Bony Outgrowth, osteochondroma

Bone growths in children come in many different forms.  In the upper extremity, there are relatively few growths on the surface of the bones; one of these is the solitary osteochondroma.  The solitary osteochondroma is, as its name implies, a single bony and cartilage growth.  It differs from multiple hereditary exostoses, or osteochondromatosis, which is […]

Popular Press on Prosthetics

Prosthetics have been in the press lately.  I have found two issues particularly interesting; one is a note a caution and the other an important step forward. The first article nicely presents a reality check towards much of the excitement regarding myoelectric prostheses.  While there is good reason to be excited about technology and prosthetics, […]

Wrist Deviation

Radial deficiency and ulnar deficiency are, for most children, easily distinguished.  Radial deficiency, a condition about which I have blogged about on numerous occasions- see here – presents with a problem on the radial (thumb) side of the forearm and hand (mainly the thumb).  The radius bone can be absent or limited and the extensor muscles are […]

Hemangiomas and vascular malformations a brief overview

When we consider congenital abnormalities of the upper extremity, most commonly, we think of extra bones or missing digits.  However, there are many other conditions which fall under this umbrella and, therefore, the care of the congenital hand surgeon.  The OMT classification (Oberg, Manske, Tonkin) has recently replaced the Swanson classification as the official classification […]