In this paper we report a case with primarily unspecific arthralgia after surgical therapy of hallux valgus deformity and consecutive reflex sympathetic dystrophy in which MR led to the diagnosis of Lyme disease. (orig.)
Posttraumatic tibia valga is a well-recognized complication following fracture of the upper tibial metaphysis in young children. We present a case of a child who developed a valgus deformity following fracture of the proximal tibia and fibula in which quantitative bone scintigraphy at 5 months after injury demonstrated increased uptake at the proximal tibial growth plate with proportionally greater uptake on the medial side. This finding suggests that the valgus deformity in this patient was due to a relative increase in vascularity and consequent overgrowth of the medial portion of the proximal tibial physis.
Posttraumatic tibia valga is a well-recognized complication following fracture of the upper tibial metaphysis in young children. We present a case of a child who developed a valgus deformity following fracture of the proximal tibia and fibula in which quantitative bone scintigraphy at 5 months after injury demonstrated increased uptake at the proximal tibial growth plate with proportionally greater uptake on the medial side. This finding suggests that the valgus deformity in this patient was due to a relative increase in vascularity and consequent overgrowth of the medial portion of the proximal tibial physis.
A technique for quantitative analysis of growth plates in varus or valgus deformity about the knee has been developed. Computer-generated regions of interest are placed on magnification scintigraphs to divide distal femoral and proximal tibial physes into four equal segments. The ratio of counts in the medial half to counts in the lateral half was studied in 31 children (22 normal, 9 with angular deformity). Normal ratios were 0.74 to 0.98 for femora and 0.98 to 1.20 for tibias. In eight of nine patients with deformity, the ratio was abnormal; in two patients the ratio returned to normal when the deformity ceased to progress.
Fully coupled, Newton-Krylov algorithms are investigated for solving strongly coupled, nonlinear systems of partial differential equations arising in the field of computational fluid dynamics. Primitive variable forms of the steady incompressible and compressible Navier-Stokes and energy equations that describe the flow of a laminar Newtonian fluid in two-dimensions are specifically considered. Numerical solutions are obtained by first integrating over discrete finite volumes that compose the computational mesh. The resulting system of nonlinear algebraic equations are linearized using Newton`s method. Preconditioned Krylov subspace based iterative algorithms then solve these linear systems on each Newton iteration. Selected Krylov algorithms include the Arnoldi-based Generalized Minimal RESidual (GMRES) algorithm, and the Lanczos-based Conjugate Gradients Squared (CGS), Bi-CGSTAB, and Transpose-Free Quasi-Minimal Residual (TFQMR) algorithms. Both Incomplete Lower-Upper ...