The Gymnast

Nov 17, 2016 by in PEDIATRICS Comments Off on The Gymnast

Fig. 1 Postero-anterior radiograph of a wrist with Grade 3 gymnast wrist . Note the widening of the distal radial physis The differential diagnosis includes scaphoid impaction syndrome and dorsal…

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Clavicle Fractures Clavicle fracture

Nov 17, 2016 by in PEDIATRICS Comments Off on Clavicle Fractures Clavicle fracture

Fig. 1 Neonatal clavicle fracture on the right side sustained during a difficult vaginal delivery (Courtesy of Joshua M. Abzug, MD) Children who have clavicle fractures from suspected abuse should…

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Embryology

Nov 17, 2016 by in PEDIATRICS Comments Off on Embryology

Week Day Carnegie stage Upper limb Lower limb 4 24 11 Swelling appears in region of upper limb bud   28 13 Scattered blood vessels Appearance of lower limb bud 5…

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Nail Bed Injuries

Nov 17, 2016 by in PEDIATRICS Comments Off on Nail Bed Injuries

Nail bed repair tips and tricks Suture recommendations 5-0 or 6-0 Chromic; a spatulated needle may help pass through the nail bed tissue Permanent sutures are to be avoided as…

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Carpal Fractures

Nov 17, 2016 by in PEDIATRICS Comments Off on Carpal Fractures

Fig. 1 PA radiograph of a skeletally immature wrist in a 10-year-old male patient demonstrating a scaphoid fracture. The distance between the scaphoid and lunate is apparently widened due to…

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Inherited Muscle Disease

Nov 17, 2016 by in PEDIATRICS Comments Off on Inherited Muscle Disease

0 No contraction 1 Flicker or trace movement 2 Active movement with gravity eliminated 3 Active movement against gravity 4 Active movement against gravity and resistance 5 Normal power The…

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Non-accidental Trauma

Nov 17, 2016 by in PEDIATRICS Comments Off on Non-accidental Trauma

Fig. 1 27 Month female seen acutely for fracture of her right humerus after a reported fall to the ground. Because of a suspicious injury mechanism and social situation a…

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Cellulitis and Necrotizing Fasciitis

Nov 17, 2016 by in PEDIATRICS Comments Off on Cellulitis and Necrotizing Fasciitis

Fig. 1 Necrotizing fasciitis of the upper limb in an immunocompromised adolescent. Note the swelling of the more proximal limb well beyond the dorsal hand erythema (Courtesy of Allan Peljovich,…

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Pediatric Trigger Thumb and Finger

Nov 17, 2016 by in PEDIATRICS Comments Off on Pediatric Trigger Thumb and Finger

Fig. 1 Anatomy of the annular pulleys of the fingers (Copyright © 1990 American Society Surgery of the Hand. All rights reserved) Patient Assessment Trigger Thumb The most common history…

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