimensionless rotation rate σ. Integrations were carried out up to σ = 30 beyond which the equations become stiff and solution independence of integration length cannot be ensured. Results for the radial and azimuthal shear stresses are presented along with the strength of the flow induced into the boundary layer and the thickness of the azimuthal flow boundary layer. Analytic results found at σ = 0 are shown to be in excellent agreement with the numerical calculations. Sample velocity profiles for the radial and azimuthal flows are presented.

  9. Experimental study of curvature effects on jet impingement heat transfer on concave surfaces

    Directory of Open Access Journals (Sweden)

    Ying Zhou

    2017-04-01

    Full Text Available Experimental study of the local and average heat transfer characteristics of a single round jet impinging on the concave surfaces was conducted in this work to gain in-depth knowledge of the curvature effects. The experiments were conducted by employing a piccolo tube with one single jet hole over a wide range of parameters: jet Reynolds number from 27000 to 130000, relative nozzle to surface distance from 3.3 to 30, and relative surface curvature from 0.005 to 0.030. Experimental results indicate that the surface curvature has opposite effects on heat transfer characteristics. On one hand, an increase of relative nozzle to surface distance (increasing jet diameter in fact enhances the average heat transfer around the surface for the same curved surface. On the other hand, the average Nusselt number decreases as relative nozzle to surface distance increases for a fixed jet diameter. Finally, experimental data-based correlations of the average Nusselt number over the curved surface were obtained with consideration of surface curvature effect. This work contributes to a better understanding of the curvature effects on heat transfer of a round jet impingement on concave surfaces, which is of high importance to the design of the aircraft anti-icing system.

  10. Bilateral iliopsoas muscle contracture and spinous process impingement in a German Shepherd dog.

    Science.gov (United States)

    Ragetly, Guillaume R; Griffon, Dominique J; Johnson, Ann L; Blevins, William E; Valli, Victor E

    2009-12-01

    To report diagnosis and treatment of bilateral iliopsoas muscle contracture in a dog with spinous process impingement. Case report. German Shepherd dog. A dog with chronic progressive lameness, flexion contracture of the coxofemoral joints, severe pain, and decreased femoral reflexes had severe spondylosis bridging the vertebral bodies from L1 to L4 and enlarged dorsal spinous processes from T8 to L6 with impingement and bony proliferation. Ultrasonographic and magnetic resonance imaging (MRI) findings were consistent with fibrosis, mineralization, and atrophy of the iliopsoas muscles bilaterally which was treated by staged tenectomy of the insertions of the iliopsoas muscles. Because of severe perivascular fibrosis, the femoral vessels required ligation. Bilateral iliopsoas muscle tenectomy improved gait and provided pain relief. Histologic findings were consistent with fibrotic myopathy. Slow progression of severe clinical signs observed bilaterally in this dog differs from previous reports of iliopsoas myopathy. Findings were similar to the fibrotic myopathy of the gracilis or semitendinosus muscles described in dogs. Iliopsoas muscle abnormalities should be considered in dogs with limited hip extension and pain. MRI is useful for diagnosing muscle fibrosis. Iliopsoas tenectomy may improve clinical function in dogs with fibrotic myopathy.

  11. Jet Impingement Heat Transfer at High Reynolds Numbers and Large Density Variations

    DEFF Research Database (Denmark)

    Jensen, Michael Vincent; Walther, Jens Honore

    2010-01-01

    Jet impingement heat transfer from a round gas jet to a flat wall has been investigated numerically in a configuration with H/D=2, where H is the distance from the jet inlet to the wall and D is the jet diameter. The jet Reynolds number was 361000 and the density ratio across the wall boundary la...... density from the ideal gas law versus real gas data. In both cases the effect was found to be negligible.......Jet impingement heat transfer from a round gas jet to a flat wall has been investigated numerically in a configuration with H/D=2, where H is the distance from the jet inlet to the wall and D is the jet diameter. The jet Reynolds number was 361000 and the density ratio across the wall boundary....... The results also show a noticeable difference in the heat transfer predictions when applying different turbulence models. Furthermore calculations were performed to study the effect of applying temperature dependent thermophysical properties versus constant properties and the effect of calculating the gas...

  12. Numerical Investigation on Slot air Jet impingement Heat Transfer between Horizontal Concentric Circular Cylinders

    Directory of Open Access Journals (Sweden)

    Arash Azimi

    2015-04-01

    Full Text Available Numerical study has been carried out for slot air jet impingement cooling of horizontal concentric circular cylinders. The slot air jet is situated at the symmetry line of a horizontal cylinder along the gravity vector and impinges to the bottom of the outer cylinder which is designated as θ=0°. The outer cylinder is partially opened at the top with width of W=30mm and is kept at constant temperature T= 62°C. Inner cylinder which is a part of the slot jet structure is chosen to be insulated. The effects of jet Reynolds number in the range of 100≤ Rej ≤1000 and the ratio of spacing between nozzle and outer cylinder surface to the jet width for H=4.2 and H=12.5 on the local and average Nusselt numbers are examined. In the numerical study, FLUENT CFD package is used and validated by comparing the results with the experimental data at the same Reynolds number. It is observed that the maximum Nusselt number occurs at the stagnation point at (θ=0° and the local heat transfer coefficient decrease on the circumference of the cylinder with increase of θ as a result of thermal boundary layer thickness growth. Also results show that the local and average heat transfer coefficients are raised by increasing the jet Reynolds number and by decreasing the nozzle-to-surface spacing.

  13. A Study of Under-expanded Moist Air Jet Impinging on a Flat Plate

    Institute of Scientific and Technical Information of China (English)

    Yumiko OTOBE; Shigeru MATSUO; Masanori TANAKA; Hideo KASHIMURA; Heuy-Dong KIM; Toshiaki SETOGUCHI

    2005-01-01

    When a gas expands through a convergent nozzle in which the ratio of the ambient to the stagnation pressures is higher than that of the critical one, the issuing jet from the nozzle is under-expanded. If a flat plate is placed normal to the jet at a certain distance from the nozzle, a detached shock wave is formed at a region between the nozzle exit and the plate. In general, supersonic moist air jet technologies with non-equilibrium condensation are very often applied to industrial manufacturing processes. In spite of the importance in major characteristics of the supersonic moist air jets impinging to a solid body, its qualitative characteristics are not known satisfactorily. In the present study, the effect of the non-equilibrium condensation on the under-expanded air jet impinging on a vertical flat plate is investigated numerically in the case with non-equilibrium condensation, frequency of oscillation for the flow field becomes larger than that without the non-equilibrium condensation, and amplitudes of static pressure become small compared with those of dry air. Furthermore, the numerical results are compared with experimental ones.

  14. Reactive impinging-flow technique for polymer-electrolyte-fuel-cell electrode-defect detection

    Science.gov (United States)

    Zenyuk, Iryna V.; Englund, Nicholas; Bender, Guido; Weber, Adam Z.; Ulsh, Michael

    2016-11-01

    Reactive impinging flow (RIF) is a novel quality-control method for defect detection (i.e., reduction in Pt catalyst loading) in gas-diffusion electrodes (GDEs) on weblines. The technique uses infrared thermography to detect temperature of a nonflammable (catalyst-loading reductions of 25, 50, and 100%) are detected at various webline speeds (3.048 and 9.144 m min-1) and gas flowrates (32.5 or 50 standard L min-1). Furthermore, a model is developed and validated for the technique, and it is subsequently used to optimize operating conditions and explore the applicability of the technique to a range of defects. The model suggests that increased detection can be achieved by recting more of the impinging H2, which can be accomplished by placing blocking substrates on the top, bottom, or both of the GDE; placing a substrate on both results in a factor of four increase in the temperature differential, which is needed for smaller defect detection. Overall, the RIF technique is shown to be a promising route for in-line, high-speed, large-area detection of GDE defects on moving weblines.

  15. Impingement drying for preparing dried apple pomace flour and its fortification in bakery and meat products.

    Science.gov (United States)

    Jung, Jooyeoun; Cavender, George; Zhao, Yanyun

    2015-09-01

    This study aimed to evaluate impingement drying (ID) as a rapid drying method to dry wet apple pomace (WAP) and to investigate the fortification of dried apple pomace flour (APF) or WAP in bakery and meat products. ID at ~110 °C reduced the moisture content of apple pomace from 80 % (wet basis) to 4.5 % within 3 h, compared with 24 h to 2.2 % using 40 °C forced-air drying and ~60 h to 2.3 % using freeze drying. Furthermore, ID enhanced the extractable phenolic compounds, allowing for a 58 % increase in total phenolic content (TPC) compared with wet pomace, a 110 % and 83 % higher than TPC in forced-air dried and freeze dried samples, respectively. The 15-20 % APF-fortified cookies were found to be ~44-59 % softer, ~30 % more chewy, and ~14 % moister than those of the control. WAP-fortified meat products had significantly higher dietary fiber content (0.7-1.8 % vs. 0.1-0.2 % in control) and radical scavenging activity than that of the control. These results suggest that impingement drying is a fast and effective method for preparing dried APF with highly retained bioactive compounds, and apple pomace fortified products maintained or even had improved quality.

  16. Secondary Subacromial Impingement after Valgus Closing-Wedge Osteotomy for Proximal Humerus Varus

    Directory of Open Access Journals (Sweden)

    Hirotaka Sano

    2015-01-01

    Full Text Available A 31-year-old construction worker had been suffering from both the motion pain and the restriction of elevation in his right shoulder due to severe varus deformity of humeral neck, which occurred after proximal humeral fracture. The angle for shoulder flexion and abduction was restricted to 50 and 80 degrees, respectively. Valgus closing-wedge osteotomy followed by the internal fixation using a locking plate was carried out at 12 months after injury. Postoperatively, the head-shaft angle of the humerus improved from 65 to 138 degrees. Active flexion and abduction angles improved from 80 to 135 degrees and from 50 to 135 degrees, respectively. However, the patient complained from a sharp pain with a clicking sound during shoulder abduction even after removal of the locking plate. Since subacromial steroid injection temporarily relieved his shoulder pain, we assumed that the secondary subacromial impingement was provoked after osteotomy. Thus, arthroscopic subacromial decompression was carried out at 27 months after the initial operation, which finally relieved his symptoms. In the valgus closing-wedge osteotomy, surgeons should pay attention to the condition of subacromial space to avoid causing the secondary subacromial impingement.

  17. Large and Small Droplet Impingement Data on Airfoils and Two Simulated Ice Shapes

    Science.gov (United States)

    Papadakis, Michael; Wong, See-Cheuk; Rachman, Arief; Hung, Kuohsing E.; Vu, Giao T.; Bidwell, Colin S.

    2007-01-01

    Water droplet impingement data were obtained at the NASA Glenn Icing Research Tunnel (IRT) for four wings and one wing with two simulated ice shapes. The wings tested include three 36-in. chord wings (MS(1)-317, GLC-305, and a NACA 652-415) and a 57-in. chord Twin Otter horizontal tail section. The simulated ice shapes were 22.5- and 45-min glaze ice shapes for the Twin Otter horizontal tail section generated using the LEWICE 2.2 ice accretion program. The impingement experiments were performed with spray clouds having median volumetric diameters of 11, 21, 79, 137, and 168 mm. Comparisons to the experimental data were generated which showed good agreement for the clean wings and ice shapes at lower drop sizes. For larger drop sizes LEWICE 2.2 over predicted the collection efficiencies due to droplet splashing effects which were not modeled in the program. Also for the more complex glaze ice shapes interpolation errors resulted in the over prediction of collection efficiencies in cove and shadow regions of ice shapes.

  18. Modelling the Evaporation Rate in an Impingement Jet Dryer with Multiple Nozzles

    Directory of Open Access Journals (Sweden)

    Anna-Lena Ljung

    2017-01-01

    Full Text Available Impinging jets are often used in industry to dry, cool, or heat items. In this work, a two-dimensional Computational Fluid Dynamics model is created to model an impingement jet dryer with a total of 9 pairs of nozzles that dries sheets of metal. Different methods to model the evaporation rate are studied, as well as the influence of recirculating the outlet air. For the studied conditions, the simulations show that the difference in evaporation rate between single- and two-component treatment of moist air is only around 5%, hence indicating that drying can be predicted with a simplified model where vapor is included as a nonreacting scalar. Furthermore, the humidity of the inlet air, as determined from the degree of recirculating outlet air, has a strong effect on the water evaporation rate. Results show that the metal sheet is dry at the exit if 85% of the air is recirculated, while approximately only 60% of the water has evaporated at a recirculation of 92,5%.

  19. Jet Impingement Heat Transfer at High Reynolds Numbers and Large Density Variations

    DEFF Research Database (Denmark)

    Jensen, Michael Vincent; Walther, Jens Honore

    2010-01-01

    Jet impingement heat transfer from a round gas jet to a flat wall has been investigated numerically in a configuration with H/D=2, where H is the distance from the jet inlet to the wall and D is the jet diameter. The jet Reynolds number was 361000 and the density ratio across the wall boundary la...... density from the ideal gas law versus real gas data. In both cases the effect was found to be negligible........ The results also show a noticeable difference in the heat transfer predictions when applying different turbulence models. Furthermore calculations were performed to study the effect of applying temperature dependent thermophysical properties versus constant properties and the effect of calculating the gas......Jet impingement heat transfer from a round gas jet to a flat wall has been investigated numerically in a configuration with H/D=2, where H is the distance from the jet inlet to the wall and D is the jet diameter. The jet Reynolds number was 361000 and the density ratio across the wall boundary...

  20. Combustion stability characteristics of the model chamber with various configurations of triplet impinging-jet injectors

    Energy Technology Data Exchange (ETDEWEB)

    Sohn, Chae Hoon [Chosun University, Gwangju (Korea, Republic of); Seol, Woo Seok [Korea Aerospace Research Institute, Daejeon (Korea, Republic of); Shibanov, Alexander A. [Research Institute of Chemical Machine Building, Sergiev Posad (Russian Federation)

    2006-06-15

    Combustion stability characteristics in actual full-scale combustion chamber of a rocket engine are investigated by experimental tests with the model (sub-scale) chamber. The present hot-fire tests adopt the combustion chamber with three configurations of triplet impinging-jet injectors such as F-O-O-F, F-O-F, and O-F-O configurations. Combustion stability boundaries are obtained and presented by the parameters of combustion-chamber pressure and mixture (oxidizer/fuel) ratio. From the experimental tests, two instability regions are observed and the pressure oscillations have the similar patterns irrespective of injector configuration. But, the O-F-O injector configuration shows broader upper-instability region than the other configurations. To verify the instability mechanism for the lower and upper instability regions, air-purge acoustic test is conducted and the photograph of the flames is taken. As a result, it is found that the pressure oscillations in the two regions can be characterized by the first impinging point of hydraulic jets and pre-blowout combustion, respectively.

  1. Numerical Simulation of Jet Behavior and Impingement Characteristics of Preheating Shrouded Supersonic Jets

    Institute of Scientific and Technical Information of China (English)

    Guang-sheng WEI; Rong ZHU; Ting CHENG; Fei ZHAO

    2016-01-01

    As a novel supersonic j et technology,preheating shrouded supersonic j et was developed to deliver oxygen into molten bath efficiently and affordably.However,there has been limited research on the jet behavior and im-pingement characteristics of preheating shrouded supersonic j ets.Computational fluid dynamics (CFD)models were established to investigate the effects of main and shrouding gas temperatures on the characteristics of flow field and impingement of shrouded supersonic j et.The preheating shrouded supersonic j et behavior was simulated and meas-ured by numerical simulation and j et measurement experiment respectively.The influence of preheating shrouded su-personic j et on gas j et penetration and fluid flow in liquid bath was calculated by the CFD model which was validated against water model experiments.The results show that the uptrend of the potential core length of shrouded super-sonic j et would be accelerated with increasing the main and shrouding gas temperatures.Also,preheating supersonic j ets demonstrated significant advantages in penetrating and stirring the liquid bath.

  2. Large Eddy Simulation of a cooling impinging jet to a turbulent crossflow

    Science.gov (United States)

    Georgiou, Michail; Papalexandris, Miltiadis

    2015-11-01

    In this talk we report on Large Eddy Simulations of a cooling impinging jet to a turbulent channel flow. The impinging jet enters the turbulent stream in an oblique direction. This type of flow is relevant to the so-called ``Pressurized Thermal Shock'' phenomenon that can occur in pressurized water reactors. First we elaborate on issues related to the set-up of the simulations of the flow of interest such as, imposition of turbulent inflows, choice of subgrid-scale model and others. Also, the issue of the commutator error due to the anisotropy of the spatial cut-off filter induced by non-uniform grids is being discussed. In the second part of the talk we present results of our simulations. In particular, we focus on the high-shear and recirculation zones that are developed and on the characteristics of the temperature field. The budget for the mean kinetic energy of the resolved-scale turbulent velocity fluctuations is also discussed and analyzed. Financial support has been provided by Bel V, a subsidiary of the Federal Agency for Nuclear Control of Belgium.

  3. Influence of spray characteristics on heat flux in dual phase spray impingement cooling of

    Directory of Open Access Journals (Sweden)

    Santosh Kumar Nayak

    2016-09-01

    Full Text Available The effects of variation of spray characteristics (mass flux, inlet pressure, flow rate, nozzle tip to target distance and plate thickness on heat flux were systematically investigated. The round spray released from a full cone internally mix atomizing nozzle was impinged with a wide range of air and water pressures on stationary hot steel surface of definite dimension. The effect of each parameter was examined while keeping others nearly fixed. Four different plate thicknesses i.e., 4 mm, 6 mm, 8 mm and 10 mm were tested and effect of plate thickness on heat transfer was determined. Surface heat flux at each experimental condition was computed from the transient temperature history measured by K-type thermocouples embedded at bottom surface of the plate. The mass impingement density was measured by the help of a simple mechanical patternator. The maximum surface heat flux of 4895.525 kW/m2 was achieved at an inlet water pressure of 4 bar, air pressure of 3 bar and nozzle height of 120 mm for an initial temperature of 850 °C of the 4 mm steel plate.

  4. On the correspondence between flow structures and convective heat transfer augmentation for multiple jet impingement

    Science.gov (United States)

    Terzis, Alexandros

    2016-09-01

    The correspondence between local fluid flow structures and convective heat transfer is a fundamental aspect that is not yet fully understood for multiple jet impingement. Therefore, flow field and heat transfer experiments are separately performed investigating mutual-jet interactions exposed in a self-gained crossflow. The measurements are taken in two narrow impingement channels with different cross-sectional areas and a single exit design. Hence, a gradually increased crossflow momentum is developed from the spent air of the upstream jets. Particle image velocimetry (PIV) and liquid crystal thermography (LCT) are used in order to investigate the aerothermal characteristics of the channel with high spatial resolution. The PIV measurements are taken at planes normal to the target wall and along the centreline of the jets, providing quantitative flow visualisation of jet and crossflow interactions. Spatially resolved heat transfer coefficient distributions on the target plate are evaluated with transient techniques and a multi-layer of thermochromic liquid crystals. The results are analysed aiming to provide a better understanding about the impact of near-wall flow structures on the convective heat transfer augmentation for these complex flow phenomena.

  5. Numerical study of an impinging jet to a turbulent channel flow in a T-Junction configuration

    Science.gov (United States)

    Georgiou, Michail; Papalexandris, Miltiadis

    2016-11-01

    In this talk we report on Large Eddy Simulations of an impinging planar jet to a turbulent channel flow in a T-Junction configuration. Due to its capacity for mixing and heat transfer enhancement, this type of flow is encountered in various industrial applications. In particular, our work is related to the emergency cooling systems of pressurized water reactors. As is well known, this type of flow is dominated by a large separation bubble downstream the jet impingement location. Secondary regions of flow separation are predicted both upstream and downstream the impinging jet. We describe how these separation regions interact with the shear layer that is formed by the injection of the jet to the crossflow, and how they affect the mixing process. In our talk we further examine the influence of the jet's velocity to characteristic quantities of the jet, such as penetration length and expansion angle, as well as to the first and second-order statistics of the flow.

  6. Styloid syndrome: A review of literature

    Directory of Open Access Journals (Sweden)

    Petrović Branko

    2008-01-01

    Full Text Available The American otolaryngologist Eagle was the first to describe styloid syndrome in 1937. Stylohyoid complex is composed of styloid process, stylohyoid ligament and a lesser horn of the hyoid bone. Embriologicaly, these anatomical structures originate from Reichert's cartilage of the second brachial arch. In the general population, the frequency of the elongated styloid process is estimated to be 4%, of which only 4% show clinical manifestations suggesting that the incidence of styloid syndrome is 0.16% (about 16,000 persons in Serbia. The styloid process deviation causes external or internal carotid impingement and pains which radiate along the arterial trunk. Classical stylohyoid syndrome is found after tonsillectomy and is characterized by pharyngeal, cervical, facial pain and headache. Stylo-carotid syndrome is the consequence of the pericarotid sympathetic fibres irritation and compression on the carotid artery. Clinical manifestations are found most frequently after head turning and neck compression. The diagnostic golden standard for styloid syndrome is 3D CT reconstruction. Sagital CT angiography has a leading role in the radiological diagnosis of the stylo-carotid syndrome. Differential diagnosis requires the differentiation of the styloid syndrome from numerous cranio-facio-cervical painful syndromes. If conservative treatment (analgesics, anticonvulsants, antidepressants, and local infiltration with steroids or anaesthetic agents has no effect, surgical treatment is applied. Styloid syndrome is underrepresented in neurological literature. The syndrome is considered important, because it is clinically similar to many other painful cranio-facial syndromes; it is difficult to be recognized, and the patient should be treated adequately.

  7. A Quantitative Phase-Field Simulation of Soft-Impingement in Austenite to Ferrite Transformation with Mixed-Mode

    Science.gov (United States)

    Bhattacharya, Avisor; Upadhyay, C. S.; Sangal, S.

    2017-10-01

    The present work simulates the transformation of austenite to ferrite with mixed-mode in a simplified austenitic grain geometry. The quantitative phase-field model, developed on the basis of non-local equilibrium at the interface, simulates the transformation. The present work reveals that the soft-impingement takes place much earlier than has been so far considered. The accumulation of carbon in and around the meeting point of the diffusion layers is not continuous, and a detailed mechanism of soft-impingement is presented here. The growth of ferrite under mixed-mode of transformation is analyzed and found to be consistent with the theory.

  8. Simulation of Flow and Heat Transfer of Mist/Air Impinging Jet on Grinding Work-Piece

    OpenAIRE

    Fan Jiang; Han Wang; Yijun Wang; Jianhua Xiang

    2016-01-01

    The numerical investigation is presented for flow and heat transfer on grinding work-piece with mist/air impinging jet by using DPM (discrete phase model) model. The tracks of the mist droplets show most of them are accumulated on the right surface of grinding zone, and can be influenced by the rotating speed of the grinding wheel, the position and the number of the jet nozzle. The mechanism model of enhance cooling by mist/air impinging jet is developed, which indicated the mist droplet is a...

  9. Experimental investigation of impingement cooling with turbulators or surface enlarging elements

    Energy Technology Data Exchange (ETDEWEB)

    Persson, Johan

    2000-02-01

    For the materials in modern gas turbines to sustain, a considerable amount of cooling is required. In cases where large amounts of heat need to be removed, impingement cooling with its high heat transfer coefficients may be the only alternative. In this work the possibilities of enhancing impingement cooling by introducing surface enlarging - turbulence enhancing elements are examined experimentally. A configuration consisting of a staggered array of 45 impingement jets distributed over 10 rows is used for the purpose. A thermo camera is used to measure the temperature distribution on the target plate, giving an opportunity to separately evaluate the Nusselt number enhancement for different areas. Experiments are conducted for five different area enlarging geometries: triangle, wing, cylinder, dashed rib, and angel, all made from aluminium. Comparison between each area enlarged surface and a flat plate is made, with results presented as Nusselt number enhancement factors. The effect of pumping power required is also investigated in order to maximize the cooling efficiency. Parameters varied are Reynolds number and jet to plate distance. Overall Nusselt number enhancement factors show values of 1 to 1.3, the trend being decreasing with increased jet to plane distance and Reynolds number. When taking into account pumping power the enhancement factors drop to 0.4 to 1.2. The best results are achieved with the rib geometry and when not using a too large value of enlarger height over jet to plate distance (h/z). Row wise evaluation of Nusselt number enhancement shows an increased enhancement with row number and thereby crossflow ratio (Gc/Gj). Typical increases in enhancement of 1 to 1.5 with Gc/Gj from 0 to 0.8 are found. The thermo camera pictures reveal that the enhancement is found in three different areas, on the enlarger base area, the area just downstream the enlarger and in diagonal streaks with increased turbulence caused by the enlargers. Tests using an

  10. Results of labral-level arthroscopic iliopsoas tenotomies for the treatment of labral impingement.

    Science.gov (United States)

    Nelson, Ian R; Keene, James S

    2014-06-01

    To document the clinical results of arthroscopic iliopsoas tenotomies performed at the level of the labrum to treat labral injuries caused by iliopsoas impingement. From a review of the database of the senior author (J.S.K.) of 300 hip arthroscopies that were performed between September 2009 and May 2011, 30 patients who had an arthroscopic release of the iliopsoas tendon at the level of the labrum and at least 2 years' follow-up were identified. In all cases the release was performed to treat a tight psoas tendon that was found at arthroscopy to be impinging on a torn or inflamed labrum. The results of hip arthroscopy in these patients were assessed with Byrd's 100-point modified Harris Hip Score system before arthroscopy and at 3, 6, 12, and 24 months after surgery. The mean age of the 30 patients was 35 years, and their preoperative scores averaged 43 points. After surgery, the patients had 6-month scores that averaged 73 points and 12-month scores that averaged 84 points (range, 40 to 100 points). Over the first postoperative year, in 3 of the 5 patients whose preoperative ultrasound imaging showed snapping of the tendon, recurrent painful snapping developed in the hip. All 3 had iliopsoas bursa injections and had immediate relief of their hip pain. In 2 patients the relief was temporary and an arthroscopic release of the tendon at the lesser trochanter was performed. The 2-year scores of the remaining 28 patients who did not have a second iliopsoas tenotomy averaged 88 points, and 23 of these patients had good or excellent results (scores ≥80 points). An arthroscopic release of the iliopsoas tendon at the level of the labrum was effective for alleviating hip pain from labral lesions caused by impingement of the tendon in 23 of 30 patients (77%). The remaining 7 patients had persistent hip pain and hip scores lower than 80 points because of recurrent snapping of the tendon (3), development of avascular necrosis (1), progression of degenerative joint disease

  11. Effect of surface thickness on the wetting front velocity during jet impingement surface cooling

    Science.gov (United States)

    Agrawal, Chitranjan; Gotherwal, Deepesh; Singh, Chandradeep; Singh, Charan

    2017-02-01

    A hot stainless steel (SS-304) surface of 450 ± 10 °C initial temperature is cooled with a normally impinging round water jet. The experiments have been performed for the surface of different thickness e.g. 1, 2, 3 mm and jet Reynolds number in the range of Re = 26,500-48,000. The cooling performance of the hot test surface is evaluated on the basis of wetting front velocity. The wetting front velocity is determined for 10-40 mm downstream spatial locations away from the stagnation point. It has been observed that the wetting front velocity increase with the rise in jet flow rate, however, diminishes towards the downstream spatial location and with the rise in surface thickness. The proposed correlation for the dimensionless wetting front velocity predicts the experimental data well within the error band of ±30 %, whereas, 75 % of experimental data lies within the range of ±20 %.

  12. Conjugate Heat Transfer Study of Combined Impingement and Showerhead Film Cooling Near NGV Leading Edge

    Directory of Open Access Journals (Sweden)

    Dileep Chandran

    2015-01-01

    Full Text Available A computational and experimental study is carried out on the leading edge region of a typical gas turbine NGV, cooled by a combination of impingement and showerhead film cooling. A detailed flow and conjugate heat transfer study has revealed the complex flow structure owing to the coolant-mainstream interaction and the influence of vane material thermal conductivity. The local effectiveness values obtained by the computations agreed well with the experimental data from IR thermography. The effect of blowing ratio on the overall effectiveness is found to be strongly dependent on the vane material conductivity. The effect of blowing ratio is also found to be different towards the pressure and suction sides of the stagnation region. However, the overall effectiveness is found to decrease by about 12% and 6% for low and high conducting materials, respectively, with an increase in mainstream Reynolds number from Re=4.8×105 to 14.4×105.

  13. Modeling of Heat Transfer and Ablation of Refractory Material Due to Rocket Plume Impingement

    Science.gov (United States)

    Harris, Michael F.; Vu, Bruce T.

    2012-01-01

    CR Tech's Thermal Desktop-SINDA/FLUINT software was used in the thermal analysis of a flame deflector design for Launch Complex 39B at Kennedy Space Center, Florida. The analysis of the flame deflector takes into account heat transfer due to plume impingement from expected vehicles to be launched at KSC. The heat flux from the plume was computed using computational fluid dynamics provided by Ames Research Center in Moffet Field, California. The results from the CFD solutions were mapped onto a 3-D Thermal Desktop model of the flame deflector using the boundary condition mapping capabilities in Thermal Desktop. The ablation subroutine in SINDA/FLUINT was then used to model the ablation of the refractory material.

  14. Numerical analysis of jet impingement heat transfer at high jet Reynolds number and large temperature difference

    DEFF Research Database (Denmark)

    Jensen, Michael Vincent; Walther, Jens Honore

    2013-01-01

    was investigated at a jet Reynolds number of 1.66 × 105 and a temperature difference between jet inlet and wall of 1600 K. The focus was on the convective heat transfer contribution as thermal radiation was not included in the investigation. A considerable influence of the turbulence intensity at the jet inlet......Jet impingement heat transfer from a round gas jet to a flat wall was investigated numerically for a ratio of 2 between the jet inlet to wall distance and the jet inlet diameter. The influence of turbulence intensity at the jet inlet and choice of turbulence model on the wall heat transfer...... was observed in the stagnation region, where the wall heat flux increased by a factor of almost 3 when increasing the turbulence intensity from 1.5% to 10%. The choice of turbulence model also influenced the heat transfer predictions significantly, especially in the stagnation region, where differences of up...

  15. Soliton generation by internal tidal beams impinging on a pycnocline: laboratory experiments

    CERN Document Server

    Mercier, Matthieu J; Gostiaux, Louis; Gerkema, Theo; Magalhães, Jorge M; Da Silva, José C B; Dauxois, Thierry

    2015-01-01

    In this paper, we present the first laboratory experiments that show the generation of internal solitary waves by the impingement of a quasi-two-dimensional internal wave beam on a pycnocline. These experiments were inspired by observations of internal solitary waves in the deep ocean from synthetic aperture radar (SAR) imagery, where this so-called mechanism of 'local generation' was argued to be at work, here in the form of internal tidal beams hitting the thermocline. Nonlinear processes involved here are found to be of two kinds. First, we observe the generation of a mean flow and higher harmonics at the location where the principal beam reflects from the surface and pycnocline; their characteristics are examined using particle image velocimetry (PIV) measurements. Second, we observe internal solitary waves that appear in the pycnocline, detected with ultrasonic probes; they are further characterized by a bulge in the frequency spectrum, distinct from the higher harmonics. Finally, the relevance of our re...

  16. The Association of Femoral Neck Stress Fractures with Femoral Acetabular Impingement

    Science.gov (United States)

    Safran, Marc R.; Goldin, Michael; Anderson, Christian; Fredericson, Michael; Stevens, Kathryn J.

    2013-01-01

    Objectives: To determine if there is an increased incidence of femoral acetabular impingement (FAI) in patients presenting with stress fractures of the femoral neck. Methods: After IRB approval, the imaging studies of 25 athletes (22 females, 3 males, mean age 26, range 19 - 39 years) with femoral neck stress injuries were assessed for the presence of features suggesting FAI, including acetabular retroversion, coxa profunda, abnormal femoral head-neck junction, fibrocystic change, os acetabulae, labral tear and chondral injury. All subjects had to have an adequate AP Pelvis radiograph, a lateral radiograph of the affected hip, and an MRI of the affected hip. The alpha angle, anterior offset ratio, and center to edge (CE) angle were measured on radiographs. The grade of stress injury was determined on MR images. All images and measurements were made by a musculoskeletal fellowship trained radiologist, a fellowship trained orthopaedic surgeon, an orthopaedic sports medicine fellow and a physical medicine and rehabilitation resident. Charts were reviewed to determine treatment of the stress fracture, outcome and final follow up, as well as to determine if the patient had any further treatment for their hip. Results: Of the 25 hips (18 right, 7 left) with femoral neck stress reactions, 9 were grade 2 (bone marrow edema), 5 were grade 3 (high T2 and low T1 marrow signal), and 11 were grade 4 (stress fracture). Twenty patients (80%) had coxa profunda - where the floor of the cotyloid fossa touches or extends beyond the ilioischial line (incidence in general population is 15.2% of males, and 19.4% of females). Coxa profunda, defined by the floor of the cotyloid fossa touching or extending beyond the ilioischial line and a center edge angle of more than 35o, was present in 28% of subjects. Acetabular retroversion as assessed by the crossover sign was present in 42% (normal incidence is 5% of population). Center edge angle was greater than 35o in 20% and greater than 40 o

  17. NUMERICAL STUDY OF TURBULENT IMPINGING JET WITH A REFINED k-ε MODEL

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    A refined k-ε model re-considering the fluctuating pressure diffusion term in the dissipation rate equation (ε-equation) is provided and used in the numerical study of circular semi-confined turbulent impinging jet.The results are compared with those of the standard k-ε model and show that the predicting ability of the refined k-ε model is much improved, especially for the turbulent kinetic energy k.So it is necessary to consider the effect of the fluctuating pressure diffusion term and to model this term correctly and exactly in the near wall region with the great adverse pressure gradient, where the effect of the pressure fluctuating is important.Therefore we can conclude that the new modeling idea expressed in this paper is correct and effective.

  18. Modeling of the deformation of a liquid droplet impinging upon a flat surface

    Science.gov (United States)

    Fukai, J.; Zhao, Z.; Poulikakos, D.; Megaridis, C. M.; Miyatake, O.

    1993-11-01

    This article presents a theoretical study of the deformation of a spherical liquid droplet impinging upon a flat surface. The study accounts for the presence of surface tension during the spreading process. The theoretical model is solved numerically utilizing deforming finite elements and grid generation to simulate accurately the large deformations, as well as the domain nonuniformities characteristic of the spreading process. The results document the effects of impact velocity, droplet diameter, surface tension, and material properties on the fluid dynamics of the deforming droplet. Two liquids with markedly different thermophysical properties, water and liquid tin, are utilized in the numerical simulations because of their relevance in the industrial processes of spray cooling and spray deposition, respectively. The occurrence of droplet recoiling and mass accumulation around the splat periphery are standout features of the numerical simulations and yield a nonmonotonic dependence of the maximum splat radius on time.

  19. CFD analysis of rewetting vertical nuclear fuel rod by dispersed fluid jet impingement

    Directory of Open Access Journals (Sweden)

    Ajoy Debbarma

    2016-09-01

    Full Text Available Numerical analysis of cooling assessment in hot vertical fuel rod is carryout using ANSYS 14.0 – CFX Solver. Rewetting is the process of re-establishment of coolants with hot surfaces. Numerical validation exercise carried out with number of turbulence and shear stress turbulence model fairly predict the experimental data and used for further investigation. In the present paper, dispersed fluid is simulating with CFX solver to investigate the flow boiling process in emergency cooling of vertical fuel rod. When coolants come in contact on the hot surface this may not initiated the wetting patch. However, this paper introduces the unique jet impingement direction to remove the heat from the hot surface. In this report, the rewetting temperature and wetting delay also described during in progress of wetting front movement in hot vertical rod.

  20. Characterization of micro-mixing in a novel impinging streams reactor

    Institute of Scientific and Technical Information of China (English)

    Hui HU; Zhiming CHEN; Zhen JIAO

    2009-01-01

    This paper presents an experimental investiga-tion of a novel impinging stream reactor (ISR) with the aim of high mixing intensity. The integral mixing quality in the reactor was measured with the iodide-iodate reaction and showed excellent mixing performance. The impact of the operating parameters, such as fluxes, circulation and inter-nozzle distances, was investigated in terms of segregation index. The results showed that the increase of flux, the decrease of inter-nozzle distance and a suitable circulation can improve the micro-mixing efficiency. Based on turbulence theory, it was estimated that the characteristic micro-mixing time was 0.002-43.02 s, which was much shorter than that in the stirred tank reactor. The micro-mixing time was related to the segregation index, which was in good agreement with those in the literature.

  1. Investigation of laminar to turbulent transition phenomena effects on impingement heat transfer

    Science.gov (United States)

    Isman, Mustafa Kemal; Morris, Philip J.; Can, Muhiddin

    2016-10-01

    Turbulent impinging air flow is investigated numerically by using the ANSYS-CFX® code. All computations are performed by considering three-dimensional, steady, and incompressible flow. Three different Reynolds averaged Navier-Stokes (RANS) turbulence models and two Reynolds stress models (RSM's) are employed. Furthermore three different laminar to turbulent transition (LTT) models are employed with the shear stress transport (SST) and the baseline (BSL) models. Results show that predictions of the SST and two RSM's are very close each other and these models' results are in better agreement with the experimental data when all Reynolds numbers used in this study are considered. Secondary maxima in Nusselt number can be seen only if the LTT formula is employed with SST and BSL models.

  2. Numerical Study of Impingement Location of Liquid Jet Poured from a Tilting Ladle with Lip Spout

    Science.gov (United States)

    Castilla, R.; Gamez-Montero, P. J.; Raush, G.; Khamashta, M.; Codina, E.

    2017-04-01

    A new approach for simulating liquid poured from a tilting lip spout is presented, using neither a dynamic mesh nor the moving solid solution method. In this case only the tilting ladle is moving, so we propose to rotate the gravitational acceleration at an angular velocity prescribed by a geometrical and dynamical calculation to keep the poured flow rate constant. This angular velocity is applied to modify the orientation of the gravity vector in computational fluid dynamics (CFD) simulations using the OpenFOAM® toolbox. Also, fictitious forces are considered. The modified solver is used to calculate the impingement location for six spout geometries and compare the jet dispersion there. This method could offer an inexpensive tool to calculate optimal spout geometries to reduce sprue size in the metal casting industry.

  3. Desirability function based optimization of experimental data for air-water spray impingement cooling

    Directory of Open Access Journals (Sweden)

    Santosh Kumar Nayak

    2016-03-01

    Full Text Available The current research copes with the optimization of the surface heat transfer coefficients of a square mild steel test specimen by spray impingement cooling. A laboratory scale experimental setup was developed at School of Mechanical Engineering KIIT University, Odisha, India to investigate the role of various process parameters to enhance the heat transfer from the surface of the heated steal specimen. The mild steel plates of dimension 120 mm × 120 mm, and different thicknesses of 4 mm, 6 mm and 8 mm were used in the experiment. The effect of the process parameters such as thickness of the tested plate, nozzle to plate distance, air and water pressure upon the surface heat transfer coefficient (HTC was optimized. The optimization of the controlling parameters was carried out by using the desirability functions. The Design Expert 8 software was used to analyze the experimental results. A new correlation was developed for optimization of the surface heat transfer coefficient.

  4. Evaluation of Impinging Stream Vortex Chamber Concepts for Liquid Rocket Engine Applications

    Science.gov (United States)

    Trinh, Huu P.; Bullard, Brad; Kopicz, Charles; Michaels, Scott

    2002-01-01

    To pursue technology developments for future launch vehicles, NASA/Marshall Space Flight Center (MSFC) is examining vortex chamber concepts for liquid rocket engine applications. Past studies indicated that the vortex chamber schemes potentially have a number of advantages over conventional chamber methods. Due to the nature of the vortex flow, relatively cooler propellant streams tend to flow along the chamber wall. Hence, the thruster chamber can be operated without the need of any cooling techniques. This vortex flow also creates strong turbulence, which promotes the propellant mixing process. Consequently, the subject chamber concepts not only offer system simplicity, but also enhance the combustion performance. Test results have shown that chamber performance is markedly high even at a low chamber length-to-diameter ratio (LD). This incentive can be translated to a convenience in the thrust chamber packaging. Variations of the vortex chamber concepts have been introduced in the past few decades. These investigations include an ongoing work at Orbital Technologies Corporation (ORBITEC). By injecting the oxidizer tangentially at the chamber convergence and fuel axially at the chamber head end, Knuth et al. were able to keep the wall relatively cold. A recent investigation of the low L/D vortex chamber concept for gel propellants was conducted by Michaels. He used both triplet (two oxidizer orifices and one fuel orifice) and unlike impinging schemes to inject propellants tangentially along the chamber wall. Michaels called the subject injection scheme an Impinging Stream Vortex Chamber (ISVC). His preliminary tests showed that high performance, with an Isp efficiency of 9295, can be obtained. MSFC and the U. S. Army are jointly investigating an application of the ISVC concept for the cryogenic oxygen/hydrocarbon propellant system. This vortex chamber concept is currently tested with gel propellants at AMCOM at Redstone Arsenal, Alabama. A version of this concept

  5. Functional torque ratios and torque curve analysis of shoulder rotations in overhead athletes with and without impingement symptoms.

    Science.gov (United States)

    Zanca, Gisele G; Oliveira, Ana B; Saccol, Michele F; Ejnisman, Benno; Mattiello-Rosa, Stela M

    2011-12-01

    In this study, we evaluated the peak torque, functional torque ratios, and torque curve profile of the shoulder rotators in overhead athletes with impingement symptoms so as to examine possible alterations in response to sports training and shoulder pain. Twenty-one overhead athletes with impingement symptoms were compared with 25 overhead athletes and 21 non-athletes, none of whom were symptomatic for impingement. The participants performed five maximal isokinetic concentric and eccentric contractions of medial and lateral shoulder rotations at 1.57 rad · s(-1) and 3.14 rad · s(-1). Isokinetic peak torque was used to calculate the eccentric lateral rotation-to-concentric medial rotation and the eccentric medial rotation-to-concentric lateral rotation ratios. An analysis of the torque curve profiles was also carried out. The eccentric lateral rotation-to-concentric medial rotation torque ratio of asymptomatic athletes was lower than that of non-athletes at both test velocities. The concentric medial rotation isokinetic peak torque of the asymptomatic athletes, at 3.14 rad · s(-1), was greater than that of the non-athletes, and the peak appeared to occur earlier in the movement for athletes than non-athletes. These findings suggest that there may be adaptations to shoulder function in response to throwing practice. The eccentric medial rotation-to-concentric lateral rotation torque ratio was altered neither by the practice of university-level overhead sports nor impingement symptoms.

  6. Goos-H\\"anchen and Imbert-Fedorov shifts for Gaussian beams impinging on graphene-coated surfaces

    CERN Document Server

    Grosche, Simon; Szameit, Alexander

    2015-01-01

    We present a theoretical study of the Goos-H\\"anchen and Imbert-Fedorov shifts for a fundamental Gaussian beam impinging on a surface coated with a single layer of graphene. We show that the graphene surface conductibility $\\sigma(\\omega)$ is responsible for the appearance of a giant and negative spatial Goos-H\\"anchen shift.

  7. Flow characteristics and heat transfer performances of a semi-confined impinging array of jets: effect of nozzle geometry

    Energy Technology Data Exchange (ETDEWEB)

    Dano, B.P.E.; Liburdy, J.A. [Oregon State Univ., Corvallis, OR (United States). Dept. of Mechanical Engineering; Kanokjaruvijit, Koonlaya [Imperial College, London (United Kingdom). Dept. of Mechanical Engineering

    2005-02-01

    The flow and heat transfer characteristics of confined jet array impingement with crossflow is investigated. Discrete impingement pressure measurements are used to obtain the jet orifice discharge flow coefficient. Digital particle image velocimetry (DPIV) and flow visualization are used to determine the flow characteristics. Two thermal boundary conditions at the impinging surface are presented: an isothermal surface, and a uniform heat flux, where thermocouple and thermochromic liquid crystal methods were used, respectively, to determine the local heat transfer coefficient. Two nozzle geometries are studied, circular and cusped ellipse. Based on the interaction with the jet impingement at the surface, the crossflow is shown to influence the heat transfer results. The two thermal boundary conditions differ in overall heat transfer correlation with the jet Reynolds number. Detailed velocity data show that the flow development from the cusped ellipse nozzle affects the wall region flow more than the circular nozzle, as influenced by the crossflow interactions. The overall heat transfer for the uniform heat flux boundary condition is found to increase for the cusped ellipse orifice. (Author)

  8. Simulation of Impinging Cooling Performance with Pin Fins and Mist Cooling Adopted in a Simplified Gas Turbine Transition Piece

    Directory of Open Access Journals (Sweden)

    Tao Xu

    2014-01-01

    Full Text Available The gas turbine transition piece was simplified to a one-four cylinder double chamber model with a single row of impinging holes in the outer wall. Heat transfer augmentation in the coolant chamber was achieved through the use of pin fin structure and mist cooling, which could increase the turbulence and heat transfer efficiency. The present research is focused on heat transfer and pressure characteristics of the impinging cooling in the coolant chamber using FLUENT software. With the given diameter of impinging hole, pin fin diameter ratios D/d have been numerically studied in ranges from 1 to 2. Three different detached L were simulated. The impinging cooling performance in all cases was compared between single-phase and two-phase (imported appropriate mist flow in the coolant chamber. All the simulation results reveal that the factors of L and D/d have significant effects on the convective heat transfer. After the pin fin structure was taken, the resulting temperature decrease of 38.77 K at most compared with the result of structure without pin fins. And with the mist injecting into the cooling chamber, the area weighted average temperature got a lower value without excess pressure loss, which could satisfy the more stringent requirements in engineering.

  9. Predictions of flow and heat transfer in multiple impinging jets with an elliptic-blending second-moment closure

    NARCIS (Netherlands)

    Thielen, L.; Hanjalić, K.; Jonker, H.; Manceau, R.

    2005-01-01

    We present numerical computations of flow and heat transfer in multiple jets impinging normally on a flat heated surface, obtained with a new second-moment turbulence closure combined with an elliptic blending model of non-viscous wall blocking effect. This model provides the mean velocity and turbu

  10. Goos-Hänchen and Imbert-Fedorov shifts for Gaussian beams impinging on graphene-coated surfaces

    Science.gov (United States)

    Grosche, Simon; Ornigotti, Marco; Szameit, Alexander

    2015-11-01

    We present a theoretical study of the Goos-H\\"anchen and Imbert-Fedorov shifts for a fundamental Gaussian beam impinging on a surface coated with a single layer of graphene. We show that the graphene surface conductibility $\\sigma(\\omega)$ is responsible for the appearance of a giant and negative spatial Goos-H\\"anchen shift.

  11. Vortex dynamics and wall shear stress behaviour associated with an elliptic jet impinging upon a flat plate

    Science.gov (United States)

    Long, J.; New, T. H.

    2016-07-01

    Vortical structures and dynamics of a Re h = 2100 elliptic jet impinging upon a flat plate were studied at H/ d h = 1, 2 and 4 jet-to-plate separation distances. Flow investigations were conducted along both its major and minor planes using laser-induced fluorescence and digital particle image velocimetry techniques. Results show that the impingement process along the major plane largely consists of primary jet ring-vortex and wall-separated secondary vortex formations, where they subsequently separate from the flat plate at smaller H/ d h = 1 and 2 separation distances. Key vortex formation locations occur closer to the impingement point as the separation distance increases. Interestingly, braid vortices and rib structures begin to take part in the impingement process at H/ d h = 4 and wave instabilities dominate the flow field. In contrast, significantly more coherent primary and secondary vortices with physically larger vortex core sizes and higher vortex strengths are observed along the minor plane, with no signs of braid vortices and rib structures. Lastly, influences of these different flow dynamics on the major and minor plane instantaneous and mean skin friction coefficient levels are investigated to shed light on the effects of separation distance on the wall shear stress distributions.

  12. Spectrum of the sound produced by a jet impinging on the gas-water interface of a supercavity

    Science.gov (United States)

    Foley, A. W.; Howe, M. S.; Brungart, T. A.

    2010-02-01

    An analysis is made of the sound generated by the impingement of an air jet on the gas-water interface of a supercavity. The water is in uniform low Mach number motion over the interface. The interface is rippled by the jet, which produces an unsteady surface force on the water that behaves as a dipole or monopole acoustic source, respectively, at high and low frequencies. In a first approximation the very large difference in the gas density and that of water implies that the surface force is similar to that occurring when a jet impinges on a rigid wall. Data from recent measurements by Foley (2009, Ph.D. Dissertation, Department of Mechanical Engineering, Boston University) of the frequency spectrum of the surface force produced by the impact of a turbulent jet on a wall are used to formulate an analytical representation of the spectrum and thence to predict the sound produced in water when the same jet impinges on the cavity interface. The prediction is used to estimate the characteristics of gas jet impingement noise for an experimental supercavitating vehicle in use at the Applied Research Laboratory of Penn State University.

  13. Crust behavior and erosion rate prediction of EPR sacrificial material impinged by core melt jet

    Energy Technology Data Exchange (ETDEWEB)

    Li, Gen; Liu, Ming, E-mail: ming.liu@mail.xjtu.edu.cn; Wang, Jinshi; Chong, Daotong; Yan, Junjie

    2017-04-01

    Highlights: • A numerical code was developed to analyze melt jet-concrete interaction in the frame of MPS method. • Crust and ablated concrete layer at UO{sub 2}-ZrO{sub 2} melt and concrete interface periodically developed and collapsed. • Concrete surface temperature fluctuated around a low temperature and ablation temperature. • Concrete erosion by Fe-Zr melt jet was significantly faster than that by UO{sub 2}-ZrO{sub 2} melt jet. - Abstract: Sacrificial material is a special ferro-siliceous concrete, designed in the ex-vessel core melt stabilization system of European Pressurized water Reactor (EPR). Given a localized break of RPV lower head, the melt directly impinges onto the dry concrete in form of compact jet. The concrete erosion behavior influences the failure of melt plug, and further affects melt spreading. In this study, a numerical code was developed in the frame of Moving Particle Semi-implicit (MPS) method, to analyze the crust behavior and erosion rate of sacrificial concrete, impinged by prototypic melt jet. In validation of numerical modeling, the time-dependent erosion depth and erosion configuration matched well with the experimental data. Sensitivity study of sacrificial concrete erosion indicates that the crust and ablated concrete layer presented at UO{sub 2}-ZrO{sub 2} melt and concrete interface, whereas no crust could be found in the interaction of Fe-Zr melt with concrete. The crust went through stabilization-fracture-reformation periodic process, accompanied with accumulating and collapsing of molten concrete layer. The concrete surface temperature fluctuated around a low temperature and ablation temperature. It increased as the concrete surface layer was heated to melting, and dropped down when the cold concrete was revealed. The erosion progression was fast in the conditions of small jet diameter and large concrete inclination angle, and it was significantly faster in the erosion by metallic melt jet than by oxidic melt jet.

  14. Mounding of a non-Newtonian jet impinging on a solid substrate.

    Energy Technology Data Exchange (ETDEWEB)

    Schunk, Peter Randall; Grillet, Anne Mary; Roberts, Scott A.; Baer, Thomas A. (Procter & Gamble, Cincinnati, OH); Rao, Rekha Ranjana

    2010-06-01

    When a fluid jet impinges on a solid substrate, a variety of behaviors may occur around the impact region. One example is mounding, where the fluid enters the impact region faster than it can flow away, forming a mound of fluid above the main surface. For some operating conditions, this mound can destabilize and buckle, entraining air in the mound. Other behaviors include submerging flow, where the jet impinges into an otherwise steady pool of liquid, entraining a thin air layer as it enters the pool. This impact region is one of very high shear rates and as such, complex fluids behave very differently than do Newtonian fluids. In this work, we attempt to characterize this range of behavior for Newtonian and non-Newtonian fluids using dimensionless parameters. We model the fluid as a modified Bingham-Carreau-Yasuda fluid, which exhibits the full range of pseudoplastic flow properties throughout the impact region. Additionally, we study viscoelastic effects through the use of the Giesekus model. Both 2-D and 3-D numerical simulations are performed using a variety of finite element method techniques for tracking the jet interface, including Arbitrary Lagrangian Eulerian (ALE), diffuse level sets, and a conformal decomposition finite element method (CDFEM). The presence of shear-thinning characteristics drastically reduces unstable mounding behavior, yet can lead to air entrainment through the submerging flow regime. We construct an operating map to understand for what flow parameters mounding and submerging flows will occur, and how the fluid rheology affects these behaviors. This study has many implications in high-speed industrial bottle filling applications.

  15. High-resolution hot-film measurement of surface heat flux to an impinging jet

    Science.gov (United States)

    O'Donovan, T. S.; Persoons, T.; Murray, D. B.

    2011-10-01

    To investigate the complex coupling between surface heat transfer and local fluid velocity in convective heat transfer, advanced techniques are required to measure the surface heat flux at high spatial and temporal resolution. Several established flow velocity techniques such as laser Doppler anemometry, particle image velocimetry and hot wire anemometry can measure fluid velocities at high spatial resolution (µm) and have a high-frequency response (up to 100 kHz) characteristic. Equivalent advanced surface heat transfer measurement techniques, however, are not available; even the latest advances in high speed thermal imaging do not offer equivalent data capture rates. The current research presents a method of measuring point surface heat flux with a hot film that is flush mounted on a heated flat surface. The film works in conjunction with a constant temperature anemometer which has a bandwidth of 100 kHz. The bandwidth of this technique therefore is likely to be in excess of more established surface heat flux measurement techniques. Although the frequency response of the sensor is not reported here, it is expected to be significantly less than 100 kHz due to its physical size and capacitance. To demonstrate the efficacy of the technique, a cooling impinging air jet is directed at the heated surface, and the power required to maintain the hot-film temperature is related to the local heat flux to the fluid air flow. The technique is validated experimentally using a more established surface heat flux measurement technique. The thermal performance of the sensor is also investigated numerically. It has been shown that, with some limitations, the measurement technique accurately measures the surface heat transfer to an impinging air jet with improved spatial resolution for a wide range of experimental parameters.

  16. Contribution of full-thickness supraspinatus tendon tears to acquired subcoracoid impingement

    Energy Technology Data Exchange (ETDEWEB)

    MacMahon, P.J. [Department of Radiology, Cappagh National Orthopaedic Hospital, Finglas, Dublin (Ireland)]. E-mail: petermacmahon@yahoo.com; Taylor, D.H. [Department of Radiology, Cappagh National Orthopaedic Hospital, Finglas, Dublin (Ireland); Duke, D. [Department of Radiology, Cappagh National Orthopaedic Hospital, Finglas, Dublin (Ireland); Brennan, D.D. [Department of Radiology, Cappagh National Orthopaedic Hospital, Finglas, Dublin (Ireland); O' Brien, J. [Department of Radiology, Cappagh National Orthopaedic Hospital, Finglas, Dublin (Ireland); Eustace, S.J. [Department of Radiology, Cappagh National Orthopaedic Hospital, Finglas, Dublin (Ireland)

    2007-06-15

    Aim: To assess the relationship between the severity of full-thickness supraspinatus tendon tears and the development of subcoracoid impingement. Materials and methods: Fifty-one magnetic resonance imaging (MRI) shoulder examination reports with full-thickness supraspinatus tears were retrospectively identified and reviewed by two dedicated musculoskeletal radiologists. The appearances of the rotator cuff muscles, biceps tendon and the lesser tubercle were recorded. The acromio-humeral distance and the axial coraco-humeral distance were measured. The data were recorded and analysed electronically. Results: The kappa values for inter-observer agreement were: 0.91 for acromio-humeral distance and 0.85 for coraco-humeral distance measurements. Twenty-six patients had significant retraction of the supraspinatus tendon, 85% (22 cases) of this group had imaging evidence of tear or tendonopathy of the subscapularis tendon. Twenty-five patients had no significant retraction of the supraspinatus, 56% (14 cases) of this group had imaging evidence of a subscapularis tear or tendonopathy. The acromio-humeral distance was significantly less in patients with supraspinatus tears and retraction (p < 0.05). The subscapularis tendon was significantly more likely to be abnormal if the supraspinatus was retracted than if no retraction was present (p < 0.05). There were no significant differences in coraco-humeral distances between the groups. Conclusion: Subscapularis tendon signal and structural changes are frequently associated with full-thickness supraspinatus tendon tears, particularly if the supraspinatus is significantly retracted. In this static MRI series, the data do not support the occurrence of classical subcoracoid impingement as an aetiology; however, they may support the possibility of a dynamic mechanism, to which future studies could be directed.

  17. Shoulder problems in high level swimmers--impingement, anterior instability, muscular imbalance?

    Science.gov (United States)

    Rupp, S; Berninger, K; Hopf, T

    1995-11-01

    The objective was to study prevalence and underlying pathology of "swimmer's shoulder". Twenty-two competitive swimmers of national "D-Kader" (elite development swimmers) were evaluated by means of questionnaire, clinical examination and isokinetic testing of external rotation and internal rotation. At the examination current interfering pain necessitating a cessation or reduction of practice was found in 5 (23%) athletes. At isokinetic testing 8 (36%) athletes complained of shoulder pain. Any history of pain was seen in 14 (64%) swimmers. A positive impingement sign was noted in 11 (50%) athletes. Apprehension sign which is indicative of anterior instability was found in 11 (50%) swimmers. Clinical equivalents of dysfunction of scapulothoracic muscles such as scapular winging (5 athletes) and shoulder protraction (12 athletes) were noted. For comparison of results of isokinetic testing a control group of non-swimmers was selected matching the group of swimmers exactly in terms of age, sex and dominant side. External rotation/internal rotation ratio of peak torque and total work at 60 deg/sec and 180 deg/sec was significantly lower in swimmers than in controls. The ratio was independent of sex, dominant side, history of pain and pain at examination. During internal rotation competitive swimmers produced significantly higher peak torques and total work than controls. There was no significant difference in external rotation. In conclusion there are several different abnormalities of function contributing to the pathology of "swimmer's shoulder":--Laxity of anterior-inferior capsuloligamentous structures with atruamatic anterior instability due to repetitive overload.--Impingement with rotator cuff tendinitis.--Muscular imbalance of the rotator cuff muscles and scapulothoracic dysfunction.

  18. Metabolic Syndrome

    Science.gov (United States)

    ... hypertension, hypertriglyceridemia, insulin resistance syndrome, low HDL cholesterol, Metabolic Syndrome, overweight, syndrome x, type 2 diabetes Family Health, Kids and Teens, Men, Women January 2005 Copyright © American Academy of Family PhysiciansThis ...

  19. Marfan Syndrome

    Science.gov (United States)

    Marfan syndrome is a disorder that affects connective tissue. Connective tissues are proteins that support skin, bones, ... fibrillin. A problem with the fibrillin gene causes Marfan syndrome. Marfan syndrome can be mild to severe, ...

  20. Williams syndrome

    Science.gov (United States)

    Williams-Beuren syndrome ... Williams syndrome is caused by not having a copy of several genes. Parents may not have any family history of the condition. However, people with Williams syndrome have a 50% chance of passing the ...