![]() Specific treatment for congenital hand deformities will be determined by your child's doctor based on: Treatment for congenital hand deformities These are a rare and complex group of problems. Other generalized problems with the skeletal system In a few cases, the finger may need to be amputated. Some theories suggest that amniotic banding may lead to ring constrictions around a finger or limb. The cause of the ring constrictions is unknown. This condition may be associated with other birth defects, such as clubfoot, cleft lip, or cleft palate. Ring constrictions are congenital (present at birth). This occurs when a tissue band forms around a finger or arm, causing problems that can affect blood flow and normal growth. Sometimes, amputation of the enlarged finger is recommended. Surgical treatment of this condition is complex and the outcomes may be less than desirable. In this rare condition, all parts of the finger (or thumb) are affected however, in most cases, only one finger is involved (usually the index finger). In this situation, the hand and the forearm may also be involved. Overgrowth of fingers is also known as macrodactyly, which causes an abnormally large finger. Underdeveloped fingers may include the following: Surgical treatment is not always required to correct these deformities. Undergrowth of fingers Underdeveloped fingers or thumbs are associated with many congenital hand deformities. Surgery is usually not done until the second year of life, but preferably before the age of 3. Some of these cases improve on their own. It may take some time in the child's development before it is noted that the child can't extend the thumb. Congenital triggering occurs when one of the fingers is unable to extend. One of the common types of this classification includes congenital triggering. A contracture is an abnormal pulling forward of the fingers of the hand. It is usually caused by problems with the muscles or skin. Contractures of the hand may also develop as a result of a problem with the cells in the womb. Complex syndactyly. This involves fusion between the bones.Īnother example of failure of the hand to separate is seen in contractures of the hand.This involves fusion between only the tissues of the fingers. If the fingers are completely fused together, it is considered complete. There is a familial tendency to develop this deformity. Syndactyly is when 2 or more fingers are fused together. The most common type of this classification is syndactyly. With this type of deformity, the parts of the hand, either the bones or the tissues, fail to separate in the womb. This deformity may involve underdevelopment of the ulnar bone (the bone in the forearm on the side of the little finger), or complete absence of the bone. Ulnar clubhand. An ulnar clubhand is less common than a radial clubhand.Deformities of the wrist are usually operated on around 6 months of age. There may be shortening of the bone, a small thumb, or absence of the thumb. Radial clubhand. A radial clubhand is a deformity that involves all of the tissues on the thumb side (radial side) of the forearm and hand.Instead, these children may get a prosthetic devices early in their childhood. In the case of the complete missing part, surgery is not done. This causes either a complete absence of a part of the body, such as the hand, or a missing structure, such as part of the arm bone. This occurs when parts of the body stop developing while the baby is in the womb. There are currently 7 groups of deformities of the hand: Problems in formation of the parts This classification has been accepted by the American Society for Surgery of the Hand. The classifications for hand deformities can vary. What are the different types of congenital hand deformities? Even if reconstructive surgery is not possible, there are many different types of prosthetic devices that can be used to increase function. The degree of deformity varies from a minor deformity, such as unequal or uneven fingers or thumb deformity, to a severe deformity, such as total absence of a bone.Įarly consultation with a hand surgeon is an important part of the treatment process for the child born with a hand deformity. Hand deformities can be particularly disabling as the child learns to interact with the environment through the use of his or her hands. Any type of deformity in a newborn can become a challenge for the child as he or she grows. Congenital anomalies are hand or finger deformities that are present at birth.
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