PMC4472878_01
Keratinization and callus formation on the left thumb
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F1
Extraoral examination revealed exceptionally clean and chapped left thumb with keratinisation and callus formation (Fig. 1).
Intraoral view exhibiting mild open bite
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F2
Intraoral examination revealed a mild open bite (Fig. 2).
Impression making of the elbow using vinyl polysiloxane putty impression material
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F3
An impression of the elbow was made (Fig. 3) and a cast was obtained (Fig. 4).
Two layers of modelling wax adapted over the cast as a spacer
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F5
Two layers of modeling wax were adapted to the cast which acted as a spacer (Fig. 5).
Acrylic elbow guard with musical chip and speaker on the outer surface of acrylic elbow guard
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F6
A musical chip with speaker was incorporated on the outer side of the acrylic elbow guard during acrylisation (Fig. 6).
Acrylic elbow guard with switch button on the inner surface of the acrylic elbow guard
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F7
Spacer was removed and the switch button was placed in the inner side of the acrylic elbow guard. (Fig. 7) and was covered with a layer of sponge (Fig. 8) for cushioning and to allow limited movements of the elbow.
Patient wearing modified RURS' elbow guard
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F9
A envelop type cover with a zip and velcro strap was stitched over the acrylic elbow guard and delivered to the child (Fig. 9).