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…

Fig. 1 PA radiograph of a skeletally immature wrist in a 10-year-old male patient demonstrating a scaphoid fracture. The distance between the scaphoid and lunate is apparently widened due to…

0 No contraction 1 Flicker or trace movement 2 Active movement with gravity eliminated 3 Active movement against gravity 4 Active movement against gravity and resistance 5 Normal power The…

Fig. 1 27 Month female seen acutely for fracture of her right humerus after a reported fall to the ground. Because of a suspicious injury mechanism and social situation a…

Fig. 1 Necrotizing fasciitis of the upper limb in an immunocompromised adolescent. Note the swelling of the more proximal limb well beyond the dorsal hand erythema (Courtesy of Allan Peljovich,…

Syndrome Clinical features Weyer’s oligodactyly syndrome Ulnar and fibular ray deficiencies along with midline craniofacial defect such as single central incisor and cleft lip/palate Cornelia de Lange syndrome (mutation of…

Fig. 1 Anatomy of the annular pulleys of the fingers (Copyright © 1990 American Society Surgery of the Hand. All rights reserved) Patient Assessment Trigger Thumb The most common history…

Somatic disorders (psychiatric)  Fictitious disorders   Munchausen’s syndrome – self-inflicted   Munchausen’s syndrome by proxy – inflicted by other  Conversion reactions Malingering (secondary gain) Somatic disorders present in a variety of ways,…

Group Diagnostic criteria 1–8 Based on a common underlying gene or pathway (e.g., achondroplasia belongs to group 1 or the FGFR3 chondrodysplasia group) 9–17 Based on the localization of radiographic…