Hand Deformity

What are hand deformities?

Hand deformities can be congenital or acquired. Congenital hand deformities are present at birth. Some types of congenital hand deformities include polydactyly (more than five fingers on one hand), syndactyly (two or more fingers do not separate; webbed-fingers), symbrachydactyly (small or missing fingers), and clubhand (a deformity at the wrist where the hand is turned inwards towards the thumb). Congenital hand deformities can occur due to other underlying conditions, such as Poland’s syndrome.

Acquired hand deformities develop after birth and can occur due to a variety of reasons including, injuries, arthritis, or other diseases. Some common conditions that can cause an acquired hand deformity include Dupuytren’s contracture, Trigger finger, Carpal tunnel syndrome, cubital tunnel syndrome, ganglion cysts, and arthritis spurs. The most common cause of an acquired hand deformity is trauma including lacerations, fractures, dislocations, sprains, amputations, infections, and burns.

Deformities of the hand can be caused by a variety of factors, including congenital conditions, injuries, and diseases. These deformities can range from mild to severe and can affect the function and appearance of the hand. Some common hand deformities include:

Dupuytren’s contracture: This is a condition in which the connective tissue in the palm of the hand thickens and shortens, causing the fingers to curl into the palm. This can make it difficult to straighten the fingers and can interfere with daily activities such as grasping objects.

Arthritis: Arthritis is a condition that causes inflammation and damage to the joints in the hand. This can lead to stiffness, pain, and deformities in the hand, such as bony spurs and joint misalignment.

Congenital hand deformities: These are deformities that are present at birth and can be caused by a variety of factors, such as genetics, chromosomal disorders, and exposure to certain substances during pregnancy. Examples include Syndactyly, where fingers are fused together, and Polydactyly, where extra digits are present.

Trauma: Fractures, dislocations, and lacerations can cause deformities of the hand. These can be caused by a variety of factors, such as accidents, sports injuries, and work-related injuries.

What are the most common symptoms of a hand deformity?

Patients with a hand deformity have decreased motion which in some cases, can cause difficulty with daily activities. With syndactyly, the fingers cannot move independently which can prevent function.

How are surgeries for a hand deformity performed?

Usually, Dr. Azouz recommends treating border digits (thumb and index fingers or ring and little fingers) first. He can use skin grafts from a donor site to fill in the skin from the separated fingers. Another technique is to slide the skin from the top of the hand between the fingers, which avoids the need for a skin graft.

What is the anesthesia for hand deformity surgery?

Dr. Azouz will use sedation with local anesthesia for all hand surgeries. Patients are given sedative medications to help them relax into deep sleep. Dr. Azouz will then inject an axillary block which numbs the arm and helps with pain for up to 24 hours after the procedure.

When do hand deformities require surgery?

Some patients are able to adapt to perform daily activities with their deformity and are happy with their hand function. However, in most cases, the deformity can limit activity and cause pain or discomfort. Patients can also be unhappy with the cosmetic appearance of the hand deformity. Dr. Azouz recommends surgery for patients who have the time to commit to recovery and therapy. He also advises that patients are old enough and strong enough to undergo surgery.

Treatment for hand deformities will depend on the specific condition and can include physical therapy, splinting, and medications to manage pain and inflammation. In some cases, surgery may be necessary to correct the deformity and restore function to the hand.

It is important for individuals with hand deformities to work with a hand surgeon like Dr. Azouz in Dallas to develop an individualized treatment plan that addresses their specific needs and goals. This can help to improve the function and appearance of the hand and can help individuals to maintain their independence and quality of life.

If you are experiencing symptoms of a hand deformity, it is important to schedule an appointment with a hand surgeon. They will be able to evaluate your condition and recommend the best course of treatment for you.

What is the recovery from a hand deformity surgery?

Dr. Azouz will place a splint after the procedure to help the affected area heal well. Recovery can vary depending on the procedure and the patient. Therapy may be recommended to help regain range of motion and strength. Recovery after a hand deformity surgery varies heavily on the patient’s compliance.

What is the cost of a hand deformity surgery?

The cost of surgery ranges broadly. Dr. Azouz will obtain a medical history and perform a physical examination to help determine the cost. If the deformity is due to a work-related injury, workers’ compensation carriers usually cover all medical costs.