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A child is seen in the pediatric orthopedic hand clinic for evaluation of a congenital deformity. A clinical photograph and radiograph are seen in Figures A and B. What is the next best step in this child's evaluation to rule out an associated autosomal-recessive lethal condition?
Cardiac ultrasound and renal ultrasound
Cardiac ultrasound, barium swallow and MRI
LFTs, CBC and cardiac ultrasound
Cardiac ultrasound, peripheral blood smear and MRI
CBC, peripheral blood smear and chromosomal breakage analysis
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A 7-month-old boy has radial longitudinal deficiency. The initial work-up is negative for any cardiac, hematopoetic or renal abnormalities. He has good active elbow flexion and no other deformities. A clinical image and radiograph are seen in Figures A and B. Surgical management should include which of the following?
Definitive splinting and stretching
Pollicization of the index finger
ECRB and ECRL transfers to the ulna
Free fibula transfer to the forearm
Ulna centralization and possible tendon transfers
A 2-year-old boy has the upper limb deformity seen in Figures A and B. All of the following are associated with this condition EXCEPT?