ABNORMALITIES OF THE UPPER LIMB

ABNORMALITIES OF THE UPPER LIMB

Minor finger abnormalities are common ( Table 44.11 not all require surgical intervention. Comfort and function are more important than appearance. Robert Kienböck , 1871–1953, Professor of Radiology , Vienna, Austria, described this condition in 1910. Hans Jessen Panner , 1871–1930, radiologist, Copenhagen, Denmark, described this condition in 1927. Albert Henry Freiberg , 1869–1940, Professor of Orthopaedic Surgery , The University of Cincinnati, Cincinnati, OH, USA, described this disease in 1926. Alban Köhler , 1874–1947, radiologist, of Wiesbaden, Germany , described this disease in 1908. James Warren Sever , 1878–1964, orthopaedic surgeon, The Children’s Hospital, Boston, MA, USA, described apophysitis of the os calcis in 1912. - - - - Function is also the most important consideration when managing more extensive upper limb abnormalities. Treat - ment is often delayed until hand dominance is established and it is clear what problems a specific deformity is causing any given child. Children are very adaptable and cope with dis - e readily than their parents/doctors expect. abilities much mor

(b) Figure 44.31 Congenital vertical talus: (a) lateral photograph demon

strating a ‘rocker-bottom foot’; (b) lateral radiograph showing hindfoot equinus and suggesting dorsal subluxation of the non-ossi /f_i ed navic

ular and forefoot with respect to the head of the talus.

ABNORMALITIES OF THE UPPER LIMB

Minor finger abnormalities are common ( Table 44.11 not all require surgical intervention. Comfort and function are more important than appearance. Robert Kienböck , 1871–1953, Professor of Radiology , Vienna, Austria, described this condition in 1910. Hans Jessen Panner , 1871–1930, radiologist, Copenhagen, Denmark, described this condition in 1927. Albert Henry Freiberg , 1869–1940, Professor of Orthopaedic Surgery , The University of Cincinnati, Cincinnati, OH, USA, described this disease in 1926. Alban Köhler , 1874–1947, radiologist, of Wiesbaden, Germany , described this disease in 1908. James Warren Sever , 1878–1964, orthopaedic surgeon, The Children’s Hospital, Boston, MA, USA, described apophysitis of the os calcis in 1912. - - - - Function is also the most important consideration when managing more extensive upper limb abnormalities. Treat - ment is often delayed until hand dominance is established and it is clear what problems a specific deformity is causing any given child. Children are very adaptable and cope with dis - e readily than their parents/doctors expect. abilities much mor

(b) Figure 44.31 Congenital vertical talus: (a) lateral photograph demon

strating a ‘rocker-bottom foot’; (b) lateral radiograph showing hindfoot equinus and suggesting dorsal subluxation of the non-ossi /f_i ed navic

ular and forefoot with respect to the head of the talus.

ABNORMALITIES OF THE UPPER LIMB

Minor finger abnormalities are common ( Table 44.11 not all require surgical intervention. Comfort and function are more important than appearance. Robert Kienböck , 1871–1953, Professor of Radiology , Vienna, Austria, described this condition in 1910. Hans Jessen Panner , 1871–1930, radiologist, Copenhagen, Denmark, described this condition in 1927. Albert Henry Freiberg , 1869–1940, Professor of Orthopaedic Surgery , The University of Cincinnati, Cincinnati, OH, USA, described this disease in 1926. Alban Köhler , 1874–1947, radiologist, of Wiesbaden, Germany , described this disease in 1908. James Warren Sever , 1878–1964, orthopaedic surgeon, The Children’s Hospital, Boston, MA, USA, described apophysitis of the os calcis in 1912. - - - - Function is also the most important consideration when managing more extensive upper limb abnormalities. Treat - ment is often delayed until hand dominance is established and it is clear what problems a specific deformity is causing any given child. Children are very adaptable and cope with dis - e readily than their parents/doctors expect. abilities much mor

(b) Figure 44.31 Congenital vertical talus: (a) lateral photograph demon

strating a ‘rocker-bottom foot’; (b) lateral radiograph showing hindfoot equinus and suggesting dorsal subluxation of the non-ossi /f_i ed navic

ular and forefoot with respect to the head of the talus.