Sir! Recently Born Baby Boy Of Age 1month Has Deformity(bend)

Posted on Sat, 20 Oct 2018

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sat, 20 Oct 2018 Answered on

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Question : Sir! Recently born baby boy of age 1month has deformity(bend) at right hand at wrist. So the boy can't move his right hand straight, from his wrist. So Plz suggest the solution. And additional information is he had a whole in heart, so he advised by cardiologist heart surgery in coming future.
So Plz suggest the solution

Answered by Dr. Dr. Gopal (45 minutes later)

Brief Answer:
May recover on it's own or require rehabilitation / Suergery later.

Detailed Answer:
Hi I am Dr Gopal Goel Orthopedic Surgeon.
by your details , I am assuming that the child has probably Erb's palsy in which the child keeps his wrist in flexion and is unable to rotate it forward and straighten it.
One month child is too young for any intervention. However I suggest you start physiotherapy at present and let us wait and watch. If it is of mild degree it may resolve over months or else it may require rehabilitation and surgery. First you take care of cardiac anomaly.
Thanks for the question. Please feel free to ask any other question.

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Dr. Gopal (1 hour later)

sir i have sent u an xray report and hand image. we found no carpals at wrist xray. so we expecting a better suggestion from you. i.e how long it may take to recover, and how to do physiotherapy etc.
thank you sir

Answered by Dr. Dr. Gopal (36 minutes later)

Brief Answer:
Pl see below

Detailed Answer:
Hi
Carpals do not show in x rays at this age since they are not yet ossified. Good point is hand is not completely bent .
I can understand your agony but the treatment is what I have outlined . Rest will depend on clinical examination and recovery seen over a period of time.
Thanks

Above answer was peer-reviewed by : Dr. Remy Koshy