In situ stabilization remains the standard of care in the treatment of stable slipped capital femoral epiphysis (SCFE). Screw placement perpendicular to the physis has shown satisfactory results with minimal complications. A prominent screw head may produce femoral acetabular impingement and pain after in situ fixation in severe SCFE. We performed a biomechanical study to establish whether scre...

A femoral neck stress fracture is a serious condition that affects military personnel and endurance athletes. There is increasing evidence that femoroacetabular impingement contributes to significant hip pathology. This study investigates the prevalence of radiographic abnormalities associated with impingement in military personnel treated for femoral neck stress fractures. The radiographs of 6...

BACKGROUND The stump impingement reflex is a subtle bounce to the knee thought to be caused by hamstring contraction when the knee is brought into extension and the torn ACL stump impinges between the distal femur and the tibial plateau. We have studied the diagnostic value of this sign. FINDINGS From Feb 2008-Feb 2009, we audited 30 patients who underwent urgent arthroscopy for acutely locke...

This paper presents the theoretical methodology, conceptual demonstration, and validation of a fully automated computer program for the inverse design and optimization of internal convectively cooled three-dimensional axial gas turbine blades. A parametric computer model of the three-dimensional internal cooling network was developed, including the automatic generation of computational grids. A...

BACKGROUND AND PURPOSE Several factors such as posture, muscle force, range of motion, and scapular dysfunction are commonly believed to contribute to shoulder impingement. The purpose of this study was to compare 3-dimensional scapular kinematics, shoulder range of motion, shoulder muscle force, and posture in subjects with and without primary shoulder impingement syndrome. SUBJECTS Forty-fi...

Subacromial impingement syndrome is a common cause of shoulder pain. The purpose of this article is to review the clinical presentation, physical examination findings, and differential diagnosis of impingement syndrome. Using an evidence-based approach, we propose an algorithm for the management of subacromial impingement syndrome including indications for nonoperative management, advanced imag...

However, during the recent decades the focus has been placed on the coordinated movements of the scapula and humerus; called as scapulohumeral rhythm, in shoulder impingement [4,5]. It is thought that abnormal scapular motion plays a significant role in the development shoulder impingement symptoms [6-9]. Functional loss and disability is the most common symptoms associated with shoulder imping...

Recent epidemiological studies have demonstrated that radiographic features specific to femoroacetabular impingement appear far more frequently in healthy and asymptomatic cohorts than previously anticipated. It remains unclear how incidental findings should be interpreted clinically. In addition, several authors have suggested that a decreased range of motion is part of the clinical presentati...

Recent developments in hip arthroscopy techniques and technology have made it possible in many cases to avoid open surgical technique for treating pincer-type and cam-type femoroacetabular impingement and rather treating it arthroscopically. Early reports suggest favorable results using arthroscopic techniques. The frequency of complications reported for hip arthroscopy for all indications is g...

Though inclined under-expanded planar jets are used in many practical applications, the wall stress resulting from their impingement has not been adequately characterized. Reduced-order models for shear as a function of jet parameters have reported. This work uses computational fluid dynamics to determine nozzle and angle. The simulations impinging validated against experimental data direct num...