[Incidence of congenital orthopaedic defect in the martin district (longitudinal survey).]. / Výskyt vrodených ortopedických chýb v okrese Martin (longitudinálne sledovanie).

The authors submit a model of the detection rate, monitoring and treatment of inborn defects of the locomotor system used in the Martin district. During the investigation period from 1972 - 1994 they examined and processed data from 41 281 neonates, i. e. 99,2 % of the total number of liveborn infants in the Martin district, focused specially on the hip joint and inborn defects of the foot. As to clinical symptoms of dysplasia coxae congenita they ascribe the greatest diagnostic value to Ortolani's phenomenon and abduction restricted to less than 60 degrees, which was recorded in 82 % and 52 % of the examined infants resp. As revealed by the incidence of dysplasia and dislocation in different periods, the introduction of preventive and therapeutic measures in the early neonatal stage had an unequivocal positive effect on the incidence of dysplasia and dislocation. The incidence of inborn defects of the foot was on a constant level during the investigation period. The authors did not record a significant coincidence of inborn defects of the foot and dysplasia of the hip joint in the investigated group, which is consistent with data in the literature. In the conclusion the authors emphasize the importance of prevention in the early neonatal age which leads to a reduction of the number of severe secondary coxarthroses. Key words: dysplasia coxae congenita, luxatio coxae congenita, inborn defects of the foot, prevention.

[Arthropathy of the wrist - extrapulmonary sarcoidosis.]. / Artropatia karpu v obraze mimoplúcnej sarkoidózy.

In the submitted paper the authors present a brief theoretical account and characteristics of sarcoidosis focused on its manifestations in the locomotor apparatus, found in 10 - 14 % of the patients. The course of this very rare form of sarcoidosis of the locomotor apparatus is demonstrated on a 50-year-old female patient with severe sarcoid arthropathy of the wrist. They draw special attention to diagnostic problems in extrapulmonary forms of sarcoidosis. Key words: sarcoidosis, arthropathy of the wrist, extrapulmonary sarcoidosis.

[Contribution of Three-phase Scintigraphy to Indication of Revision Arthroplasty of the Hip Joint.]. / Prínos trojfázovej scintigrafie pre indikáciu k revíznej artroplastike bedrového klbu.

In the introduction of the paper the authors abalyze the problem of stable and long-term fixation of endoprostheses of the hip joint. They present statistics on the ratio of surgical revisions of endoprostheses of the hip joint in 1993-1996 which has a rising trend. In the subsequent part of the paper they deal with the problem of early diagnosis of loosening in the stage when only subjective data reported by the patient are available and the X-ray finding does not yet show signs of osteolysis and loosening of the TEP. Therefore they started to use in 1993 as a diagnostic aid three-phase all-skeletal scintigraphy. So far they used it in 18 patients with 100% reliability, as confirmed on operation. The authors describe in detail the method of three-phase scintigraphy with special emphasis on phase III. The results of scintigraphy are demonstrated on two patients. Key words: revision of endoprosthesis of the hip joint, radiopharmaceutical preparations, 99mTc-MDP, all-skeletal three-phase scintigraphy.

[Chondrodysplasia punctata]. / K problematice chondrodysplasia punctata.

Authors deal with the classification of chondrodysplasia punctata, in detail they analyze the clinical and radiomorphological symptoms. From the diagnostic viewpoint it is important to evaluate typical X-ray epiphyseal changes in the first year of age of the affected child. Clinical symptoms vary and they are not typical only for this disease. They are often combined with various congenital developmental anomalies. The case study presents the correlation between X-ray epiphyseal changes in the knee and the arthroscopic findings.