Clubhand - curvature of the brush. There are clubhand ulnar and radial, congenital or acquired, bone changes without them. Congenital clubhand (Fig) often bilateral and combined with other malformations. Acquired clubhand develops as a result of acute and chronic injuries (patrimonial and others), diseases.

congenital clubhand
Congenital clubhand: 1 - unilateral (defect of the radial bone); 2 - sided.

In congenital radiation talipomanus brush rejected in the radial direction, radial bone deformed or absent; there are defects in the small bones of the wrist, fingers, and the muscles of the forearm. Forearm short and curved in the radial direction; there is atrophy, underdevelopment of the muscles of the forearm. The brush is under the direct or acute angle to the arm, in the position pronation. When the elbow form talipomanus brush spinarova and rejected in the ulnar side, resembles a seal of fins, it is often not 5 and 4 fingers.
Forearm short and bent at the elbow side; muscle elbow group atrophic, highlights contracture, the function of the hands suffered less, than in radiation talipomanus. However, in any form talipomanus always disturbed grasping function brushes; to keep the subject of her arm interferes in varying degrees of contracture (see), the curvature accompanying clubhand.
The treatment should be aimed at elimination of anatomic defects and restoration of function of a brush. In the absence of paralysis treatment results are usually good.
The correction of the deformation of soft tissues possible by Redressal (see) with the following holding hands in a given her a more correct position using plaster of Paris bus system. The earlier the treatment starts, the more successful they are. If there bone deformations, defects need surgical treatment: osteotomy (see) and bone grafting (see).
Postoperative treatment: massage, exercise therapy, physiotherapy contribute more fully to restore functions of the sick limb. These methods are fixed and the results of conservative treatment talipomanus.