Hand, Arm and Shoulder


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 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.

Conditions Treated

Hand and Arm Differences: Malformations, Deformities, Deficiencies

  • Adactyly
  • Amniotic band syndrome / constriction bands
  • Cleft hand / central deficiency / ectrodactyly
  • Congenital amputation (transverse deficiency)
  • Congenital radial head dislocation
  • Polydactyly
  • Proximal radio-ulnar synostosis
  • Radius deficiency
  • Symbrachydactyly
  • Syndactyly
  • 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)

Brachial Plexus Birth Palsy (Erb’s Palsy)
Cerebral Palsy
Spinal Cord Injury

Shriners Success Stories


Meet Tal and Sarah

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.
Case Manager
Co-Director, Camp Winning Hands




Visit here to learn more about the Pediatric Hand Study Group.


Orthopaedic Research

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.

Patient Referral

916-453-2111 (Emergency Referral)
916-453-2395 (fax)

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