medvisМедицинская визуализацияMedical Visualization1607-07632408-9516RDS-Media Ltd.10.24835/1607-0763-810medvis-1019Research ArticleКОСТИ И СУСТАВЫBONES AND JOINTSТрудности лучевой диагностики дисрегенерации при переломах длинных трубчатых костей на примере клинических случаевThe difficulties of radiological diagnosis phenomen of dysregeneration long bones fractures based on clinical caseshttps://orcid.org/0000-0001-7016-2548ПекшеваМ. С.PekshevaM. S.

врач-рентгенолог рентгеновского отделения,

195257 Санкт-Петербург, ул. Вавиловых, д. 14 А

radiologist, X-ray department,

14 A, Vavilov str., 195257 St. Petersburg

pekshevam@gmail.comhttps://orcid.org/0000-0002-8373-5648РанковМ. М.RankovM. M.

канд. мед. наук, заведующий 1-м травматологическим отделением,

195257 Санкт-Петербург, ул. Вавиловых, д. 14 А

orthopedic surgeon, PhD, Head of the 1st Traumatology Department,

14 A, Vavilov str., 195257 St. Petersburg

https://orcid.org/0000-0001-8742-7514ПетроваИ. В.PetrovaI. V.

врач травматолог-ортопед 1-го травматологического отделения,

195257 Санкт-Петербург, ул. Вавиловых, д. 14 А

orthopedic surgeon, 1st Traumatology Department, 

14 A, Vavilov str., 195257 St. Petersburg

СПб ГБУЗ “Елизаветинская больница”РоссияSt. Petersburg State Health Care Institution “Elizabethan Hospital”Russian Federation202124032021251164176Copyright © Пекшева М.С., Ранков М.М., Петрова И.В., 20212021Пекшева М.С., Ранков М.М., Петрова И.В.Peksheva M.S., Rankov M.M., Petrova I.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://medvis.rdsmedia.ru/jour/article/view/1019Цель исследования

Цель исследования: рассмотрение данных лучевых методов исследований различных видов дисрегенераций на примере клинических случаев.

Материал и методы

Материал и методы. Произведен обзор литературных данных по лучевой семиотике костной регенерации и явлений дисрегенерации, применимости различных лучевых методов исследования. Представлен разбор 2 случаев замедленной консолидации; 5 случаев несросшихся переломов.

Заключение

Заключение. Несмотря на улучшение и техническую простоту визуализации явлений дисрегенерации, только лучевыми методами бывает тяжело дифференцировать замедленную консолидацию от несрастания, соответственно необходим консенсус ортопеда и рентгенолога в каждом отдельно взятом случае. Клиницист выбирает тактику лечения, основываясь на всем комплексе данных, включая лучевые методы. 

Research objectives data analysis of the radiological methods different types of dysregenerations, based on the clinical cases.

Material and methods

Material and methods. Literature review about radiation semiotics regeneration and dysregeneration phenomena, applicability of different types of radiological methods has been done. A review of 2 cases of delayed union and 5 cases of fracture nonunion is presented.

Conclusion

Conclusion. Despite the improvement and technical simplicity of visualizing the phenomena of dysregeneration, it is difficult to differentiate delayed union from nonunion using only by radiological methods, respectively, a consensus of an orthopedic surgeon and a radiologist is required in each individual case. The clinician chooses the treatment tactics based on the complex data set, including radiological methods. 

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The authors declare that there are no conflicts of interest present.