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Sebastian Farr, M.D.

Pediatric hand surgery

Children's hand

I am your expert for hand surgery!

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.

In the following section you will find an overview of the most common congenital malformations and acquired pathologies of the upper extremity:

  • Syndactyly
  • Polydactyly (e.g. “thumb duplication”)
  • Clinodactyly
  • Camptodactyly
  • Macrodactyly
  • Symbrachydactyly
  • Split hand
  • Amniotic cord syndrome
  • Thumb hypoplasia
  • Pollex flexus congenitus
  • Trigger finger
  • Congenital extension deficit
  • Ganglion cysts
  • TFCC lesions
  • Kienböck’s disease
  • Post-traumatic scaphoid pseudarthrosis
  • Ulnocarpal impaction syndrome
  • Radioulnar impingement
  • Joint instability
  • Radial longitudinal deficiency
  • Ulnar longitudinal deficiency
  • Madelung’s deformity
  • Congenital/post-traumatic radial head dislocation
  • Congenital ulnar pseudarthrosis
  • Radioulnar synostosis
  • Osteochondritis dissecans of the elbow
  • Post-traumatic elbow extension or flexion deficit
  • Cubitus valgus/varus
  • Peromelia/phocomelia
  • Hemihyper/hypotrophy
  • Brachial plexus birth palsy
  • Congenital clavicular pseudarthrosis
  • Sprengel deformity
  • Infantile cerebral palsy
  • Neurofibromatosis
  • Arthrogryposis
  • Cartilaginous exostoses
  • Multiple hereditary exostosis disease
  • Bone cysts
  • Apert syndrome
  • Achondroplasia