My Medical Skills Give Me Experience Points Chapter 772: 312: Whistlers' Deformity, The Poor's Hardship2

Chapter 772: Chapter 312: Whistlers’ Deformity, The Poor’s Hardship_2

The man spoke of his family’s plight, and the little boy just bowed his head, staring at the table, silent.

This child seed especially withdrawn.

Watching him was particularly heart-wrenching.

“Little buddy, don’t be afraid. After uncle gives you an examination, we might be able to find a way to cure you!”

Zhou Can soothed the little boy.

He began to perform a thorough physical examination.

While examining, he asked the family for information about their dical history.

“Does anyone in your family have this kind of limb deformity?”

“No! , my brothers and sisters, my parents, my grandparents, we’re all normal.”

“What about the child’s mother’s side?”

“I asked her before, her brothers and sisters, parents, grandparents, also have normal limbs.”

“Are you and your wife closely related by blood?”

“No.”

“Did the child’s mother take any dication during pregnancy?”

“We were very careful at that ti; even when she caught a cold, she would just boil so ginger brown sugar water, afraid to take any dicine.”

Family genetic history, consanguineous marriage, teratogenic effects due to dication during pregnancy, these could basically be ruled out.

“What job did the child’s mother do at that ti? Was she exposed to any radioactive or toxic substances?”

“She worked with at a food factory; we should not have been exposed to such things.”

“Alright, take your child to get so blood work and an X-ray, and then I’ll take a look at his hand bones. It’s very likely he’ll need surgery to correct them. If the joints have serious issues, then I’m afraid surgery isn’t an option. But as long as there’s a glimr of hope, I’ll do my best to treat him, please rest assured of that.”

Zhou Can also knew this family was quite special.

Curing this child’s hands would not only open a window of hope for a child in darkness but could also save the family.

…

About an hour later, the little boy who had injured his wrist returned from his X-ray.

Zhou Can looked at the film and a smile appeared on his face.

“Your son is very lucky, it’s rely a flesh wound on his wrist, the bones are untouched.”

“Really? That’s great!”

The little boy’s mother was as happy as if she’d won a five million dollar lottery.

“Children have strong recovery abilities. Just buy a bottle of sothing like Red Flower Oil, rub it on at ho, and it should heal in a few days,” Zhou Can told the family.

“Thank you, thank you! Does the hospital sell that dicine? You doctors are more professional, and the dicine you prescribe is better. dicines from big hospitals are more reliable.”

The little boy’s mother trusted Zhou Can imnsely.

“Alright, I’ll prescribe so dicine for him, you can pay for it and pick it up from the pharmacy. You can apply it several tis a day, but make sure to watch the child and not let him ingest it.”

Zhou Can prescribed the most commonly used dication for dispersing stasis and promoting blood flow.

The topical dicine was relatively safe.

The only thing to watch out for was to prevent the child from being tempted to lick it.

After attending to this child, the one with the deford hands also returned from his examination.

First, Zhou Can looked at the blood test report, which was quite normal.

Then he examined the patient’s hand X-rays.

Good lord, the patient’s phalangeal joints in the hands deviated ulnarward, and the tacarpophalangeal joints were flexed. The lateral X-ray of the left hand looked like a hooked claw, and the right hand looked even more terrifying, a proper bird’s claw.

In the AP view, the patient’s hand bones were also frightening in appearance.

After examining the X-ray films, Zhou Can again inspected the patient’s hand contours.

The skin on the palmar surface of the patient’s hands was deficient and very tight. If surgery were to correct it, skin stretching might be necessary. The thumbs were adducted, unable to be abducted, and the web space was constricted.

Attempting to gently pry, it seed that due to the long-term adducted position, the web skin’s elasticity was extrely poor.

Additionally, the thumb joints were very stiff.

The patient’s thenar eminence was affected, visibly underdeveloped, resembling a severely malnourished skinny fish in appearance.

A na for a congenital hand deformity floated into his head.

Congenital Wind-Blown Hand Deformity.

aning that the hand was twisted toward the direction of the wind. The disease was first officially discovered and nad in France in 1897. The French are always romantic, even when it cos to naming diseases.

According to the dical journals Zhou Can had read, congenital wind-blown hand deformity has three distinct features.

That is, ulnar deviation at the tacarpophalangeal joints, tacarpophalangeal joint flexion, and thumb adduction with a contracted first web space.

The ulnar deviation and flexion at the tacarpophalangeal joints are most obvious in appearance, but actually, the thumb adduction and the first web space contracture have the most significant impact on hand function.

As far as Zhou Can knew, apart from the typical triad, the condition also features congenitally vertical distal phalanges and a short stature.

After careful study of the patient’s X-rays, Zhou Can was hunting for the etiology and potential surgical options.

Abnormalities in the palmar fascia, intertacarpal ligants, and interdigital webs were all causes of hand deformity.

Consideration also had to be given to ulnar deviation at the tacarpophalangeal joints, as well as an imbalance between the normal flexor tendons and abnormal extensor tendons which could worsen the fingers’ loss of flexion and extension capabilities.

Even the patient’s left wrist had started to flex, which would definitely impact and limit shoulder and elbow joint mobility.

The difficulty of surgically correcting the patient’s hands was imnse.

After all, Zhou Can had only interned in orthopedics for three months, and the last month was even spent in the manual reduction room. Taking charge of this patient’s surgery alone was no simple task.

“Dr. Zhou, can my son’s hands be treated?”