Duplication
1. Whole limb 2. Humerus 3. Radius 4. Ulna (a) Mirror hand (b) Other 5. Digit (a) Polydactyly (1) Radial (preaxial, 1st ray, including triphalangeal thumb) (2) Central (3) Ulnar…
Skin Lesions
Fig. 1 Epidermal nevus on the right thumb presenting as a linear, tan plaque (By permission of Mayo Foundation for Medical Education and Research. All rights reserved) Epidermal nevi are…
Upper Limb Reconstruction in Persons with Tetraplegia Tetraplegia
Upper limb reconstruction in persons with tetraplegia Nonoperative management Indications Contraindications All persons with tetraplegia None, except for a really sick patient who is unable to tolerate any treatment Contracture…
Secondary Procedures About the Elbow, Forearm, Wrist, and Hand
Secondary brachial plexus surgery Nonoperative management Indications Contraindications Minimal functional deficits Motivated patient with available motors for transfer Stiff joints Unavailable motors for transfer Secondary brachial plexus surgery Physical/occupational therapy…
Torticollis and Sprengel’s Deformity
Fig. 1 This 5-week-old infant has his head tilted to the left and chin slightly rotated towards the right in the typical “cock robin” position that is characteristic of congenital…
Thumb Hypoplasia
Syndrome or association Characteristics Holt-Oram Heart defects, most commonly cardiac septal defects Thrombocytopenia-absent radius (TAR) syndrome Thrombocytopenia present at birth (may require transfusions), but improves over time VACTERL association Vertebral…
Prostheses
Fig. 1 TRS passive infant terminal devices Fig. 2 Hosmer child passive hand Fig. 3 Livingskin custom glove restoration Voluntary opening terminal device : A voluntary opening (VO) terminal device…
The Throwing Athlete
Fig. 1 The six phases of throwing Assessment of Little League Shoulder Signs and Symptoms of Little League Shoulder The typical patient with little league shoulder is an overhead athlete…
