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Treatment of Common Congenital Hand Conditions

Oda, Takashi M.D., Ph.D.; Pushman, Allison G. B.A.; Chung, Kevin C. M.D., M.S.

Plastic and Reconstructive Surgery: September 2010 - Volume 126 - Issue 3 - p 121e-133e
doi: 10.1097/PRS.0b013e3181e605be
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Learning Objectives: After reading this article, the participant should be able to: 1. Recognize the clinical features associated with five common congenital hand conditions. 2. Describe the indications and appropriate timing for various surgical procedures used to treat congenital hand anomalies. 3. Identify the pearls and pitfalls of these surgical treatments to avoid complications. 4. Understand the expected postoperative outcomes associated with these surgical procedures.

Summary: This article provides an introduction to congenital hand differences by focusing on practical surgical strategies for treating five commonly encountered conditions, including syndactyly, constriction ring syndrome, duplicated thumb, hypoplastic thumb, and trigger thumb. The accompanying videos demonstrate common and reliable surgical techniques for syndactyly release, duplicated thumb reconstruction, and pollicization for hypoplastic thumb.


Ann Arbor, Mich.

From the Section of Plastic Surgery, Department of Surgery, University of Michigan Health System.

Received for publication March 20, 2009; accepted July 22, 2009.

Disclosure: The authors have no conflicts of interest to disclose.

Related Video content is available for this article. The videos can be found under the “Related Videos” section of the full-text article.

Kevin C. Chung, M.D., M.S., Section of Plastic Surgery, University of Michigan Health System, 1500 East Medical Center Drive, 2130 Taubman Center, SPC 5340, Ann Arbor, Mich. 48109-5340,

©2010American Society of Plastic Surgeons