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Radial Club Hand

Experience of 25 years in the field has given Dr. Gupta an insight in to this rare congenital deformity and emphatically he puts forth, “This is a deformity which is structured in the child in mother’s womb only when the bones of the child are being formed. This is picked up by Gynecologists in a perennial ultra sound. Treatment starts soon after the child is born.”

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Being invited for a lecture in Plenary session on “Congenital Anomalies of Hand” at Annual Conference of Bangladesh Orthopedic Society held at Dhaka, Bangladesh, Dr. Gupta is well versed with the condition and as per him, “When the radius bone in the child’s hand is either partially or completely absent causing the hand to deviate towards the body it is said that the child is born with a radial club hand. Another distinctive feature of this condition is a shorter arm and absence of, or an underdeveloped and short thumb in the hand.”

Currently heading department of ‘The Hand & Upper Extremity Surgery’ at The Medanta Institute of Bone & Joint Disease as Director, Dr. Gupta highlights, “Extensive research into the causes of Radial Club Hand has proved inconsequential. There is no conclusive proof that this condition is an outcome of any discrepancy on the mother’s part when the child is in the womb. Rather it is considered as a spark off by some other syndrome that is related to genetic conditions like a problem in the spinal column, blood cells, kidneys or heart. A child that has been diagnosed with Radial Dysplasia will necessarily be affected by some other conditional problem.”

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Relentless in his pursuance of providing relief to his patients, Dr. Gupta having performed surgeries for Radial Dysplasia stresses, “The treatment of Radial club hand is as complex as the condition itself. A gentle as well as a skilled hand is customary to perform on a child. Each part of the hand that is affected by the condition is treated separately as an independent unit to restore functional movement in that part. There are various surgical methods which are adopted henceforth. Relatively speaking non surgical methods involve motion exercises by a hand specialist and casting or splinting of the hand which again observes improvement after surgical implementations.”

Lastly he emphasizes, “Radial Dysplasia essentially needs complete after care as it can re occur in the child and the exercises need to be continued for a lifetime to provide stability to the hand. It is most conclusively a complex disease that affects the hand depending on its severity and should be treated by a skilled hand.”

FAQ – Radial Club Hand

What is Radial Club Hand?

It is a defect by birth where the radius bone of the forearm is either missing or underdeveloped. This affects the wrist, hand and inner forearm and the hand bents inward towards the body i.e. it is termed as radially deviated. It is also known as Radial Dysplasia.

Why is it caused?
What are its signs?
How many children are born with it ?
How is it diagnosed?
Is Radial club hand uniform in all children?
Is there any treatment for Radial club hand?
What is the final outcome after treatment?


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