. "387544" . "2"^^ . . "RIV/00064190:_____/08:#0000027" . "Injury to the Antle in the growing skeleton"@en . . "2"^^ . "Poran\u011Bn\u00ED hlezenn\u00EDho kloubu rostouc\u00EDho skeletu" . . . "88/2008" . "Praktick\u00FD l\u00E9ka\u0159" . . . . "0032-6739" . . . "Injury to the Antle in the growing skeleton"@en . "Poran\u011Bn\u00ED hlezenn\u00EDho kloubu rostouc\u00EDho skeletu" . . "[01D495752513]" . . . "4"^^ . "Poran\u011Bn\u00ED hlezenn\u00EDho kloubu rostouc\u00EDho skeletu"@cs . "Poran\u011Bn\u00ED hlezenn\u00EDho kloubu rostouc\u00EDho skeletu"@cs . "Pe\u0161l, Tom\u00E1\u0161" . "K poran\u011Bn\u00ED hlezenn\u00EDho kloubu pat\u0159\u00ED poran\u011Bn\u00ED dist\u00E1ln\u00ED tibie a fibuly dist\u00E1ln\u011B od \u00FArovn\u011B dist\u00E1ln\u00ED mataf\u00FDzy. Definice hranice mezi skelet\u00E1ln\u00EDm poran\u011Bn\u00EDm u d\u011Bt\u00ED a dosp\u011Bl\u00FDch je nep\u0159esn\u011B ur\u010Diteln\u00E1: horn\u00ED v\u011Bkov\u00E1 hranice d\u011Btsk\u00E9ho v\u011Bku je dnes nej\u010Dast\u011Bji stanovov\u00E1na ukon\u010Den\u00FDm osmn\u00E1ct\u00FDm rokem \u017Eivota. Na druhou stranu d\u011Btsk\u00E9 skelet\u00E1ln\u00ED poran\u011Bn\u00ED m\u016F\u017Ee b\u00FDt tak\u00E9 definov\u00E1no jako poran\u011Bn\u00ED rostouc\u00EDho skeletu. Tedy u jedinc\u016F s je\u0161t\u011B otev\u0159en\u00FDmi (funk\u010Dn\u00EDmi) r\u016Fstov\u00FDmi plot\u00E9nkami, nez\u00E1visle na jejich kalend\u00E1\u0159n\u00EDm v\u011Bku. K potenci\u00E1ln\u00EDm komplikac\u00EDm spojen\u00FDm s poran\u011Bn\u00EDm d\u011Btsk\u00E9ho hlezna pat\u0159\u00ED krom\u011B t\u011Bch, kter\u00E9 m\u016F\u017Eeme vid\u011Bt i u dosp\u011Bl\u00FDch (po\u00FArazov\u00E1 artr\u00F3za, ztuhlost kloubu aj.) hlavn\u011B ty, kter\u00E9 jsou spojeny s poran\u011Bn\u00EDm r\u016Fstov\u00E9 plot\u00E9nky )nestejn\u00E1 d\u00E9lka kon\u010Detin, angula\u010Dn\u00ED deformita nebo kombinace obou, obecn\u011B poruchy r\u016Fstu). Hlavn\u00EDm c\u00EDlem l\u00E9\u010Dby je dosa\u017Een\u00ED adekv\u00E1tn\u00ED repozice \u00FAlomk\u016F a minimalizace p\u0159ed\u010Dasn\u00E9ho uz\u00E1v\u011Bru r\u016Fstov\u00E9 plot\u00E9nky. Znalost obecn\u00FDch zn\u00E1mek poran\u011Bn\u00ED d\u011Btsk\u00E9ho hlezna a z\u00E1kladn\u00EDch princip\u016F jejich l\u00E9\u010Dby m\u016F\u017Ee v\u00E9st k z"@cs . "Physis; Distal tibia; Ancle joint; Fracture; Child"@en . "K poran\u011Bn\u00ED hlezenn\u00EDho kloubu pat\u0159\u00ED poran\u011Bn\u00ED dist\u00E1ln\u00ED tibie a fibuly dist\u00E1ln\u011B od \u00FArovn\u011B dist\u00E1ln\u00ED mataf\u00FDzy. Definice hranice mezi skelet\u00E1ln\u00EDm poran\u011Bn\u00EDm u d\u011Bt\u00ED a dosp\u011Bl\u00FDch je nep\u0159esn\u011B ur\u010Diteln\u00E1: horn\u00ED v\u011Bkov\u00E1 hranice d\u011Btsk\u00E9ho v\u011Bku je dnes nej\u010Dast\u011Bji stanovov\u00E1na ukon\u010Den\u00FDm osmn\u00E1ct\u00FDm rokem \u017Eivota. Na druhou stranu d\u011Btsk\u00E9 skelet\u00E1ln\u00ED poran\u011Bn\u00ED m\u016F\u017Ee b\u00FDt tak\u00E9 definov\u00E1no jako poran\u011Bn\u00ED rostouc\u00EDho skeletu. Tedy u jedinc\u016F s je\u0161t\u011B otev\u0159en\u00FDmi (funk\u010Dn\u00EDmi) r\u016Fstov\u00FDmi plot\u00E9nkami, nez\u00E1visle na jejich kalend\u00E1\u0159n\u00EDm v\u011Bku. K potenci\u00E1ln\u00EDm komplikac\u00EDm spojen\u00FDm s poran\u011Bn\u00EDm d\u011Btsk\u00E9ho hlezna pat\u0159\u00ED krom\u011B t\u011Bch, kter\u00E9 m\u016F\u017Eeme vid\u011Bt i u dosp\u011Bl\u00FDch (po\u00FArazov\u00E1 artr\u00F3za, ztuhlost kloubu aj.) hlavn\u011B ty, kter\u00E9 jsou spojeny s poran\u011Bn\u00EDm r\u016Fstov\u00E9 plot\u00E9nky )nestejn\u00E1 d\u00E9lka kon\u010Detin, angula\u010Dn\u00ED deformita nebo kombinace obou, obecn\u011B poruchy r\u016Fstu). Hlavn\u00EDm c\u00EDlem l\u00E9\u010Dby je dosa\u017Een\u00ED adekv\u00E1tn\u00ED repozice \u00FAlomk\u016F a minimalizace p\u0159ed\u010Dasn\u00E9ho uz\u00E1v\u011Bru r\u016Fstov\u00E9 plot\u00E9nky. Znalost obecn\u00FDch zn\u00E1mek poran\u011Bn\u00ED d\u011Btsk\u00E9ho hlezna a z\u00E1kladn\u00EDch princip\u016F jejich l\u00E9\u010Dby m\u016F\u017Ee v\u00E9st k z" . . "RIV/00064190:_____/08:#0000027!RIV10-MZ0-00064190" . "Havr\u00E1nek, Petr" . . "Ankle fractures are distal tibial and fibular fractures that occur a tor distally from the level of the methaphysis. Defining the cutoff between a pediatric and an adult fracture is somewhat arbitrary: the upper age limt of eighteen years is often used. Alternatively pediatric fractures may be defined as those that occur in individuals with open physes regardless of chronologic age. The potential complications associated with pediatric ankle fractures include those also seen with adult fractures (posttraumatic arthritis, ankle stiffness) as well as those that result from epiphyseal damane, i.e. growth impairment (leg-length discrepancy, angular deformity, or a combination of the both). The goals of treatment are to achieve and maintain a satisfactory reduction and to ovoid epiphyseal arrest. A knowledge of common pediatric ankle fracture patterns and the basic principles of their treatment will aid the effective management of these injuries."@en . . . . "7" . "P(NR9132)" . "CZ - \u010Cesk\u00E1 republika" .