[Club-hand correction after termination of growth].

Abstract

Negative experiences with early correction of clubhand have shown that in infancy intensive conservative therapy employing splints should be preferred. If correction is desired after ulnar growth ceases, if associated with free movement of the elbow, a correction osteotomy (shortening of the ulna and fusion with the proximal carpal row) can be performed to achieve adequate wrist function. The operative technique and the advantages when compared with "centralisation of the ulna" are demonstrated by clinical examples.