Best Facial Paralysis Treatment, Neurofibromatosis Surgery Cost, Rhinoplasty Plastic Surgeon – Beverly Hills, Los Angeles, California, Pasadena, Santa Monica, Glendale
  • Dr. Panossian
  • PEDIATRIC PLASTIC SURGERY OVERVIEW
  • ABOUT
  • CONDITIONS & TREATMENTS
    • General Pediatric
      • Birthmarks
      • Lumps & Bumps
      • Tethered Tongue
      • Prominent Ears
      • Trauma
    • Craniofacial
      • Cleft Lip & Palate
      • Microtia (Ear Reconstruction Surgery)
      • Nasal Deformities
      • Facial Paralysis in Kids
      • Moebius Syndrome
      • Macrostomia
      • Hemifacial Microsomia
      • Apert Syndrome
    • Hand
      • Camptodactyly
      • Clinodactyly
      • Ectrodactyly
      • Hypoplastic Thumb
      • Macrodactyly
      • Polydactyly (Extra Digits)
      • Radial Club Hand
      • Symbrachydactyly
      • Trigger Finger
    • Neurofibromatosis
    • Vascular Birthmarks
  • BACK TO MAIN SITE
  • CONTACT US
  • 626-765-6885
Best Facial Paralysis Treatment, Neurofibromatosis Surgery Cost, Rhinoplasty Plastic Surgeon – Beverly Hills, Los Angeles, California, Pasadena, Santa Monica, Glendale
CONTACT US
CALL
EMAIL

626-765-6885

or toll free 800-958-3778
  • Dr. Panossian
  • PEDIATRIC PLASTIC SURGERY OVERVIEW
  • ABOUT
  • CONDITIONS & TREATMENTS
    • General Pediatric
      • Birthmarks
      • Lumps & Bumps
      • Tethered Tongue
      • Prominent Ears
      • Trauma
    • Craniofacial
      • Cleft Lip & Palate
      • Microtia (Ear Reconstruction Surgery)
      • Nasal Deformities
      • Facial Paralysis in Kids
      • Moebius Syndrome
      • Macrostomia
      • Hemifacial Microsomia
      • Apert Syndrome
    • Hand
      • Camptodactyly
      • Clinodactyly
      • Ectrodactyly
      • Hypoplastic Thumb
      • Macrodactyly
      • Polydactyly (Extra Digits)
      • Radial Club Hand
      • Symbrachydactyly
      • Trigger Finger
    • Neurofibromatosis
    • Vascular Birthmarks
  • BACK TO MAIN SITE
  • CONTACT US
  • 626-765-6885
  • Dr. Panossian

Radial Club Hand

Home » Pediatric Plastic Surgery » HAND » Radial Club Hand
Child's arm demonstrating radial club hand deformity.
Child’s arm demonstrating radial
club hand deformity.

There are two long bones comprising the forearm, the radius and the ulna. When the radius fails to develop normally (ie, radial hypoplasia or dysplasia), an inward rotation or collapse of the wrist can result towards the thumb side. This is referred to as a club hand, or radial club hand, deformity. The affected arm is shorter, with curving of the forearm and stiffness of the elbow and fingers. In many cases, some element of hypoplastic thumb is also present.

See “Hypoplastic Thumb” section for further details. The occurrence of radial dysplasia is usually sporadic, meaning that it occurs by chance and for no apparent reason. However, it may be associated with other defects or syndromes. The condition occurs 1 in 55,000-100,000 babies.

Hand function is severely affected in radial club hand deformity. Treatment is aimed at stabilizing the wrist, with the hand seated in a proper configuration. The muscles and tendons on the radius side of the forearm are also underdeveloped and shortened. Treatment must also RadialClubXRinclude stretching or lengthening of these elements to balance the hand on the wrist.

  • Dr. Andre Panossian is a superlative plastic surgeon and a very helpful and pleasant individual. He handled a complex surgical problem and achieved a result that exceeded expectations. I would recommend him to anyone.

    • 5 stars
    • J.M.
X-ray of arm and hand of a patient with radial club hand deformity.
X-ray of arm and hand of a patient
with radial club hand deformity.

Depending upon the severity, surgically correcting a radial club hand deformity can be done in one or more stages. Serial casting before surgery can help stretch the tight muscles, ligaments, and tendons. This should be started in the first few months of life. Surgery is then performed to reposition the hand centrally on the wrist. This is called centralization. Alternatively, prior to centralization, stretching of tight structures can be achieved with initial application of an external distraction device. This device is placed surgically on the hand and forearm and is gradually adjusted at home on a daily basis to move the hand more centrally and stretch out tight anatomic structures. When the desired position is achieved, the centralization procedure is then performed.

It is not uncommon for children to require multiple surgeries over the course of their lifetime to help correct residual curvature, lengthen the forearm, or improve hand function.


Author

This article was written by Dr. Andre Panossian. Last Modified December 14, 2020

Schedule a Consultation

626-765-6885
  • Dr. Panossian
  • PEDIATRIC PLASTIC SURGERY OVERVIEW
  • ABOUT
  • CONDITIONS & TREATMENTS
    • General Pediatric
      • Birthmarks
      • Lumps & Bumps
      • Tethered Tongue
      • Prominent Ears
      • Trauma
    • Craniofacial
      • Cleft Lip & Palate
      • Microtia (Ear Reconstruction Surgery)
      • Nasal Deformities
      • Facial Paralysis in Kids
      • Moebius Syndrome
      • Macrostomia
      • Hemifacial Microsomia
      • Apert Syndrome
    • Hand
      • Camptodactyly
      • Clinodactyly
      • Ectrodactyly
      • Hypoplastic Thumb
      • Macrodactyly
      • Polydactyly (Extra Digits)
      • Radial Club Hand
      • Symbrachydactyly
      • Trigger Finger
    • Neurofibromatosis
    • Vascular Birthmarks
  • BACK TO MAIN SITE
  • CONTACT US
  • 626-765-6885

BEFORE AND AFTER GALLERY

Before & after gallery

DR. PANOSSIAN APPEARS ON THE DOCTORS

DR. PANOSSIAN RECEIVES TOP AWARD FOR NEW TECHNIQUE

Best Paper Award for Andre Panossian, MD for top plastic surgery.

SEND US A QUICK QUESTION

  • This field is for validation purposes and should be left unchanged.
SCHEDULE A CONSULTATION
ASPS AAPS ABSP FACS Top Doctor AAP

Best Facial Paralysis Treatment, Neurofibromatosis Surgery Cost, Rhinoplasty Plastic Surgeon.
Beverly Hills, Los Angeles, California, Pasadena, Santa Monica, Glendale

  • About
  • Photo Gallery
  • Cosmetic
  • Reconstructive
  • Patients
  • Testimonials
  • Location
  • Contact Us

Andre Panossian, MD

39 Congress St., Suite 402
Pasadena, CA 91105

Phone:  626-765-6885

5.0 STARS FROM 34 REVIEWS

SCHEDULE A CONSULTATION
39 Congress St., Suite 402, Pasadena, CA 91105(opens in a new tab)

Copyright © 2021 Andre Panossian, MD. All rights reserved.

Phone: 626-765-6885

Stock photos included on this website may include models who are not actual patients and do not necessarily reflect actual results.

Terms of Use | Privacy Policy | Sitemap