title: Epistle.
authors.affiliation: ian.wacogne@bch.nhs.uk
authors.forename: Ian
authors.initials: I
authors.lastname: Wacogne
mesh_terms: D002648:Child; D004314:Down Syndrome / Q000150:complications* / Q000534:rehabilitation*; D004495:Education of Persons with Intellectual Disabilities; D006228:Hand Deformities, Congenital / Q000150:complications*; D006801:Humans; D010506:Periodicals as Topic / Q000592:standards* / Q000639:trends*