Reconstruction of the medial patellofemoral ligament using a longitudinal patellar tunnel technique

Patellar instability is a common clinical problem affecting a young, active population. A large number of procedures have been described to treat patellar instability. We present the clinical results in a case series of 25 medial patellofemoral ligament reconstructions in 21 patients with up to 30 months follow-up (mean: 7.3). Reconstruction was performed using either the gracilis or semitendinosus tendon autograft. The Tegner activity score improved overall from 3 to 4.4 at follow-up and the mean follow-up Kujala score was 87 (range: 55–100). No patella redislocations were observed. Five patients (20%) required a manipulation under anaesthetic but subsequently regained a satisfactory range of motion. Medial patellofemoral reconstruction with both gracilis and semitendinosus tendon graft using a longitudinal tunnel technique provided good post-operative stability restoring the primary soft tissue restraint to pathological lateral patellar displacement with no complications of post-operative patellar fracture

Effects of gastrin-releasing peptide agonist and antagonist administered to the basolateral nucleus of the amygdala on conditioned fear in the rat

Rationale: Bombesin (BB)-like peptides have been shown to affect neuroendocrine and neural functions related to the stress response and the modulation of conditioned fear. In line with this view, central administration of gastrin-releasing peptide (GRP; a mammalian analogue of BB) or its receptor antagonist (D-Tpi6, Leu13 psi[CH2NH]-Leu14) BB(6-14) (RC-3095) modulates conditioned fear. Objective: The present study examined the effects of bilateral infusions of GRP or its receptor antagonist (RC-3095) into the basolateral nucleus of the amygdala (BLA) on the conditioned emotional response. Methods: The effects of GRP (150, 300, and 600 ng/0.5 microl) and/or RC-3095 (50, 500, and 1,000 ng/0.5 microl) on contextual and cued fear conditioning were assessed following direct bilateral infusion of these compounds into the BLA. Results: Both GRP and RC-3095 (all doses) reduced freezing during the contextual testing period but did not influence responding in the cued test. Although both compounds reduced freezing in the contextual paradigms, at a moderate dose pretreatment with RC-3095 attenuated the GRP-elicited decrease in contextual freezing. Conclusions: It appears that manipulation of GRP at the BLA may influence the expression of learned fear and that these effects preferentially influence contextual versus cue-dependent emotional responses

Permeability of rock discontinuities and faults in the Triassic Sherwood Sandstone Group (UK): insights for management of fluvio-aeolian aquifers worldwide

Fluvio-aeolian sedimentary successions host groundwater aquifers at shallow depths (<~0.15 km), which overlie geothermal and shale-gas reservoirs, and nuclear waste repositories at intermediate depths (~0.15–2.0 km). Additionally, such deposits represent petroleum reservoirs at greater depths (~2.0–4.0 km). The need to improve conceptual understanding of the hydraulic behaviour of fluvial-aeolian sandstone successions over a large depth interval (~0–4 km) is important for socio-economic reasons. Thus, the hydraulic properties of the Triassic Sherwood Sandstone aquifer in the UK have been reviewed and compared to similar fluvio-aeolian successions. The ratio between well-scale and core-plug-scale permeability (Kwell-test/Kcore-plug) acts as a proxy for the relative importance of fracture versus intergranular flow. This ratio (which typically varies from ~2 to 100) indicates significant contribution of fractures to flow at relatively shallow depths (<~0.15 km). Here, permeability development is controlled by dissolution of calcite-dolomite in correspondence of fractures. The observed ratio (Kwell-test/Kcore-plug) decreases with depth, approaching unity, indicating that intergranular flow dominates at ~1 km depth. At depths ≥ ~1 km, dissolution of carbonate cement by rock alteration due to groundwater flow is absent and fractures are closed. Aeolian and fluvial deposits behave differently in proximity to normal faults in the Sherwood Sandstone aquifer. Deformation bands in aeolian dune deposits strongly compartmentalize this aquifer. The hydro-structural properties of fluvio-aeolian deposits are also controlled by mineralogy in fault zones. A relative abundance of quartz vs. feldspar and clays in aeolian sandstones favours development of low-permeability deformation bands