case_images: PMC4472878_01
case_images: Keratinization and callus formation on the left thumb
case_images: ijcpd-08-082-g001.jpg
case_images: PMC4472878_01_ijcpd-08-082-g001.jpg
case_images: F1
case_images: Extraoral examination revealed exceptionally clean and chapped left thumb with keratinisation and callus formation (Fig. 1).
case_images: Intraoral view exhibiting mild open bite
case_images: ijcpd-08-082-g002.jpg
case_images: PMC4472878_01_ijcpd-08-082-g002.jpg
case_images: F2
case_images: Intraoral examination revealed a mild open bite (Fig. 2).
case_images: Impression making of the elbow using vinyl polysiloxane putty impression material
case_images: ijcpd-08-082-g003.jpg
case_images: PMC4472878_01_ijcpd-08-082-g003.jpg
case_images: F3
case_images: An impression of the elbow was made (Fig. 3) and a cast was obtained (Fig. 4).
case_images: Two layers of modelling wax adapted over the cast as a spacer
case_images: ijcpd-08-082-g005.jpg
case_images: PMC4472878_01_ijcpd-08-082-g005.jpg
case_images: F5
case_images: Two layers of modeling wax were adapted to the cast which acted as a spacer (Fig. 5).
case_images: Acrylic elbow guard with musical chip and speaker on the outer surface of acrylic elbow guard
case_images: ijcpd-08-082-g006.jpg
case_images: PMC4472878_01_ijcpd-08-082-g006.jpg
case_images: F6
case_images: A musical chip with speaker was incorporated on the outer side of the acrylic elbow guard during acrylisation (Fig. 6).
case_images: Acrylic elbow guard with switch button on the inner surface of the acrylic elbow guard
case_images: ijcpd-08-082-g007.jpg
case_images: PMC4472878_01_ijcpd-08-082-g007.jpg
case_images: F7
case_images: 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.
case_images: Patient wearing modified RURS' elbow guard
case_images: ijcpd-08-082-g009.jpg
case_images: PMC4472878_01_ijcpd-08-082-g009.jpg
case_images: F9
case_images: A envelop type cover with a zip and velcro strap was stitched over the acrylic elbow guard and delivered to the child (Fig. 9).