Monteggia Fracture Dislocations
FIGURE 30-1 Acute Monteggia fracture dislocation. A: Lateral radiograph of the forearm demonstrates a short oblique middiaphyseal ulna fracture. B: AP forearm radiograph including the elbow and wrist demonstrates an…
Cerebral Palsy
FIGURE 22-1 Posture of severe spasticity with elbow flexion, forearm pronation, wrist flexion, thumb-in-palm, and mild digital flexion even in this extreme position of wrist flexion. FIGURE 22-2 The wrist…
Sternoclavicular Joint Injuries
FIGURE 24-1 Acute traumatic posterior SCJ dislocation. A: Anteroposterior clavicle x-ray demonstrates no obvious abnormalities. B: Serendipity view demonstrates asymmetry of the SCJ with posterior translation of the right clavicle….
Medial Epicondyle Fractures and Elbow Dislocations
FIGURE 29-1 A, B: AP, oblique radiographs and lateral radiographs of a displaced medial epicondyle fracture. Clinical Evaluation Many of life’s failures are people who did not realize how close…
Shoulder Instability
FIGURE 40-1 Schematic diagrams depicting the (A) apprehension and (B) apprehension-relocation physical examination provocative maneuvers. Classification of shoulder instability remains descriptive, based upon history, clinical examination, and radiographic findings. Traumatic…
Elbow “TRASH” Lesions
FIGURE 32-1 A: Radiographs of an elbow dislocation with lateral bony fragments. B: Closed reduction radiographs in splint. Note on the lateral view that the joint is not anatomic. The…
Central Deficiency and Symbrachydactyly
FIGURE 8-1 Prenatal ultrasound depicting central deficiency of the hand. CLINICAL QUESTIONS What are the genetic causes of cleft hands? What are the associated conditions, if any, with typical cleft…
Toe-to-Hand Transfers
FIGURE 46-1 A, B: Clinical photographs of a patient with congenital amputations of the right thumb and fingers in the setting of amniotic band syndrome. C: Plain radiographs demonstrate normal…
Amputations
FIGURE 36-1 Clinical photograph of sharp amputations of the index and long fingers. The level of amputation is through the proximal phalanx, and the wound is relatively clean. Given the…
Free Vascularized Fibula Grafts
FIGURE 44-1 Preoperative radiograph of a 13-year-old male with a history of Ewing’s sarcoma of the left humerus, previously treated with tumor resection and intercalary allograft reconstruction. He went on…
