Hip Joint Arthrography with Double Contrast in Children and Adolescents

Experience in use of hip joint double contrast arthrography in 207 patients (236 joints), aged 2-14 years, with Perthes disease and various forms of hip dysplasia was analyzed. Basing on the study of contrast arthrograms the roentgenologic signs reflecting the joint state in the abovementioned pathology were detected and described. It was stated that the data of contrast examination enabled to work out in details the notion of hip joint pathology with regard for soft tissues condition and in some cases were the most important when choosing the treatment tactics. Diagnostic signs, which were to be taken into account while working out the surgical intervention protocol - that is of great practical importance, were determined.

Clinical and Roentgenologic Semiotics of Long Bone Pathologic Fractures

During 1965-2002 one thousand two hundred thirty patients with bone tumors and tumor-like diseases were treated at Astrakhan Medical Academy, Clinic of Traumatology and Orthopaedics. Out of them 163 (13.3%) patients had pathologic fractures. One hundred eight fractures were localized within long bones: humerus (61), femur (37), tibia (29), fibula (6), radius (5). Long bones fractures were commonly resulted from destructive lesions: solitary bone cyst - 48 cases, fibrous dysplasia - 26, giant cell tumor - 24, aneurismal bone cyst - 18, metaphyseal fibrous defect -11. Clinical and roentgenologic semiotics was studied and complex of roentgenologic signs of long bone pathologic fractures was systematized. Peculiarities of fractures (injury mechanism, typical localization of pathologic process, pattern of destruction focus) in various nosologic forms of primary disease were detected. The data obtained simplify diagnosis and allow trustworthy making prehistologic diagnosis as well as to choose optimum treatment tactics.