The hand is made up of a number of different bones, muscles and ligaments. These allow for a large amount of movement and skill with your child's hands. There are three major types of bones in the hand, including:
- Phalanges: These are the 14 bones found in the fingers of each hand and in the toes of each foot. Each finger has three phalanges (distal, middle and proximal). The thumb has only two phalanges.
- Metacarpal bones: These are the five bones that make up the middle part of the hand.
- Carpal bones: These are the eight bones that form the wrist. The carpal bones are connected to two bones of the arm, the ulnar bone and the radius bone.
Many muscles, ligaments, tendons nerves and blood vessels are found in the hand. The muscles can contract and relax, allowing movement of the bones in the hand. The ligaments are fibrous tissues that help bind together the joints in the hand.
A variety of conditions can lead to pain or poor function of the hand and upper extremities. These include:
- Trauma -or sports- induced injuries (fractures, sprains, nerve injuries and lacerations)
- Congenital conditions (Polydactyly, Syndactyly, Radial Longitudinal Deficiency)
- Acquired conditions (Ganglions, Trigger Thumbs)
- Neuromuscular-related conditions (Cerebral Palsy, Brachial Plexus Birth Palsy, Muscular Dystrophy)
Conditions & Treatments
The Children's Hand and Upper Extremity Program strives to ensure our patients receive quality care. Our pediatric- trained staff understands that early recognition of hand and upper extremity conditions can prevent future discomfort. This can help us achieve better outcomes for your child's treatment of conditions such as:
- Brachial Plexus Birth Palsy
- Brachial Plexus Injuries
- Fingertip Crush Injury
- Hand and finger fractures
- Nerve injuries
- Radial Longitudinal Deficiency (RLD)
- Scaphoid fractures, carpal bone injuries
- Split Thumb
- Tendon lacerations (cuts)
- Trigger thumb and fingers