Biomedical subjects
Publications and source records attributed to Z Boroń.
A series of 9348 children (18696 hips) has been screened with ultrasound between 1990 and 1992; congenital dysplasia of various degree was found in 459 hips. All children were treated nonoperatively. The early results of conservative treatment are encouraging. Since the introduction of the new prophylaxis-treatment system only 4 children with persistent dislocation required surgery.
Breast examination for early cancer detection in high risk patients are being performed even more frequently in our country and in other ones. Wide availability of mammosonography facilitates such management. X-ray mammography in view of irradiation is less frequently used. An attempt has been undertaken at carrying out breast examinations of a selected Pałuski area. The analysis included 180 women who after carrying out comprehensive breast examination and obtaining of history data were qualified for the group of high risk for breast cancer.
A rare case is presented of congenital chyluria in a 16-year-old boy. On the basis of literature data the pathological mechanism of that disease is discussed. The clinical data and examinations carried out, particularly lymphography, confirmed the preliminary clinical diagnosis.
In the paper the relationship was analysed between certain gynaecological diseases and benign changes occurring within the breast. The study was carried out in 400 patients and 108 females were subjected to the analysis. In 42 patients in this group histopathological examination was also performed. On the basis of the studies carried out among women in the Bydgoszcz region, a relationship was found between benign changes in the breast and certain genital diseases.
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Top-level gymnasts were examined in 1976 and in 1980. During both examinations X-ray osteal changes as a result of training were found. In 1980 complaints of pain during the training process were analyzed. It was found that radiological changes appeared in the elbow joints (73.2%), spinal column (65.8%), in the area of the shoulder joints (59.8%), and in the wrist joints (58.5%). The L-S segment of the spinal column had such anomalies as schistorrhachis of the S1 arc, lumbarization, and sacralization. A characteristic feature was the frequent discrepancy between complaints of pain and radiological changes. In many cases permanent radiological changes were not accompanied by pain. Longer training periods were associated with more pronounced changes. It was concluded that radiological examinations should be one of the criteria for selecting gymnasts and a change in the FIG regulations is proposed to reduce the work load of the motor system.
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On the basis of their own patient the authors discuss clinical and radiological features of diastrophic dwarfism. In this rare disorder the infant is dwarfed, the limbs are shortened. It is associated with marked talipes equinovarus, limited movements and contractures of other joints. Dislocation in the hip or knee and development of kyphoscoliosis leads to furhter deformity. As aetiopathogenesis the authors consider the role of infection in the mother during her early pregnancy or teratogenic aspects of some drugs (tetracyclines, septrim).
The radiological features of two children with chondrodysplasia punctata are presented. According to the classification of Spranger case 1, a 2 year-old boy, belongs to the Conradi-Hünermann-syndrome, and case 2, a 13 month-old girl, to the rhizomelic type.
Aneurysmal bone cyst in two patients are described and some radiological and clinical problems discussed, especially some difficulties in establishing the X-ray diagnosis of the infrequent disease.
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