手和骨科上肢计划

我们是针对有严重手和上肢问题的患者的转诊中心。来自世界各地的医生将他们的患者推荐给我们的计划，以组合我们的专业知识，资源和我们治疗的大量困难案例。

经验丰富的团队

We care for more than 6,600 patients and perform more than 1,500 surgeries each year. All of the surgeons on ourhand and orthopedic upper extremity team拥有小儿骨科和手术的双重研究金，并获得了多年的经验。

同样重要的是,我们专营气治疗ldren at various ages and stages of development. On a physical level, we focus on our patients’ healthy growth throughout childhood and adolescence. Every time we make a treatment decision, we take each patient’s age, stage of growth, and the potential impact on their future growth into account. On an emotional level, we strive to help patients accept themselves as they are in order to foster confidence and independence.

Our team包括：

• hand and upper extremity surgeons，，，，more than in any other pediatric program in the country
• 护士从业者和医师助理experienced in caring for children with hand and upper extremity issues
• 身体和职业治疗师skilled in promoting recovery and function of the hand and upper limb
• 一个心理学家了解我们患者的情绪问题
• social workers谁将家庭与其他资源和支持联系起来

手和上肢治疗的开拓者

We are unique for our depth of expertise and the wide range of conditions we treat. Our program is the first — and remains one of the only pediatric programs in the U.S. to combine expertise in hand and upper limb conditions.

In addition:

• OurBrachial Plexus Program成立于1989年,是第一个中心s in the United States, and we continue to perform a large number of shoulder and nerve reconstructions on children and young adults born with brachial plexus injuries.
• Our先天性上肢差异（可能）注册表，，，，the first of its kind, is now a multi-center registry that measures patient outcomes over time. The registry’s purpose is to better understand upper extremity function and emotional well-being of children with upper limb differences.

有手和上肢伤害儿童的综合护理

Whether a child has a straightforward injury or a complex condition that requires multiple specialists, our goal is the same: to provide the care, expertise, and support our patients need to live the fullest, most independent lives they can. To this end, we also work to connect parents with other families whose children are living with similar conditions.

我们处理全方位和上肢条件，包括：

• 一个rthrogryposis
• 手和上肢问题cerebral palsy
• polydactyly，，，，联合性，，，，弯曲，，，，一个ndtrigger thumb
• neurofibromatosis
• 创伤性伤害，包括TFCC伤害和伪关节炎
• fractures，，，，including Monteggia fractures and nonunion fractures
• 骨软性肌膜病一个nd other tumors, both benign and malignant, that affect upper extremities

专家，手腕，手臂，手臂，肘部和肩部受伤

我们的临床专业包括：

• 先天性手差异的非手术和外科手术治疗polydactyly一个nd联合性
• 复杂的裂缝和微手术护理的高级技术fractures和软组织（皮肤，神经，肌腱，肌肉，韧带和血管）损伤，包括臂丛神经损伤
• muscle, bone, or nerve transfers and post-traumatic reconstruction of complex injuries in collaboration with theDepartment of Plastic and Oral Surgery
• 护理与良性或恶性肿瘤影响的手和上肢骨和软组织肿瘤程序
• 与我们的同事合作，急性和慢性运动伤害的综合护理Sports Medicine Division
• 作为波士顿儿童的一员Level I Trauma Center
• consultation and surgical care for children and young adults with neuromuscular disorders such ascerebral palsy (CP)一个nd一个rthrogryposis与神经病学，，，，Neurosurgery，，，，一个ndPhysical Therapy一个ndOccupational Therapy
• 咨询父母，期待与确认或怀疑的手或上肢差异的婴儿合作的婴儿Maternal Fetal Care Center

Research and innovation

全国各地的许多知识和许多创新都是由手和骨科上肢计划在波士顿儿童开发的。例如：

• Our surgeons wrote the landmark textbook that surgeons around the world refer to when caring for patients with hand and upper extremity deformity,Pediatric and Upper Limb Surgery。
• Our surgeons wrote the textbookBoston Children’s Illustrated Tips and Tricks in Pediatric Orthopaedic Fracture Surgery(Lippincott). Through text, illustrations, and video of a number of complex pediatric fracture surgeries, the textbook provides a valuable resource for surgeons and residents.

Our骨科临床有效性研究中心平均发布200文件每年在同行评审期刊中。我们还建立了国家注册机构，使全球研究人员能够对患者护理和结果进行多中心研究，以进一步发展手和上肢护理领域。一个这样的注册表，先天性上肢差异（可能）注册表，包括0至18岁的术前儿童，前肢差异。

Why choose the Hand and Orthopedic Upper Extremity Program?

我们擅长做什么。我们的计划将无与伦比的手工护理专业知识与著名专家和资源的支持结构相结合。我们每年共同治疗数千名患者，以解决各种各样的手和上肢问题。

In short, we provide world-class expertise with psychosocial support from a broad range of professionals all focused on a shared goal: achieving the highest possible level of function, independence, and self-confidence for each of our patients.

Patient resources

我们的专家创建了一系列可下载的指南，涵盖了不同类型的手和上肢状况，症状，诊断和治疗方法。

• 一个mniotic band syndrome (also known as constriction band syndrome)
• 一个rthrygryposis
• camptodacty
• cleft hand
• 弯曲
• enchondroma
• hand therapy
• macrodactyly
• Madelung’s deformity
• 骨软骨瘤
• polydactyly
• radial longitudinal deficiency
• symbrachydactyly
• 联合性
• thumb duplication
• thumb hypoplasia and aplasia
• ulnar longitudinal deficiency