The SARS-COV-2 pandemic has brought unparalleled challenges to healthcare provision. Being a newly discovered virus, there is a lack of previous experience and published evidence to guide healthcare providers on how to deliver services. We would like to share our approach to service delivery in a newly open children’s hospital in the United Arab Emirates with a particular focus on paediatric orthopaedic services.

A healthy 10-year-old male presented with the first episode of unprovoked status epilepticus with focal onset and recovered with mild right side hemiparesis. CT scan showed scattered multifocal calcified lesions in the left cerebral parenchyma (Fig. 1d). Initial radiological diagnoses included latent toxoplasmosis or neurocysticercosis. On follow-up visit, an induration and linear alopecia were noticed involving the forehead and scalp ipsilateral to the intracranial lesions (Fig. 1a, c), which had been long-standing but previously not recognized as being relevant. MRI brain was obtained (Fig. 1b), which showed linear streaky white matter high signal, cortical gliosis, and focal thinning of the skull bone ipsilateral to the cutaneous lesions suggesting a diagnosis of linear scleroderma with neurological involvement. The lesion was confirmed on histopathology by doing a scalp biopsy. The patient h a d n o e v i d e n c e o f R a y n a u d ' s p h e n o m e n o n , sclerodactyly, or any other organ involvement. No systemic symptoms were reported. Antinuclear antibodies were absent. The patient was managed using anticonvulsants and immune modulation.

We report a case of brachial plexus birth palsy in an infant with the inability to move the left upper limb since birth. There was neither history of birth trauma nor any complications during delivery. Magnetic resonance imaging (MRI) of brachial plexus showed postganglionic injury with musculoskeletal abnormalities. The child underwent surgical repair of the plexus and is on physical rehabilitation. In this case report, we discuss the utility of a single MRI examination with an elaborate discussion on various MRI signs of brachial plexus injury including secondary musculoskeletal manifestations. The case reiterates the significance of two-in-one approach while imaging these cases with MRI. Apart from reporting the damage to the brachial plexus, the radiologist should actively search for glenohumeral dysplasia. Awareness of classification and assessment of glenohumeral dysplasia should be routinely included as an integral part of imaging report as it adds incremental value to the overall patient management and functional outcome.

Individuals born with trisomy 13 tend to be susceptible to Meckel’s diverticulum. It is rarely symptomatic and reported cases are extremely rare. We describe here a neonate with feeding intolerance and bilious aspirates as a result of Meckel’s diverticulum and peritoneal band which caused intermittent volvulus with obstruction.