The main goal and benefit of treatment is to improve the child’s ability to function with the condition. Another aim is to improve the appearance of the hand and support the child’s self-esteem.
Treatment varies depending on the complexity of the condition and may include:
- Splinting or casting
- Physical therapy (to help increase strength and function)
- Prosthetics (in the case of missing parts or bones)
If surgery is the chosen course of treatment, the goal is usually to realign and stabilize the hand and wrist. The timing of the surgery would depend on:
- The patient’s age and overall health
- The type and extent of the condition
- The ability to tolerate treatment
- The way the condition is expected to progress
In most cases, surgery is done before the child reaches school age but generally not before 6 months of age. In all cases, the goal of surgery is to repair any associated abnormalities, and improve range of motion and function.
Most hand surgeries are performed on an outpatient basis but some may require an overnight stay.
Recovery varies from one week to several months, depending on the extent of the surgery. Most patients can return to normal activity within three to six weeks of surgery. However, three months is often required for complete recovery.