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Therapy Management of Children with Congenital Anomalies of the Upper Extremity

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Congenital Anomalies of the Upper Extremity

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Abstract

This chapter will first introduce evaluation tools appropriate for children with congenital anomalies of the upper extremity (CAUE). Second, general rehabilitation interventions will be described. Third, attention will be given to interventions for children with selected CAUE who are often served by occupational or physical therapists.

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References

  1. Lamb DW. Radial club hand. J Bone Joint Surg. 1977;59A:1–13.

    Google Scholar 

  2. Brooks C. Rehabilitation of radial club hand. Tech Hand Up Extrem Surg. 1998;2(1):78–85.

    CAS  PubMed  Google Scholar 

  3. Lake A. Hand therapy for children with congenital hand differences. Tech Hand Up Extrem Surg. 2010;14(2):78–84.

    PubMed  Google Scholar 

  4. Holtslag I, van Wijk I, Hartog H, van der Molen AM, van der Sluis C. Long-term functional outcome of patients with longitudinal radial deficiency: cross-sectional evaluation of function, activity and participation. Disabil Rehabil. 2013;35(16):1401–7.

    PubMed  Google Scholar 

  5. de Jong IG, Reinders-Messelink HA, Tates K, Janssen WG, Poelma MJ, van Wijk I, van der Sluis CK. Activity and participation of children and adolescents with unilateral congenital below elbow deficiency: an online focus group study. J Rehabil Med. 2012;44(10):885–92.

    PubMed  Google Scholar 

  6. Kotwal PP, Varshney MK, Soral A. Comparison of surgical treatment and nonoperative management for radial longitudinal deficiency. J Hand Surg Eur Vol. 2012;37(2):161–9.

    CAS  PubMed  Google Scholar 

  7. Buffart LM, Roebroeck ME, Janssen WG, Hoekstra A, Selles RW, Hovius SE, Stam HJ. Hand function and activity performance of children with longitudinal radial deficiency. J Bone Joint Surg Am. 2008;90(11):2408–15.

    PubMed  Google Scholar 

  8. Ekblom AG, Dahlin LB, Rosberg HE, Wiig M, Werner M, Arner M. Hand function in children with radial longitudinal deficiency. BMC Musculoskelet Disord. 2013;14:116.

    PubMed Central  PubMed  Google Scholar 

  9. Soucie JM, Wang C, Forsyth A, Funk S, Denny M, Roach KE, Boone D. Range of motion measurements: reference values and a database for comparison. Haemophilia. 2011;17(3):500–7.

    CAS  PubMed  Google Scholar 

  10. Barad JH, Kim RS, Ebramzadeh E, Silva M. Range of motion of the healthy pediatric elbow: cross-sectional study of a large population. J Pediatr Orthop B. 2013;22(2):117–22.

    PubMed  Google Scholar 

  11. de Kraker MD, Selles RW, Molenaar TM, Schreuders TA, Hovius SE, Stam HJ. Palmar abduction measurements: reliability and introduction of normative data in healthy children. J Hand Surg Am. 2009;34A:1704–8.

    Google Scholar 

  12. Häger-Ross C, Rösblad B. Norms for grip strength in children aged 4–16. Acta Paediatr. 2002;91(6):617–25.

    PubMed  Google Scholar 

  13. Bowman OJ, Katz B. Hand strength and prone extension in right-dominant, 6 to 9 year olds. Am J Occup Ther. 1984;38(6):367–76.

    CAS  PubMed  Google Scholar 

  14. Fullwood D. Australian norms for hand and finger strength of boys and girls aged 5–12 years. Aust Occup Ther J. 1986;33:26–37.

    Google Scholar 

  15. De Smet L, Vercamment A. Grip strength in children. J Pediatr Orthop. 2001;10(4):352–4.

    Google Scholar 

  16. Holm I, Fredriksen P, Fosdahl M, Vøllestad N. A normative sample of isotonic and isokinetic muscle strength measurements in children 7 to 12 years of age. Acta Paediatr. 2008;97(5):602–7.

    CAS  PubMed  Google Scholar 

  17. Ploegmakers JJ, Hepping AM, Geertzen JH, Bulstra SK, Stevens M. Grip strength is strongly associated with height, weight and gender in childhood: a cross sectional study of 2241 children and adolescents providing reference values. J Physiother. 2013;59(4):255–61.

    PubMed  Google Scholar 

  18. Mathiowetz V, Wiemer DM, Federman SM. Grip and pinch strength: norms for 6- to 19-year-olds. Am J Occup Ther. 1986; 40(10):705–11.

    CAS  PubMed  Google Scholar 

  19. Lee-Valkov PM, Aaron DH, Eladoumikdachi F, Thornby J, Netscher DT. Measuring normal hand dexterity values in normal 3-, 4-, and 5-year-old children and their relationship with grip and pinch strength. J Hand Ther. 2003;16(1):22–8.

    PubMed  Google Scholar 

  20. Ager CL, Olivett BL, Johnson CL. Grasp and pinch strength in children 5 to 12 years old. Am J Occup Ther. 1984;38(2): 107–13.

    CAS  PubMed  Google Scholar 

  21. Surrey LR, Hodson J, Robinson E, Schmidt S, Schulhof J, Stoll L, Wilson-Diekhoff N. Pinch strength norms for 5-to 12-year-olds. Phys Occup Ther Pediatr. 2001;21(1):37–49.

    CAS  PubMed  Google Scholar 

  22. De Smet L, Decramer A. Key pinch force in children. J Pediatr Orthop B. 2006;15(6):426–7.

    PubMed  Google Scholar 

  23. Cope EB, Antony JH. Normal values for the two-point discrimination test. Pediatr Neurol. 1992;8(4):251–4.

    CAS  PubMed  Google Scholar 

  24. Mathiowetz V, Federman SM, Wiemer DM. Box and blocks test of manual dexterity: norms for 6–19 year olds. Can J Occup Ther. 1985;52(5):241–5.

    Google Scholar 

  25. Gogola GR, Velleman PF, Xu S, Morse AM, Lacy B, Aaron D. Hand dexterity in children: administration and normative values of the functional dexterity test. J Hand Surg Am. 2013;38(12):2426–31.

    PubMed  Google Scholar 

  26. Smith YA, Hong E, Presson C. Normative and validation studies of the Nine-hole Peg Test with children. Percept Mot Skills. 2000;90(3 Pt 1):823–43.

    CAS  PubMed  Google Scholar 

  27. Poole JL, Burtner PA, Torres TA, McMullen CK, Markham A, Marcum ML, et al. Measuring dexterity in children using the Nine-hole Peg Test. J Hand Ther. 2005;18(3):348–51.

    PubMed  Google Scholar 

  28. Wilson BC, Iacoviello JM, Wilson JJ, Risucci D. Purdue Pegboard performance of normal preschool children. J Clin Neuropsychol. 1982;4(1):19–26.

    CAS  PubMed  Google Scholar 

  29. Skerik SK, Weiss MW, Flatt AE. Functional evaluation of congenital hand anomalies. Am J Occup Ther. 1971;25(2):98–104.

    CAS  PubMed  Google Scholar 

  30. Percival NJ, Sykes PJ, Chandraprakasam T. A method of assessment of pollicisation. J Hand Surg Br. 1991;16(2):141–3.

    CAS  PubMed  Google Scholar 

  31. Ho ES, Clarke HM. Upper extremity function in children with congenital hand anomalies. J Hand Ther. 2005;18(3):352–64.

    PubMed  Google Scholar 

  32. Buffart LM, Roebroeck ME, Pesch-Batenburg JM, Janssen WG, Stam HJ. Assessment of arm/hand functioning in children with a congenital transverse or longitudinal reduction deficiency of the upper limb. Disabil Rehabil. 2006;28(2):85–95.

    PubMed  Google Scholar 

  33. Buffart LM, Roebroeck ME, Janssen WG, Hoekstra A, Hovius SE, Stam HJ. Comparison of instruments to assess hand function in children with radius deficiencies. J Hand Surg Am. 2007;32(4):531–40.

    PubMed  Google Scholar 

  34. Kaplan JD, Jones NF. Outcome measures of microsurgical toe transfers for reconstruction of congenital and traumatic hand anomalies. J Pediatr Orthop. 2014;34:362–8.

    PubMed  Google Scholar 

  35. Arnould C, Penta M, Renders A, Thonnard JL. ABILHAND-Kids: a measure of manual ability in children with cerebral palsy. Neurology. 2004;63(6):1045–52.

    PubMed  Google Scholar 

  36. Krumlinde-Sundholm L, Holmefur M, Kottorp A, Eliasson AC. The Assisting Hand Assessment: current evidence of validity, reliability, and responsiveness to change. Dev Med Child Neurol. 2007;49(4):259–64.

    PubMed  Google Scholar 

  37. Holmefur M, Krumlinde-Sundholm L, Eliasson AC. Interrater and intrarater reliability of the Assisting Hand Assessment. Am J Occup Ther. 2007;61(1):79–84.

    PubMed  Google Scholar 

  38. Holmefur M, Aarts P, Hoare B, Krumlinde-Sundholm L. Test-retest and alternate forms reliability of the assisting hand assessment. J Rehabil Med. 2009;41(11):886–91.

    PubMed  Google Scholar 

  39. Skold A, Hermansson LN, Krumlinde-Sundholm L, Eliasson AC. Development and evidence of validity for the Children’s Hand-use Experience Questionnaire (CHEQ). Dev Med Child Neurol. 2011;53(5):436–42.

    PubMed  Google Scholar 

  40. Varni JW, Seid M, Kurtin PS. PedsQL 4.0: reliability and validity of the Pediatric Quality of Life Inventory version 4.0 generic core scales in healthy and patient populations. Med Care. 2001;39(8): 800–12.

    CAS  PubMed  Google Scholar 

  41. Schlenz AM, Schatz J, McClellan CB, Roberts CW. Responsiveness of the PedsQL to pain-related changes in health-related quality of life in pediatric sickle cell disease. J Pediatr Psychol. 2012;37(7):798–807.

    PubMed Central  PubMed  Google Scholar 

  42. Haley SM, Coster WJ, Faas RM. A content validity study of the Pediatric Evaluation of Disability Inventory. Pediatr Phys Ther. 1991;3:177–84.

    Google Scholar 

  43. Feldman AB, Haley SM, Coryell J. Concurrent and construct validity of the Pediatric Evaluation of Disability Inventory. Phys Ther. 1990;70(10):602–10.

    CAS  PubMed  Google Scholar 

  44. Wright FV, Boschen KA. The Pediatric Evaluation of Disability Inventory (PEDI): validation of a new functional assessment outcome instrument. Can J Rehabil. 1993;7:41–2.

    Google Scholar 

  45. Nichols DS, Case-Smith J. Reliability and validity of the Pediatric Evaluation of Disability Inventory. Pediatr Phys Ther. 1996;8: 15–24.

    Google Scholar 

  46. Daltroy LH, Liang MH, Fossel AH, Goldberg MJ. The POSNA pediatric musculoskeletal functional health questionnaire: report on reliability, validity and sensitivity to change. J Pediatr Orthop. 1998;18(5):561–71.

    CAS  PubMed  Google Scholar 

  47. Pencharz J, Young NL, Owen JL, Wright JG. Comparison of three outcomes instruments in children. J Pediatr Orthop. 2001;21(4): 425–32.

    CAS  PubMed  Google Scholar 

  48. Amor CJ, Spaeth MC, Chafey DH, Gogola GR. Use of the Pediatric Outcomes Data Collection Instrument to evaluate functional outcomes in arthrogryposis. J Pediatr Orthop. 2011;31(3):293–6.

    PubMed  Google Scholar 

  49. Haynes R, Sullivan E. The Paediatric Orthopaedic Society of North America paediatric orthopaedic functional health questionnaire: an analysis of normal. J Pediatr Orthop. 2001;21(5):619–21.

    CAS  PubMed  Google Scholar 

  50. Wright FV, Hubbard S, Naumann S, Jutai J. Evaluation of the validity of the prosthetic upper extremity functional index for children. Arch Phys Med Rehabil. 2003;84(4):518–27.

    PubMed  Google Scholar 

  51. Wright FV, Hubbard S, Jutai J, Naumann S. The Prosthetic Upper Extremity Functional Index: development and reliability testing of a new functional status questionnaire for children who use upper extremity prostheses. J Hand Ther. 2001;14(2):91–104.

    CAS  PubMed  Google Scholar 

  52. Bagley AM, Molitor F, Wagner LV, Tomhave W, James MA. The unilateral below elbow test: a function test for children with unilateral congenital below elbow deficiency. Dev Med Child Neurol. 2006;48(7):569–75.

    PubMed  Google Scholar 

  53. Netscher DT, Aliu O, Sandvall BK, Staines KG, Hamilton KL, Salazar-Reyes H, Thornby J. Functional outcomes of children with index pollicizations for thumb deficiency. J Hand Surg Am. 2013;38(2):250–7.

    PubMed  Google Scholar 

  54. Ardon MS, Selles RW, Roebroeck ME, Hovius SE, Stam HJ, Janssen WG. Poor agreement on health-related quality of life between children with congenital hand differences and their parents. Arch Phys Med Rehabil. 2012;93(4):641–6.

    PubMed  Google Scholar 

  55. Sheffler LC, Hanley C, Bagley A, Molitor F, James MA. Comparison of self-reports and parent proxy-reports of function and quality of life of children with below-the-elbow deficiency. J Bone Joint Surg Am. 2009;91(12):2852–9.

    PubMed  Google Scholar 

  56. Giele H, Giele C, Bower C, Allison M. The incidence and epidemiology of congenital upper limb anomalies: a total population study. J Hand Surg Am. 2001;26(4):628–34.

    CAS  PubMed  Google Scholar 

  57. Koskimies E, Lindfors N, Gissler M, Peltonen J, Nietosvaara Y. Congenital upper limb deficiencies and associated malformations in Finland: a population-based study. J Hand Surg Am. 2011;36(6):1058–65.

    PubMed  Google Scholar 

  58. Ekblom AG, Laurell T, Arner M. Epidemiology of congenital upper limb anomalies in 562 children born in 1997 to 2007: a total population study from Stockholm, Sweden. J Hand Surg Am. 2010;35(11):1742–54.

    PubMed  Google Scholar 

  59. Froster-Iskenius UG, Baird PA. Limb reduction defects in over one million consecutive live births. Teratology. 1998;39(2):127–35.

    Google Scholar 

  60. Evans JA, Vitez M, Czeizel A. Congenital abnormalities associated with limb deficiency defects: a population study based on cases from the Hungarian Congenital Malformation Registry (1975-1984). Am J Med Genet. 1994;49(1):52–66.

    CAS  PubMed  Google Scholar 

  61. Baker RP, Field J, Gozzard C, Wyatt MC, Robertson Y. Does postoperative hand elevation reduce swelling? A randomized study. J Hand Surg Eur Vol. 2010;35(3):192–4.

    CAS  PubMed  Google Scholar 

  62. Fagan DJ, Evans A, Ghandour A, Prabhkaran P, Clay NR. A controlled clinical trial of postoperative hand elevation at home following day case surgery. J Hand Surg Br. 2004;29:458–60.

    CAS  PubMed  Google Scholar 

  63. Enos L, Lane R, MacDougal BA. Brief or new: the use of self-adherent wrap in hand rehabilitation. Am J Occup Ther. 1984;38(4):265–6.

    CAS  PubMed  Google Scholar 

  64. Lowell M, Pirc P, Ward RS, et al. Effect of 3 M Coban self-adherent wraps on edema and function of the burned hand: a case study. J Burn Care Rehabil. 2003;24:253–8.

    CAS  PubMed  Google Scholar 

  65. Shin TM, Bordeaux JS. The role of massage in scar management: a literature review. Dermatol Surg. 2012;38(3):414–23.

    CAS  PubMed  Google Scholar 

  66. Foo CW, Tristani-Firouzi P. Topical modalities for treatment and prevention of postsurgical hypertrophic scars. Facial Plast Surg Clin North Am. 2011;19(3):551–7.

    PubMed  Google Scholar 

  67. Chang LW, Deng WP, Yeong EK, Wu CY, Yeh SW. Pressure effects on the growth of human scar fibroblasts. J Burn Care Res. 2008;29(5):835–41.

    PubMed  Google Scholar 

  68. Kischer CW, Shetlar MR, Shetlar CL. Alteration of hypertrophic scars induced by mechanical pressure. Arch Dermatol. 1975;111(1):60–4.

    CAS  PubMed  Google Scholar 

  69. Anzarut A, Olson J, Singh P, Rowe BH, Tredget EE. The effectiveness of pressure garment therapy for the prevention of abnormal scarring after burn injury: a meta-analysis. J Plast Reconstr Aesthet Surg. 2009;62(1):77–84.

    PubMed  Google Scholar 

  70. Steinstraesser L, Flak E, Witte B, Ring A, Tilkorn D, Hauser J, Langer S, Steinau HU, Al-Benna S. Pressure garment therapy alone and in combination with silicone for the prevention of hypertrophic scarring: randomized controlled trial with intraindividual comparison. Plast Reconstr Surg. 2011;128(4):306e–13.

    CAS  PubMed  Google Scholar 

  71. Widgerow AD. Cellular/extracellular cross-talk in scar evolution and control. Wound Repair Regen. 2011;19:117–33.

    PubMed  Google Scholar 

  72. Hart RG, Wolff TW, O’Neil WL. Preventing tourniquet effect when dressing finger wounds in children. Am J Emerg Med. 2004;22:594–5.

    PubMed  Google Scholar 

  73. Yelvington M, Brown S, Castro MM, Nick TG. The use of neoprene as a scar management modality. Burns. 2013; pii:S0305-4179(12)00364-6.

    Google Scholar 

  74. Mustoe TA, Cooter RD, Gold MH, Hobbs FD, Ramelet AA, Shakespeare PG, Stella M, Téot L, Wood FM, Ziegler UE, International Advisory Panel on Scar Management. International clinical recommendations on scar management. Plast Reconstr Surg. 2002;110(2):560–71.

    PubMed  Google Scholar 

  75. O’Brien L, Pandit A. Silicon gel sheeting for preventing and treating hypertrophic and keloid scars. Cochrane Database Syst Rev. 2006;1, CD003826.

    PubMed  Google Scholar 

  76. O’Brien L, Jones DJ. Silicone gel sheeting for preventing and treating hypertrophic and keloid scars. Cochrane Database Syst Rev. 2013;9, CD003826.

    PubMed  Google Scholar 

  77. Sawada Y, Sone K. Hydration and occlusion treatment for hypertrophic scars and keloids. Br J Plast Surg. 1992;45(8):599–603.

    CAS  PubMed  Google Scholar 

  78. de Oliveira GV, Nunes TA, Magna LA, Cintra ML, Kitten GT, Zarpellon S, Raposo Do Amaral CM. Silicone versus nonsilicone gel dressings: a controlled trial. Dermatol Surg. 2001;27(8):721–6.

    PubMed  Google Scholar 

  79. Rustad KC, Wong VW, Gurtner GC. The role of focal adhesion complexes in fibroblast mechanotransduction during scar formation. Differentiation. 2013;86(3):87–91.

    CAS  PubMed  Google Scholar 

  80. Chiquet M, Gelman L, Lutz R, Maier S. From mechanotransduction to extracellular matrix gene expression in fibroblasts. Biochim Biophys Acta. 2009;1793:911–20.

    CAS  PubMed  Google Scholar 

  81. Widgerow AD, Chait LA, Stals PJ, Stals R, Candy G. Multimodality scar management program. Aesthetic Plast Surg. 2009;33:533–43.

    PubMed  Google Scholar 

  82. Atkinson JM, McKenna KT, Barnett AG, McGrath DJ, Rudd M. A randomized, controlled trial to determine the efficacy of paper tape in preventing hypertrophic scar formation in surgical incisions that traverse Langer’s skin tension lines. Plast Reconstr Surg. 2005;116(6):1648–56.

    CAS  PubMed  Google Scholar 

  83. Widgerow AD, Chait LA. Scar management practice and science: a comprehensive approach to controlling scar tissue and avoiding hypertrophic scarring. Adv Skin Wound Care. 2011;24(12):555–61.

    PubMed  Google Scholar 

  84. Michlovitz SL, Harris BA, Watkins MP. Therapy interventions for improving joint range of motion: a systematic review. J Hand Ther. 2004;17(2):118–31.

    PubMed  Google Scholar 

  85. Glasgow C, Tooth LR, Fleming J. Mobilizing the stiff hand: combining theory and evidence to improve clinical outcomes. J Hand Ther. 2010;23(4):392–400.

    PubMed  Google Scholar 

  86. Flowers KR. A proposed decision hierarchy for splinting the stiff joint, with an emphasis on force application parameters. J Hand Ther. 2002;15(2):158–62.

    PubMed  Google Scholar 

  87. Weeks PM, Wray RC. Management of acute hand injuries. 2nd ed. St. Louis: Mosby; 1978. p. 434–8.

    Google Scholar 

  88. Flowers KR, LaStayo PC. Effect of total end range time on improving passive range of motion. J Hand Ther. 1994;7(3): 150–7.

    CAS  PubMed  Google Scholar 

  89. Glasgow C, Wilton J, Tooth L. Optimal daily total end range time for contracture: resolution in hand splinting. J Hand Ther. 2003;16(3):207–18.

    PubMed  Google Scholar 

  90. Glasgow C, Fleming J, Tooth LR, Peters S. Randomized controlled trial of daily total end range time (TERT) for capener splinting of the stiff proximal interphalangeal joint. Am J Occup Ther. 2012;66(2):243–8.

    PubMed  Google Scholar 

  91. Blair WF, Shurr DG, Buckwalter JA. Functional status in ulnar deficiency. J Pediatr Orthop. 1983;3(1):37–40.

    CAS  PubMed  Google Scholar 

  92. Ty J, James MA. Failure of differentiation: Part II (arthrogryposis, camptodactyly, clinodactyly, Madelung deformity, trigger finger, and trigger thumb). Hand Clin. 2009;25(2):195–214.

    PubMed  Google Scholar 

  93. Rhee SH, Oh WS, Lee HJ, Roh YH, Lee JO, Baek GH. Effect of passive stretching on simple camptodactyly in children younger than three years of age. J Hand Surg Am. 2010;35(11):1768–73.

    PubMed  Google Scholar 

  94. Hori M, Nakamura R, Inoue G, Imamura T, Horii E, Tanaka Y, Miura T. Nonoperative treatment of camptodactyly. J Hand Surg Am. 1987;12(6):1061–5.

    CAS  PubMed  Google Scholar 

  95. Miura T, Nakamura R, Tamura Y. Long-standing extended dynamic splintage and release of an abnormal restraining structure in camptodactyly. J Hand Surg Br. 1992;17(6):665–72.

    CAS  PubMed  Google Scholar 

  96. Benson LS, Waters PM, Kamil NI, Simmons BP, Upton 3rd J. Camptodactyly: classification and results of nonoperative treatment. J Pediatr Orthop. 1994;14(6):814–9.

    CAS  PubMed  Google Scholar 

  97. de Roode CP, James MA, McCarroll HR. Abductor digit minimi opponensplasty: technique, modifications, and measurement of opposition. Tech Hand Up Extrem Surg. 2010;14(1):51–3.

    PubMed  Google Scholar 

  98. Goldfarb CA, Calhoun VD, Daily L, Manske PR. Hand and upper extremity therapy: congenital, pediatric and adolescent: St Louis protocols. St. Louis: Shriners Hospital for Children; 2011.

    Google Scholar 

  99. Egerszegi EP. Reconstruction of congenital hand anomalies to provide stable pinch and/or grasp: case pictorial series. J Pediatr Rehabil Med. 2009;2(3):173–9.

    PubMed  Google Scholar 

  100. Kozin SH, Ezaki M. Flexor digitorum superficialis opponensplasty with ulnar collateral ligament reconstruction for thumb deficiency. Tech Hand Up Extrem Surg. 2010;14(1):46–50.

    PubMed  Google Scholar 

  101. Manske PR, Goldfarb CA. Congenital failure of formation of the upper limb. Hand Clin. 2009;25(2):157–70.

    PubMed  Google Scholar 

  102. Bednar MS, James MA, Light TR. Congenital longitudinal deficiency. J Hand Surg Am. 2009;34(9):1739–47.

    PubMed  Google Scholar 

  103. Damore E, Kozin SH, Thoder JJ, Porter S. The recurrence of deformity after surgical centralization for radial clubhand. J Hand Surg Am. 2000;25(4):745–51.

    CAS  PubMed  Google Scholar 

  104. Banskota AK, Bijukachhe B, Rajbhandary T, Pradhan I, Singh A. Radial club hand deformity—the continuing challenges and controversies. Kathmandu Univ Med J (KUMJ). 2005;3(1):30–4.

    CAS  Google Scholar 

  105. Fuller M. Treatment of congenital differences of the upper extremity: therapists commentary. J Hand Ther. 1999;12(2):174–7.

    CAS  PubMed  Google Scholar 

  106. Van Heest A. Wrist centralization using the dorsal rotation flap in radial longitudinal deficiency. Tech Hand Up Extrem Surg. 2010;14(2):94–9.

    Google Scholar 

  107. Wall LB, Ezaki M, Oishi SN. Management of congenital radial longitudinal deficiency: controversies and current concepts. Plast Reconstr Surg. 2013;132(1):122–8.

    CAS  PubMed  Google Scholar 

  108. Kennedy SM. Neoprene wrist brace for correction of radial club hand in children. J Hand Ther. 1996;9(4):387–90.

    CAS  PubMed  Google Scholar 

  109. Deunk J, Nicolai JP, Hamburg SM. Long-term results of syndactyly correction: full-thickness versus split-thickness skin grafts. J Hand Surg Br. 2003;28(2):125–30.

    CAS  PubMed  Google Scholar 

  110. Lumenta DB, Kitzinger HB, Beck H, Frey M. Long-term outcomes of web creep, scar quality, and function after simple syndactyly surgical treatment. J Hand Surg Am. 2010;35(8):1323–9.

    PubMed  Google Scholar 

  111. Vekris MD, Lykissas MG, Soucacos PN, Korompilias AV, Beris AE. Congenital syndactyly: outcome of surgical treatment in 131 webs. Tech Hand Up Extrem Surg. 2010;14(1):2–7.

    PubMed  Google Scholar 

  112. Mallet C, Ilharreborde B, Jehanno P, Litzelmann E, Valenti P, Mazda K, Penneçot GF, Fitoussi F. Comparative study of 2 commissural dorsal flap techniques for the treatment of congenital syndactyly. J Pediatr Orthop. 2013;33(2):197–204.

    PubMed  Google Scholar 

  113. Goldfarb CA, Steffen JA, Stutz CM. Complex syndactyly: aesthetic and objective outcomes. J Hand Surg Am. 2012;37(10):2068–73.

    PubMed  Google Scholar 

  114. Moran SL, Tomhave W. Management of congenital hand anomalies. In: Skirven TM, Osterman AL, Fedorzyk JM, Amadio PC, editors. Rehabilitation of the hand and upper extremity. 6th ed. Philadelphia: Elsevier Mosby; 2011. p. 1631–50.

    Google Scholar 

  115. Baek GH, Lee HJ. The natural history of pediatric trigger thumb: a study with a minimum of five years follow-up. Clin Orthop Surg. 2011;3(2):157–9.

    PubMed Central  PubMed  Google Scholar 

  116. Wantabe H, Hamada Y, Toshima T, Nagasawa K. Conservative treatment for trigger thumb in children. Arch Orthop Trauma Surg. 2001;121(7):388–90.

    Google Scholar 

  117. Jung HJ, Lee JS, Song KS, Yang JJ. Conservative treatment of pediatric trigger thumb: follow-up for over 4 years. J Hand Surg Eur Vol. 2011;37E(3):220–4.

    Google Scholar 

  118. Koh S, Horii E, Hattori T, Hiroishi M, Otsula J. Pediatric trigger thumb with locked interphalangeal joint: can observation or splinting be a treatment option? J Pediatr Orthop. 2012;32(7):724–6.

    PubMed  Google Scholar 

  119. Lee Z, Chang C, Yang W, Hung S, Shih C. Extension splint for trigger thumb in children. J Pediatr Orthop. 2006;26(6):785–7.

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Pediatric Rehabilitation, UCSF Benioff Children’s Hospital Oakland, 747 52nd Street, Oakland, CA, 94609, USA

    Ginny Gibson O.T.D., O.T.R./L., C.H.T.

  2. Department of Occupational Therapy, Samuel Merritt University, 450 30th Street, Oakland, CA, 94609, USA

    Ginny Gibson O.T.D., O.T.R./L., C.H.T.

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  1. Ginny Gibson O.T.D., O.T.R./L., C.H.T.
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Correspondence to Ginny Gibson O.T.D., O.T.R./L., C.H.T. .

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  1. Fletcher Allen Health Care and Vermont Children’s Hospital, Departments of Surgery and Pediatrics, University of Vermont School of Medicine, Burlington, Vermont, USA

    Donald R. Laub Jr.

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Gibson, G. (2015). Therapy Management of Children with Congenital Anomalies of the Upper Extremity. In: Laub Jr., D. (eds) Congenital Anomalies of the Upper Extremity. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7504-1_5

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  • DOI: https://doi.org/10.1007/978-1-4899-7504-1_5

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