Radial Deficiency

Nov 17, 2016 by in PEDIATRICS Comments Off on Radial Deficiency

Fig. 1 (a, b) Appearance of radial longitudinal deficiency. (a) A 6-month-old boy with bilateral radial longitudinal deficiency. Note associated absence of thumbs, significant radial deviation of wrist, shortened forearm,…

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Supracondylar Humerus Fracture

Nov 17, 2016 by in PEDIATRICS Comments Off on Supracondylar Humerus Fracture

Fig. 1 Lateral view of the distal humerus. Note the thin bone separating the coronoid fossa (anterior) from the olecranon fossa (posterior) (Courtesy of Shriners Hospital for Children, Philadelphia) Depending…

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Distal Radius Fractures

Nov 17, 2016 by in PEDIATRICS Comments Off on Distal Radius Fractures

Fig. 1 (a) PA radiograph measuring radial inclination and (b) Lateral radiograph measuring palmar tilt Fractures of the Distal Radius Outcome Tools Distal radius fracture outcomes may be assessed clinically…

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Genetic Syndromes

Nov 17, 2016 by in PEDIATRICS Comments Off on Genetic Syndromes

Syndrome Upper limb anomaly Commonly associated features Inheritance pattern Testing Cornelia de Lange Absent or hypoplastic ulna; oligodactyly Prenatal growth retardation, microcephaly, congenital heart disease (CHD), dysmorphic features, GU anomalies…

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Kienbock’s Disease

Nov 17, 2016 by in PEDIATRICS Comments Off on Kienbock’s Disease

Fig. 1 The midcarpal articulation of two wrists : (a) Type I lunate, (b) Type II lunate (Reprinted with permission from Kapoutsis DV, Dardas A, Day CS. Carpometacarpal and scaphotrapeziotrapezoid…

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Shoulder Arthroscopy

Nov 17, 2016 by in PEDIATRICS Comments Off on Shoulder Arthroscopy

Shoulder instability Nonoperative treatment Indications Contraindications First-time dislocator in skeletally immature child (under age 14) Recurrent, painful, and/or disabling dislocations MDI – initial management  For patients with posterior instability, immobilization…

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Syndromes Associated with Syndactyly

Nov 17, 2016 by in PEDIATRICS Comments Off on Syndromes Associated with Syndactyly

I. Failure of formation of parts (arrest of development)  (A) Transverse deficiency  (B) Longitudinal deficiencies  (C) Phocomelia  (D) Tendon or muscle dysplasia  (E) Absent nail or skin II. Failure of…

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Humeral Shaft Fractures

Nov 17, 2016 by in PEDIATRICS Comments Off on Humeral Shaft Fractures

Fig. 1 (a) Anteroposterior and (b) lateral radiographs demonstrating a humeral shaft fracture in a 6-day-old infant, which occurred as a result of a complicated delivery (Courtesy of Joshua M….

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Malignant Soft Tissue Lesions

Nov 17, 2016 by in PEDIATRICS Comments Off on Malignant Soft Tissue Lesions

Fig. 1 Plain lateral radiograph of the forearm demonstrating a large soft-tissue mass (red arrows) and osseous changes including reactive periosteal changes (blue arrow) Magnetic resonance imaging (MRI) is often…

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