By Arnold J. Rudolph Arnold J. Rudol Arnold J. Rudolph MD
Colour atlas of neonatology. quantity of a 5 quantity set masking an entire diversity 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)
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. Absence or hypoplasia of the tibia was seen in the thalidomide syndrome.
114. Rocker-bottom feet are noted in this infant with trisomy 18. 115. This infant with a neural tube defect presents a classic appearance of rocker-bottom feet with marked posterior calcaneal extension. Rocker-bottom feet are commonly seen in infants with neural tube defects. 116. An example of ectrodactyly of both feet. Note that there are three toes on the right foot and three toes on the left foot with fusion of the first and second toes. The sole creases are poorly developed. 117. Microsyndactyly of the toes in an otherwise normal infant.
76. Pouce flottant (“floating” thumb) of the right hand. In this condition there is an absent or hypoplastic first metacarpal. 77. Another example of pouce flottant. There is an absence or maldevelopment of the first metacarpal with phalanges. 78. An early insult to the limb bud in the 5th to 6th embryologic week may result in a duplication of parts, especially of the hands and feet, such as this bifid thumb. 79. Palmar adduction (“cortical” thumb) in a normal infant. The thumbs are freely mobile but are held adducted and flexed across the palms with the fingers tightly clutched over them.