Congenital anomalies of the upper limb are structural abnormalities of the arm, forearm, wrist, or hand that are present at birth. Affecting approximately 1 in 506 newborns, they include more than 90 distinct conditions with diverse presentations. This variability makes standardized classification difficult. A clear, consistent, and widely accepted system is essential to support accurate diagnosis, guide treatment, determine prognosis, and ensure effective communication among healthcare professionals and families. Functional restoration of the hand is critical for fine motor development and independence.
We Manage,
- Syndactyly (webbed or fused fingers): A condition where two or more fingers are joined together by soft tissue or bone at birth.
- Polydactyly (extra fingers or toes): A congenital condition in which a child is born with one or more extra digits.
- Hypoplastic Thumb: A condition where the thumb is underdeveloped, small, or structurally weak.
- Radial Club Hand (Radial Longitudinal Deficiency): A deformity caused by partial or complete absence of the radius bone, leading to inward bending of the wrist and forearm shortening.
- Macrodactyly: An abnormal enlargement of one or more fingers due to overgrowth of bones and soft tissues.
- Symbrachydactyly: A congenital hand difference characterized by short, webbed, or missing fingers.
- Complex Congenital Hand Deformities: Structural abnormalities of the hand present at birth that may involve bones, joints, tendons, or soft tissues.
- Pediatric Hand Fractures: Broken bones in a child’s hand resulting from injury or trauma.
Each child receives thoughtfully planned treatment that may include corrective surgeries such as separation of fused fingers, removal of extra digits, thumb reconstruction (pollicization), limb lengthening, and other functional restoration procedures to improve movement, strength, and appearance.
Surgical planning emphasizes growth preservation, tendon balancing, nerve protection, and long-term dexterity
