Congenital Upper Limb Anomalies
A newborn is noted to have bilateral short forearms with radially deviated wrists and absent thumbs. The hands are positioned at right angles to the forearms. Radiographs confirm complete absence of the radius bilaterally with thumb aplasia. The pediatrician is concerned about associated syndromes and refers the infant to a pediatric hand surgeon and geneticist. Regarding radial club hand (radial longitudinal deficiency):
Mark each as TRUE or FALSE
Radial longitudinal deficiency (radial club hand) is classified by the Bayne and Klug classification...
Associated syndromes must be investigated: TAR syndrome (thrombocytopenia-absent radius), Fanconi an...
Radial club hand is always isolated with no syndromic associations; the thumb is always normal; ulna...
Treatment goals are to balance and stabilize the wrist and reconstruct or pollicize the thumb; early...
Centralization involves aligning the carpus over the distal ulna, often requiring soft tissue releas...
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Click T (True) or F (False) for each option