By Peter M Waters MD, Donald S. Bae MD
Pediatric Hand and higher Limb Surgery courses you to the current symptoms for intervention and care in top limb pediatric problems. The fifty chapters are subdivided into: Congenital, Neuromuscular, Trauma, activities, gentle tissue and Microvascular, and Tumor. every one part stands by myself yet jointly presents a entire and specified description of all parts of overview and therapy of babies, kids, and teens with maladies of the hand and top limb.
Each bankruptcy has a case presentation, sequence of medical questions, and basics on etiology and epidemiology, scientific evaluate, and surgical indications. additionally, each one bankruptcy information postoperative care, expected effects, issues, case final result, and features a precis. There are technical tip highlights, exact occasions and deeper perception into the stipulations defined in every one subsection. The textual content is complemented with over 1,000 pictures and illustrations to aid in visualizing the categorical surgical demanding situations you'll face.
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Additional resources for Pediatric Hand and Upper Limb Surgery: A Practical Guide
J Pediatr Orthop B. 1997;6:68–69. 43. Limberg AA. Skin Plastic with Shifting Triangle Flaps. Leningrad: Traumatological Institute; 1929:862. 44. Limberg AA. Collection of Scientific Works in Memory of the 50th Anniversary of the Medical Post-Graduate Institute. Leningrad; 1935:461–489. 12/10/2011 4:34:53 PM CHAPTER 3 Postaxial Polydactyly CASE PRESENTATION An orthopaedic hand surgery consultation is requested from the newborn nursery for an “extra finger” (Figure 3-1). An otherwise healthy full-term infant presents with an extra digit on the ulnar border of the hand.
The metacarpophalangeal (MCP) joint appears broad but is stable. There appears to be active flexion and extension of the MCP joint of the more radial thumb, as well as abduction. No other abnormalities are seen. Plain radiograph is shown in Figure 4-1B. CLINICAL QUESTIONS • • • • • • What causes thumb duplication? How common is it? Are there any associated syndromes or anomalies? How is it classified? What are the treatment principles? What types of surgical procedures are done? What are the expected results and potential complications of surgery?
The fibrous or cartilaginous connections are transected longitudinally from distal to proximal to enter the joint. The MC head is examined, and often a wider, bifacet MC head will be seen (Figure 4-6F). Next, the RCL is elevated with a strip of periosteum from its attachment to the radial proximal phalanx; taking the RCL with a slip of periosteum is critical, as it increases the working length of the ligament, facilitating subsequent transfer (Figure 4-6G). 22 At this point, the radial thumb is amputated at the level of duplication.