Hand and Upper Extremity Program

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The Children’s Orthopaedic Center at Children's Hospital Los Angeles — ranked sixth in the nation by U.S. News & World Report — provides state-of-the-art care for kids with disorders that affect the hand, elbow and shoulder, such as fractures, tendon injuries, painful joints, cerebral palsy, birth brachial plexus palsy and tumors.

One out of every 600 children has some small or big congenital or birth-related difference in their arms, hands, or fingers. Through therapy or surgery, the Hand and Upper Extremity team at Children's Hospital Los Angeles can improve the function and appearance of the hand and upper limbs.

Our surgeons and occupational therapists coordinate treatment for patients and develop an individualized plan for each child. Surgeons perform helpful procedures that include microsurgery, peripheral nerve surgery and bone and soft tissue repair and reconstruction.

Commonly Treated Conditions

Our orthopaedic physicians see more than 200 children each month and nearly 50 percent of patients in our pediatric hospital emergency room on a single night are hand or upper extremity-related infections, fractures and other injuries.

  • Amniotic band syndrome
  • Brachial plexus palsy
  • Cerebral palsy
  • Congenital hand anomalies
  • Extra or missing fingers or thumbs
  • Fractures

Research and Innovations

Our surgeons participate in clinical research to identify the underlying causes of conditions and improve surgical treatment options and outcomes for children.

Our Team

The Hand and Upper Extremity Program provides a comprehensive team of uniquely trained physicians with several years of experience in the treatment of hand and upper extremity injuries and deformities.

  • Orthopaedic surgeons
  • Orthotists
  • Occupational therapists
  • Orthopaedic nurses
  • Physician assistants


Hand and Upper Extremity Program
Children's Orthopaedic Center
Children's Hospital Los Angeles
4650 Sunset Boulevard
Los Angeles, CA  90027


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Nina Lightdale-Miric, MD




The Center for Achievement of Teens and Children with Hand Differences (CATCH) is a community for children of all ages with missing, small or weak arms, hands or fingers. CATCH is open to all patients who receive care through the Hand and Upper Extremity Program in the hospital’s Children's Orthopaedic Center.

Learn more about CATCH.