BackgroundDue to the intraarticular and complex nature of the coronal shear fracture of the humeral capitellum and its rarity, it has been difficult to formulate a universally accepted method of surgical management. The purpose of this study is to retrospectively evaluate the clinical outcomes of 15 patients with isolated coronal shear fractures of the capitellum treated by Herbert screw fixation through anterolateral approach, and to address the safety and tips for this surgical procedure.MethodsThis retrospective study included 15 isolated coronal shear fractures of the capitellum without posterior involvement, which were classified according to the Dubberley classification as 11 type 1A fractures and 4 type 3A fractures. All fractures were treated with Herbert screws fixation via the anterolateral approach. Clinical and radiographic evaluation was performed regularly, with a mean follow-up of 29 months.ResultsThe mean operative time was 81 min. There were no wound healing problems or infection. One incomplete posterior interosseous nerve injury occurred, which recovered soon without residual compromise. All fractures healed well. At the final follow-up, the average range of motion was 134°in flexion-extension and 172°in supination-pronation. There was no significant difference between the affected and the unaffected elbows with regard to motion in flexion-extension or flexion-extension. The average Mayo Elbow Performance Index Score was 93 with 11 excellent and 4 good. No evidence of avascular necrosis, posttraumatic osteoarthritis, or heterotrophic ossification was found.ConclusionOpen reduction and internal fixation using Herbert screws through a anterolateral approach is a reliable and effective treatment for coronal shear fractures of capitellum, and able to achieve stable fixation and restoration of a functional range of motion.

Background For coronal shear fractures of humeral capitellum, the lateral approach is the most commonly used surgical approach. However, exposure range of the anterior aspect of the distal humerus is inadequate. The anterolateral approach has also been adopted to overcome this disadvantage. However, this approach seems anatomically complex due to the risk of iatrogenic injury to the radial nerve. So far, the optimal approach for the treatment of capitellar shear fractures remains inconclusive. The purpose of this study is to prospectively review and compare the early clinical and radiographic outcomes of treated with open reduction and Herbert screw internal fixation through the lateral approach or the anterolateral approach. Methods Twenty-six patients with isolated capitellar shear fractures were enrolled from January 2013 to December 2017, and randomly assigned to lateral approach group or anterolateral approach group. All the fractures were treated with open reduction and Herbert screw internal fixation through lateral approach or anterolateral approach. Operation time, wound healing complication, elbow joint function, and radiographic evidence were evaluated and compared between two groups. Results The operation via the anterolateral approach took significantly shorter time than via lateral approach ( p < 0.05). There were no wound healing problems and infection for both groups. One patient from anterolateral approach group sustained incomplete posterior interosseous nerve palsy, which recovered completely in 4 weeks without residual compromise. All fractures healed well in their normal anatomic position as seen on radiographs. At the final follow-up, no significant difference was found between two groups with respect to the ROM in supination-pronation, ROM in pronation-supination, loss of flexion-extension motion, or loss of pronation-supination motion ( p > 0.05). There is no significant difference with respect to MEPI score of elbow joint between two groups ( p > 0.05). Conclusion Based on our findings, both lateral approach and anterolateral approach with Herbert screw internal fixation are suitable for coronal shear fractures of capitellum with satisfactory early outcomes. Compared with the lateral approach, the anterolateral approach made the surgical procedure easier and time saving in current series. When the medial aspect of the trochlea is involved for capitellar coronal fractures, the anterolateral lateral approach should be preferred.

Overexpression of cFLIP(L) is a frequent event in HNSCC and HNSCC cells in vivo may need it to evade apoptosis mediated by Fas or other receptors, which might contribute to tumour development and progression.

In this paper, we will investigate the contribution of color names for salient object detection. Each input image is first converted to the color name space, which is consisted of 11 probabilistic channels. By exploring the topological structure relationship between the figure and the ground, we obtain a saliency map through a linear combination of a set of sequential attention maps. To overcome the limitation of only exploiting the surroundedness cue, two global cues with respect to color names are invoked for guiding the computation of another weighted saliency map. Finally, we integrate the two saliency maps into a unified framework to infer the saliency result. In addition, an improved post-processing procedure is introduced to effectively suppress the background while uniformly highlight the salient objects. Experimental results show that the proposed model produces more accurate saliency maps and performs well against 23 saliency models in terms of three evaluation metrics on three public datasets.

Road Detection is a basic task in automated driving field, in which 3D lidar data is commonly used recently. In this paper, we propose to rearrange 3D lidar data into a new organized form to construct direct spatial relationship among point cloud, and put forward new features for real-time road detection tasks. Our model works based on two prerequisites: (1) Road regions are always flatter than non-road regions. (2) Light travels in straight lines in a uniform medium. Based on prerequisite 1, we put forward difference-between-lines feature, while ScanID density and obstacle radial map are generated based on prerequisite 2. According to our method, we construct an array of structures to store and reorganize 3D input firstly. Then, two novel features, difference-between-lines and ScanID density, are extracted, based on which we construct a consistency map and an obstacle map in Bird Eye View (BEV). Finally, the road region is extracted by fusing these two maps and refinement is used to polish up our outcome. We have carried out experiments on the public KITTI-Road benchmark, achieving one of the best performances among the lidar-based road detection methods. To further prove the efficiency of our method on unstructured road, the visual outcomes in rural areas are also proposed.