Metacarpal Fractures

Nov 17, 2016 by in PEDIATRICS Comments Off on Metacarpal Fractures

Fig. 1 PA radiograph of a small finger metacarpal neck fracture in a 14-year-old boy after a fall onto the right hand Table 1 Distribution of pediatric hand fractures by…

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Arthrogryposis

Nov 17, 2016 by in PEDIATRICS Comments Off on Arthrogryposis

Fig. 1 A child with amyoplasia demonstrating the characteristic facies with a hemangioma over the nasal bridge (a). The shoulders are often internally rotated with the elbows in extension and…

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Toe-to-Hand Transfers in Children

Nov 17, 2016 by in PEDIATRICS Comments Off on Toe-to-Hand Transfers in Children

Fig. 1 (a–c) Photographs and radiograph of a 3-year-old boy who sustained a traumatic amputation of his left thumb Fig. 2 (a) Dissection of the first dorsal metatarsal artery (FDMA)…

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Congenital Vascular Disorders

Nov 17, 2016 by in PEDIATRICS Comments Off on Congenital Vascular Disorders

Vascular tumor Grows by endothelial proliferation (“-oma”) May involute Vascular malformation Quiescent, non-proliferating endothelial cells Never involute A vascular tumor grows by endothelial proliferation, hence the suffix “-oma.” In contrast,…

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Benign Bony Lesions

Nov 17, 2016 by in PEDIATRICS Comments Off on Benign Bony Lesions

Fig. 1 Microscopic view of an aneurysmal bone cyst. Solid area consisting of reactive bone formation (*) with prominent giant cells (arrows) in a background of spindle cells with vascular…

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Wrist Arthroscopy

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

OR table: regular table with hand table extension Positioning: supine Fluoroscopy location (if necessary): along the foot of the bed, in the axilla Equipment: standard wrist arthroscopy tower with finger…

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Macrodactyly

Nov 17, 2016 by in PEDIATRICS Comments Off on Macrodactyly

Author(s) Publication Country Percent Number of children with macrodactyly/number of children with abnormal extremities/number of children examined Ogino et al. JHS 1986 Japan 0.5 % 5/943 Leung et al. JHS…

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Orthotics and Casting

Nov 17, 2016 by in PEDIATRICS Comments Off on Orthotics and Casting

Fig. 1 A Mckie splint is a prefabricated soft splint that helps to support the thumb in abduction for improved functional grasp In some cases, a child may not tolerate…

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Syndactyly

Nov 17, 2016 by in PEDIATRICS Comments Off on Syndactyly

Fig. 1 (a and b) Simple or cutaneous syndactyly. This is a complete syndactyly, best demonstrated from the palmar surface (Copyright Charles A. Goldfarb, MD) Fig. 2 (a) Clinical appearance…

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