PEDIATRICS

Kienbock’s Disease

Nov 17, 2016 by in PEDIATRICS Comments Off on Kienbock’s Disease

Fig. 1 The midcarpal articulation of two wrists : (a) Type I lunate, (b) Type II lunate (Reprinted with permission from Kapoutsis DV, Dardas A, Day CS. Carpometacarpal and scaphotrapeziotrapezoid…

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Syndromes Associated with Syndactyly

Nov 17, 2016 by in PEDIATRICS Comments Off on Syndromes Associated with Syndactyly

I. Failure of formation of parts (arrest of development)  (A) Transverse deficiency  (B) Longitudinal deficiencies  (C) Phocomelia  (D) Tendon or muscle dysplasia  (E) Absent nail or skin II. Failure of…

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Shoulder Arthroscopy

Nov 17, 2016 by in PEDIATRICS Comments Off on Shoulder Arthroscopy

Shoulder instability Nonoperative treatment Indications Contraindications First-time dislocator in skeletally immature child (under age 14) Recurrent, painful, and/or disabling dislocations MDI – initial management  For patients with posterior instability, immobilization…

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Humeral Shaft Fractures

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Fig. 1 (a) Anteroposterior and (b) lateral radiographs demonstrating a humeral shaft fracture in a 6-day-old infant, which occurred as a result of a complicated delivery (Courtesy of Joshua M….

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Malignant Soft Tissue Lesions

Nov 17, 2016 by in PEDIATRICS Comments Off on Malignant Soft Tissue Lesions

Fig. 1 Plain lateral radiograph of the forearm demonstrating a large soft-tissue mass (red arrows) and osseous changes including reactive periosteal changes (blue arrow) Magnetic resonance imaging (MRI) is often…

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Proximal Humerus Fractures

Nov 17, 2016 by in PEDIATRICS Comments Off on Proximal Humerus Fractures

Fig. 1 In this rare open proximal humerus fracture in an adolescent, the tent-shaped morphology of the proximal humeral physis is clearly displayed The most important pathoanatomical considerations in treating…

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Rheumatologic Disorders

Nov 17, 2016 by in PEDIATRICS Comments Off on Rheumatologic Disorders

Oligoarticular Onset with four or fewer joints. Most often a younger female with an asymmetric pattern and the most commonly involved joints being the knee, ankle, and elbow Oligoarticular onset…

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Madelung’s Deformity

Nov 17, 2016 by in PEDIATRICS Comments Off on Madelung’s Deformity

Fig. 1 Typical appearance of a patient with Madelung deformity. Note the obvious appearance of a prominent ulnar with volar subluxation of the hand/carpus There is some debate regarding the…

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Malignant Lesions

Nov 17, 2016 by in PEDIATRICS Comments Off on Malignant Lesions

Fig. 1 X-ray showing an osteosarcoma arising from the proximal humerus with large soft tissue mass Plan x-rays can also provide valuable information when evaluating soft tissue tumors. For example,…

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