By Arnold J. Rudolph Arnold J. Rudol Arnold J. Rudolph MD
Colour atlas of neonatology. quantity of a 5 quantity set protecting an entire variety of dermatologic, cardiac, pulmonary, gastrointestinal, genitourinary, neurologic, and musculoskeletal problems, genetics, and syndromes.
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Extra resources for Atlas of the Newborn Volume 2: Musculoskeletal Disorders and Congenital Deformities (Atlas of the Newborn)
The thumbs are freely mobile but are held adducted and flexed across the palms with the fingers tightly clutched over them. “Cortical” thumbs are a manifestation of hypertonicity when they are present beyond the first 3 to 4 months. Constant palmar adduction or “clasped” thumb after this age would alert one to the possibility of central nervous system pathology. “Clasped” thumbs are held in a flexed and adducted position across the palm and cannot be abducted or extended. 80. In infants with neonatal Marfan syndrome, the thumb may extend beyond the fifth finger when the infant fists its hand.
62. Another example of postaxial polydactyly with a well-developed digit. These digits may be fairly well formed with one or more rudimentary phalanges. Duplication of digits occurs when one or more extra digital rays are formed during the embryonic period. Polydactyly is an associated finding in many syndromes such as trisomy 13 or 18, Ellis-van Creveld syndrome, Carpenter’s syndrome, etc. 63. Bilateral postaxial polydactyly. Note that polydactyly may be unilateral or bilateral. 64. Postaxial polydactyly in an infant at birth showing a necrotic, almost amputated, extra digit due to interference with circulation.
This may occur in the caudal regression syndrome or may be due to interference with the vascular supply to the lower extremity. 101. Hypoplastic right lower extremity with four toes on the right foot. 102. The same infant showing the hypoplasia of the right lower extremity and the presence of four toes on the right foot. Note that the hypoplasia can be subtle. 103. Congenital absence of patellae in a normal infant. This finding is also noted in trisomy 8 and Nievergelt syndrome. 104. In this infant with the tibia reduction-polydactyly syndrome there is an absence of the tibiae bilaterally with septadactyly on the right foot and octadactyly on the left foot.