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Special Feature | Mar 2013

Picture of the Month—Diagnosis

JAMA Pediatr. 2013;167(3):298. doi:10.1001/jamapediatrics.2013.1554b.

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Correspondence: Andrew J. White, MD, Department of Pediatrics, Washington University in St Louis, 1 Children's Pl, PO Box 8116, Saint Louis, MO 63110 (white@kids.wustl.edu).

Accepted for Publication: November 21, 2012.

Author Contributions: Study concept and design: Lee and White. Acquisition of data: White. Analysis and interpretation of data: White. Drafting of the manuscript: Lee and White. Critical revision of the manuscript for important intellectual content: Lee and White. Administrative, technical, and material support: Lee and White. Study supervision: White.

Conflict of Interest Disclosures: None reported.

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Figure. A, Photograph of a 12-year-old boy demonstrating dramatic wrist extension. B, A radiograph shows that there are no carpal bones (thin arrow) and that there are shortened metacarpal bones (thick arrow).

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