This will be a look and proceed case
- Look and describe
- Radial deviation of the wrist
- Absent thumb
- “this is Radial club hand with thumb hypoplasia, I will go on to examine for function and related deformities”
- Elbow - stiff elbow (contraindication for correction)/ flexible
- Thumb
- Evaluate level
- Evaluate MCPJ and CMCJ stability
- Web space contractures
- Check function
- Ask for handedness,
- Demonstrate how he picks up things, write and pick up coin
- “do you have any specific things that you are unable to do?”
- “Patient is well adapted using his contralateral hand. my management is conservative”