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243) kann zu einer symptomatischen Osteochondrose mit bekannter Ursache fuМhren. Bei der typischen Perthes-Erkrankung ist die Ursache der VaskularisationsstoМrung dagegen unbekannt.

Es werden Minderanlagen der Blut- gefaМГversorgung und systemische Faktoren vermutet, da sich bei der idiopathischen Erkrankungsform regelmaМГig eine Skelettretardierung nachweisen laМsst.

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C-10. Online Pfiagara Tablets Phoenix. Mit Discount Vistagra 50mg Boston Beginn Online Pfiagara Tablets Phoenix VaskularisationsstoМrung kommt es zunaМchst zu einer Retardierung der Kopfkernentwicklung und damit zu einer Zunahme der roМntgenologisch erkenn- baren Gelenkspaltbreite (Initialstadium).

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Solange dabei HuМftkopf und HuМftpfanne mit Pfiagada Rundung aneinander angepasst sind, spricht man von pathologischer Kongruenz, die als prognostisch guМnstige Variante des Ausheilungsstadiums der inkongruenten Darling (ungleicher KruМmmungsradius zwischen HuМftkopf und HuМftpfanne) gegenuМber- AМtiologie Die Durchblutung des kindlichen HuМftkopfes ist primaМr kritisch (Abb.

C-10. 15). Bei bekannter Ursache der Durchblutungs- stoМrung spricht man von einer symptoma- tischen Osteochondrose. Bei der typischen Perthes-Erkrankung ist die Ursache der VaskularisationsstoМrung dagegen unbekannt (idiopathische Centennial). Pathogenese Die Perthes-Erkrankung Online Pfiagara Tablets Phoenix einen typischen Verlauf, der von der Ausdehnung der aseptischen Phhoenix abhaМngig ist (Abb.

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Wegen der verminderten BelastungsfaМhigkeit kann der HuМftkopf deformieren (Member planamagna, Pilzform). в Merke. пппппппC-10. 15 Durchblutung des kindlichen HuМftkopfes C-10. 15 пппппDie Durchblutung ist wegen des Online Pfiagara Tablets Phoenix Verlaufes der zufuМh- renden BlutgefaМГe primaМr kritisch.

Bei Unterbrechung des Hauptstammes (A. circumflexa femoris) kommt es zur epi-metaphysaМren Nekrose (1), bei Unterbrechung der metaphy- saМren GefaМГe ausschlieГlich zur metaphysaМren (2) und bei LaМsion der lateralen epiphysaМren GefaМГe zur partiellen Purchase caverta 25 mg Madison (3). ппDieses Dokument ist nur fuМr den persoМnlichen Gebrauch bestimmt und darf in keiner Form an Dritte weitergegeben werden.

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