Surprisingly, many upper extremity malformations cause little functional deficit.1 Children develop prehension with hands as they are, and they usually are not self-conscious of difference until they become socialized in school. In contrast, parents may be dismayed by the appearance of an anomalous hand and may be hoping that surgery can creat a "normal" hand. The hand surgeon treating children with upper extremity anomalies must offer surgery to improve the child's function and cosmesis, when possible, and counsel parents about what is and is not possible with surgery.
Donald R Laub Jr, MS, MD, FACS Updated 2010
congenital hand deformity, limb anomaly, apical ectodermal ridge, AER, radial dysplasia, constriction bands, Holt-Oram syndrome, VATER syndrome, Fanconi syndrome, TAR syndrome, Aase syndrome, Nager syndrome, Treacher Collins syndrome, Roberts syndrome, intercalated phocomelia, amelia, phocomelia, acheiria, adactyly, absence of hand, absence of fingers, preaxial deficiency, cleft hand, syndactyly, Apert syndrome, Poland syndrome, acrosyndactyly, symphalangism, radioulnar synostosis, flexion deformities, camptodactyly, arthrogryposis, clinodactyly, delta phalanx, duplication, mirror hand, ulnar dimelia, macrodactyly, arthrogryposis multiplex congenita