Radial clubhand

In this condition radius bone along with thumb is absent. It can present with varied severity, from partial presence to total absence. The parents will observe radial deviation of hand and absent thumb. It can be associated with other cardiac and oesophageal anomalies. The initial approach includes splinting which is followed by corrective surgery. The first step is centralization of forearm in which we bring the ulna in the centre of the hand. This is followed by pollicization in which the index finger of same hand is rotated and made the thumb. The cosmetic results are good. Functionally the thumb can be used to grip small objects.

Pre operative photo showing radial clubhand
Post operative photo showing centralization of forearm