A suspicion of a proliferative bone lesion in a child seems to be a major diagnostic problem for clinicians. There are no diagnostic and treatment algorithms described in the literature and no reliable cohort epidemiological data. Our study was conducted among 289 paediatric patients (0–18 years old) with an initial diagnosis of a bone tumour or tumour-like lesion. The study comprised a retrospective epidemiological analysis, an assessment of the concordance of the initial diagnoses with the histopathological diagnoses and an analysis of the specific locations of the various bone lesions. The results obtained have made it possible to formulate the following conclusions. (1) The most common proliferative bone lesion in children is osteochondroma; also common are fibrous dysplasia, non-ossifying fibromas and bone cysts. (2) Verifying the initial diagnosis by means of biopsy is essential. (3) Osteochondromas are typically located in the metaphyses of long bones, fibrous dysplasia in the femur and skull, cyst-like lesions in the proximal humerus and non-osteochondral fibromas exclusively in the lower limbs. What could improve the quality of treatment for children with primary proliferative bone diseases is the establishment of centres of paediatric orthopaedic oncology skilled in early diagnosis and prompt management.

WstępZastosowania tlenoterapii hiperbarycznej w traumatologii są liczne. Na szczególną uwagę zasługują ostre niedokrwienia, zakażenia tkanek miękkich i kości, urazy zmiażdżeniowe i termiczne. CelCelem pracy była analiza przebiegu leczenia pacjentów, u których prowadzono tlenoterapię hiperbaryczną z powodu urazów zmiażdżeniowych, termicznych, zakażeń ran pourazowych i ostrych zakażeń o charakterze ropowicy. Materiały i metodyGrupę badaną stanowiło 127 pacjentów Ośrodka Tlenoterapii Hiperbarycznej "Creator" (OTH) we Wrocławiu. Grupa składała się z 25 kobiet i 102 mężczyzn. Średni wiek pacjentów wynosił 44,3 lat. Issues of Rehabilitation, Orthopaedics, Neurophysiology and Sport Promotion -IRONS ResultsWithin the studied group 11.81% of patients were referred within 48 hours post injury or admission, 30.70% within 7 days and 26.77% after a month or more. Out of 127 patients 54.33% completed their design number of sessions, 37% were discharged earlier due to satisfactory results, 8.67% quit our treatment for other reasons. Signifact correlation was find between the time elapsed from initial injury to HBO referral and clinical improvement. Almost half of the patients (46.15%) who were referred up to 48 hours and only one fifth (20.69%) of those referred after a month qualified for earlier withdrawal from HBO treatment based on improvement (p = 0.02). ConclusionsBenefits of hyperbaric oxygen therapy in traumatology are most significant in early application. Early qualification of patients to HBO therapy could shorten hospitalization time and reduce costs of treatment.