Introdução: As alterações anatômicas do fêmur proximal ou do acetábulo, como as decorrentes das sequelas da epifisiólise do fêmur proximal, da displasia do quadril da doença de Legg-Perthes-Calvé, podem levar ao desenvolvimento da artrose do quadril. No entanto, em torno de 80% dos indivíduos que desenvolvem essa doença têm uma anatomia óssea considerada normal. Ainda assim, surgiu a hipótese que alterações sutis do fêmur proximal ou do acetábulo, denominadas, respectivamente, cam e pincer, poderiam gerar um contato anormal entre essas estruturas ósseas, desencadear lesão condral e, como consequência, a artrose do quadril. Esse mecanismo foi denominado impacto fêmoro-acetabular. No entanto, a comprovação da relação entre o impacto e a artrose do quadril depende da uniformização dos critérios diagnósticos do cam e do pincer, ainda escassa e variável na literatura. Dessa forma, será possível a definição da prevalência e história natura do impacto fêmoro-acetabular e da sua relação com a artrose do quadril. Objetivo: Avaliar a prevalência do impacto fêmoro-acetabular tipo cam e tipo pincer em uma amostra de indivíduos assintomáticos. Pacientes e Métodos: Foram estudados 106 indivíduos assintomáticos (65 homens e 41 mulheres), com idade entre 20 e 40 anos. A condição determinante para a inclusão no estudo foi à ausência de história de dor no quadril ao longo da vida. Foram obtidas radiografias em ântero-posterior e Dünn 45°. A presença de cam foi determinada por um ângulo alfa, arbitrado, de 55° e a presença de pincer, quando observado o sinal da parede posterior e/ou o sinal de crossover. Resultados: Foi observada prevalência de cam de 29%; o sinal do crossover e da parede posterior ocorreram, respectivamente, em 20% e 29% dos indivíduos estudados. Pelo menos uma das imagens de impacto fêmoro-acetabular estava presente em 65% dos indivíduos da amostra. Conclusão: A prevalência encontrada das imagens de impacto fêmoro-acetabular (65%) está acima daquelas relatadas na literatura. É necessária a ampliação do estudo para confirmar os resultados encontrados e a realização de estudos prospectivos bem controlados para avaliar o papel do cam e do pincer no desenvolvimento da artrose do quadril. / Background: Anatomical abnormalities of the proximal femur or the acetabulum, such as those resulting from the consequences of slipped epiphyses of the proximal femur, the hip dysplasia of Legg-Calve-Perthes disease, could lead to the development of hip osteoarthrosis. Nevertheless, around 80% of individuals who develop this condition have a bone anatomy considered normal. Still, the hypothesis arose that subtle alterations of the proximal femur or the acetabulum, called, respectively, cam and pincer, could generate an abnormal contact between these bony structures, triggering chondral lesion and as a consequence, arthritis of the hip. This mechanism has been named femoroacetabular impingement. Nevertheless, evidence of the relationship between the impact and osteoarthritis of the hip depends on the standardization of diagnostic criteria of cam and pincer, still scarce and variable in the literature. Thus it will be possible to define the prevalence and natural history of femoroacetabular impingement and its relationship with hip osteoarthrosis. Aim: To determine the prevalence of cam-type and pincer-type femoroacetabular impingements in asymptomatic subjects. Patients and Methods: Were studied 106 asymptomatic subjects (65 males and 41 females) aged between 20 and 40 years. The determining condition for inclusion in the study was the absence of history of hip pain throughout life. Radiographs were obtained in anteroposterior pelvic view and Dunn 45° view. The presence of cam was determined by an angle alpha, arbitrated, 55 ° and the presence of pincer when the observed the posterior wall and / or crossover signs. Results: A prevalence of 29% of cam, and 20% and 29% of crossover sign and posterior wall sign respectively was found. At least, one of those radiographic signs of femoroacetabular impingement was found in 65% (68) of the cases. Conclusion: In conclusion, the prevalence of images of femoroacetabular impingement (65%) is above those reported in the literature. Increase of the study is necessary to verify the results found, and the performance of well-controlled prospective studies to evaluate the role of the cam and pincer in the development of osteoarthritis of the hip.

This dissertation focuses on the effects of superhydrophobic (SHPo) surfaces on thermal transport. The work is divided into two main categories: thermal transport without phase change and thermal transport with phase change. Thermal transport without phase change is the topic of four stand-alone chapters. Three address jet impingement at SHPo surfaces and the fourth considers natural convection at a vertical, SHPo wall. Thermal transport with phase change is the topic of a single stand-alone chapter exploring pool boiling at SHPo surfaces.Two chapters examining jet impingement present analytical models for thermal transport; one considered an isothermal wall and the other considered an isoflux wall. The chapter considering the isothermal scenario has been archivally published. Conclusions are presented for both models. The models indicated that the Nusselt number decreased dramatically as the temperature jump length increased. Further, the influence of radial position, jet Reynolds number, Prandtl number and isoflux versus isothermal heating become negligible as temperature jump length increased. The final chapter concerning jet impingement reports an experimental exploration of jet impingement at post patterned SHPo surfaces with varying microfeature pitch and cavity fraction. The empirical results show a decrease in Nusselt number relative to smooth hydrophobic surfaces for small pitch and cavity fraction and the isoflux model agrees well with this data when the ratio of temperature jump length to slip length is 3.1. At larger pitch and cavity fractions, the empirical results have higher Nusselt numbers than the SHPo surfaces with small pitch and cavity fraction but remain smaller than the smooth hydrophobic surface. We attribute this to the influence of small wetting regions. The chapter addressing natural convection presents an analytical model for buoyant flow at a vertical SHPo surface. The Nusselt number decreased dramatically as temperature jump length increased, with greater decrease occurring near the lower edge and at higher Rayleigh number. Thermal transport with phase change is the topic of the final stand-alone chapter concerning pool boiling, which has been archivally published. Surface heat flux as a function of surface superheat was reported for SHPo surfaces with rib and post patterning at varying microfeature pitch, cavity fraction, and microfeature height. Nucleate boiling is more suppressed on post patterned surfaces than rib patterned surfaces. At rib patterned surfaces, transition superheat decreases as cavity fraction increases. Increasing microfeature height modestly increases the transition superheat. Once stable film boiling is achieved, changes in surface microstructure negligibly influence thermal transport.

Surgical interventions on the hip joint have greatly increased over the past decade, with the cumulative cost total hip arthroplasties (THA) alone exceeding $400B/year by 2020. Although positive patient-reported outcomes and satisfaction after THA and hip preservation for cam femoroacetabular impingement (FAI) are among the highest in orthopaedics, a limited number of research has investigated the biomechanics of dynamic activities following-up the surgery. This doctoral thesis examined the kinematics, muscle force component, and hip contact loading in pre- and postoperative patients during the deep squat motion. Specifically, this research: 1) examined muscle strength and pelvic kinematics in asymptomatic FAI, 2) examined lower-limb kinematics and muscle activity in postoperative patients who underwent either THA or FAI correction during a deep squat task, and 3) examined muscle force contributions and hip contact forces (HCF) during dynamic motion in postoperative FAI patients. First, clinical and medical imaging evaluations classified the participants into three groups: symptomatic FAI, asymptomatic FAI (FAD – participants had the cam deformity, but no pain), and healthy controls. The FAD participants had significantly greater hip extensor strength compared to the FAI and CTRL groups, which allowed them to achieve greater pelvic mobility and squat as deep as the CTRL group. Second, at the follow-up for the FAI surgery the patients showed increased pelvic ROM during the squat, and weakness associated with hip flexion and hip flexion-with-abduction were associated with postoperative alterations. For the THA follow-up analyses, the patients using a dual- mobility (DM) prosthesis reached an anterior pelvic tilt similarly to the CTRL during the dynamic parts of the squat; however, without returning its neutral tilt at the bottom of the squat, while the single- bearing (SB) prosthesis was associated with excessive hip abduction during the squat. Third, a generic full-body musculoskeletal model (MSKM) was optimized to allow for the analysis of tasks with a high range of motion (ROM; e.g. deep squat task), which controlled muscle moment arms during the high joint flexions to avoid the model’s motor tendon units (MTU) to penetrate the bony structures and respect the anatomical via points. Simulation performed during gait demonstrated that FAI patients enhance medial-lateral hip stability postoperatively, allowing reduced dynamic forces of the muscles associated with the sagittal aspect of the gait due to a less compensatory strategy to stabilize the hip joint. Furthermore, simulations performed during deep squat showed a higher anterior pelvic tilt in postoperative FAI patients as a ‘restore to native’ mechanism once the cam-deformity was no longer present. Increased semimembranosus force was linked to higher vertical HCF and total magnitude. The outcomes of this research include findings for gait and squat analyses that provide a better understanding of the pelvic mobility and hip muscle forces in hip diseases. In silico models can improve biomechanical assessment of postoperative patients in order to quantify surgical effectiveness and support clinicians in making subject-specific case decisions. The contributions also lay on the assertion of helping us to formulate future research directions in biomechanics applied to the orthopaedics field.

Liquid jet impingement is a technique ubiquitously used to rapidly remove large amounts of heat from a surface. Several different regions of heat transfer spanning from forced convection to nucleate, transition, and film boiling can occur very near to one other both temporally and spatially in quenching or high wall heat flux scenarios. Heat transfer involving jet impingement has previously shown dependency both on jet characteristics such as flow rate and temperature as well as surface material properties. Water droplets are known to bead up upon contact with superhydrophobic (SH) surfaces. This is due to reduced surface attraction caused by micro- or nanostructures that, combined with a natively hydrophobic surface chemistry, reduce liquid-solid contact area and attraction, promoting droplet mobility. This remarkable capability possessed by SH surfaces has been studied in depth due to its potential for self-cleaning and shear reduction, but previous research regarding heat transfer on such surfaces shows that it has varying effects on thermal transport. This thesis investigates the effect that quenching initially hot SH surfaces by water jet impingement has on heat transfer, particularly regarding phase change. Two comparative studies are presented. The first examines differences in transient heat transfer from hydrophilic, hydrophobic, and SH surfaces over a range of initial surface temperatures and with jets of varying Reynolds number (ReD), modified by adjusting flow rate. Comparisons of instantaneous local heat flux from the surfaces are made by performing an energy balance over differential control volumes across the surfaces. General trends show increased heat flux, jet spreading velocity and maximum jet spread radius when ReD is increased. An increase in inital surface temperature resulted in increased heat flux across all surfaces, but slowed jet spreading. The local heat flux, average heat rate, and total thermal energy transfer from the surface all confirmed that SH surfaces allow significantly less heat to transfer to the jet compared to hydrophilic surfaces, due to the enhanced Leidenfrost condition and reduced liquid-solid contact on SH surfaces which augments thermal resistance. The second study compares jet impingement heat transfer from SH surfaces of varying microstructures. Similar thermal effects due to modified jet ReD and initial surface temperature were observed. Modifying geometric pattern from microposts to microholes, altering cavity fraction, and changing feature pitch and width had little impact on heat transfer. However, reducing feature height on the post surfaces facilitated water penetration within the microstructure, slightly enhancing thermal transport.

STUDY DESIGN: Block-counterbalanced, repeated-measures crossover study. OBJECTIVES: To assess scapular upward rotation positional adaptations to experimentally induced subacromial pain. BACKGROUND: Existing subacromial pathology is often related to altered scapular kinematics during humeral elevation, such as decreased upward rotation and posterior tilting. These changes have the potential to limit subacromial space and mechanically impinge subacromial structures. Yet, it is unknown whether these changes are the cause or result of injury and what the acute effects of subacromial pain on scapular upward rotation may be. METHODS: Subacromial pain was induced via hypertonic saline injection in 20 participants, aged 18 to 31 years. Scapular upward rotation was measured with a digital inclinometer at rest and at 30°, 60°, 90°, and 120° of humeral elevation during a painful condition and a pain-free condition. Repeated-measures analyses of variance were conducted for scapular upward rotation position, based on condition (pain or control) and humeral position. Post hoc testing was conducted with paired t tests as appropriate. RESULTS: Scapular upward rotation during the pain condition was significantly increased (range of average increase, 3.5°-7.7°) compared to the control condition at all angles of humeral elevation tested. CONCLUSION: Acute subacromial pain elicited an increase in scapular upward rotation at all angles of humeral elevation tested. This adaptation to acute experimental pain may provide protective compensation to subacromial structures during humeral elevation.

STUDY DESIGN: Block-counterbalanced, repeated-measures crossover study. OBJECTIVES: To assess scapular upward rotation positional adaptations to experimentally induced subacromial pain. BACKGROUND: Existing subacromial pathology is often related to altered scapular kinematics during humeral elevation, such as decreased upward rotation and posterior tilting. These changes have the potential to limit subacromial space and mechanically impinge subacromial structures. Yet, it is unknown whether these changes are the cause or result of injury and what the acute effects of subacromial pain on scapular upward rotation may be. METHODS: Subacromial pain was induced via hypertonic saline injection in 20 participants, aged 18 to 31 years. Scapular upward rotation was measured with a digital inclinometer at rest and at 30°, 60°, 90°, and 120° of humeral elevation during a painful condition and a pain-free condition. Repeated-measures analyses of variance were conducted for scapular upward rotation position, based on condition (pain or control) and humeral position. Post hoc testing was conducted with paired t tests as appropriate. RESULTS: Scapular upward rotation during the pain condition was significantly increased (range of average increase, 3.5°-7.7°) compared to the control condition at all angles of humeral elevation tested. CONCLUSION: Acute subacromial pain elicited an increase in scapular upward rotation at all angles of humeral elevation tested. This adaptation to acute experimental pain may provide protective compensation to subacromial structures during humeral elevation.

Objectives: To determine the subacute effects of cervicothoracic spinal thrust/non-thrust in addition to shoulder non-thrust plus exercise in patients with subacromial pathology. Methods: This was a randomized, single blinded controlled trial pilot study. This trial was registered at ClinicalTrials.gov (NCT01753271) and reported according to Consolidated Standards of Reporting Trials requirements. Patients were randomly assigned to either shoulder treatment plus cervicothoracic spinal thrust/non-thrust or shoulder treatment-only group. Primary outcomes were average pain intensity (Numeric Pain Rating Scale) and physical function (Shoulder Pain and Disability Index) at 2 weeks, 4 weeks, and patient discharge. Results: 18 patients, mean age 43.1(15.8) years satisfied the eligibility criteria and were analyzed for follow-up data. Both groups showed statistically significant improvements in both pain and function at 2 weeks, 4 weeks, and discharge. The between-group differences for changes in pain or physical function were not significant at any time point. Discussion: The addition of cervicothoracic spinal thrust/non-thrust to the shoulder treatment-only group did not significantly alter improvement in pain or function in patients with subacromial pathology. Both approaches appeared to provide an equally notable benefit. Both groups improved on all outcomes and met the criteria for clinical relevance for both pain and function. Level of Evidence: 2b.

Luminescent coating measurement system is a relatively new technology for quantitative pressure and temperature measurement. Usually referred to as Pressure Sensitive Paint (PSP) and Temperature Sensitive Paint (TSP), luminescent coatings contain sensor molecules, which undergoes a luminescent transition when excited with light of proper wavelength. The reaction is pressure and/or temperature sensitive. The image of TSP or PSP coated model surface can be captured with a scientific grade camera and then processed to obtain full field temperature and pressure distribution with very high fidelity. The preparation time of the technique is short. The measurement system offers an economic alternative to conventional testing methods using large number of pressure taps and thermocouples. The purpose of the experiment in this thesis is to take the benefits of the TSP and PSP technique, develop a well-controlled process and then apply the technique for a fundamental study on jet impingement heat transfer. First, Uni-Coat TSP and Binary-FIB PSP purchased from ISSI Inc. are calibrated to high accuracy. The calibration uncertainty of TSP and PSP are found to be ±0.93 °C and ±0.12 psi over temperature and pressure ranges of 22 to 90 ° C and 5 to 14.7 psia, respectively. The photodegradation of TSP is then investigated with the same calibration system. The photodegradation refers to the phenomenon of decreasing emission intensity as the luminescent paint is exposed to the illumination light during testing. It was found that photodegradation rate is a strong function of temperature and the optical power of illumination lighting. The correlation developed in this work is expected to compensate the degradation of TSP to achieve high measurement accuracy. Both TSP and PSP were then applied in the flow and heat transfer measurement of single round impinging air jet. Various separation distance (Z/D) and jet Reynolds number are tested. Pressure measurement on the jet impinged target surface using PSP clearly shows the boundary of jet impingement zone, which broadens with separation distance. In heat transfer experiment using TSP, the "second peak" in local heat transfer occurring at radial distance r/D around 2 is clearly observed when the separation distance Z/D is shorter than the length of jet potential core. The slight variation in radial location and the amplitude of the "second peak" are captured as Z/D and jet Reynolds number change. The optimum Z/D of stagnation point heat transfer is found to be around 5. The effect of jet nozzle configuration is investigated. It is found that the heat transfer rate associated with "tube jet" is generally higher than that of "plate jet". The difference in heat transfer between the two jet configurations is related to the weaker entrainment effect associated with "plate jet", where the entrainment of surrounding air is confined by the injection plate, especially under small Z/D circumstances. When compared with the benchmark data in the literature, the averaged heat transfer data of "tube jet" matches the empirical data better than those of "plate jet". The maximum difference is 3.3% for tube jet versus 15.4% for plate jet at Reynolds number of 60000 and Z/D of 5. The effect of surface roughness on jet impingement heat transfer is also studied. Heat transfer can be significantly increased by the enhanced roughness of the target surface. The largest roughness effect is achieved near stagnation point at high jet Reynolds number. Compared to the heat transfer to a smooth plate, as high as 30.9% increase in area-averaged Nusselt number is observed over a rough surface at r/D=1.5 and jet Reynolds number of 60000. The most significant advance of the present work is that both temperature and pressure measurement be obtained with the same measurement system and with accuracy comparable to traditional testing methods. The procedures that were employed in this work should be easy to apply in any university or industrial testing facility. It provides a rapid testing tool that can help solve complex problems in aerodynamics and heat transfer

Impingement is the most commonly used method of cooling in the hot stages of gas turbines. This is often combined with film cooling to further increase the cooling performance. The mainstream flow where in the coolant films discharge often has large stream wise pressure variations. All existing studies on coupled film and impingement cooling concentrated on the effect of the film depletion on the impingement heat transfer. This study investigates the impact of impingement on film cooling, where the jets impinging on a flat plate are depleted through arrays of film cooling holes in the presence of pressure gradient in the main gas path. The main characteristic of the test setup is that there is an impingement wall on the backside of the film effusion wall. The fluid used for both impingement flow and main flow is air. The impingement flow is heated as opposed to the usual practice of heating mainflow, and the array of film holes are configured under the impingement jet hole arrays such that there is no direct impingement on the film holes. The static pressure variations and Mach number (0.01 to 0.3) in the mainstream underneath the flat plate are controlled by inserts with varying flow area. The detailed temperature distribution on the film-covered surface is measured using the Temperature Sensitive Paint (TSP) technique, and film cooling effectiveness is calculated from the measurements. Results are presented for averaged impingement jet Reynolds numbers of 5000 and 8000. The effect of impingement on film effectiveness is studied by comparing the results from the two cases: one where film flow is directly supplied from a plenum and the other where the post- impingement flow is depleted through film effusion holes. The results are presented for cylindrical film cooling holes which are inclined at angles of 20 deg and 30 deg with respect to the target plate surface. The variation of the effectiveness of the film hole arrays along the mainstream are studied in detail. It is observed that the impingement through jet effects the pressure distribution on the target plate with film holes, which in turn affects the blowing rates of each row. The change in the blowing ratios because of a different pressure distribution on the impingement side of the target plate causes the effectiveness to change. From the results it is observed that the farther rows of impingement are affected by the pressure distribution underneath the film holes and have more flow through the film cooling rows, this increases the inlet flow of the films which increase the blowing ratios and in turn decreases the effectiveness of the film cooling holes. The pressure distribution and the change of effectiveness are studied in detail.

Computational Fluid Dynamics is used to analyze the formation of under-expanded jets and to investigate the three-dimensional flow field associated with the impingement of free jets onto stationary deflectors. This investigation was performed to develop a verified modeling ability for such problems. Predictions were compared with the experimental results obtained by Donaldson and Snedeker [1]. Computational models for free and impinging jets were created according to the data provided in Ref. 1. Numerical results for each of the experiments performed in this benchmark report are presented. Three different turbulent free jets produced by a simple convergent nozzle were analyzed. These include a subsonic jet with p₁/pâ =1 and M₁=0.57, a moderately under-expanded jet with p₁/pâ =1.42 and M₁=1, and a highly under-expanded jet with p₁/pâ =3.57 and M₁=1. The reflecting shocks associated with the moderately under-expanded jet as well as the shock disk associated with the highly under-expanded jet were fully resolved. Velocity profile data predicted at locations downstream of the nozzle exit agreed very well with the experimental results. The impingement of a moderately under-expanded jet with p₁/pâ =1.42 and M₁=1 was also investigated. The interaction of the high speed jet with circular flat plates at angles of 60° and 45° relative to the center axis of the jet are presented. Wall jet velocity profiles on the surface of the flat plate are fully resolved and compare well with experimental results. The CFD solver controls and method used to obtain these results are summarized and justified. / Master of Science