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Bone and joint lesions in decompression sickness.

T Amako, M Kawashima, T Torisu

    Seminars in Arthritis and Rheumatism
    |January 1, 1974
    PubMed
    Summary
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    Aseptic bone necrosis affects over half of divers, increasing with diving depth and experience. Research into causes like fat embolism and improved decompression tables is crucial for prevention.

    Area of Science:

    • Diving Medicine
    • Orthopedics
    • Pathology

    Background:

    • Aseptic bone necrosis is a recognized risk in diving and compressed-air work.
    • Previous studies have indicated a correlation between diving parameters and bone necrosis incidence.

    Purpose of the Study:

    • To investigate the prevalence and characteristics of aseptic bone necrosis in divers.
    • To explore potential etiological factors and recommend preventative measures.

    Main Methods:

    • Radiological assessment using modified Ohta-Matsunaga criteria.
    • Pathological examination of bone samples.
    • Analysis of diving experience and depth data.

    Main Results:

    • 59.5% of 450 divers exhibited aseptic bone necrosis; 81 had articular lesions.

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  • Bone necrosis incidence correlated positively with diving experience duration and maximum depth.
  • Fat embolism was identified as a potential contributing factor in pathological findings.

    • Conclusions:

    • Regular radiological screening for divers and compressed-air workers is recommended.
    • Development of modified decompression tables is essential to mitigate bone necrosis risk.
    • Further research into the etiology of bone necrosis is warranted.