This page was last reviewed 02-08-19
Congenital hand deformity can
range from simple rudimentary accessory digits and (polydactyly) to finger
fusion (syndactyly), shortening (brachydactyly) or duplications and a host of
other complex developmental abnormities that affect both form and function.
Early assessment and intervention is important if the optimal outcome is to be
achieved.
The Hand service at the Royal Hospital for Sick Children in Edinburgh has a dedicated congenital hand clinic accepting all appropriate referrals.
Who to refer:
- Any congenital hand deformity or functional impairment.
- Simple accessory digits attached to the little finger by a rudimentary stalk are excised under local anaesthetic in infants below the age of 3-4 months. Such cases should be referred urgently to the Plastic Surgery service at the Royal Hospital for Sick Children and will be added directly to the waiting list for see and treat surgery. Unnecessary delays for outpatient clinics may result in a missed opportunity to carry out the surgery under local anaesthetic.
- Plastic Surg – PIL BSSH CARPAL TUNNEL Aug18
- Plastic Surg – PIL BSSH GANGLIA Aug18
- Plastic Surg – PIL BSSH OA THUMB Aug18
- Plastic Surg – PIL BSSH TRIGGER FINGERAug18
- National Institute for Health and Care Excellence (NICE)
- Scottish Intercollegiate Guidelines Network (SIGN)
- Wrist Pain Algorithm of Differential Diagnoses
