[Blood supply in congenital crural pseudarthrosis in children].
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When the thoracic cavity in 510, 893 persons have been examined by means of small-framed roentgenofluerography under roentgenographic control, three cases with articulations in the middle of the first rib have been revealed: 2 cases unilateral and 1 case bilateral. Similar changes have been described by some authors using various names: joint, pseudoarthrosis, callus, fractures with various consolidations, disturbances in the course of the rib. In our roentgenogram: at the right--the posterior part of the first rib gets into the anterior part fork, at the left--the anterior part laterally, and the posterior part medially become conically narrowed; both junctions have light (cartilaginous) sheets and are regarded as synchondroses. It is important to keep in mind the possibility of existence of the connections in the middle of the first ribs in order to differentiate anomalies and pathological changes.
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Three acute peripheral arterial occlusions occurred 60, 38 and 12 years after imperfect reduction of fractures. In two cases the embolus originated from an aneurysm induced by an hypertrophic callus of the clavicle. In the third case, acute thrombosis appeared as the consequence of leg arteries compression by a tibial osteomyelitic callus. Arterial reconstruction in the two first cases and thrombolysis in the third case were associated to surgical treatment of the causal injuries and were successful.
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