Pediatric Hand and Upper Limb Surgery: A Practical Guide by Peter M. Waters PDF download
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Some Case Questions from Pediatric Hand and Upper Limb Surgery: A Practical Guide by Peter M. Waters
A 39-year-old G2P1 mother presents for prenatal consultation for an abnormality noted on screening ultrasound at 18 weeks of gestation The mother is otherwise healthy, and the pregnancy has been uncomplicated.
There is no family history of congenital upper limb differences. Prenatal consultation has been requested to discuss the etiology of the finding and potential clinical treatments.
[box type=”info” align=”aligncenter” class=”” width=””]CLINICAL QUESTIONS
• When during embryonic development do the hand and upper limb form?
• What are the signaling centers of the developing limb bud? What do they control?
• Which proteins are critical for the activity of the developing limb bud’s signaling centers?
• How are congenital hand differences classified?[/box]READ BEFORE DOWNLOADING
What this Book Says – Pediatric Hand and Upper Limb Surgery: A Practical Guide by Peter M. Waters
Congenital differences of the hand and upper limb are common, affecting up to 1:626 live births.1–4 The true incidence of abnormalities in upper limb differences is likely to be higher, owing to the association with other systemic anomalies resulting in fetal loss as well as the fact that many differences are so mild as to not command clinical recognition or evaluation.
Familiarity with normal patterns of growth and developmental milestones is essential for the pediatric hand and upper extremity surgeon. Furthermore, understanding of the normal genetic mechanisms and embryology of the hand and upper limb critical in understanding pathoanatomy, guiding surgical treatment strategies, and directing future efforts toward biologic solutions.
It is important to remember, in all of these discussions, that the ultimate goal of the pediatric upper limb surgeon is to maximize function and outcomes, while being sensitive to issues regarding aesthetic appearance, family dynamics, and social perception.About Author
Peter M. Waters, MD
Chief of Clinical Orthopaedic Surgery
Director Hand and Upper Extremity Surgery Program Children’s Hospital Boston John E. Hall Professor of Orthopaedic Surgery Harvard Medical School
Donald S. Bae, MD
Department of Orthopaedic Surgery
Children’s Hospital Boston
Assistant Professor of Orthopaedic Surgery
Harvard Medical School
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