Pediatric Hand & Reconstructive Surgery

Our approach to pediatric hand and reconstructive surgery

At UCSF, pediatric hand surgeons collaborate with experts in orthopedics, neurosurgery, neurology, physical medicine and rehabilitation, physical and occupational therapy, and dermatology. We develop personalized treatment plans designed to support long-term upper limb strength and mobility. Our specialists focus care on your child's developmental needs, making their health and safety our top priority.

Hand and upper-limb conditions we treat

We care for children with:

• Congenital hand differences, including syndactyly (fused fingers) and polydactyly (extra fingers)

• Nerve compression syndromes, such as carpal tunnel syndrome

• Peripheral nerve injuries and palsies, including brachial plexus injuries

• Soft tissue masses, such as ganglion cysts

• Traumatic injuries and sports injuries

• Trigger thumb (thumb locks in a bent position)

• Upper-extremity conditions related to cerebral palsy, such as spasticity

Reconstructive surgery for hand and upper-limb conditions

Our plastic and reconstructive surgeons specialize in advanced microsurgical techniques to treat complex nerve and soft tissue conditions. Microsurgery uses specialized instruments and magnification to precisely repair tiny nerves and blood vessels in the fingers, hand, wrist, arm and shoulder.

We have special expertise in treating brachial plexus injuries and upper-limb conditions related to cerebral palsy. Our surgeons also perform tendon transfers to restore movement and function after traumatic injuries and nerve damage.

Brachial plexus peripheral nerve surgery

Peripheral nerve conditions affect the nerves outside of the brain and spinal cord. UCSF provides specialized care for children with all types of peripheral nerve disorders, including birth-related and traumatic brachial plexus injuries.

The brachial plexus is a group of nerves that carries signals from the spinal cord to the shoulder, arm and hand. Injuries to these nerves can cause weakness, numbness and other problems in the upper limbs.

Our pediatric hand surgeons partner with neurosurgeons, neurologists and rehabilitation therapists to develop individualized treatment plans tailored to each child's needs. This coordinated approach is especially beneficial for children with peripheral nerve and neuromuscular conditions.

Cerebral palsy and neuromuscular upper-extremity surgery

Children with cerebral palsy may develop muscle tightness and spasticity that limit arm and hand function. Sometimes surgery is an effective treatment. Our surgeons can perform procedures, such as muscle releases, tendon lengthening and tendon transfers to improve movement in the upper limbs.

We work closely with physical medicine and rehabilitation physicians to evaluate each child and determine whether surgery is appropriate.