Operative Correction of Radial Club Hand

Abstract

We have reviewed the clinical and functional results of 21 centralizations for radial club hand in 17 patients, 21 to 31 (mean 27) years after operation. There were 13 associated pollicizations. Although the ulna was always short, no premature fusions of the distal ulnar epiphysis were found. Overall upper limb function was assessed by grip strengths and Moberg and Jebsen tests of manual dexterity and was satisfactory. This review emphasizes the important roles of centralization and pollicization in the surgical management of children with radial absence.