The Gymnast

Nov 17, 2016 by in PEDIATRICS Comments Off on The Gymnast

Fig. 1 Postero-anterior radiograph of a wrist with Grade 3 gymnast wrist . Note the widening of the distal radial physis The differential diagnosis includes scaphoid impaction syndrome and dorsal…

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Clavicle Fractures Clavicle fracture

Nov 17, 2016 by in PEDIATRICS Comments Off on Clavicle Fractures Clavicle fracture

Fig. 1 Neonatal clavicle fracture on the right side sustained during a difficult vaginal delivery (Courtesy of Joshua M. Abzug, MD) Children who have clavicle fractures from suspected abuse should…

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Embryology

Nov 17, 2016 by in PEDIATRICS Comments Off on Embryology

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…

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Nail Bed Injuries

Nov 17, 2016 by in PEDIATRICS Comments Off on Nail Bed Injuries

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…

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Carpal Fractures

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

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…

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Inherited Muscle Disease

Nov 17, 2016 by in PEDIATRICS Comments Off on Inherited Muscle Disease

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…

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Non-accidental Trauma

Nov 17, 2016 by in PEDIATRICS Comments Off on Non-accidental Trauma

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…

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Cellulitis and Necrotizing Fasciitis

Nov 17, 2016 by in PEDIATRICS Comments Off on Cellulitis and Necrotizing Fasciitis

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,…

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Ulnar Deficiencies Ulnar ray deficiency

Nov 17, 2016 by in PEDIATRICS Comments Off on Ulnar Deficiencies Ulnar ray deficiency

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…

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