Sternoclavicular Joint Injuries

Dec 15, 2016 by in PEDIATRICS Comments Off on Sternoclavicular Joint Injuries

FIGURE 24-1 Acute traumatic posterior SCJ dislocation. A: Anteroposterior clavicle x-ray demonstrates no obvious abnormalities. B: Serendipity view demonstrates asymmetry of the SCJ with posterior translation of the right clavicle….

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Shoulder Instability

Dec 15, 2016 by in PEDIATRICS Comments Off on 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…

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Elbow “TRASH” Lesions

Dec 15, 2016 by in PEDIATRICS Comments Off on 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…

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Central Deficiency and Symbrachydactyly

Dec 15, 2016 by in PEDIATRICS Comments Off on 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…

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Toe-to-Hand Transfers

Dec 15, 2016 by in PEDIATRICS Comments Off on 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…

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Amputations

Dec 15, 2016 by in PEDIATRICS Comments Off on 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…

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Free Vascularized Fibula Grafts

Dec 15, 2016 by in PEDIATRICS Comments Off on 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…

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Free Functional Muscle Transfers

Dec 15, 2016 by in PEDIATRICS Comments Off 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…

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Neurofibromatosis

Dec 15, 2016 by in PEDIATRICS Comments Off on 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…

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