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DR. AL-KHOURY SALEM HASSAN

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Title: DR. AL-KHOURY SALEM HASSAN


1
???? ??????
  • DR. AL-KHOURY SALEM HASSAN
  • 16/3/2006

2
  • ??? ?????? ?.? .
  • ????? 32 ??? .
  • ????? ?????? ????? 6/11/2005 .
  • ?????? ???????? ???? ???? ??? ??? ????? ???????
    .
  • ????? ????? ?????? ???? ?? ???? ?????? ?? ??????
    ?????? ??? ??? ?????? ??Coma ?????? ????? ???
    ???? ?? ???? ??? ??????? ????? ?????? ????? ????
    ?????? ??? ????? ????? ?????? ???????? ????? .
    ?????? ???? ?????? ?? ???? ????? ?? ?? ?? ????
    ????? ?????? ??????? ?????? ????????? .

3
  • ??????? ??????? ????? ????? ????? ??????
  • ??????? ???????? ??????? ??? ???? ??? ????? ???
    20 ????? ?? ??????
  • ??????? ???????? ???????? ? ??? ? ???? ????? .
  • ??????? ???????? ?? ???? .
  • ??????? ???????? ?? ???? .

4
  • ????? ???????
  • ????? ????? 80 ????
    ????? 0 ????
  • ??????? 15
    ???? ??????? 0 ????
  • ???????
    ??????? 0 ????
  • ???????
    ??????? 10 ?????
  • ?????? ????? 90
    ????
  • ????? -15
    ????
  • ?????? ????? 100 ????
  • ?????
    -15 ????

5
  • ????????? ?????? ??????? ???? ??? ??????
    7/11/2005 .
  • ????? ?????? 12/11/2005 .
  • ???? ???? ?????? ?????? 16/11/2005 ???? ??? ????
    ??? ???? ??? ????? ??? ???? ?? ????? ?? ???
    ?????? , ? ??? ??? ????? ????? .
  • ??????? ????????

6
????? ????????
7
????? ????????
8
????? ????????
9
????? ????????
10
????? ????????
11
????? ????????
12
????? ????????
13
????? ????????
14
????? ????????
15
????? ???????? ??? ???????
16
????? ???????? ??? ???????
17
  • ???? ?????? ???? ???? ????? ?????? 20/11/2005 .
  • ???? ?????? ??? ???? Indomethacine ???? ??? ?
    ???
  • ? ?? ????? ?????? ??? ??????? ?????? 28/11/2005 .
  • ?? ??? ?????? ???????? ????

18
????????
  • ????? ??? ?????? ?? ???? ????? ???? ??????
    ??????? ?????? Myositis Ossificans .
  • ???? ??? ?????? ??? ??? ?? ??? 1868 ?? ??? Von
    Dusch
  • ???? ??? ????? ??? ?????
  • 1- ?????? ??????? ?????? ?????? ???
    ?????? ?????? ???? .
  • 2- ?????? ??????? ?????? ???????? ???
    ????? ????? ?????? ????? ????? ?????? ? ??????
    ?? ??????? ???????? ???????? ??? ????? ?????? .
    ?????? ????? ??? ??????? ?????? , ????? ???
    ?????? 14(q22 , q25 ) . ?? ????? ????? , ???? ??
    ???? ??? ?????? Fibrodysplagia Ossificans
    progressiva .

19
?????? ??????? ?????? ??????
  • ?? ????? ???? ???? ?????? .
  • ?????? ?? ???? ?? ????? ?????? ??????? ????? ??
    Vastus Intermedialis ?? ????? ?????? ???????? ??
    ????? ?????? .
  • ???? ??????? ?????? ????? ???? ??? ???????? ??
    ?????? ??????? ?? ????????? ???????? ?? ??????
    ????????? ?????? .
  • ??????? 1- ??? ???? ???? ????? ????? ?????
    ??????
  • (75 ?? ??????? ) .
  • 2- ??? ???? ????? ???????
  • 3- ?? ???? ??? ????? .
  • ???? ?????? ??????? ?????? ?????? ??? ?????? ??
    ????? ????? .

20
?????? ??????? ?????? ??????
  • ????? ?? 80 ?? ??????? ?? ????? ??????? ???????
    ?? ??????? ??????? ???????? ??????? ? ???????? .
  • ??????? ????????? ????????
  • ???? ????? ??? ????? ??? ??????? ?? ???? ??
    ??? ???? . ?????? ?? ???? ????? ???? ??????? ??
    ?????????? ??????? ??? ESR .
  • ????? ?????????
  • ???? ???? ?? ?? ???? ?????? ????? ?? ??????
    ?????? ? ?????? ?? ?????? ????? ????? .

21
?????? ??????? ?????? ??????
  • ??????? ????????
  • ????? ??? ??????? ???? ?????? ??????
  • ????? ?????? ??? ????? .
  • ????? ?????? .
  • ????? ?????? .
  • ????? ??????? ???? ???? ??? ?????? ???? .

22
?????? ??????? ?????? ??????
23
?????? ??????? ?????? ??????
  • ???????? ????????
  • ESR
  • WBC
  • ???????? ????????
  • XR - ?? ??????? ???? ????????? ???
    ????? .
  • - ????? ?????? ?????? ???
    ???????? ( 2-6 ) .
  • - ?????? ????? ?????? ???
    ???????? ( 6-8 ) .
  • ?? ??? ????? ????? ??????? ???????
    ?????? ??????
  • 1/ ????? ?????? ?????? ????? .
  • 2/ ??? ?????? ????? ??? ????
    ??? ?????? ?????? .
  • 3/ ??? ???? ??? ??????? .
  • 4/ ???? ????? ??? .

24
?????? ??????? ?????? ??????
25
?????? ??????? ?????? ??????
26
?????? ??????? ?????? ??????
27
?????? ??????? ?????? ??????
  • ECHO ?? ??????? ???? ???? ????? ????? .
    ???? ???????? ??? ?????? ??? ?????? ???????? .
  • CT ???? ?????? ??? ??? ?????? .
  • MRI - ????? ??? ??????? ???? T2
    ???? ??????? ?? ????? ?????? .
  • - ????? ??????? ????
    ??? ??????? .
  • ??????? - ????? ??? ??????? ????? ???
    .
  • - ????? ??????? ??? ??
    ????? .

28
?????? ??????? ?????? ??????
29
?????? ??????? ?????? ??????
  • ??????? ????????
  • Fibrodysplagia Ossificans Progressiva ?? ???????
    ??????? ????? .
  • Osteomyelitis ??? ??????? ????? ????????
    ?????????? ????????? .
  • Rhabdomyosarcoma
  • Osteosarcoma ? ???? ???????
  • - Paraosteal sarcoma
  • Periosteal sarcoma -

30
?????? ??????? ?????? ??????
???? ??????? ??????
Myositis Ossificans
Osteosarcoma
  • ???????? ???? ?????? ?? ?????? ?????? ?????? .
  • ?????? ???? ??? ???? ?? ?? metaphyse .
  • ???? ????? ?????? ???? .
  • ????? ??????? ????? ????? ???? ?????? ?? ????
    ????? .
  • ?????? .
  • ???????? ???? ?? ?????? ????? ?????? ?????? .
    ???? ?? CT ???????? .
  • ?????? ???? ??? ???? ?? ??Diaphyse .
  • ?? ???? ????? ?????? ???? .
  • ????? ??????? ????? ????? ???? ?????? ?? ????
    ????? .
  • ?????? ? ???? ??? ?? ???? ???? ??????? ???????
    ?????? .

31
?????? ??????? ?????? ??????
Osteosarcoma
Myositis Ossificans
32
?????? ??????? ?????? ??????
  • ??????
  • ????????? -??? ?????? ?????? .
  • - ???? ? ?????? .
  • ??????? a- NSAIDS ?? ?? ??(
    Indomethacine , Naproxen ) . ??????
    ??? ???? ????? 2-6 ?????? .
  • b ???????????? ?????
    ????? ? ??? ??????? ??? ???? .
  • ??????? ????? ????? ??? ????? ????
    ????? ?? ????????? ??????
  • ????? .
  • ??????? .

33
?????? ??????? ?????? ??????
34
?????? ??????? ?????? ??????
  • ???????
  • 1- ????? ???? .
  • 2- ???? ?????? .

35
?????? ??????? ?????? ????????
  • ?? ????? ?????? .
  • ???? ???? ????? ( ???? ????? ????? ?? ???
    ???????? ) .
  • ?? ?????? ????? ??? ???????? .
  • ??????? ???????
  • - ????? ????? ( ????? ????? ) , ?????? ,?????
    , ????? ??????? , ????? ????????? .
  • - ???? ????? ???? ?????? ? ????? ????????
    ???????
  • - ?? ???? ????? ???? ????? ?? ?????? ?????? .
  • ?????? ?????? .
  • ????? ???????? ?? ?????? ?????? ? ?? ????? ??????
    ????? .

36
?????? ??????? ?????? ????????
  • ? ????? ???????? ? ????? ?????????
  • - ???? ????? ???????? ?? ??????? .
  • - ??? , ???? , ?????? , ????? ? ??? .
  • - ??? ???????? ?? ????? ??????? .
  • - ????? ???????? ?? ???? ?????? ????? ????
    ??????? .
  • - ???? ???? ????? ???????? ??????? ?? ????? ????
    ?????? ?????? .
  • - ??????? ??????? ???? ????? ?? ????? ??????
    ?????? ?????
  • - ??? (trismus) ?? ???? , ??? , ??? , ???? ????
    .
  • - ??? ?? 65 ?? ?????? ??? ???? ??? .
  • - ???? ????? ????? ? ????? .

37
?????? ??????? ?????? ????????
  • ????? ?????? ?????? ?????
  • ????? ???? ???? , ?????? ??? ????????? .

38
?????? ??????? ?????? ????????
39
?????? ??????? ?????? ????????
40
?????? ??????? ?????? ????????
41
?????? ??????? ?????? ????????
42
?????? ??????? ?????? ????????
43
?????? ??????? ?????? ????????
  • ???????? ????????
  • ?????? ?????????? ??????? ????? ????? ??????
    .
  • ??????? ????????
  • ????? ?? ???? ????? .
  • ?????? ??? ????????? .
  • ???????? ????? .
  • ??? ???? ????? ?? Enchondroma .

44
?????? ??????? ?????? ????????
  • ??????? ????????
  • Weber Christian disease .
  • Klippel Feil syndrome .
  • Rheumatoid arthritis .
  • Dermatomyositis .
  • Calcinose interstitialis ossificans .

45
?????? ??????? ?????? ????????
  • ??????
  • ?? ???? ?? ??????? ?????? ???????? .
  • ???? ??????? ????? ????? .
  • ??????? ??????? ?? Etidronate ? ???????????? .

46
(No Transcript)
47
MoKazem.com
  • ??? ???????? ?? ?? ????? ??????? ?? ??????? ?
    ??????? ?? ??? ??????? ???????? ?? ???? ???????
    ??????? ?? ???? ????, ??? ????? ?. ???? ??????.
  • ?????? ??? ????? ?? ??????? ??????? ?? ???
    ????????.
  • This lecture is one of a series of lectures were
    prepared and presented by residents in the
    department of orthopedics in Damascus hospital,
    under the supervision of Dr. Bashar Mirali.
  • This site is not responsible of any mistake may
    exist in this lecture.

?. ???? ????
Dr. Muayad Kadhim
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