DR. AL-KHOURY SALEM HASSAN

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

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• ????? 32 ??? .
• ????? ?????? ????? 6/11/2005 .
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5

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

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16
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17

• ???? ?????? ???? ???? ????? ?????? 20/11/2005 .
• ???? ?????? ??? ???? Indomethacine ???? ??? ?
  ???
• ? ?? ????? ?????? ??? ??????? ?????? 28/11/2005 .
• ?? ??? ?????? ???????? ????

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

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

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

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

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

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

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

30
?????? ??????? ?????? ??????
???? ??????? ??????
Myositis Ossificans
Osteosarcoma

• ???????? ???? ?????? ?? ?????? ?????? ?????? .
• ?????? ???? ??? ???? ?? ?? metaphyse .
• ???? ????? ?????? ???? .
• ????? ??????? ????? ????? ???? ?????? ?? ????
  ????? .
• ?????? .

• ???????? ???? ?? ?????? ????? ?????? ?????? .
  ???? ?? CT ???????? .
• ?????? ???? ??? ???? ?? ??Diaphyse .
• ?? ???? ????? ?????? ???? .
• ????? ??????? ????? ????? ???? ?????? ?? ????
  ????? .
• ?????? ? ???? ??? ?? ???? ???? ??????? ???????
  ?????? .

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

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

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

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

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

38
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42
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43
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• ???????? ????????
• ?????? ?????????? ??????? ????? ????? ??????
  .
• ??????? ????????
• ????? ?? ???? ????? .
• ?????? ??? ????????? .
• ???????? ????? .
• ??? ???? ????? ?? Enchondroma .

44
?????? ??????? ?????? ????????

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

45
?????? ??????? ?????? ????????

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

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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.

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Dr. Muayad Kadhim