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Background:
Additional stabilization of the “comma sign” in anterosuperior rotator cuff repair has been proposed to provide biomechanical benefits regarding stability of the repair.
Purpose:
This in vitro investigation aimed to investigate the influence of a comma sign–directed reconstruction technique for anterosuperior rotator cuff tears on the primary stability of the subscapularis tendon repair.
Study Design:
Controlled laboratory study.
Methods:
A total of 18 fresh-frozen cadaveric shoulders were used in this study. Anterosuperior rotator cuff tears (complete full-thickness tear of the supraspinatus and subscapularis tendons) were created, and supraspinatus repair was performed with a standard suture bridge technique. The subscapularis was repaired with either a (1) single-row or (2) comma sign technique. A high-resolution 3D camera system was used to analyze 3-mm and 5-mm gap formation at the subscapularis tendon-bone interface upon incremental cyclic loading. Moreover, the ultimate failure load of the repair was recorded. A Mann-Whitney test was used to assess significant differences between the 2 groups.
Results:
The comma sign repair withstood significantly more loading cycles than the single-row repair until 3-mm and 5-mm gap formation occurred (P≤ .047). The ultimate failure load did not reveal any significant differences when the 2 techniques were compared (P = .596).
Conclusion:
The results of this study show that additional stabilization of the comma sign enhanced the primary stability of subscapularis tendon repair in anterosuperior rotator cuff tears. Although this stabilization did not seem to influence the ultimate failure load, it effectively decreased the micromotion at the tendon-bone interface during cyclic loading.
Clinical Relevance:
The proposed technique for stabilization of the comma sign has shown superior biomechanical properties in comparison with a single-row repair and might thus improve tendon healing. Further clinical research will be necessary to determine its influence on the functional outcome.
Was ist „Männlichkeit“ und was verstehen junge Erwachsene unter diesem Begriff? Das Ziel des Projektes war 18 bis 30 jährige Jungen und Männer des biologisch männlichen Geschlechts zu befragen, was ihre Definition von Männlichkeit sei. Diese Arbeit hatte die Intention den Befragten einen sicheren Raum zu geben, damit sie ihre ehrlichen Antworten äußern und ihre wahren Gesichter zeigen können. Die dabei entstandenen Fotografien sollen die Persönlichkeiten und die seelische Verfassung der abgebildeten Personen widerspiegeln. Es handelt sich um eine soziologische Bestandsaufnahme der „Männlichkeiten“ der heutigen Jugend und der heranwachsenden Erwachsenen im 21. Jahrhundert.
The planned coal phase-out in Germany by 2038 will lead to the dismantling of power plants with a total capacity of approx. 30 GW. A possible further use of these assets is the conversion of the power plants to thermal storage power plants; the use of these power plants on the day-ahead market is considerably limited by their technical parameters. In this paper, the influence of the technical boundary conditions on the operating times of these storage facilities is presented. For this purpose, the storage power plants were described as an MILP problem and two price curves, one from 2015 with a relatively low renewable penetration (33 %) and one from 2020 with a high renewable energy penetration (51 %) are compared. The operating times were examined as a function of the technical parameters and the critical influencing factors were investigated. The thermal storage power plant operation duration and the energy shifted with the price curve of 2020
increases by more than 25 % compared to 2015.
This paper introduces a new maritime search and rescue system based on S-band illumination harmonic radar (HR). Passive and active tags have been developed and tested while attached to life jackets and a small boat. In this demonstration test carried out on the Baltic Sea, the system was able to detect and range the active tags up to a distance of 5800 m using an illumination signal transmit-power of 100 W. Special attention is given to the development, performance, and conceptual differences between passive and active tags used in the system. Guidelines for achieving a high HR dynamic range, including a system components description, are given and a comparison with other HR systems is performed. System integration with a commercial maritime X-band navigation radar is shown to demonstrate a solution for rapid search and rescue response and quick localization.
Test-retest reliability of the internal shoulder rotator muscles' stretch reflex in healthy men
(2021)
Until now the reproducibility of the short latency stretch reflex of the internal rotator muscles of the glenohumeral joint has not been identified. Twenty-three healthy male participants performed three sets of external shoulder rotation stretches with various pre-activation levels on two different dates of measurement to assess test-retest reliability. All stretches were applied with a dynamometer acceleration of 104°/s2 and a velocity of 150°/s. Electromyographical response was measured via surface EMG. Reflex latencies showed a pre-activation effect (ƞ2 = 0,355). ICC ranged from 0,735 to 0,909 indicating an overall “good” relative reliability. SRD 95% lay between ±7,0 to ±12,3 ms.. The reflex gain showed overall poor test-retest reproducibility. The chosen methodological approach presented a suitable test protocol for shoulder muscles stretch reflex latency evaluation. A proof-of-concept study to validate the presented methodical approach in shoulder involvement including subjects with clinically relevant conditions is recommended.