The Hand and Orthopaedic Upper Extremity Program at Shriners Hospitals for Children – Northern California provides children with hand, arm or shoulder deficiency expert care. Our Pediatric Surgery team evaluates and treats hand or upper limb abnormalities that are present at birth (congenital) or occur after birth (acquired).
Our Brachial Plexus Injury Team treats babies and children who suffered birth injuries to nerves in their arms and hands. Most children don’t think twice about gripping a pen, throwing a ball, or reaching up high. But for a child born with a congenital hand difference, upper limb deficiency or brachial plexus birth palsy, such everyday tasks can pose big challenges.
The expert pediatric orthopaedic team at Shriners Hospitals for Children – Northern California provides the complex, compassionate care every child deserves. The medical team works to advance the lives of children through leading-edge surgical care, therapy and research.
Make an appointment
If your child has a condition that can be treated by Shriners Hospitals for Children – Northern California, please call our Referral Center to schedule an appointment, call (916) 453-2191 or via email at firstname.lastname@example.org. A Referral Coordinator will partner with you to gather the necessary information to allow our physician leadership to evaluate the best path for your child. All care is provided regardless of the family’s ability to pay.
Congenital Hand Differences
Congenital Hand Differences (CHD) refers to all physical differences of one or both hands, arms or shoulders that are present at birth. CHD may be caused by difficulties with hand formation or growth, but the reason for these difficulties is often not known. Acquired hand differences are hand differences that are caused by injury or disease after birth. Children who acquire differences may have challenges similar to children with CHD. We invite you to explore the resources and supports in this site developed for you when it comes to raising your child with a CHD.
Shriners Success Stories
Hand and Arm Differences: Malformations, Deformities, Deficiencies
- Amniotic band syndrome / constriction bands
- Cleft hand / central deficiency / ectrodactyly
- Congenital amputation (transverse deficiency)
- Congenital radial head dislocation
- Proximal radio-ulnar synostosis
- Radius deficiency
- Thumb deficiency (small or missing thumb)
- Ulnar deficiency
- Webbed fingers
Hand and Arm Injuries
- Fracture (broken bone) follow-up
- Nerve injuries
- Tendon injuries
- Post-traumatic deformities
Neuromuscular Conditions (Palsies)
Our Medical Team and Orthopaedic Research
The Medical Team
Michelle James, M.D.
Pediatric Hand Surgeon
Chief of Orthopaedic Surgery
Lisa L. Lattanza, M.D.
Consultant Pediatric Elbow Surgeon
H. Relton McCarroll, M.D.
Consultant Pediatric Hand Surgeon
Claire Manske, M.D.
Pediatric Orthopaedic Hand Surgeon
Janice Conroy, R.N.
Co-Director, Camp Winning Hands
Led by Dr. Michelle James, the orthopaedic clinical research program is comprised of a multi-disciplinary team of physicians, therapists, bio-mechanical engineers and clinical research professionals, focusing on research pertaining to children’s hand and arm function. Current research projects include:
- Motion analysis studies of children’s thumbs, elbows and shoulders.
- Development and evaluation of a smartphone application to test hand function in preschoolers.
- Studies of hand function in several conditions including Cerebral Palsy and Symbrachydactyly.
- Development of pediatric elbow function evaluation tool.
- Long term follow-up studies of children with Brachial Plexus Birth Palsy.
Visit here to learn more about the Pediatric Hand Study Group.