{"id":3816,"date":"2022-05-03T11:47:20","date_gmt":"2022-05-03T10:47:20","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/congenitalhanddeformity\/"},"modified":"2026-04-17T12:59:47","modified_gmt":"2026-04-17T11:59:47","slug":"congenitalhanddeformity","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/plasticsurgery\/handsurgery\/congenitalhanddeformity\/","title":{"rendered":"Congenital Hand Deformity"},"content":{"rendered":"\n<p class=\"has-alert-red-color has-text-color\"><strong><strong><strong>This page is currently under review &#8211; March 2025<\/strong><\/strong><\/strong><\/p>\n\n\n\n<p>Congenital hand deformity can<br>range from simple rudimentary accessory digits and (polydactyly) to finger<br>fusion (syndactyly), shortening (brachydactyly) or duplications and a host of<br>other complex developmental abnormities that affect both form and function.<br>Early assessment and intervention is important if the optimal outcome is to be<br>achieved.<\/p>\n\n\n\n<p>The Hand service at the Royal\nHospital for Sick Children in Edinburgh has a dedicated congenital hand clinic\naccepting all appropriate referrals.<\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<h4 class=\"wp-block-heading\">Who to refer:<\/h4>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Any congenital hand deformity or functional impairment.<\/li>\n\n\n\n<li>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.<\/li>\n<\/ol>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Plastic-Surg-PIL-BSSH-CARPAL-TUNNEL-Aug18.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Plastic-Surg-PIL-BSSH-CARPAL-TUNNEL-Aug18.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Plastic Surg &#8211; PIL BSSH CARPAL TUNNEL Aug18<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Plastic-Surg-PIL-BSSH-GANGLIA-Aug18.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Plastic-Surg-PIL-BSSH-GANGLIA-Aug18.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Plastic Surg &#8211; PIL BSSH GANGLIA Aug18<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Plastic-Surg-PIL-BSSH-OA-THUMB-Aug18.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Plastic-Surg-PIL-BSSH-OA-THUMB-Aug18.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Plastic Surg &#8211; PIL BSSH OA THUMB Aug18<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Plastic-Surg-PIL-BSSH-TRIGGER-FINGERAug18.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Plastic-Surg-PIL-BSSH-TRIGGER-FINGERAug18.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Plastic Surg &#8211; PIL BSSH TRIGGER FINGERAug18<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/ResourcesLinks\/National%20Institute%20for%20Health%20and%20Care%20Excellence%20(NICE).aspx\" target=\"_blank\" rel=\"noreferrer noopener\">National Institute for Health and Care Excellence (NICE)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/ResourcesLinks\/Scottish%20Intercollegiate%20Guidelines%20Network%20(SIGN).aspx\" target=\"_blank\" rel=\"noreferrer noopener\">Scottish Intercollegiate Guidelines Network (SIGN)<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Wrist-Pain-Algorithm-of-Differential-Diagnoses.pdf\" data-type=\"URL\" data-id=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Wrist-Pain-Algorithm-of-Differential-Diagnoses.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Wrist Pain Algorithm of Differential Diagnoses<\/a><\/li>\n<\/ul>\n\n\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>This page is currently under review &ndash; March 2025 Congenital hand deformity canrange from simple rudimentary accessory digits and (polydactyly) to fingerfusion (syndactyly), shortening (brachydactyly) or duplications and a host ofother complex developmental abnormities that affect both form and function.Early assessment and intervention is important if the optimal outcome is to beachieved. The Hand service<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":3988,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[551],"class_list":["post-3816","page","type-page","status-publish","hentry","category-congenitalhanddeformity"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/plasticsurgery\/handsurgery\/congenitalhanddeformity\/\" rel=\"tag\">Congenital Hand Deformity<\/a>","rttpg_excerpt":"This page is currently under review &ndash; March 2025 Congenital hand deformity canrange from simple rudimentary accessory digits and (polydactyly) to fingerfusion (syndactyly), shortening (brachydactyly) or duplications and a host ofother complex developmental abnormities that affect both form and function.Early assessment and intervention is important if the optimal outcome is to beachieved. The Hand service","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3816","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=3816"}],"version-history":[{"count":8,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3816\/revisions"}],"predecessor-version":[{"id":27683,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3816\/revisions\/27683"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/3988"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=3816"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=3816"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}