Surgical correction of club hand by radialization of ulna and leaving distal epiphysis in situ: a case study

Radial club hand is a very rare congenital anomaly which gives deformity as well as functional disability. A 2-year-old female child presented with a radially deviated wrist and an absent thumb on the left side. She was unable to use her left hand. We performed the surgery by radialization of the ulna, leaving the distal epiphysis of the ulna in situ. The leftover distal epiphysis of the ulna started growing proximally and joined the radialized ulna, which provided additional stability to the wrist. The outcome of the procedure was successful, with improved functionality and cosmesis. The procedure was deemed safe with no recurrence in the short term for one year. Further research and long-term follow-up are needed to assess any potential complications associated with this procedure. This case is reported to enlighten the readers about the new technique for treating a rare disorder.

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Publication Details

Journal
International Journal of Research in Orthopaedics
Published
2026-10-28
DOI
https://doi.org/10.18203/issn.2455-4510.intjresorthop20263954
Primary Topic
Congenital limb and hand anomalies
Type
article
Field-Weighted Citation Impact
0.00
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article

Surgical correction of club hand by radialization of ulna and leaving distal epiphysis in situ: a case study

C Navya, Manoj Kumar Reddy Vusthepalli, Killi Aswith Ram, Prabodh Kumar Dake
3 links
International Journal of Research in Orthopaedics
Congenital limb and hand anomalies
article

Surgical correction of club hand by radialization of ulna and leaving distal epiphysis in situ: a case study

C Navya, Manoj Kumar Reddy Vusthepalli, Killi Aswith Ram, Prabodh Kumar Dake
article en

Abstract

Radial club hand is a very rare congenital anomaly which gives deformity as well as functional disability. A 2-year-old female child presented with a radially deviated wrist and an absent thumb on the left side. She was unable to use her left hand. We performed the surgery by radialization of the ulna, leaving the distal epiphysis of the ulna in situ. The leftover distal epiphysis of the ulna started growing proximally and joined the radialized ulna, which provided additional stability to the wrist. The outcome of the procedure was successful, with improved functionality and cosmesis. The procedure was deemed safe with no recurrence in the short term for one year. Further research and long-term follow-up are needed to assess any potential complications associated with this procedure. This case is reported to enlighten the readers about the new technique for treating a rare disorder.

International Journal of Research in OrthopaedicsVol. 12(6)
Rangaraya Medical College (IN), GSL Medical College & General Hospital (IN)
Good health and well-being
Openalex Percentile: Top 15%
Congenital limb and hand anomalies
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