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Congenital hand defect

(6 posts)

Total votes:

  1. paridhi
    Member

    Hello!! We have a son born with a cengenital hand defect. We are a little confused as to how should we address the situation.
    We had no idea that so many parents go through the same thing. We admire all you parents out there and we feel glad that there are these
    sites where we can share our situations to help one another. I have spent a lot of time surfing hospital sites and trying to figure out
    what can be done, but I am still confused. We realized it may be a good idea to ask parents in a similar situation to help us out.

    My son is born with 3 short fingers on his left hand and the index finger is also shorter compare to the other hand index finger.
    I have taken him to various doctors in Pune and New Delhi, India.
    I have shown him to an orthopaepedic paedriatic surgeon,
    an endocrinologist- who recommend prosthetics and a hand surgeon who recommends the toe-bone transplant (which would only help extend the length of the finger
    and not provide for the ball- socket joints which actually helps in bending the fingers).
    My son is 3.5 months old and is able to grip a pen between his perfect thumb and slightly shortened index finger for a few seconds.
    We would really appreaciate parents in similar situatons to take time out and share with us what they decided to do and how it has benefited
    their child and their lives.
    Thanks in advance.

    Posted 1 year ago #
  2. harleyb
    Moderator

    This case sounds like symbrachydactyly. I would recommend no surgery until he is considerably older - if at all. If his thumb is good - then lengthening of the remaining fingers would not be expected to help out his function very much. Just give your son time to see how well he functions as he grows larger and stronger.

    Hope this helps.

    Posted 1 year ago #
  3. blueberry
    Member

    Have you decided anything yet? It's so hard to make such huge decisions when they're still so little. Our daughter has only two fingers on her left hand and one of them is tiny. We decided not to have surgery for our daughter. Anything they could do would basically be cosmetic as there was nothing they could do to improve her function. She's almost three now and most people don't even notice because she has figured out special ways to do just about everything. You can imagine how shocked we were to see her hanging from the swingset recently! If you choose not to have surgery, don't worry because he will do just fine. He will figure it out naturally just like he naturally holds the pen.
    Good luck with your decision!

    Posted 1 year ago #
  4. sid05
    Member

    Hi Paridhi,

    I have a son with an atypical cleft hand and live in Bangalore, India. He is 4 years old now and is doing great! I would like to connect with some parents of children with congenital anomalies so that we can share info about options/hospitals available in India. You can email me at utkalac@gmail.com.

    Thanks and regards,

    Utkala

    Posted 1 year ago #
  5. OTmom
    Member

    Hi Paridhi,
    I want to start by thanking everyone for all the wonderful information they provide here. Especially the mothers of older children who share their support and helps us to understand the importance of making our children feel positive and confident about who they are. Everyone is different in some way or some how.
    My son David who is now almost 1 1/2 years old was born with left hand symbrachydactyly. Meaning, his left hand is about 30-40% smaller than his right and his index, middle and ring fingers were webbed and significantly smaller than normal. His index finger is the most affected. This finger is the smallest, but both his middle and index finger have limited finger joint movement. The nail on the index finger is also abnormal (hard and shaped like a "V"). Davids thumb appears normal.
    The irony of this story is that my son was born to a mother who spends her day as a pediatric occupational therapist, specializing children with hand dysfunction. I don't win the lottery but we did become part of the 1 in 40,000 family odds of being born with this congenital abnormality, go figure. Being an OT who sees children with various disabilities on a daily basis did not make my journey in this world any easier, if anything it made it that much harder. I'm happy to say that after about 4-5 months I found a way to stop mourning the fact that my son was a little difference and just love him for the amazing, sweet and charming little man that he is.
    At three months we went to a hand surgeon I trusted and developed a short term plan to address the webbing, web space deeping and possible surgery to correct the curvature in his pink. It was scarey, but shortly after his first birthday, David had his first 4 hour hand surgery to remove the webbing and deepen the space between each finger alittle bit to increase his finger function. Now, do I think the surgery was worth it for David Yes, very much so. Since the surgery, I've notice a huge difference in his ability to use left hand while playing with small manipulatives, put coins in a bank or while picking up small cheerios. At 3-5 years old he will have pins put in his pink to minimize the curvature of the bones in that finger. None of these surgerys will change the appearance, just his function and future comfort.
    Everyday I remind myself that children find ways to adapt to anything. It's all they know, and for them, thats what normal is. He's my advice as an OT: keep in mind that in life -- the majority of the time you are using your non dominant hand as an assist. Meaning, a way to hold something while your dominant hand does the manipulating (ie. hold paper while writing, hold a container while opening). Life skills like shoe tying, typing and buttoning can all be adapted to make life a little easier if need be. Not every child will benefit from surgery. Perhaps you can try to seek out various opinion on what your options are. God Bless all of you and thank you all for sharing your stories. I can not express how much it has helped me over the past 18 months!

    Nancy

    Posted 7 months ago #
  6. beanie
    Member

    Hi Paridhi,

    My son was also born with symbrachydactyly of the left hand. In his case, both orthopedists and plastic surgeons have recommended against surgery, and he functions very well with what he has. As far as prosthetics go, we have always been told that most children with this type of hand function much better without them. Our orthopedist told us of a study at Shriner's of children who wore prosthetics which found that most of them had higher function without one than wearing one. Rest assured that your child will very quickly learn how to work with his own particular hand and fingers and will amaze you with his abilities.

    Bridget

    Posted 7 months ago #

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