ABSTRACT

To this day I cannot stomach the taste of orange sherbet. When I was a very small child, orange sherbet was the favored hospital treat, used to calm anesthesia-heaved innards and distract small patients from the sudden disappearance of visiting parents. I spent a lot of time in a lot of hospitals when I was a very small child.

This child has a congenital absence of all fingers on the right hand and a rudimentary thumb. The cause of these deformities is unknown. The thumb is loosely articulated with the lower end of the radius. The rudimentary right hand exhibits some active flexion of the soft carpal mass but no voluntary action of the thumb. Whether or not this flexor action can be utilized for activating a prosthesis is questionable. This child also exhibits a congenitally dislocated hip and deformities of both lower legs with congenital absence of fibula. There is a severe bowing deformity with associated equinus deformity of both feet. With respect to the congenital deformity of both lower extremities, I strongly recommend amputation of both feet by disarticulation, leaving below-the-knee stumps.