Plastic Surgery
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Congenital Hand Differences clinic

Conditions

Congenital hand conditions are differences (anomalies) in the hand and arm that occur when a child is developing before birth. The anomaly may occur by itself or can be associated with problems with other body systems. The musculoskeletal (bones and muscles), cardiovascular (heart, arteries and veins), craniofacial (head and face) or neurological (brain, spinal cord and nerves) systems are most commonly involved. When a hand anomaly is part of a syndrome, a geneticist and/or other specialists may be involved with the child's care. Congenital hand anomalies may have genetic, environmental or unknown origin.

There are many different types of congenital hand conditions. Below you will see a list of some of the more common anomalies organized into their classification groups. To learn more about a specific condition and the treatment options, click on the name of the condition below:

Failure of Formation of Parts

 

Condition

Description

 

Congenital Amputation

Amputation (loss) of arm

 

Radial Ray Anomaly

Absent or underdeveloped radius bone

 

Ulnar Ray Anomaly

Absent or underdeveloped ulna bone

 

Cleft Hand

Absentce of central part of hand

 

Symbrachydactyly

U-shaped underdevelopment of hand with short fingers

 

Failure of Differentiation of Parts

 

Condition

Description

 

Syndactyly

Fingers are fused together

hand with deformed pinky joint

 

Camptodactyly

Abnormal bending of middle joint of finger

 

Clinodactyly

Bending of finger towards the side

 

Symphalangism

Stiffness of finger in any joint

2 hands in white backround

 

Arthrogryposis

Abnormal shortening (contracture) of joint tissues

 

Duplication

 

Condition

Description

hand with 2 thumbs

Polydactyly

Extra finger(s) is (are) present

 

Undergrowth

 

Condition

Description

 

Hypoplastic Thumb

Under development or absence of thumb

 

Overgrowth

 

Condition

Description

 

Macrodactyly

Enlargement of finger(s)

 

Congenital Constriction Band Syndrome

 

Condition

Description

 

Constriction Band Syndrome

Ring-like tightening of skin often causing amputations

 

Generalized Skeletal Deformities

Condition

Madelung's Deformity

Hypochondroplasia


How to make a referral

Referrals to the Congenital Hand Clinic can be made from Community Paediatricians, Family Physicians and Plastic Surgeons.

Referring professionals accepted

• Family physicians
• Paediatricians
• Other specialists

Patient group parameters

Some cases may be more suitable for our satellite clinics.

Requirements pre-visit

• If x-rays have been done please have them accompany patients to the clinic
• Detailed description of polydactyly or syndactyly

Initial Visit

Within two to six months of receipt of referral

Age limit 

18 years

How to make a referral
• Send your referral via ARMs, our on-line Ambulatory Referral Management System or
• Fax a completed referral form (available in PDF format). View the clinical directory for fax numbers.
• Learn more about the ARM system.