Fig. 1 Lateral radiograph of a Galeazzi fracture with apex volar angulation and volar dislocation of the DRUJ. The distal ulnar physis is intact (Photo courtesy of Kevin J. Little,…

Injury Warning signs on physical exam Indications for operating Arterial laceration Pulselessness and pallor distally; worsening pain Inadequate collateral circulation; impending ischemia, uncontrolled bleeding Venous laceration/degloving Congestion; swelling; worsening pain;…

    Score as a percent of normal Outcome tool Joints measured Formula for percent of normal motion Excellent Good Fair Poor Strickland–Glogovac score PIP and DIP Active PIP ± DIP flexion –…

Typically, surgery completed with the patient under general anesthesia. Preoperative antibiotics are given as indicated In the setting of an isolated upper extremity compartment syndrome, the patient is placed in…

Fig. 1 A 14-year-old female with pain and right thoracic outlet syndrome attributed to cervical rib. The patient has decreased right arm abduction secondary to pain (Courtesy of Shriners Hospital…

Fig. 1 Postero-anterior radiograph of a wrist with Grade 3 gymnast wrist . Note the widening of the distal radial physis The differential diagnosis includes scaphoid impaction syndrome and dorsal…

Fig. 1 The spinal cord is comprised of ventral and dorsal white and grey matter. The ventral grey matter of the spinal cord contains the alpha motor neuron. (Reproduced with…

Fig. 1 Neonatal clavicle fracture on the right side sustained during a difficult vaginal delivery (Courtesy of Joshua M. Abzug, MD) Children who have clavicle fractures from suspected abuse should…

Week Day Carnegie stage Upper limb Lower limb 4 24 11 Swelling appears in region of upper limb bud   28 13 Scattered blood vessels Appearance of lower limb bud 5…

Nail bed repair tips and tricks Suture recommendations 5-0 or 6-0 Chromic; a spatulated needle may help pass through the nail bed tissue Permanent sutures are to be avoided as…