Abstract

1. Dr. D. E. Goldstein. On the question of osteochondropathies such as Legg-Calv-Perthes, Alban Khler and Osgood-Schlatter. Having demonstrated a number of radiographs of cases of osteochondropathy, the speaker focused on the clinical, radiological and pathological-anatomical picture of these apophysis diseases, which have recently become a special nosological unit. Presenting in the pathological and histological terms primary aseptic subchondral necrosis of bone tissue, these diseases of adolescence give a very characteristic clinical symptom complex and a typical X-ray picture. In the development cycle, 5 stages are distinguished: I stage of necrosis, II stage of fracture, III stage of resorption reparative and V outcome in a cure, which can be ideal without deformations, or with deformities type deform., but without ankylosis and fistulas. Pathogenesis: impaired arterial nutrition of the apophyses during growth and ossification Insufficient knowledge of these diseases among a wide range of doctors and erroneous diagnoses in this regard (tbc, lues, sarcoma, late rickets, artrit. Deform.), As a result of this, incorrect treatment and an incorrect prognosis are put forward the question of a detailed study of these diseases and their error-free recognition. Prof. Fridlyand, ave. Gasul, prof. Bogolyubov, Dr. Ryzhikh and Dr. Gefen.

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