Investigation on Surface Tilting in the Failure Process of Shallow Landslides.

In recent decades, early warning systems to predict the occurrence of landslides using tilt sensors have been developed and employed in slope monitoring due to their low cost and simple installation. Although many studies have been carried out to validate the efficiency of these early warning systems, few studies have been carried out to investigate the tilting direction of tilt sensors at the slope surface, which have revealed controversial results in field monitoring. In this paper, the tilting direction and the pre-failure tilting behavior of slopes were studied by performing a series of model tests as well as two field tests. These tests were conducted under various testing conditions. Tilt sensors with different rod lengths were employed to investigate the mechanism of surface tilting. The test results show that the surface tilting measured by the tilt sensors with no rods and those with short rods located above the slip surface are consistent, while the tilting monitored by the tilt sensors with long rods implies an opposite rotational direction. These results are important references to understand the controversial surface tilting behavior in in situ landslide monitoring cases and imply the correlation between the depth of the slip surface of the slope and the surface tilting in in situ landslide monitoring cases, which can be used as the standard for tilt sensor installation in field monitoring.

Floating clavicle with medial clavicular fracture causing diagnostic dilemma - A case report and literature review.

INTRODUCTION AND IMPORTANCE: A rare case of a fracture of the medial third of the clavicle on the basis of the "floating clavicle" was hereby reported. To the best of our knowledge, this complex clavicle fracture has not yet been published. This article aims to describe, for the first time, a case of the diagnosis and treatment of this special clavicle fracture. CASE PRESENTATION: The 26-year-old male patient suffered from a right sternoclavicular dislocation, a fracture of the right medial third of the clavicle, and a dislocation of the right acromioclavicular joint due to a car accident. In the course of treatment, he was missed diagnosis, and after active adjustment of treatment plan, good therapeutic effect was achieved. CLINICAL DISCUSSION: A special case of a floating clavicle was hereby reported. The missed diagnosis of sternoclavicular dislocation will cause great difficulties in the management of the disease. Based on the condition and clear diagnosis of the patient, surgical treatment was actively recommended for the patient. The selection of the implant for surgical treatment varied due to its specificity. A comprehensive literature review is also provided. CONCLUSION: Clavicular bone fracture is common in clinical practice. At the same time, the injury of sternoclavicular joint and acromioclavicular joint should be vigilant. For the complex clavicle fracture reported in this paper, the computed tomography scan with 3D reconstruction can assist in diagnosis. In the case of definite diagnosis, the use of a contralateral distal clavicular plate in combination with the conventional clavicular hook plate is an appropriate choice.