3+4+Supplementum/2012 - Společnost pro pojivové tkáně

stiffness, no large curves, no big rib hump.
In some cases „kiphoscoliosis”. Without big
/ important progression.
„i” scoliosis (iii epg).
Model of hips movements: there
is an abduction of the right hip due to
contracture, and in the left hip there is
a small movement. Without curves but
with large stiffness. Biomechanics: “gait”.
Permanent (at every step) enlarged rotation
movement, given permanent distortions
in “articulatio inter-vertebralis” and
as result rotation deformity with stiffness
of spine. Without progression. Problems
with performance in sport due to stiffness
in children, and back pain in adults.
Conclusions
1. Etiology of the so-called idiopathic scoliosis
are strictly biomechanical.
2. In new classification there are: three
groups, four types (“S”-I-st, “C”-II-nd/A &
“S”-II-nd/B, “I”-III-rd epg) scoliosis.
3. For discovering the “danger of scoliosis”
or “beginning of scoliosis” we should
use the new test for screening and start
“with examination of spine” in 3 rd – 5 th
year of live of children.
4. Causal prophylaxis is possible and it is
important and necessary for every child
in every country.
literature
www.ortopedia.karski.lublin.pl
aBSTRakT
ambul_centrum@volny.cz
MOdified ClaSSifiCaTiOn Of
COnGeniTal Hand anOMalieS
Ogino Toshihiko
Chairman of the Sapporo Hand Surgery &
Congenital Hand Differences Center, Orthopaedic
Hokushin-higashi Hospital)
E-mail: toginohand100@ceres.ocn.ne.jp
Presenter Marik Ivo
Ambulant Centre for defects of Locomotor
apparatus, Prague, Czech Republic
E-mail: ambul_centrum@volny.cz
abstract
Swanson et al. tried to classify congenital
hand anomalies according to the
genetic cause and reported his classification
in 1976. Since then, modifications on
this classification were made and this classification
was adopted by the International
Federation of Society for Surgery of the
Hand (IFSSH). It has been used widely as an
IFSSH classification. It is relatively easy to
use this classification, but it has its own limitations.
The biggest one occurs in the classification
of ectrodactyly. In order to solve
these problems, the authors conducted
clinical ad experimental studies and found
that there should be at least four different
types of teratogenic mechanisms of congenital
defect of the digits. The first one is
longitudinal deficiencies due to mesenchymal
cell death in an early developmental
stage; the second is abnormal induction
of digital ray numbers in the hand plate
including cleft hand, central polydactyly
and syndactyly. The third is constriction
band syndrome, which is caused after digital
radiations have been formed, and the
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