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.

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 ncal.info@shrinenet.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.

Shriners Success Stories

Meet Tal and Sarah

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

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.
Case Manager
Co-Director, Camp Winning Hands

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.




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


Patient Referral

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

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