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…
PEDIATRICS
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…
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…
