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.
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.
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:-
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:-
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.
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:-
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.