Congenital Pseudarthrosis of the Clavicle

Dec 15, 2016 by in PEDIATRICS Comments Off on Congenital Pseudarthrosis of the Clavicle

FIGURE 18-1 A: Obvious deformity of right clavicle due to a congenital clavicular pseudarthrosis. B: AP x-ray of same patient. C: CT scan revealing wide diastasis of the narrow, sclerotic…

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Ulnar Longitudinal Deficiency

Dec 15, 2016 by in PEDIATRICS Comments Off on Ulnar Longitudinal Deficiency

FIGURE 14-1 A: Ulnar longitudinal deficiency with elbow synostosis, foreshortened forearm, and three-digit hand. The thumb is in the same plane as the other two digits, which limits pinch. B:…

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Arthrogryposis

Dec 15, 2016 by in PEDIATRICS Comments Off on Arthrogryposis

FIGURE 23-1 Radiograph of the elbow, forearm, wrist, and hand of a patient with arthrogryposis. Note is made of the elbow extension and wrist flexion contractures. The osseous elements and…

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Madelung Deformity

Dec 15, 2016 by in PEDIATRICS Comments Off on Madelung Deformity

FIGURE 15-1 A, B: Clinical photographs of a patient with Madelung deformity. Note the seemingly prominent ulnar head and apparent volar subluxation of the wrist on the forearm. Clinical Evaluation…

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Sprengel Deformity

Dec 15, 2016 by in PEDIATRICS Comments Off on Sprengel Deformity

FIGURE 19-1 Frontal plain radiograph demonstrating a right Sprengel deformity. CLINICAL QUESTIONS What is Sprengel deformity? What are the associated conditions? How is Sprengel deformity classified? What are the surgical…

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Thumb Hypoplasia

Dec 15, 2016 by in PEDIATRICS Comments Off on Thumb Hypoplasia

FIGURE 10-1 Clinical photograph of a Blauth type IIIA hypoplastic thumb. Note lack of IP joint skin crease and thenar muscle bulk. CLINICAL QUESTIONS What are the characteristic clinical features…

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Aphalangia and Amniotic Band Syndrome

Dec 15, 2016 by in PEDIATRICS Comments Off on Aphalangia and Amniotic Band Syndrome

FIGURE 9-1 Clinical photograph of a hand with amniotic band syndrome. Arrow points to the second web-space sinus tract with distal syndactyly. Congenital amputation and constriction band noted on third…

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Radial Longitudinal Deficiency

Dec 15, 2016 by in PEDIATRICS Comments Off on Radial Longitudinal Deficiency

FIGURE 13-1 Clinical photograph of radial longitudinal deficiency with a rudimentary pouce flottant. Evaluation of the radial deficiency starts at the chest wall and shoulder. Entire upper limb involvement does…

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Pollicization

Dec 15, 2016 by in PEDIATRICS Comments Off on Pollicization

FIGURE 11-1 A: Clinical photograph of pouce flottant. B: Radiograph of same patient without proximal metacarpal, no CMC joint. This was treated with a pollicization. CLINICAL QUESTIONS What systemic conditions…

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Macrodactyly

Dec 15, 2016 by in PEDIATRICS Comments Off on Macrodactyly

FIGURE 7-1 Macrodactyly of both the long and, less so, the index finger with divergence of the digits. An MRI of this patient revealed lipofibromatosis of the median nerve at…

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