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[The significance of ultrasonic investigation of the hip joint with dysplasia and congenital hip joint dislocation].

The paper presents results of ultrasonography of the hip joint of 56 newborns with pathology of the hip joint detected by a clinical and ultrasonic screening, and 56 children aged from 1 through 6 months with dysplasia of the hip joint and a congenital hip dislocation. The ultrasonic examination gives an exact evaluation of the development of the joint. Measures of treatment were chosen with special reference to the patient's age and severity of the pathology. The terms of treatment depended on the age of the child and severity of the disease.

Female↗

Joint dislocation and cerebral anomalies are consistently associated with oral-facial-digital syndrome type IV.

We present a female patient with the oral-facial-digital syndrome type IV. Our report, the tenth in the literature, describes the typical manifestations of the syndrome, combined with malformations and deformations which have not always been described in the previously reported cases. They include cerebral and renal anomalies, anal atresia and dislocation of elbows and knees.

Abnormalities, Multiple↗

[Coraco-clavicular screw fixation: a simple treatment of acromioclavicular joint dislocation].

A series of 41 patients (average age 34 years) with acute acromio-clavicular joint separation were treated from 1985 to 1993 by temporary coraco-clavicular transfixation screw. The screw secures the anatomical position of the clavicle until the coraco-clavicular and the acromio-clavicular ligaments are healed. Follow-up was possible in 25 patients. The examination consisted in clinical and radiological evaluations, including assessment of subjective well-being: 24 patients were satisfied, while 1 patient complained of minor pain at work. Follow-up X-rays revealed mild subluxation of the acromio-clavicular joint in 5 patients and slight acromio-clavicular diastasis in 2. In 10 patients we found ligamentous calcifications. All patients had normal shoulder function. Seven patients had enlarged scars. Our good results indicate that this procedure can be recommended.

Acromioclavicular Joint↗