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Objective: To improve the algorithm of pelvic X-ray study to enhance the efficiency of diagnosis of pelvic bone fractures., Subject and Methods: A total of 1.415 patients with pelvic injury were examined. Multi-projection X-ray study (an Apelem radiodiagnostic unit) and multislice spiral computed tomography (an Aquilion-32 multislice spiral scanner (Toshiba, Japan)) were performed., Results and Discussion: An algorithm for X-ray diagnosis of injuries of the pelvis and acetabulum has been elaborated, which will be able to significantly specify fracture detection., Conclusion: In the first diagnostic step in treating pelvic injuries, all patients must undergo multiprojection X-ray study in the anteroposterior and oblique projections, which will be able to reduce the percentage of diagnostic errors from 30 to 5%.

The authors have made an attempt to make exact the reasons of the frequent association of hand dystrophic pathology and duodenal ulceration disease in women. It is revealed that pointed diseases are to be the late symptoms of equally directed alterations in the organism, including neuro-humoral and immune mechanisms of adaptation, occurring in women even in sexual maturing period and being the favourable background for occurrence of various diseases including hand dystrophic pathology and duodenal ulcerative disease.

On the basis of the results of complex examination of the patients with the Sudeck syndrome, the disorders in reproductive hormones in individuals of both sexes were revealed. The character and degree of pronouncement of these changes were defined, their correction was performed. The result obtained is positive.

Women with a dystrophic pathology of the hand were found to have weak sexual constitution as well. In addition, a pathological type of morphograms was found independent of their stature. The data obtained confirm that hormonal disorders in women with a dystrophic pathology of the hand make their appearance as at the pubertal period and are a favorable background for the development of hand dystrophy.

Radioimmunoassay determining sexual hormone levels, functional state of the autonomic nervous system and blood supply, were used to study the causes aiding the development of dystrophies of the hand in women. All these conditions were found to be associated with gross disorders of the endocrine system, autonomic dysfunction and changes in the system of blood supply. The results were used to develop a policy for the selection of the therapeutic method and its timing with a favourable effect.

An all-round study was made of the function of the vegetative tone, responsiveness and supply of the parts of the autonomic nervous system in women with degenerative hand pathology. As compared with the control group, serious disorders were detected in all the parts and properties of the system. The conclusion is made that these mechanisms are implicated in the development of the disease group under study.

On the basis of complex examination of women with stenosing ligamentitis, including investigations of hormonal background in accordance with the clinical criteria, hormonal smears, radioimmunological assay of the initial vegetative tonicity, blood circulation by means of rheography, it has been concluded that the stenosing ligamentitis is the local expression of general dystrophy of the connective tissue due to hormonal shift, pathology of the vegetative nervous system and the circulatory system.

Examined were 248 men with dystrophic pathology of a hand. Into the complex of examination, the radioimmune studies of the content of sex hormones and intracutaneous Rigoni-Gagliani test were included. The hormonal disorders of similar direction were revealed: change in tissue sensitivity to the action of androgens in Dupuytren's contracture.

Measurements of C-reactive protein (CRP) in patients with Dupuytren's contraction have confirmed that such measurements may help objective the contraindications to surgery and specify the scope of intervention. CRP levels increase parallel with the flexion contracture augmentation and depend on the clinical form of the disease.