Pertinent Anatomy and Classifications The upper limb develops early and rapidly during development, beginning at approximately 28 days after fertilization and completed by day 56. Development in three axes involves the…
Introduction The brachial plexus is the network of nerves most commonly formed by the ventral rami of the spinal nerves C5 to T1, which provide movement and sensation to the…
Introduction Arthrogryposis, also known as arthrogryposis multiplex congenita (AMC) is a rare diagnosis that applies to all children with congenital joint contractures affecting more than one limb. Multiple conditions fall…
Introduction Splinting, taping, and structural adaptations are common modalities in rehabilitating the injured or atypical hand. There are many options available for the pediatric therapist to adapt adult modalities for…
Polydactyly (Preaxial and Postaxial) Pertinent Anatomy and Classifications Polydactyly can be divided based on the region of the hand involved into preaxial (radial), central, and postaxial (ulnar)—with variants on these…
Acknowledgments Photo credits: Naomi Polatsek Introduction Hand motor skill development begins early in utero with spontaneous movements and is fully completed during adolescence with the mastery of fine motor skills…
Among the more challenging pediatric hand presentations are upper limb deficiencies. These can result from congenital or acquired causes. Each of these deficiencies brings its own unique challenges, which will…
Introduction Someone’s first-ever sip of coffee is often an unpleasant experience that renders them pondering how they could ever learn to like such a foul-flavored drink. Similarly, many health professionals’…
Pertinent Anatomy and Classifications Fine motor function of the hand is based on independent digital motion. Supple web spaces facilitate digital abduction, flexion, and extension for activities of daily living….
Physical examination of the upper extremity in the pediatric client includes the same components pertinent to the adult population. However, methods of assessment must be tailored to the developmental level…
