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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Multi-ligament Laxity

Nov 17, 2016 by in PEDIATRICS Comments Off on Multi-ligament Laxity

Name Number Description Gene(s) Hypermobility Type 3 Type 3 presents with joint hypermobility and chronic musculoskeletal pain with associated frequent subluxations and dislocations COL3A1 TNXB Classical Types 1 and 2…

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Osteomyelitis and Septic Arthritis

Nov 17, 2016 by in PEDIATRICS Comments Off on Osteomyelitis and Septic Arthritis

Fig. 1 Age distribution of children with acute hematogenous osteomyelitis (AHO) and septic arthritis (SA). White bars represent AHO, and dark bars represent SA A decrease in the incidence of…

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Galeazzi and Essex Lopresti Injuries

Nov 17, 2016 by in PEDIATRICS Comments Off on Galeazzi and Essex Lopresti Injuries

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,…

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Acquired Vascular Disorders

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

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;…

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Flexor Tendon Injuries

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

    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 –…

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Compartment Syndrome

Nov 17, 2016 by in PEDIATRICS Comments Off on Compartment Syndrome

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…

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Thoracic Outlet Syndrome

Nov 17, 2016 by in PEDIATRICS Comments Off on Thoracic Outlet Syndrome

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…

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