Conservative Approach to Type III Ulnar Club Hand: Case Report

• Published in: Revista brasileira de ortopedia Vol. 59; no. Suppl 1; pp. e12 - e16
• Main Authors: Cury, Gabriel Chartuni Teixeira, Sá, Leonardo Álaf Lucinda de, Oliveira, Cler David, Caires, Nathália Vieira, Filho, Arnaldo Gonçalves de Jesus, Schroder E Souza, Bruno Gonçalves
• Format: Journal Article
• Language: English
• Published: Germany Thieme Revinter Publicações Ltda 01.07.2024
• Subjects: Relato de Caso; hand deformities, congenital; musculoskeletal abnormalities; phocomelia; upper extremity deformities, congenital; ulna/abnormalities
• ISSN: 0102-3616; 1982-4378
• DOI: 10.1055/s-0041-1735137

Ulnar club hand is a rare condition of the upper limbs, for which treatment depends on the degree of morphological and functional impairment, correlating with the radiographic classification of Dobyns, Wood, and Bayne. The aim of the present study is to report a case of a 6-year-old male patient, followed up for type III ulnar club hand (total ulnar dysplasia). Despite the initial difficulty of manipulating objects and performing everyday tasks, conservative physical therapy treatment provided strength gain and development of functional skills for daily life. We conclude that patients with type III deformity can be properly managed with rehabilitation although they require outpatient follow-up until skeletal maturity is reached, as dynamic deformities and new functional limitations may lead to need for corrective surgeries.