Hand and Microsurgery Program

The Division of Plastic and Maxillofacial Surgery at Children's Hospital Los Angeles has a long and proud history of providing state-of-the-art microsurgical care for children with congenital, acquired, and traumatic hand and upper extremity deformities.

Treatment and Care

In close coordination with our occupational therapy team, a treatment plan is tailored for each child and may include soft tissue, bone, vascular, and peripheral nerve reconstruction incorporating cutting-edge microsurgical techniques.

Our Team

The Hand and Microsurgery 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.

Plastic and reconstructive surgeons
Occupational therapists
Clinical nurses
Physician assistants

Commonly Treated Conditions
Before and After Photos

A. Congenital hand differences

Amniotic band syndrome: constriction ring syndrome
Arthrogryposis: hand joint contractures
Camptodactyly: bent finger
Cleft hand: split hand
Clinodactyly: crooked finger
Macrodactyly: large fingers
Madelung deformity: bent wrist
Polydactyly: extra thumb, extra pinky
Radial club hand: absent or small radius
Symbrachydactyly: short / small hand
Syndactyly: webbed hand
Thumb hypoplasia: small or absent thumb

B. Acquired upper extremity problems

Brachial plexus palsy: birth-related, obstetric, neonatal paralysis of the upper extremity
Burns of the upper extremity: scar contractures, joint contractures, open wounds
Cerebral palsy: upper extremity spasticity or quadriplegia from birth
Tumors of the upper extremity: ganglion cyst, bone tumors (enchondroma), nerve tumors (schwannoma), other masses
Trigger finger or trigger thumb

C. Traumatic upper extremity

Hand and wrist injuries: arteries, veins, nerves, tendons, bone fractures, joint dislocations, skin wounds
Partial or complete thumb or finger amputations: partial or complete absence of a thumb or finger