Re: pediatric cases Complete claw hand Differentials VOlkman's ischemic contracture ( most likely ) combined median and ulnar nerve paralysis spastic hand Leprosy congenital flexion deformity aka Camptodactyly ( esp. since the title of the thread is pediatric cases ) Dupuytren's contracture ( unlikely ) i will discuss the differentials in detail later. message to members: gals and guys, don't just give the diagnosis....serves no purpose. Discuss the challenges posted and u will be in gr8 shape, if u encounter a similar case ( even if it's a case dat u will refer to a speciaist.....i mean, if u discuss the case wid ur patient b4 u refer, she/he will hav a high opinion about u and not 2 mention "the spinoffs" thereof (Y) )