Local and Regional Soft Tissue Coverage of the Hand

Dec 15, 2016 by in PEDIATRICS Comments Off on Local and Regional Soft Tissue Coverage of the Hand

FIGURE 43-1 Clinical photograph depicting a transverse fingertip amputation of the right ring finger. Despite the sense of urgency that often accompanies the initial evaluation of patients with traumatic fingertip…

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Radial Head and Neck Fractures

Dec 15, 2016 by in PEDIATRICS Comments Off on Radial Head and Neck Fractures

FIGURE 31-1 AP and lateral radiographs of a displaced radial neck fracture in an 8-year-old female. Radial neck fractures are primarily classified according to anatomic location, translation, and angulation. These…

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Monteggia Fracture Dislocations

Dec 15, 2016 by in PEDIATRICS Comments Off on 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…

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Cerebral Palsy

Dec 15, 2016 by in PEDIATRICS Comments Off on 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…

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Sternoclavicular Joint Injuries

Dec 15, 2016 by in PEDIATRICS Comments Off on 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….

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Shoulder Instability

Dec 15, 2016 by in PEDIATRICS Comments Off on 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…

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Elbow “TRASH” Lesions

Dec 15, 2016 by in PEDIATRICS Comments Off on 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…

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Central Deficiency and Symbrachydactyly

Dec 15, 2016 by in PEDIATRICS Comments Off on 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…

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Toe-to-Hand Transfers

Dec 15, 2016 by in PEDIATRICS Comments Off on 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…

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