Effects of A2 Pulley Venting on Bowstringing and Tendon Slack: A Biomechanical Investigation.

BACKGROUND: A2 pulley release is often needed for exposure of the lacerated tendon, retrieval of retracted tendons, placement of core sutures, or to permit full motion and gliding of the repaired and edematous tendon. However, there is no agreement in the literature on the specific quantity of pulley venting that can be performed and recommendations are limited to an undefined "judicious release" of the pulleys when necessary. METHODS: Following a previously developed testing protocols, finger kinematics, tendon excursion, and bowstringing were evaluated on cadaveric hands for venting in increments of 20% of the pulley length. RESULTS: In our study, we found a statistically significant influence of venting on bowstringing, although no difference was found between fingers, and a significant difference in tendon slack, which was variable depending on the finger. Bowstringing started increasing at 20% of A2 venting and peaked at full release. Tendon slack did not start until 40% of A2 venting on the index finger, but started at 20% on the middle, ring, and small fingers. CONCLUSIONS: Venting of the A2 pulley leads to an incremental increase in tendon bowstringing and tendon slack. However, differences in metacarpophalangeal flexion angle were not observed until full A2 pulley release, and only observed in the index finger, and no differences were observed in proximal interphalangeal flexion angles. Therefore, the benefit of releasing the A2 pulley when clinically necessary will likely outweigh the risks of loss of motion or strength.

Gas-phase facial diastereoselectivity of equatorial and axial 4-chloro-adamant-2-yl cations.

The acid-catalyzed addition of CH3(18)OH to 2-methylene-adamantanes bearing a chlorine atom in the 4-equatorial (1e) or 4-axial (1a) position has been investigated in the gas phase, at 760 Torr, in the 40-120 degrees C temperature range. Two different experimental approaches were employed: (1) by adding neutral CH3(18)OH to the 2-methyl-4-Cl-adamant-2-yl cation, generated by protonation of the corresponding 2-methylene-4-Cl-adamantane (the extracomplex reaction) and (2) by reaction of 2-methylene-4-Cl-adamantane with CH3(18)OH2+, generated by methylation of H2(18)O (the intracomplex reaction). The crucial role of the nature of the noncovalent intermediates involved along the reaction coordinates emerges from the difference between the results obtained in the extracomplex and intracomplex reactions for both substrates investigated. The kinetic and stereochemical results indicate that the 4-Cl substituent plays a different role depending on its equatorial or axial orientation. Examination of the experimental results in the light of MP2/6-31G* theoretical calculations provides important information about the intrinsic factors governing the facial diastereoselectivity of trigonal carbocations. The effects due to differential face solvation phenomena emerge from the comparison of the present gas-phase results with those obtained from strictly related studies in solution.

Gas-phase diastereoselectivity of secondary 5-substituted (X)-adamant-2-yl (X = F, Si(CH(3))(3)) cations.

Secondary 5-X-adamant-2-yl cations IX (X = F, Si(CH3)3) have been generated in the gas phase (total pressure = 760 Torr) from protonation-induced defluorination of epimeric 2-F-5-X-adamantanes 1X and their kinetic diastereoselectivity toward CH318OH investigated in the 40-160 degrees C range. The experimental results indicate that the facial selectivity of IX is insensitive to the composition of the starting 1X epimers as well as to the presence and the concentration of a powerful base (N(C2H5)3). This kinetic picture, supported by B3LYP/6-31G* calculations, is consistent with a single stable pyramidalized structure for IX, that is, (Z)-5-F-adamant-2-yl (I(Z)F) and (E)-5-Si(CH3)3-adamant-2-yl cations (I(E)Si). The temperature dependence of the IX diastereoselectivity lends support to the intermediacy of noncovalent adducts [IX*CH318OH], characterized by a specific C2-H+...O18(H)CH3 hydrogen bonding interaction. Their conversion to the covalently bonded O-methylated (Z)- (II(Z)X) and (E)-5-X-adamantan-2-ols (II(E)X; X = F, Si(CH3)3) is governed by activation parameters, whose magnitude depends on the specific IX face accommodating CH318OH. The gas-phase diastereoselectivity of IX toward CH318OH is compared to that exhibited in related gas-phase and solution processes. The emerging picture indicates that the factors determining the diastereoselectivity of IX toward simple nucleophiles in the gaseous and condensed media are completely different.

Polar substituent effects in the bicyclo[1.1.1]pentane ring system: acidities of 3-substituted bicyclo[1.1.1]pentane-1-carboxylic acids.

Experimental gas-phase acidities are reported for a series of 3-substituted (X) bicyclo [1.1.1]pent-1-yl carboxylic acids (1, Y = COOH). A comparison with available calculated data (MP2/6-311++G**// B3LYP/6-311+G**) reveals good agreement. The relative substituent effects are shown to be adequately described by a much lower level of theory (B3LYP/6-31+G*). Various correlations are presented which clearly point to polar field effects as being the origin of the relative acidities.

Importance of entropy in the diastereoselectivity of 5-substituted 2-methyladamant-2-yl cations.

The diastereofacial selectivity of 2-methyl-5-X-adamant-2-yl cations IX (X = CN, Cl, Br, CH3O, COOCH3, C6H5, CH3, and (CH3)3Sn) toward methanol has been investigated in the gas phase at 750 Torr and in the 40-120 degrees C temperature range and compared with that of IF (X = F) and ISi (X = (CH3)3Si) measured previously under similar conditions. Detailed analysis of the energy surface of the IMe (X = CH3) ion reveals that the activation barrier of its syn addition to methanol is significantly lower than that of the anti attack. In the 40-100 degrees C range, such a difference is strongly reduced by adverse entropic factors which are large enough to invert the IMe diastereoselectivity from syn to anti at T > 69 degrees C. The behavior of IMe diverges markedly from that of IF and ISi. Large adverse entropic factors account for the predominant syn diastereoselectivity observed in the reaction with IF (X = F), notwithstanding the anti enthalpy barrier is lower than the syn one. Adverse entropy plays a minor role in the reaction with ISi (X = (CH3)3Si) which instead exhibits a preferred anti diastereoselectivity governed by the activation enthalpies. Depending on the electronic properties of X, the kinetic behavior of the other IX ions obeys one of the above models. The gas-phase diastereoselectivity of IX ions responds to a subtle interplay between the sigma-hyperconjugative/electrostatic effects of the X substituent and the activation entropy terms. sigma-Hyperconjugation/field effects determine the pyramidal structure and the relative stability of the syn and anti conformers of IX as well as the relative stability of their addition transition structures and their position along the reaction coordinate. The diastereoselectivity of IX in the gas phase is compared with that measured in solution and with theoretical predictions.

Solvolysis of (Z)-5-trimethylstannyl 2-adamantyl p-bromobenzenesulfonate: mechanistic implications of a record-breaking secondary alpha-deuterium kinetic isotope effect for an SN1 substrate.

The secondary alpha-deuterium kinetic isotope effect (alpha-kie) for the solvolysis of (Z)-5-trimethylstannyl 2-adamantyl p-bromobenzenesulfonate in 97% w/w aqueous 2,2,2-trifluoroethanol (97T) at 25 degrees C has been measured (k(H)/k(D) = 1.33). The alpha-kie is abnormally high compared to the value of 1.23 for the corresponding limiting S(N)1 solvolysis of 2-adamantyl p-bromobenzenesulfonate, which proceeds via an extended ion-pair mechanism. A novel mechanism for the solvolysis of the tin compound is proposed that accommodates not only the high alpha-kie but also the absence of internal return.

Manifestations of Bridgehead-Bridgehead Interactions in the Bicyclo[1.1.1]pentane Ring System.

A series of 3-halo-substituted bicyclo[1.1.1]pentane-1-carboxylic acids 1 (Y = COOH; X = F, Cl, Br, I, and CF(3)) as well as the parent compound 1 (Y = COOH, X = H) have been prepared, and a study of some of their properties have been made. It was found that their reactions with xenon difluoride cover a wide range of reactivities. On one hand, the fluoro acid 1 (Y = COOH, X = F) displayed no apparent reaction at all while, on the other, the bromo acid 1 (Y = COOH, X = Br) and parent compound 1 (Y = COOH, X = H) underwent ready reaction with complete disintegration of the ring system. A possible explanation is advanced based on polar kinetic and thermodynamic effects governing the lifetime of an intermediate acyloxy radical species. The relative ease of oxidation of the carboxylates 1 (Y = COO(-); X = H, F, Cl, Br, I, CF(3), and COOCH(3)), as mirrored by their peak oxidation potential values (E(p)) determined by cyclic voltammetry, also covers a wide range. These data coupled with the dissociation constants (pK(a)) of some of the acids 1 (Y = COOH; X = H, F, Cl, and CF(3)) reflect significantly on the modes of transmission of electronic effects acting through the bicyclo[1.1.1]pentane ring system.

Diastereofacial Selectivity in Atom Transfer Reactions of 5-Substituted (X) Adamant-2-yl Radicals: Nature of the Electronic Factor.

The diastereofacial selectivity in deuterium and halogen atom abstraction reactions of 5-fluoro- and 5-(trimethylstannyl)-2-adamantyl radicals has been investigated. Significant preferential syn (or zu) and anti (or en) face selectivity, respectively, is observed for these substituents of distinctly opposite electronic character. Although the observations are in accord with predictions from Cieplak's transition state hyperconjugation model, an alternative explanation can be advanced based on an early reactant-like TS model.