PEDIATRICS

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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Radial Nerve Injury

Nov 17, 2016 by in PEDIATRICS Comments Off on Radial Nerve Injury

Fig. 1 Radial nerve anatomy and muscle innervation (Courtesy of Shriners Hospital for Children, Philadelphia) (Copyright Dan A. Zlotolow) As it passes over the anterolateral capsule of the radiocapitellar joint…

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Hand Dislocations

Nov 17, 2016 by in PEDIATRICS Comments Off on Hand Dislocations

Fig. 1 (Dinh 2009) Clinical photo demonstrating the subcutaneous location of the metacarpal head in a dorsal metacarpophalangeal dislocation. Note the position of the radial digital nerve which can often…

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Constriction Band Syndromes

Nov 17, 2016 by in PEDIATRICS Comments Off on Constriction Band Syndromes

Fig. 1 (a–c): Examples of the spectrum of clinical presentation of constriction bands. (a) Constriction bands causing hourglass deformity at the base of the fingers. (b) Deeper bands on the…

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Monteggia Fracture Dislocations

Nov 17, 2016 by in PEDIATRICS Comments Off on Monteggia Fracture Dislocations

Fig. 1 Bado classification of Monteggia fractures (Courtesy of Dan A. Zlotolow, MD) A modification of Bado’s classification was described specifically for children by Letts and associates (Letts et al….

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Ulnar Nerve Injury

Nov 17, 2016 by in PEDIATRICS Comments Off on Ulnar Nerve Injury

Fig. 1 Seventeen year-old male that sustained a medial arm laceration involving the ulnar nerve (Courtesy of Shriners Hospital for Children, Philadelphia). (a) Medial arm laceration. (b) Loss of flexor…

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Extensor Tendon Injuries

Nov 17, 2016 by in PEDIATRICS Comments Off on Extensor Tendon Injuries

Fig. 1 Diagram of the extensor mechanism (this was taken from Hand Clinics, if Springer has one please substitute) Wrist extensors include the extensor carpi ulnaris (ECU), the extensor carpi…

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Cerebral Palsy

Nov 17, 2016 by in PEDIATRICS Comments Off on Cerebral Palsy

Grade Modified Tardieu scale Modified Ashworth scale 0 No resistance to passive ROM No increase muscle to passive ROM 1 Slight resistance with no clear catch Slight increase in tone,…

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