Open Accessibility Menu
Hide

Hand and Upper Extremity Program

The Manning Family Children's Hand and Upper Extremity Program brings together our Orthopedics and Plastic & Reconstructive Surgery teams to evaluate, treat, and provide long-term care for infants, children, adolescents and adults with congenital hand and arm differences, hand and upper extremity injuries and trauma, and tumors of the hand and arm. The teams work together to create treatment plans for each patient to help improve the functionality and appearance of each patient’s condition.

Whether your child needs a single visit for reassurance, ongoing treatment through one of our multidisciplinary clinics, or complex reconstructive surgery, we're committed to being your comprehensive home for hand and upper extremity care, serving Louisiana, Mississippi and the Gulf South region.

Hand program highlights

  • Convenience — Hand Program visits are available at Manning Family Children's Main Campus in New Orleans, with additional orthopedic care locations in Metairie, Marrero, Covington, Baton Rouge, and Lafayette.
  • Expertise — Care is delivered jointly by fellowship trained orthopedic and plastic and reconstructive surgeons, so every child's treatment plan draws on both specialties from day one.
  • Multidisciplinary care — As part of a full-service children's hospital, the Hand Program providers collaborate with the physical and occupational therapy departments as well as radiology, genetics and neurosurgery colleagues when a child's condition calls for it.
  • Non-surgical treatment options – Treatment may include bracing and home therapy programs as well as Botox injections to increase the flexibility.
  • Surgical options – The team offers a variety of reconstructive, microvascular, and orthopedic procedures to increase functionality and to improve the physical appearance of the patient’s hand and upper extremity. Some of these procedures include tendon and nerve repair, joint reconstruction and fusion, and congenital defect corrections.

Conditions commonly treated

The Hand Program treats a wide range of congenital differences, injuries and tumors of the hand and arm, including:

  • Bone and soft tissue tumors of the hand and arm
  • Brachial plexus and peripheral nerve injuries (from birth or trauma)
  • Cleft hand
  • Clinodactyly (curved fingers)
  • Hand and upper extremity fractures and injuries
  • Macrodactyly (enlarged fingers)
  • Madelung’s deformity
  • Polydactyly (extra fingers)
  • Radial club hand and ulnar club hand
  • Spasticity
  • Syndactyly (webbed or joined fingers)
  • Thumb duplication and thumb hypoplasia
  • Trigger finger and trigger thumb

Programs & Specialty Clinics

The Hand Program works alongside these related Manning Family Children's programs:

Hand Camp

For several years, Manning Family Children's has hosted Hands on the Bayou, an annual hand camp for children with hand and upper extremity differences and their families. Held each spring on a Saturday at our Main Campus, the event brings these families together in a warm, welcoming space where kids can play games, meet others who share similar differences, and build friendships, confidence and a sense of community that lasts well beyond the day itself. Parents and caregivers have the same opportunity, connecting with other families, sharing what they've learned, and finding support from people who truly understand the journey.

Meet the team

  • Rachel McDaniel
    Harvey Chim, MD
    Plastic and Reconstructive Surgery
  • Rachel McDaniel
    Katherine C. Faust, MD
    Orthopedic Hand Surgery

Contact / Schedule an Appointment

Referrals to the Hand Program are reviewed by our team and scheduled with the appropriate specialist, either in the Orthopedic or Plastic & Reconstructive Surgery departments, based on your child's condition.

Orthopedic Department
Manning Family Children’s Main Campus
200 Henry Clay Ave.
New Orleans, LA 70118
Phone: 504.896.9569
Fax: 504.896.9849

Plastics & Reconstructive Surgery Department
Phone: 504.896.9857
Fax: 504.894.3900

Brachial Plexus Clinic
Phone: 504.896.9568, option 3
Fax: 504.896.3966

Early intervention is crucial in the management of brachial plexus palsy. We recommend that Epic users place a referral to the Brachial Plexus Clinic immediately upon diagnosis. Additionally, we recommend immediately placing a referral to both outpatient occupational therapy and physical therapy to begin conservative management and parent education.

Second opinions
The Hand Program welcomes patients who are interested in seeking a second opinion for a routine or complex condition that may require treatment or surgery.