Pediatric Hand and Upper Limb - Priv.-Doz. Dr. Sebastian Farr

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