The morphology of osseous structure in subtalar joint with chronic ankle instability.

BACKGROUND: Osseous structures have been demonstrated as risk factors for chronic ankle instability (CAI). Previously, the researchers only focused on the osseous structures of ankle, but ignored the osseous structures of subtalar joint(STJ). Accordingly, the aim of our study was to investigate the morphological characteristics of STJ osseous structures in CAI. METHODS: 52 patients with CAI and 52 sex- and age- matched control subjects were enrolled from The Affiliated Traditional Chinese Medicine Hospital of Southwest Medical University. The lateral radiographs of ankle in weight-bearing were used to compare the diversity of the two groups. Specifically, The Length of calcaneus, Calcaneal facet height and Absolute foot height, Böhler's angle, Gissane's angle, Calcaneal inclination angle, Talocalcaneal angle, Tibiotalar angle, Tibiocalcaneal angle, Talar-horizontal angle, talar declination angle, facet inclination angle were gauged in the two groups. RESULTS: The Böhler's angle, Calcaneal inclination, Talocalcaneal angle, Tibiotalar angle, Talar-horizontal angle, Talar declination angle, Facet inclination angle and Absolute foot height of CAI group were significantly higher than normal control group (P < 0.05). There were no significant differences in Gissane's angle, Tibiocalcaneal angle, Length of calcaneus and Calcaneal facet height between patients with CAI and normal controls (P > 0.05). CONCLUSIONS: The osseous structures of STJ in CAI patients are different from normal people in morphology. Therefore, we should pay more attention to the changes of STJ anatomical parameters in the diagnosis and prevention of CAI. LEVEL OF EVIDENCE: Ⅲ.

A generalized network based on multi-scale densely connection and residual attention for sound source localization and detection.

Sound source localization and detection (SSLD) is a joint task of identifying the presence of individual sound events and locating the sound sources in space. However, due to the diversity of sound events and the variability of sound source location, SSLD becomes a tough task. In this paper, we propose a SSLD method based on a multi-scale densely connection (MDC) mechanism and a residual attention (RA) mechanism. We design a MDC block to integrate the information from a very local to exponentially enlarged receptive field within the block. We also explored three kinds of RA blocks that can facilitate the conductivity of information flow among different layers by continuously adding feature maps from the previous layers to the next layer. In order to recalibrate the feature maps after convolutional operation, we design a dual-path attention (DPA) unit that is largely embodied in MDC and RA blocks. We firstly verified the effectiveness of the MDC block, RA block, and DPA unit, respectively. We then compared our proposed method with another four methods on the development dataset; finally, with SELDnet and SELD-TCN on another five datasets, experimental results show the generalization of our proposed method.

The Influence of Sagittal Angle of Posterior Malleolus Fracture on Ankle Joint Stability: A Retrospective Study of 120 Cases.

OBJECTIVE: Due to the different force exerted during the posterior malleolus fracture (PMF), the difference in sagittal angle (SA) between the fracture fragments may affect ankle stability. But this aspect is less well studied and the aim of this study was to investigate the relationship between SA and the stability of PMF. METHODS: The imaging data of 120 patients with PMFs from January 2014 to November 2022 were collected retrospectively and reconstructed. We first measured SA, posterior fragment area (PFA) and fragment area ratio (FAR), reanalyzing the correlation of SA with PFA and FAR, respectively. To better describe the morphological characteristics of the fracture fragments, we further measured the fragment width diameter ratio (FWR), the fragment length ratio (FLR), fragment height (FH), contact area (CA), and finally carried these data into the regression model of SA versus FAR to conduct the intermediary role. RESULTS: SA was negatively correlated with PFA(s) (r = -0.583, P < 0.001), with regression equation s = -0.063SA + 3.066; SA was negatively correlated with FAR (r = -0.204, P < 0.05), with regression equation FAR = -0.002SA + 0.198; A significant correlation was found between FWR, FLR, FH, CA and SA (P < 0.05), as well as between FWR, FLR, FH and FAR (P < 0.05); Further intermediary role analysis showed that FWR, FLR, FH had a partial intermediary role between SA and FAR. CONCLUSIONS: As SA increased, PFA and FAR decreased, so the larger the SA was due to the effect of vertical shear force, reflecting higher ankle stability, meanwhile, FWR, FLR and FH should also be considered on the fixation method of fracture fragments.

Anatomical features of plantar fasciitis in various age cohorts: Based on magnetic resonance imaging.

BACKGROUND: Due to the lack of further studies on the influence of age factors on plantar fasciitis, this study evaluates the characteristic observation points of magnetic resonance imaging in various age cohorts of patients with plantar fasciitis to help diagnosis. METHODS: A retrospective analysis of 160 cases of plantar fasciitis patients and normal subjects (who have the disease unrelated to plantar fasciitis) who have undergone an MRI examination in our institution. The two groups were separately divided into young adult subjects (36 to 44 years old), middle age adult subjects (45 to 59 years old), and older adult subjects (60 to 79 years old). Data was gathered regarding plantar fascia thickness, the coronal length of the plantar fascia at the calcaneal origin, the signal intensity of plantar fascia and surrounding structures, and the presence or absence of plantar calcaneal spurs, all of which were assessed objectively by the investigators. RESULTS: There were statistical differences in the thickness of plantar fascia between two groups of three age cohorts (Older adult patients: 0.59 ± 0.09 cm; Middle age adult patients: 0.49 ± 0.09 cm; Young adult patients: 0.47 ± 0.05 cm) (all p < 0.001). In addition, there were also statistical differences in the high signal intensity changes of the plantar fascia and surrounding soft tissues between two groups of three age cohorts (all p < 0.001). In older adult plantar fasciitis patients, with regard to plantar calcaneal spur discovery, there was a statistical difference between the two groups (Chi-square = 12.799. df = 1. p < 0.001). CONCLUSION: In plantar fasciitis cases where a diagnosis is difficult, abnormalities in the soft tissue surrounding the plantar fascia in patients of low age are noteworthy. In older adult patients, the discovery of plantar calcaneal spurs with abnormal thickening of plantar fascia deserves attention, and abnormal MRI findings are more manifest. But the final diagnosis should be based on the medical history. LEVEL OF EVIDENCE: Level 3.

Effects of the thickness and laser irradiation on the electrical properties of e-beam evaporated 2D bismuth.

Two-dimensional (2D) bismuth is expected to yield exotic electrical properties for various nanoelectronics, despite the difficulty in large-area preparation and property tuning directly on a device substrate. This work reports electron beam (e-beam) evaporation of large-area 2D bismuth directly on SiO2/Si with an electrical conductivity of ∼105 S m-1 and a field effect carrier mobility of ∼235 cm2 V-1 s-1 at room temperature, comparable to those of the molecular beam epitaxy (MBE) counterparts with a similar thickness. Interestingly, the electrical conductivity of 2D bismuth changes when exposed to laser irradiation that possibly induced an increase of the defect concentration, indicating a potential photo-sensor application. The electrical response of 2D bismuth can be modified either by laser irradiation or by varying the layer thickness. Due to the dimension and surface state effects in 2D bismuth, the layer thickness has a strong influence on the carrier concentration and mobility. Inspiringly, a simultaneous increase of the electrical conductivity and the Seebeck coefficient was achieved in 2D bismuth, which is preferred for thermoelectric performance but rarely reported. Our results provided a more accessible platform than MBE to produce decent quality 2D bismuth and similar Xenes with tunable electrical properties for various nanoelectronics.