Pediatric Hand and Upper Limb

Congenital and acquired malformations of the hand and upper limb may present a broad spectrum of disorders ranging from minor soft tissue alterations to marked bone and joint deformities. These deformities in particular require long-term planning and frequent checkups during growth.


For many congenital malformations early consultation of a pediatric hand surgeon is beneficial to plan surgery before the child has increasing control over basic gross and fine motor skills. Even if a prenatal ultrasound has confirmed the presence of a congenital hand malformation, a prenatal consultation can be helpful for parents to discuss their expectations and the upcoming treatment.





Orthopedic care for the following pathologies of the immature hand and upper limb is offered:


Pediatric Hand


  • Syndactyly
  • Polydactyly (e.g. thumb duplication)
  • Clinodactyly
  • Camptodactyly
  • Macrodactyly
  • Symbrachydactyly
  • Split hand
  • Constriction band syndrome
  • Thumb hypoplasia
  • Trigger thumb/trigger finger

Pediatric Wrist Joint


  • Synovial cysts
  • TFCC tears
  • Kienböck´s disease
  • Scaphoid non-union
  • Ulnocarpal impaction syndrome
  • DRUJ impingement
  • Habitual hyperlaxity

Pediatric Elbow and Forearm


  • Radial longitudinal deficiency
  • Ulnar longitudinal deficiency
  • Madelung´s  deformity
  • Congenital and posttraumatic radial head dislocation
  • Congenital pseudarthrosis of the ulna
  • Radioulnar  synostosis
  • Osteochondritis dissecans
  • Supracondylar humerus malunion
  • Cubitus valgus/varus

Pediatric Upper Arm


  • Peromelia/Phokomelia
  • Hemihyper/-hypotrophy

Pediatric Shoulder Girdle


  • Brachial plexus birth palsy
  • Congenital pseudarthrosis of the clavicle
  • Sprengel deformity

Neuromuscular Disorders with Involvement of the Pediatric Upper Limb


  • Cerebral palsy
  • Neurofibromatosis
  • Arthrogryposis

Benign Tumors of the Pediatric Upper Limb


  • Osteochondromas
  • Multiple hereditary exostoses
  • Bone cysts

Rheumatic Disorders with Involvement of the Pediatric Upper Limb


  • Juvenile rheumatoid arthritis

Syndromes with Involvement of the Pediatric Upper Limb


  • Apert syndrome
  • Achondroplasia