Pediatric Hand Therapy: Assessment and Treatment of Congenital Anomalies
Presented by Jill Peck-Murray and Mary Faussett
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Meet your instructors
Jill Peck-Murray
Jill Peck-Murray, MOTR/L, CHT, is a pediatric hand therapist. She worked as an occupational therapist/hand therapist at Rady Children’s Hospital in San Diego, CA from 1982 through 2017. During her 35 years, she gained expertise, with special skills in creative splinting/orthotic intervention, and developed the hand therapy…
Mary Faussett
Mary “Peggy” Faussett is an occupational therapist and certified hand therapist. She graduated with a master’s in occupational therapy in 2001 from Chatham University. She became a certified hand therapist in 2012. Peggy currently works at Children’s Hospital Colorado as the program coordinator for the pediatric hand therapy…
Chapters & learning objectives
1. Classification Systems for Upper Extremity Congenital Anomalies
This chapter will briefly review normal development of the hand and upper extremity and highlight primary reasons for abnormal development. The incidence and types of upper extremity congenital anomalies and their classification systems are explained.
2. Radial Longitudinal Deficiency
Radial longitudinal deficiency is due to a lack of development of the radial side of the extremity and presents with instability and weakness of the thumb (hypoplastic thumb) or entire forearm. It is noted in infancy but impacts the child throughout his life. This chapter will explain the OMT classification of the diagnosis and describe the condition, subtypes, and how the condition may impact the child. It will also discuss some surgical options and therapeutic intervention (pre and postoperative).
3. Trigger Thumb and Trigger Finger
Trigger thumb or finger are a restriction of full, smooth motion of the thumb or finger tendon. It can be present at birth or noted later in infancy. This chapter will explain the OMT classification of the diagnosis and describe the condition, subtypes, and how the condition may impact the child. It will also discuss some surgical options and therapeutic intervention (pre and postoperative).
4. Camptodactyly
Camptodactyly is a flexed posturing of finger/s often present in infancy or later in adolescence. This chapter will explain the OMT classification of the diagnosis and describe the condition, subtypes, and how condition may impact the child. It will also discuss some surgical options and therapeutic intervention (pre and postoperative).
5. Syndactyly
Syndactyly is skin and/or bony fusion of the fingers due to lack of finger separation in utero. This chapter will explain the OMT classification of the diagnosis and describe the condition, subtypes, and how the condition may impact the child. It will also emphasis some surgical options and therapeutic intervention (postoperative).
6. Arthrogryposis Multiplex Congenita (AMC)
Arthrogryposis is a condition with multiple joint contractures and weakness. It presents in infancy but impacts the child throughout his life. This chapter will explain the OMT classification of the diagnosis and describe of the condition, subtypes, and how the condition may impact the child. It will also discuss some surgical options and therapeutic intervention (pre and postoperative).
