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All wrist-and-hand Cases

Achondroplasia on x-ray

Lateral view of the spine in the same patient shows thoracolumbar junction kyphosis, lumbosacral junction lordosis, short pedicles, & "beaked"/"bullet" ...


Verruca vulgaris

Common Warts (Verruca vulgaris) in a 24 years old patient. He presents Warts in the lips, neck, hands and thighs ...



Learning how to splint in OT school. #WristCockUpSplint


Icthyosis vulgaris chronic management

Male of 24 years old, know in the dermatology service since 10 years ago for presenting Ichthyosis. The patient starts ...


A traumatic amputation from a motorcycle as seen on X-ray

30 year old male showed up at the ER with a bloody bandaged hand and holding his severed fingertip. He ...


Grease burn

grease burn - treated with mepilex foam dressing left intact for 8 days.


Lichen planus

a 34yo woman presented these rashes appearing on her legs and elbows with much puriritus ...itching. what could this be ...


Arrow in hand

I shot an arrow I know not where......This 10 year old boy shot an arrow that broke. Initially it seemed ...


Distal radius fracture on x-ray

11 year old boy fell from the monkey bar after playing a baseball game. Severe pain of the forearm. Normal ...


Psoriasis and pruritic rash

56 yo female with a history of well controlled #Psoriasis only confined to the left ankle presents with a 4 ...


Blister from finger sucking

3day old neonate right hand hard mass can not empty non mobile ,hand /finger movements were normal.what can it be ...


Flaccid triphalangeal thumb in Holt Oram syndrome

7 week old with typical signs and symptoms of which syndrome?


Clenched hand with overlapping fingers in Trisomy 18

#Neonate born with multiple congenital anomalies including CHD, hypotonia, limp abnormalities & the one showed in picture. What is your ...


Severe venous hematoma from a needle injury

Any guesses what happened here?


Human papilloma virus warts on the knee

13 yo female with skin lesions for a year, initially treated with 3 sessions of cryotherapy and then a unknown ...


Periungal fibromas in tuberous sclerosis

So, I am in my rural social service right now here in Colombia. In a visit to a really far ...


Midshaft Humerus Fractures on x-ray

Spot the #fracture. What would you do next? 28 yo male, rtc. No other significant injuries.


white middle finger

38 year old female. Started noticing her left middle digit would turn white and numb X 1 month intermittently. Color ...


Acute Gout of the middle finger

78 yo male, finger pain for 10 days. No fever.. No history of past trauma or wound.


Deformities with rheumatoid arthritis

64yow with undocumented history of RA , presented with these abnormalities + acut both knee's artheritis.RF is negative and #Synovial-fluid ...


Arthritis with trapezium-1st metacarpal on x-ray

later 80s female with main issue of difficulty playing the saxophone in the seniors' band. Can you see her problem? ...


5th metacarpal fracture on x-ray

75yom complaining of swollen hand especially outer side. what do you see, and how would you treat?


Active rickets on hand x-ray

3 years old child with the following X ray wrist. Possible diagnosis and treatment please.


Wrist widening

a 2year old child brought to a clinic with history of prolonged breast feeding and poor feeding. examination show widening ...


Hereditary multiple exostoses

18 y M gives H/o fall 2 years back while playing, following which there was a malunion of elbow joint. ...


comminuted 5th metacarpal fracture on x-ray

12 yr old male. Treatment plan?


metacarpal crush fractures on right hand x-ray

crush injury from a work site. was in OR for 8 hours in attempt to reattach. at current good blood ...


Discoid lupus erythematosus in discoloration of the ear

28 yr old male with deep bluish discoloration of his hands ..ear and lips of two weeks duration.. he complains ...


right index flexor tendon repair

Right index flexor #tendon #repair using #autograft from right ring finger #flexor digitorum superficialis


hand burn management - referral centre criteria

55 y/o M presented to community hospital after slipping on broken tile and landing hand first in industrial deep fat ...

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