Congenital anomalies of the hand are treated by plastic surgeon, hand surgeon or pediatric surgeon or pediatric orthopedic specialist. A team effort may also be needed. Listed below are some of the common problems and their solutions.
1.Syndactyly or webbed fingers. Babies may be born with two or more fingers joined together by a web of skin. Cases may be simple or complex if there is also bony union. Separation usually requires addition of skin grafts as there is usually an overall shortage of covering skin. In selected cases, separation may also be achieved without using grafts. Surgery is best done after 1 year of age and preferably before 3 years.
2. Double thumb: Various grades of duplicated thumb require different procedures. It is important that one does not merely cut off what looks to be extra. More often parts from both elements need to be joined or unified to produce a full normal looking thumb.
3. Extra digits: on the little finger side there may be extra digits. These cases are simple and can be done in infancy.
4. Other anomalies: There are numerous other anomalies which can be helped by reconstructive surgery. Some examples are camptodactyly or congenitally bent little finger, congenital contracture bands etc.