Intrinsic ligament and triangular fibrocartilage complex (TFCC) tears of the wrist: comparison of isovolumetric 3D-THRIVE sequence MR arthrography and conventional MR image at 3 T

Purpose

The purpose of the study was to validate the diagnostic performance of high-resolution isovolumetric magnetic resonance arthrography (MRA) for intrinsic ligament and triangular fibrocartilage complex (TFCC) tears of the wrist as compared to conventional MR imaging (MRI).

Materials and methods

Forty-eight patients with traumatic TFCC tears at arthroscopy were enrolled. All patients had underwent proton-density- and T2-weighted MRI before arthrography and three-dimensional T1 high-resolution isovolumetric examination (3D-THRIVE) MRA on a 3-T MR. We assessed the presence of scapholunate interosseous ligament (SLIL)/lunotriquetral interosseous ligament (LTIL) or TFCC tears using the arthroscopy as a gold standard.

Results

Arthroscopy revealed 37 TFCC central tears, 15 TFCC peripheral tears, 20 SLIL tears and 13 LTIL tears. Sensitivities of MRI and MRA were 70.3% and 94.6% for detection of TFCC central tears, 60.0% and 93.3% for detection of TFCC peripheral tears, 65.0% and 85.0% for SLIL tears, and 61.5% and 84.6% for LTIL tears. The specificity of the MRI was 100% for the detection of ligaments and TFCC tears. The specificities of the MRA for detection of TFCC central tears, TFCC peripheral tears, SLIL tears and LTIL tears were 100%, 97%, 96.4% and 100%, respectively.

Conclusion

Isovolumetric 3D-THRIVE wrist MRA provided better results for depiction of intrinsic ligament and TFCC tears than wrist MRI.     

Interrelation of creep and relaxation for nonlinearly viscoelastic materials: application to ligament and metal

Creep and stress relaxation are known to be interrelated in linearly viscoelastic materials by an exact analytical expression. In this article, analytical interrelations are derived for nonlinearly viscoelastic materials which obey a single integral nonlinear superposition constitutive equation. The kernel is not assumed to be separable as a product of strain and time dependent parts. Superposition is fully taken into account within the single integral formulation used. Specific formulations based on power law time dependence and truncated expansions are developed. These are appropriate for weak stress and strain dependence. The interrelated constitutive formulation is applied to ligaments, in which stiffness increases with strain, stress relaxation proceeds faster than creep, and rate of creep is a function of stress and rate of relaxation is a function of strain. An interrelation was also constructed for a commercial die-cast aluminum alloy currently used in small engine applications.     

Ligament formation in sheared liquid–gas layers

We perform numerical simulations of two-phase liquid–gas sheared layers, with the objective of studying atomization. The Navier–Stokes equations for two-dimensional incompressible flow are solved in a periodic domain. A volume-of-fluid method is used to track the interface. The density ratio is kept around 10. The calculations show good agreement with a fully viscous Orr–Sommerfeld linear theory over several orders of magnitude of interface growth. The nonlinear development shows the growth of finger-like structures, or ligaments, and the detachment of droplets. The effect of the Weber and Reynolds numbers, the boundary layer width and the initial perturbation amplitude are discussed through a number of typical cases. Inversion of the liquid boundary layer is shown to yield more readily ligaments bending upwards and is thus more likely to produce droplets.