Treating Pediatric Hand Problems in a Low-resource Environment

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Although individual pediatric hand problems are rare, the combined burden of congenital anomalies, neuromuscular disease, and trauma is considerable in low-resource environments where treatment is unavailable. Surgeons from high-income countries respond to the need for care with short-term trips to low-resource environments to operate and teach local surgeons. Hand problems are amenable to this model, because they may be disabling and treatable with low-risk, low-resource surgery. Pediatric hand problems are especially compelling, because growth may adversely affect outcomes, and resulting disability is lifelong. This article addresses considerations for treating children's hands in low-resource environments, and approaches to specific conditions.

Original languageEnglish (US)
Pages (from-to)467-478
Number of pages12
JournalHand Clinics
Issue number4
StatePublished - Nov 2019


  • Congenital hand anomalies
  • Global health
  • Low-resource environment
  • Pediatric hand surgery

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine


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