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Plastic and Reconstructive Surgery

Congenital Hand Differences

Overview | Conditions | Referrals


WHAT ARE CONGENITAL HAND DIFFERENCES?

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. Some of the more common anomalies include:

    • having more or fewer than five fingers
    • fingers that will not bend or will not straighten
    • fingers that are joined together
    • bones in the hand or arm that are too short or missing

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 - 

 

 

 

 

 

 

 

 


CONDITIONS - WHAT DOES YOUR CHILD'S HAND LOOK LIKE?  

Failure of formation of parts:

 

Failure of differentiation of parts:

Duplication:

Undergrowth:

Overgrowth:

Congenital Constriction Band Syndrome:

Generalized Skeletal Deformities:

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.

    • All patients require a referral to visit our clinic.
    • If you are a health-care professional, log in to eCHN to submit your referral. From your eCHN account, you will be seamlessly connected to SickKids e-referral platform, EpicCare Link.
    • Learn more about our referral process.
    • For urgent referrals only (same day referrals), contact eCHN’s Helpdesk directly 416-813-7998 or 1-877-252-9900, or by email at helpdesk@echn.ca. On weekends and after 6 p.m. on weekdays, please contact the Fellow on call via SickKids Locating at 416-813-1500.

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