Conditions + Treatments

Cleft Hand in Children

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Contact the Hand and Orthopedic Upper Extremity Program

  • 617-355-6021
  • International: +1-617-355-5209
  • Locations

"Our chief surgical goals with cleft hand are to close the cleft, optimize the thumb's function to preserve or enhance grasping, pinching and releasing movements, and improve the hand's appearance."

Peter M. Waters, MD, Chief, Orthopedic Center; director, Hand & 
 Orthopedic Upper Extremity Program; director, Brachial Plexus 
 Program, Boston Children's Hospital

At Boston Children's Hospital, we understand how concerned you are if your baby was born with a hand deformity called cleft hand. Our Orthopedic Center’s Hand and Orthopedic Upper Extremity Program will approach your child’s condition with care and support—for your child and your whole family.

cleft hand

What is cleft hand?

A cleft hand means that your child’s hand is missing finger(s) and may have other deformities, some of which can be classified by type. Clefts are always central (middle finger[s]) and are usually V-shaped but they can also be on the thumb (radial) side, less commonly little (ulnar) finger side, or in various combinations.

Although cleft hands usually occur on both hands (bilateral), they can also be unilateral, and can include one or both feet. All affected children, except those with very mild cases, need one or more surgeries, usually starting in their first year of life.

How Boston Children's Hospital approaches cleft hand

At Boston Children's Hospital, we understand how concerned you are if your baby was born with a hand deformity called cleft hand. You can have peace of mind knowing that the skilled experts in our Orthopedic Center's Hand and Orthopedic Upper Extremity Program have treated thousands of babies and children with many arm conditions.  We provide expert diagnosis, treatment and care, and we benefit from our advanced clinical and scientific research.

Our Orthopedic Center—one of the first of its kind in the nation—is nationally known as a premiere center for orthopedic care of children and young adults with developmental, congenital, neuromuscular, sports related, traumatic and post-traumatic musculoskeletal problems.

The future of pediatrics will be forged by thinking differently, breaking paradigms and joining together in a shared vision of tackling the toughest challenges before us.”
- Sandra L. Fenwick, President and CEO

Boston Children's Hospital 300 Longwood Avenue, Boston, MA 02115 617-355-6000 | 800-355-7944

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