tehran shomal highway passes through alborz mountains with a tunnel length of 6400 meters. there are two main tunnels. a full three-dimensional (3d) numerical analysis coupled with elasto-plastic material models was conducted on the inclined access tunnel. bending moment, axial force and the lining displacements due to the internal forces applied on the shotcrete lining are calculated. axial fo...

PURPOSE Tunnel widening after anterior cruciate ligament (ACL) reconstruction is a frequently described phenomenon. The possible etiology is multi-factorial with some mechanical and biological factors. Among those, we intended to determine the relation between the location and orientation of the femoral tunnel and the femoral tunnel enlargement after outside-in single-bundle ACL reconstruction....

Nine patients with myxoedema and carpal tunnel syndrome have been studied clinically and electrophysiologically to determine the presence or absence of the tarsal tunnel syndrome. Four patients had electrophysiological evidence of the tarsal tunnel syndrome, three of whom were mildly symptomatic. This would suggest that the tarsal tunnel syndrome is frequently encountered in myxoedema in associ...

Aorta-right atrial tunnel was diagnosed in a non-symptomatic 31-year old female patient. The Q p /Q s ratio was 2.5. Computed tomography and intraoperative views showed a posterior vascular tunnel with left aortic sinus and right atrium openings (Figs 1 and 2). The tunnel had no myocardial branches. We successfully closed both the openings. Figure 1: (A) A reconstructed computed tomographic vie...

INTRODUCTION: Clinical studies of carpal tunnel syndrome (CTS), a pressure-induced neuropathy of the median nerve, are limited by the difficulty of evaluating the early stages of pathology. Thus, a validated animal model of CTS is an important need. A proper animal model would have comparable anatomy to the human carpal tunnel. In addition, because carpal tunnel syndrome is characterized by inc...

BACKGROUND An anatomic reconstruction of coracoclavicular (CC) ligaments typically requires drilling tunnels in the clavicle. An increase in fracture complications has been associated with graft tunnel position. A method of drilling clavicle tunnels that would better re-create anatomic function of the CC ligaments without increasing fracture risk would be an improvement. PURPOSE To evaluate t...

BACKGROUND Anatomic tunnel positioning is important in anterior cruciate ligament (ACL) reconstructive surgery. Recent studies have suggested the limitations of a traditional transtibial technique to place the ACL graft within the anatomic tunnel position of the ACL on the femur. The purpose of this study is to determine if the 2-incision tibial tunnel-independent technique can place femoral tu...

According to construction scheme of some weak surrounding rock large span double and multi-arch tunnel works, finite element value simulation method is adopted to research weak surrounding rock deformation characteristic, anchor bolt mechanics characteristic, preliminary support and secondary lining structure mechanical characteristics, etc, and the research result shows that: repeatedly distur...

It is proposed that the adverse effects from secondary diaphragmrupture in an expansion tunnelmaybe reducedor eliminated by orienting the tunnel vertically, matching the test gas pressure and the accelerator gas pressure, and initially separating the test gas from the accelerator gas by density stratification. This proposed configuration is termed the vertical expansion tunnel. Two benefits are...

Background. Carpal tunnel syndrome, the most common peripheral neuropathy, is caused by increased carpal tunnel pressure and decreased carpal tunnel volume. The aim of our study was to evaluate early results in single-portal endoscopic carpal tunnel release for the surgical treatment of carpal tunnel syndrome. Material and methods. The population included 67 patients with 80 hands operated usin...