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…
Free Functional Muscle Transfers
FIGURE 45-1 A: Intraoperative photograph of tumor resection with margin of healthy extensor mass and supinator muscle. B: The completed resection with radial nerve outlined. Sensory branch (bold arrow) and…
Neurofibromatosis
FIGURE 48-1 Anteroposterior and lateral radiographs of a young child with congenital pseudarthrosis of the ulna in the setting of NF. Note is made of the tapered and sclerotic bony…
Overuse Injuries of the Upper Limb
FIGURE 39-1 AP radiographs of the right and left shoulder in an 11-year-old right-handed youth baseball pitcher demonstrating physeal widening and juxtaphyseal sclerosis of the symptomatic right side. Previous biomechanical…
Radioulnar and Metacarpal Synostosis
FIGURE 17-1 Elbow radiographs of a congenital RUS. CLINICAL QUESTIONS What is the cause of a congenital radioulnar synostosis (RUS)? Is it hereditary? Are there any associated syndromes? How is…
Clinodactyly and Camptodactyly
FIGURE 6-1 Mild, nonprogressive clinodactyly with radial deviation of small finger due to trapezoidal-shaped middle phalanx. Clinodactyly of the index finger is a unique entity that presents at birth with…
Preaxial Polydactyly
FIGURE 4-1 A: Clinical photograph depicting a “thumb duplication.” B: Corresponding plain radiograph illustrating the skeletal elements of the “thumb duplication.” This is a typical Wassel type IV thumb. CLINICAL…
Syndactyly
FIGURE 2-1 A 6-month-old male infant with syndactylies of the first, second, and third web spaces. CLINICAL QUESTIONS What causes syndactyly? How common is it? Are there any associated syndromes…
Congenital Radial Head Dislocation
FIGURE 16-1 A: Anteroposterior and lateral radiographs of congenital posterolateral radial head dislocation. The patient is now developing pain with activities of daily living and recreation. B: Sagittal MRI scan…
