curved forearm (ulnar club hand)
It is a congenital (present at birth) hand deformity where wrist is bent in the direction of the pinky finger. Spectrum of abnormalities varies from hypoplasia of medial (ulnar) digits to absence of ulna. Hand and wrist bone ( carpus )are always affected, missing digits, syndactyly, thumb abnormalities.
- Depend on severity of disease.
- Mild tilt of the wrist to a severe bending on medial side.
- Malformed hand and possibly missing fingers.
- Medial forearm long bone( ulna ) can also be absent.
Based on age, severity and degree of functional deficit, surgery usually performed around 12 months. Physiotherapy and splintage should start few weeks after the birth. Release of the fibrous anlage with realignment of the wrist bone and forearm. Hand function can be improved by separating any joined fingers (syndactyly ) and by deepening the first webspace.
Usually surgery is performed at 1 year when thumb function is developing but splintage and physiotherapy should start few weeks after birth.
It depends on deformaty, stage reconstruction (realignment of the wrist bone and forearm, separating any joined fingures (syndactyly ) and by deepening the first webspace) is required; however few touch up procedures can be required later on.
Two to three hours, it depends on severity of deformity.
In patient is required for the procedure and usually patient admits for one to two days.
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