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.
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)
The Medical Team
Michelle James, M.D.
Pediatric Hand Surgeon
Chief of Orthopaedic Surgery
Dr. James specializes in the treatment of children’s hand and arm conditions, including malformations, neuromuscular problems and upper-limb disorders.
Lisa L. Lattanza, M.D.
Consultant Pediatric Elbow Surgeon
Dr. Lattanza specializes in complex elbow reconstruction.
H. Relton McCarroll, M.D.
Consultant Pediatric Hand Surgeon
Dr. McCarroll specializes in hand malformations and Madelung deformity.
Claire Manske, M.D.
Pediatric Orthopaedic Hand Surgeon
Dr. Manske specializes in the treatment of children’s hand and arm conditions.
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.