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Question 10#

A contraindication to centralisation or radialisation of radial dysplasia is:

A. Single extremity involvement
B. Stiff elbow
C. Stiff shoulder
D. Stiff fingers
E. Absent thumb

Correct Answer is B

Comment:

Stiff elbow. A stiff elbow is a contraindication for centralisation or radialisation of the radial club hand as the centralised hand will not be able to reach the mouth or the perineum when the elbow does not have flexion passing 90°.

References:

1. Dobyns JH, Wood VE, Bayne LG. Congenital hand deformities. In: Operative hand surgery, Vol 1, 3rd ed. Green DP, Ed. New York, USA: Churchill Livingstone; 1993: 288-303.
2. Bayne LG. Radial deficiencies. In: Reconstruction of the child’s hand. Carter PR, Ed. New York, USA: Lea and Febiger; 1991: 187-97.