7. Hand and Wrist MCQs

Review the hand radiograph of the patient with Ellis-van Creveld syndrome shown below. In addition to the shortening of the digits, what other characteristic skeletal anomaly is evident in the metacarpals?

A 5-year-old child presents with the hand deformities shown in the clinical and radiographic images below. The patient previously underwent surgical excision of extra digits. Based on the underlying syndrome, what type of polydactyly was most likely resected?

A neonate is diagnosed with chondroectodermal dysplasia. The orthopedic surgeon notes short limbs and postaxial polydactyly. Which of the following cardiac anomalies is most classically associated with this syndrome and requires urgent pediatric cardiology evaluation?

A 4-year-old boy with Ellis-van Creveld syndrome is being evaluated. Radiographs of his hands are taken to assess his skeletal development. Which of the following radiographic findings is characteristic of the metacarpals in this syndrome?

A 5-year-old child presents with the hand deformities and radiographic findings shown below. The patient has a history of a congenital heart defect and short stature. Based on the radiograph provided, what specific skeletal anomaly is present at the proximal aspect of the hand?

A multidisciplinary team is managing a 3-year-old child diagnosed with chondroectodermal dysplasia. The orthopedic surgeon notes short limbs and postaxial polydactyly. Which of the following cardiac anomalies is most classically associated with this syndrome and requires screening?

A newborn is diagnosed with chondroectodermal dysplasia. The orthopedic surgeon is consulted for the management of the patient's hand deformities. Based on the classic presentation of this syndrome, what type of polydactyly is most likely present?

A 5-year-old child presents with disproportionate short stature and a history of congenital heart disease. The clinical and radiographic appearance of the hands is shown below. Based on the diagnosis, which of the following specific radiographic features is classically noted in the metacarpals of patients with this condition?

A neonate is evaluated for short limbs and postaxial polydactyly. The pediatrician suspects Ellis-van Creveld syndrome. Which of the following oral findings is highly characteristic and plays an important role in the clinical diagnosis of this syndrome?

A patient with Ellis-van Creveld syndrome presents to the orthopedic clinic for evaluation of their hands. They have a history of postaxial polydactyly resection. Upon physical examination of the hands, which of the following findings is most likely to be observed as part of the ectodermal dysplasia?

A patient with disproportionate dwarfism and a history of congenital heart disease presents with the hand radiograph shown below. What specific skeletal anomaly is classically highlighted in the metacarpal region in this condition?

A neonate is diagnosed with Chondroectodermal Dysplasia. Which of the following cardiac anomalies is most classically associated with this condition?

A 5-year-old child with short stature and a history of polydactyly is being evaluated. The hands are shown below. Which of the following ectodermal manifestations is also commonly associated with this syndrome?

The clinical photograph below shows the hands of a patient after surgical intervention for a congenital anomaly. Based on the typical presentation of Ellis-van Creveld syndrome, what specific type of anomaly was most likely resected?

Radiographs of the wrist in a 12-year-old child with chondroectodermal dysplasia will most likely reveal which of the following characteristic carpal anomalies?

A newborn presents with postaxial polydactyly and dental anomalies. Which syndrome is allelic to Ellis-van Creveld syndrome (caused by mutations in the same EVC genes), but is inherited in an autosomal dominant fashion and lacks the severe dwarfism and thoracic hypoplasia?

Look at the provided image of a patient with Ellis-van Creveld syndrome.

What is the typical distribution of the hand polydactyly seen in this condition?

Which of the following conditions shares the feature of postaxial polydactyly with Ellis-van Creveld syndrome but is differentiated by the presence of hydrometrocolpos and the absence of a generalized skeletal dysplasia?

In a patient evaluated for suspected Ellis-van Creveld syndrome, which of the following hand deformities is most consistently observed and serves as a classic diagnostic criterion?

A 12-year-old with chondroectodermal dysplasia undergoes bilateral wrist radiographs to evaluate for pain and stiffness. Which of the following carpal anomalies is most characteristic of this condition?