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  Vol. 162 No. 8, August 2008 TABLE OF CONTENTS
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 •Congenital Malformations
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Picture of the Month—Quiz Case

Nirav J. Shastri, MD; Oscar Winners, MD

Arch Pediatr Adolesc Med. 2008;162(8):787.

Since this article does not have an abstract, we have provided the first 143 words of the full text and any section headings.

A term baby girl was born by spontaneous vaginal delivery to a healthy mother. Her Apgar scores were 9 at both 1 and 5 minutes. Her birth weight was 3488 g with a gestational age of 39 weeks, which made her appropriate for her age. Her presentation was vertex. There was no history of oligohydramnios. On examination, there was a deformity of the right knee with hyperextension (Figure). It was possible to flex the right knee joint fully. The baby did not cry during any manipulation of her right knee joint. The left knee and both hip joints were normal. Ortolani and Barlow test results were negative. There was no foot deformity. There was no family history of knee, hip, or foot deformity.


 
Figure appears in full text version.
Figure. Hyperextension of the right knee joint.


What is your diagnosis?

Author Affiliations: Department of Pediatrics, University of Kansas Medical Center, Kansas City. Dr Shastri is now with the Department of Pediatrics, Children's Mercy South Urgent Care Center, Children's Mercy Hospital and Clinic, Overland Park, Kansas.

SECTION EDITORS: SAMIR S. SHAH, MD; ALBERT C. YAN, MD


RELATED ARTICLE

Picture of the Month—Diagnosis
Arch Pediatr Adolesc Med. 2008;162(8):788.
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