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Objective: The aim of the present study was to evaluate the accuracy of an extraoral CBCT-planned 3D-printed surgical guide aimed to percutaneous injection of substances into the temporomandibular joint (TMJ) and the lateral pterygoid muscle (LPM). Methods: Nine human cadaver heads were used. Pre-planning CBCT and facial scans were obtained and three percutaneous injection sites were planned: one for the lower compartment of the TMJ and two for the LPM. A digital surgical guide was then designed with small titanium sleeves and printed by a 3D printer. After the injections, new CBCT scans with the needles in place were obtained in order to assess the accuracy of the procedure in relation to the virtual planning. Results: The mean values for angle deviation were very low (range 1.13o-4.08o), the same happening for the mean difference in the length reached (range 1.82–2.64 mm), as well as for the mean difference in the needle tip dislocation (range 0.94–2.03 mm). Conclusion: The guide seems to be a reliable tool for accurate percutaneous injection of drugs into the inferior compartment of the TMJ and the LPM. Further studies are necessary to test the efficacy and validate the method in an in vivo study.

Purpose-The purpose of this paper is to present a case study of the Heathrow Terminal 5 project and to illustrate a customised application of the Balanced Scorecard in a major infrastructure project with multiple stakeholders. Design/methodology/approach-The research methodology applied in this work was based on the case study methodology. The focus was on ''how'' questions and exploratory analysis of primary and secondary data supported in-depth interviews with members from both the project team and suppliers. Findings-The application of the concept of the Balanced Scorecard by Kaplan and Norton in project management is less frequent in comparison with operations management. The study has established a proven application of the Balanced Scorecard in managing quality in a major infrastructure project. Practical implications-For practitioners of major projects the paper gives implications for implementing the theoretical and customising requirements of the Balanced Scorecard involving key stakeholders. Originality/value-The paper illustrates that metrics can be customised for major projects within the framework of the Kaplan and Norton Balanced Scorecard and that suppliers should be empowered to own the monitoring and improvement process using their performance data.

Inertial sensors may provide the opportunity for broader and more cost effective gait analysis; however some questions remain over their potential use in this capacity. The aim of the study was to determine whether an inertial sensor could discriminate between normal walking, fast walking, and running. A single group crossover design was used to compare acceleration profiles between three gait conditions: normal walking, fast walking, and running. An inertial sensor was placed on the sacrum of 12 participants (6 male, 6 female) who performed 3 trials of each gait condition on both overground and treadmill settings. A significant difference (P < 0.001) in the occurrence of heel strike in the gait cycle was found between running and both walking conditions. No differences were seen between overground and treadmill in any condition or variable. The results indicate that a single sacral mounted inertial sensor can differentiate running from normal walking and fast walking using temporal gait event measures. This study indicates that inertial sensors can differentiate walking from running gait in healthy individuals which may have potential for application in the quantification of physical activity in the health and exercise industry.

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Anatomical variations of the ulnar nerve have been described at the level of the elbow and in Guyon's canal, while the path in the forearm has always been assumed to be constant. We present a case of compressive ulnar neuropathy at the wrist pre-disposed by a presumed congenital variation of the path of the ulnar nerve at the level of the wrist which improved following surgical release of the constriction caused as a result of it.