Objective The Vickers ligament is thought to hinder the growth of palmar ulnar radius by tethering the lunate to the radius,leading to Madelung deformity.The purpose of this study was to clarify the nature of the Vick...Objective The Vickers ligament is thought to hinder the growth of palmar ulnar radius by tethering the lunate to the radius,leading to Madelung deformity.The purpose of this study was to clarify the nature of the Vickers ligament and investigate its pathogenesis in Madelung deformities based on our observation of the Vickers ligament.Methods All 22 patients(33 wrists)with Madelung deformities treated surgically between 2018 and 2022 were included.The diagnosis was confirmed radiographically in all patients.The three-dimensional computed tomography(3D-CT)data of 16 patients(19 wrists)were available.Magnetic resonance imaging(MRI)data were available for 9 patients(14 wrists).Wrist arthroscopy was used in 4 patients.The Vickers ligament was resected and submitted for histopathological examination in 8 patients.Radiographic outcomes,3D-CT,MRI,arthroscopy,surgical findings,and histopathology of the Vickers ligament were evaluated.Results The 3D-CT revealed that the Vickers ligament originated in the metaphysis and formed a metaphyseal defect at the palmar ulnar radius.In the sequential MR coronal images,the Vickers ligament could be divided into 3 branches,extending to the lunate,triquetrum and ulnar styloid.Arthroscopy and surgical findings revealed that the nature of the Vickers ligament was the stretched palmar ligament of the wrist.The histopathology results revealed ligamentous tissue and fibrocartilaginous metaplasia with a structure similar to that of the triangular fibrocartilage complex(TFCC).Conclusions The Vickers ligament is not a separate aberrant ligament.The nature of the Vickers ligament is a combination of the stretched TFCC ligament(palmar radioulnar ligament,ulnotriquetral ligament and ulnolunate ligament)and radiolunate ligament.The possible pathogenesis of Madelung deformity might be focal early epiphyseal closure at the middle part of the sigmoid notch,which leads to focal growth retardation of the radius and pulls palmar ligaments proximally to form the Vickers ligament.展开更多
智慧交通行业具有综合性、系统性、数据驱动、服务智能化、安全性和环保性等特点,对相关企业进行价值评估可以为投资决策提供参考、为资产配置提供依据、为相关企业的并购重组提供指导、明确业务发展的方向等。在进行企业价值评估时,重...智慧交通行业具有综合性、系统性、数据驱动、服务智能化、安全性和环保性等特点,对相关企业进行价值评估可以为投资决策提供参考、为资产配置提供依据、为相关企业的并购重组提供指导、明确业务发展的方向等。在进行企业价值评估时,重要的是考虑当前实际情况,相应地调整使用的参数,选择恰当的评估方法,确保评估数据反映最新的市场动态和企业经营状况。文章以qf科技为例,使用灰色预测模型GM(1,1)对qf科技企业的未来自由现金流加以预测,通过DCF模型和经过蒙特卡洛模拟(Monte Carlo Simulation)改进后的DCF模型对qf科技企业价值进行评估,最终结果显示:通过蒙特卡洛模拟(Monte Carlo Simulation)改进后的模型评估企业价值更加合理。展开更多
基金supported by the Natural Science Foundation of Beijing Municipality(No.7222087)Beijing JST Research Funding(No.ZR-202217).
文摘Objective The Vickers ligament is thought to hinder the growth of palmar ulnar radius by tethering the lunate to the radius,leading to Madelung deformity.The purpose of this study was to clarify the nature of the Vickers ligament and investigate its pathogenesis in Madelung deformities based on our observation of the Vickers ligament.Methods All 22 patients(33 wrists)with Madelung deformities treated surgically between 2018 and 2022 were included.The diagnosis was confirmed radiographically in all patients.The three-dimensional computed tomography(3D-CT)data of 16 patients(19 wrists)were available.Magnetic resonance imaging(MRI)data were available for 9 patients(14 wrists).Wrist arthroscopy was used in 4 patients.The Vickers ligament was resected and submitted for histopathological examination in 8 patients.Radiographic outcomes,3D-CT,MRI,arthroscopy,surgical findings,and histopathology of the Vickers ligament were evaluated.Results The 3D-CT revealed that the Vickers ligament originated in the metaphysis and formed a metaphyseal defect at the palmar ulnar radius.In the sequential MR coronal images,the Vickers ligament could be divided into 3 branches,extending to the lunate,triquetrum and ulnar styloid.Arthroscopy and surgical findings revealed that the nature of the Vickers ligament was the stretched palmar ligament of the wrist.The histopathology results revealed ligamentous tissue and fibrocartilaginous metaplasia with a structure similar to that of the triangular fibrocartilage complex(TFCC).Conclusions The Vickers ligament is not a separate aberrant ligament.The nature of the Vickers ligament is a combination of the stretched TFCC ligament(palmar radioulnar ligament,ulnotriquetral ligament and ulnolunate ligament)and radiolunate ligament.The possible pathogenesis of Madelung deformity might be focal early epiphyseal closure at the middle part of the sigmoid notch,which leads to focal growth retardation of the radius and pulls palmar ligaments proximally to form the Vickers ligament.
文摘智慧交通行业具有综合性、系统性、数据驱动、服务智能化、安全性和环保性等特点,对相关企业进行价值评估可以为投资决策提供参考、为资产配置提供依据、为相关企业的并购重组提供指导、明确业务发展的方向等。在进行企业价值评估时,重要的是考虑当前实际情况,相应地调整使用的参数,选择恰当的评估方法,确保评估数据反映最新的市场动态和企业经营状况。文章以qf科技为例,使用灰色预测模型GM(1,1)对qf科技企业的未来自由现金流加以预测,通过DCF模型和经过蒙特卡洛模拟(Monte Carlo Simulation)改进后的DCF模型对qf科技企业价值进行评估,最终结果显示:通过蒙特卡洛模拟(Monte Carlo Simulation)改进后的模型评估企业价值更加合理。
