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Treatment for Congenital Hand Deformities In India

Congenital Hand DeformitiesWhat are congenital hand deformities?

Congenital hand deformities are deformities in the hand of the child which are present at the time of the birth. Congenital hand deformities can become a challenge for children as they continue to grow, learn and interact with the environment with the use of hands. The degree of deformity varies from child to child such as a digital disproportion. Early consultation with the hand surgeon is an essential part of the treatment.

Classifications of congenital hand deformities

The classifications for hand deformities can vary which can change as more knowledge is obtained regarding each of the conditions. Congenital hand deformities are generally classified in seven groups which are as follows:-

Problems in development of the parts: –Problems in the development parts can occur when the parts of the body stop developing while the baby is in the womb, causing either a complete absence of a part of the body, such as the hand, or a missing structure, such as part of the arm bone. The surgical approach is generally not used in the case of a complete missing part. Instead, the child is be introduced to prosthetic devices early in their childhood.

  • Radial clubhand: – A radial clubhand is a deformity that involves all of the tissues on the radial side (thumb side) of the forearm and hand. There may be a shortening of the bone, a small thumb or absence of the thumb. This type of birth deformity occurs in one out of every 55,000 births. Deformities of the wrist are usually operated on around 6 months of age.
  • Ulnar clubhand: – An ulnar clubhand is less common than a radial clubhand and may involve underdevelopment of the ulnar bone (the bone in the forearm on the side of the little finger), or complete absence of the bone.

Failure of the parts of the hand to separate: – In this type of deformity, the parts of the hands which are either on the side of the bones or the tissues fail to separate from each other in the womb. The most common type of classification is syndactyly. In this type of classification, two or more fingers are fused together. Syndactyly can occur in seven children out of every 10,000 children’s. This deformity is generally developed due to the tendency of the family. In this deformity, the fingers are completely fused together. There are two types of syndactyly:-

  • Simple syndactyly: – This type of deformity involves fusion between only the tissues of the fingers.
  • Complex syndactyly: – This type of deformity involves fusion bones only.

Contractures of the hand:-Contractures of the hand are another example of the failure of the hand to separate. This deformity is generally the result of the failure of the cells to differentiate in utero, contractures are an abnormal pulling forward of the digits of the hand, usually caused by problems with the muscles or skin.

Congenital constriction band syndrome: – This deformity occurs when a band is formed around the finger or the arm which can cause problems. These problems can affect the blood flow and normal growth of the hands. Ring constrictions are congenital deformity which occurs in one out of every 15,000 children’s. This condition is associated with other problems such as cleft palate, clubfoot, cleft lip, or any other craniofacial anomalies. The cause of the ring constrictions is still unknown. In this condition there are four degrees of severity such as:-

  • Constrictions which are associated with the fusion of parts of the fingers.
  • Different generalized problems with the skeletal system.
  • Constrictions which causes deformities beyond the constriction.
  • Severe constrictions in the part of the finger that will need to be amputated from the process.

Polydactyly: – In this type of deformity the child has more than five fingers on one hand. In extra finger is often a small piece of soft tissue that can be removed. In some cases, the extra finger contains bones but not joints. In rare cases, the extra finger is a fully functioning digit.  There are several different types of polydactyly. In radial polydactyly, the child has an extra thumb and in ulnar polydactyly, the child has an extra pinky finger. In case, if there is an extra finger located in the center of the hand, it is called as central polydactyly. Polydactyly is the most common congenital hand deformity.

Treatment for congenital hand deformities

The treatment option depends on the age of the child, overall health of the child, medical history of the child, causes of the deformity and the extent of the deformity. Following are some of the treatments for congenital hand deformities:-

  • Limb manipulation.
  • Correction of contractures.
  • Stretching.
  • Skin grafts procedure involves replacing or attaching the skin to a part of the hand that is missing skin or has been removed during a procedure.
  • Splinting of the affected limbs.
  • External appliances which are used to realign the misshapen fingers or the hands.
  • Tendon transfers.
  • Physical therapy which is used to help increase the strength and function of the hand.
  • Prosthetics can be used when surgery is not an option.

Treatment for congenital hand deformities in India

Treatment for congenital hand deformities can be very expensive in western countries whereas these different types of treatments are available in India at the most affordable costs. IndianMedTrip has a large network of associated surgeons and healthcare facilities in India. Patients can access a wide range of services provided by IndianMedTrip right from their arrival till departure. Accommodation, food, traveling, fixing appointments with doctors, follow-ups and visits to exotic locations on request within the country are some of the services offered by IndianMedTrip.

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