Variant branching pattern of the cords of brachial plexus coupled with erroneous communications has been an area of concern for surgeons opting to explore this region. Anaesthetic blocks and surgical approaches are the highlights of these interventions, where a keen familiarization of the anatomy of this region is mandatory. The present case description reports a unilateral variant branching pattern of the posterior cord coexistent with a neural communication between lateral and medial cords in an adult male cadaver. This intercordal neural communication between lateral and medial cords was oriented obliquely and measured 2.2 cm in length. Furthermore, the posterior cord revealed a variant branching pattern. It branched into three upper subscapular nerves and a common trunk for the thoracodorsal and lower subscapular nerves. The lowest of the three upper subscapular nerves gave a communicating twig to the thoracodorsal nerve. Inspite of uncountable reports on variations of brachial plexus, descriptions regarding anomalous branching patterns hold enormous clinical significance for the radiologists, anesthetists and surgeons, besides being of academic interest for the anatomists., Renu Baliyan, Vandana Mehta, Jyoti Arora, Ashish Kr. Nayyar, R. K. Suri, Gaytri Rath, and Literatura 18
Gastrointestinal lipomas are usually asymptomatic, detected incidentally. However, they can cause severe symptoms such as obstruction, invagination, and bleeding. The transsection of an infarcted or large lipoma by needle sphincterotome (needle knife) and/or snare polypectomy of the upper part of the tumour is an option for the endoscopy treatment of giant infarcted lipomas. Cutting a top of lipoma (unroofing technique) allowed flow out of adipose tissue from the lipoma. and M. Kopáčová, S. Rejchrt, J. Bureš
Regenerace kloubní chrupavky je v ortopedii velkým problémem. Regenerační proces v chrupavčité tkáni je výrazně podpořen chondrocyty a zřejmě i mezenchymálními kmenovými buňkami (MSC), a proto byla a je v posledních letech této problematice věnována velká pozornost. V České republice dochází k nárůstu výkonů, při nichž jsou pro terapii osteoartritidy používány MSC získané z tukové tkáně (a-MSC). V této indikaci považuje Česká ortopedická společnost tento postup za „non lege artis“. Přinášíme přehled dosud provedených klinických studií, jejichž úroveň neumožňuje podpořit rutinní léčbu osteoartritidy pomocí a-MSC., Regeneration of articular cartilage remains a major challenge in orthopaedics. Cell-based therapies (with chondrocyte and MSCs – mesenchymal stem cells) to augment cartilage repair have received considerable interest during recent years. Adipose MSCs have been used in the Czech Republic for osteoarthritis therapy, despite not being recommended by the Czech Orthopaedic Association. This lecture reviews the studies and their level of evidence for orthopaedic routine therapy of osteoarthritis., and Pavel Žák
pro wlastnjky brawů, hospodářské úřednjky ... skumně i umně sestawená od Bedřicha Utèssila, Tištěno švabachem, and Converted from MODS to DC version 1.8 (EE patch 2018/05/24)
Sest. a vyd. Václav Kudrnáč and Připojen adresář pražského předměstí Libeň. 1. Stará Libeň. 2. Nová Libeň. 3. Židovské město v Libni. 4. Malé Holešovice