Congenital Hand Deformities

Congenital musculoskeletal anomalies may be due to congenital tumors, birth injury or abnormal limb development in utero.

INTEGRIS Hand and Microsurgery Clinic

Congenital Hand Deformities

Congenital musculoskeletal anomalies affecting the upper extremities may be isolated or syndromic. There are hundreds of syndromes with genetic components that have associated hand anomalies.

Congenital musculoskeletal anomalies may be due to congenital tumors, birth injury or abnormal limb development in utero. Birth neurological damage affects peripheral nerves such as brachial plexus injuries or the central nervous system such as cerebral palsy. Congenital tumors can affect bones and any soft tissues.

Congenital musculoskeletal anomalies due to limb development may affect shoulder, elbow, forearm, wrist, hand and digits. Examples of wrist anomalies are radial and ulnar dysplasia and Madelung deformity. Hand differences include cleft hands, congenital amputations, overgrowth and digital deformities such as syndactyly. Thumb differences encompass duplication (polydactyly),underdeveloped (hypoplastic) or absent thumb.Amniotic constriction bands and arthrogryposis multiplex congenita may affect the entire upper extremity.

INTEGRIS Baptist Medical Center in Oklahoma City has been the home of the Congenital Hand Clinic since 1987. The clinic is dedicated to providing distinctive medical and surgical care for children born with congenital hand, wrist and upper extremity differences.

Learn About Treatment for Congenital Hand Deformaties

Treatment for congenital hand deformities

Specific treatment for congenital hand deformities will be determined by your child's doctor based on:

  • Your child's age, overall health, and medical history

  • Extent of the condition

  • Cause of the condition

  • Your child's tolerance for specific medications, procedures, or therapies

  • Expectations for the course of the condition

  • Your opinion or preference

Treatment may include:

  • Limb manipulation and stretching

  • Splinting of the affected limbs

  • Tendon transfers

  • External appliances (to help realign misshapen fingers or hands)

  • Physical therapy (to help increase the strength and function of the hand)

  • Correction of contractures

  • Skin grafts. These involve replacing or attaching skin to a part of the hand that is missing skin or has been removed during a procedure.

  • Prosthetics. These may be used when surgery is not an option, or in addition to surgical correction.

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