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Conference moira::parenting

Title:Parenting
Notice:Previous PARENTING version at MOIRA::PARENTING_V3
Moderator:GEMEVN::FAIMANY
Created:Thu Apr 09 1992
Last Modified:Fri Jun 06 1997
Last Successful Update:Fri Jun 06 1997
Number of topics:1292
Total number of notes:34837

64.0. "Baby hand problems" by SAHQ::HERNDON (Kristen, SOR, 385-2683) Thu Apr 23 1992 17:15

    
    My baby is 3 months old and I just noticed a problem with his
    hands.
    
    He can't stretch out his Middle and Ring fingers.  They are
    bent but he can partially open them.  It looks like the tendons
    are not long enough.  It is like this on both hands.
    
    Has anyone else had this problem?  If so, what kind of treatment
    do they do to stretch the fingers?  I'm waiting for my pedi to
    call me and am going crazy waiting.
    
    I feel terrible that I never noticed it before.  I just thought
    he was holding his hands a little funny out of choice.  Unless
    you really look at the fingers you'd never notice that he
    *can't* stretch his fingers out.  I think it is strange that
    it is on both hands.
    
    Thanks for any input...Kristen
    
    
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64.1VMSSG::KILLORANFri Apr 24 1992 10:0019
    Kristen,
    
    I could be wrong, but I thought it took awhile for babies
    to stretch themselves out.  They were curled up so tightly
    in the fetal position for such a long time.  
    
    I have a book at home called "The First Twelve Months".  It
    explains what the average baby should be doing.  At the end
    of each chapter there is a chart - it covers motor skills,
    how the baby relates to their own environment etc.   Some
    babies may be doing more or less of what the chart indicates,
    and that is okay too.  
    
    It sounds to me like you baby is normal but it might not be
    a bad idea to ask the Pedi about it when your son has his
    next check up.  
    
    Jeanne
    
64.2UpdateSAHQ::HERNDONKristen, SOR, 385-2683Fri Apr 24 1992 17:2628
    
    
    
    
    
    
    Well here is an update....
    
    I took my baby to the pedi....after she explained on the phone
    how she looked him over thoroughly at his well-baby visit and
    they probably just need to be worked...and there is no problem.
    
    I insisted that she look at him and once she did, she decided to 
    go ahead and call an orthopedic hand specialist.  She mentioned,
    again, how she doesn't see how she could have missed this problem.
    The ortho wants to see him and ordered x-rays....
    
    It looks like his ligaments might be shortened...I see the
    ortho on Tuesday so we'll see what he says...I'm praying to god
    he only needs therapy and not any kind of surgery...
    
    Will keep you posted...
    
    VMSSG::KILLORAN ...thanks for the input but his fingers definately
    have something wrong with them..especially when you compare them
    to other babies' hands.   
    		       
    Kristen
64.3My daughter had that problemDEMSUP::ALESBURYTue Apr 28 1992 11:0746
When my first born daughter was 15 months old I discovered that she couldn't 
extend her right thumb beyond a curled up 45 degree angle.  I was horrified.
My wife was even more horrified because she hadn't noticed it at all.  In 
fact, she was amazed that I even picked up on it. Of course, we had no 
idea how long she had had this condition.

There's a whole other story as to the pediatrician's inability to diagnose the
problem.  He literally had her on Tylenol for two weeks.  When he finally 
refered us to an othopod, this guy said instantly, "She's got what's known
as 'Trigger Finger'...and there's a simple, minor surgical proceedure to 
correct for it".  While we knew that surgery was a possibility, we were 
petrified by the prospect.  And before we were going to put our baby under
general anethesia and a doctor's knife, we wanted to hear the need for it 
stated twice by two separate, knowledgable physicians.  When we went back to 
the pediatrician to say that we wanted a second opinion, he said we just had it.  

Needless to say, he's not our pediatrician any more.  

The second orthopod, which we paid for, confirmed the diagnosis, "Trigger 
Finger".  It's a condition where the tendon restricts the movement of the 
ligament, or vise-versa, (it's been 8 years now, and I just turned 40... and
I'm showing/feeling my age).  Anyway, the doc said it's usually a condition 
contracted mostly by, believe it or not, upholsterers, who, by constantly 
using large scissors to cut thick material put an inordinant amount of 
pressure on ligament (or tendon?).  When kids get it (no idea as to the cause)
this restriction can ultimately cause some diformity and limit the function of
the hand as the bones grow.  That was all we needed to hear to convince us 
of the need to go through with the proceedure.

In a nutshell, the proceedure was pretty traumatic on my wife and I, but 
practically a cakewalk for my daughter, Julie.  The kind of special, tender
loving care she received at the hospital was really heart warming.  Everyone
there knew how special she is and showed it openly.  We brought her in at
6AM and had her home after lunch.  She barely skipped a beat.  

The saddest thing was seeing the other kids in the pediatric ward with real
serious problems.  It left my wife and I both thinking 'there but by the grace
of god go I (we)'.  And, after 8 years and two more daughters, that remains to 
be our most trying medical experience as parents.

And if turns out to be the same for you, and it will, you're very lucky, too.


So, don't worry so much. 

- Bill
64.4updateSAHQ::HERNDONKristen, SOR, 385-2683Thu Apr 30 1992 14:3427
    Well here's an update....
    
    Finally made it to the orthopedic...he took Mitch's hands in his
    and turned them and played with his fingers....after about 5 minutes
    he says..."hmmm"  Then gets up and says, "I'll be back in a minute
    after I look at the x-rays."
    
    Of course we are going crazy wondering what he is thinking.
    
    10 minutes go by and he comes back in.
    
    He said there are no bone/joint problems and that it is either
    ligament or soft tissue problems.  He mentioned the 'trigger
    finger' but he said that is usually only in the thumb.  He
    is too small (3 months) to put splints on, too.
    
    He gave us a few exercises to do with his fingers and said
    to come back in 3 months.  I asked him if his fingers were straight
    do we need to come back and he said, "don't worry they won't be
    straight yet."  Can't believe it will take so long.
    
    I'm relieved there is no need for surgery *yet* and I'm hoping
    the exercises will work.  He doesn't seem to mind them.
    
    Will update you to his progress..
    
    Kristen
64.5VMSSG::KILLORANThu Apr 30 1992 17:0311
    
    Kristen,
    
    Thanks for giving us an update.  By the sound of things
    they look pretty good.  Hopefully the exercises will 
    take care of the situation.   
    
    Please let us know how things turn out.
    
    Jeanne
    
64.6update?SALEM::STPIERRE_DThu Apr 08 1993 12:167
I know it's been a year since the basenote was written, but I was wondering if
the basenoter is still with Dec and what the final outcome was.

My son has the same problem with his pinkie and it is related to a chromosome 
disorder

Deb