At Shriners Hospitals for Children, the health and safety of our patients, families, volunteers and staff is our top priority. With the rapidly evolving situation regarding coronavirus disease 2019 (COVID-19), we are closely monitoring updates and alerts from local health departments and the Centers for Disease Control and Prevention (CDC), and are actively following their recommendations.

Please note that Shriners Hospitals for Children does not administer COVID-19 testing or treatment at this time. If your child has an upcoming appointment and you or your child are exhibiting a cough, fever, chills, shortness of breath or flu like symptoms, please contact your local Shriners Hospitals for Children location to reschedule the appointment.

Shriners Hospitals for Children — Northern California visitor information.

For the latest updates about COVID-19, please visit the CDC website.

Skip to navigation

Hand, arm and shoulder

Hand, arm and shoulder

Most children don’t think twice about gripping a pen, throwing a ball or reaching up high. But for a child born with a congenital hand difference, upper limb deficiency or brachial plexus birth palsy, such everyday tasks can pose big challenges. The specialized orthopaedic team at Shriners Hospitals for Children — Northern California provides the complex, compassionate care every child deserves. The medical team works to advance the lives of children through leading-edge surgical care, therapy and research.

Hand, arm and shoulder orthopaedic conditions treated include:

  • Adactyly
  • Amniotic band syndrome/constriction bands
  • Cleft hand/central deficiency/ectrodactyly
  • Congenital amputation (transverse deficiency)
  • Congenital radial head dislocation
  • Polydactyly
  • Proximal radio-ulnar synostosis
  • Radius deficiency
  • Symbrachydactyly
  • Syndactyly
  • Thumb deficiency
  • Ulnar deficiency

Traumatic injuries

  • Fracture follow-up
  • Nerve and tendon injuries
  • Post-traumatic deformities

Neuromuscular conditions

  • Arthrogryposis
  • Brachial plexus birth palsy
  • Cerebral palsy
  • Spinal cord injury

Orthopaedic research

Led by Dr. Michelle James, the orthopaedic clinical research program is comprised of a multidisciplinary team of physicians, therapists, bio-mechanical engineers and clinical research professionals, focusing on research pertaining to children’s hand and arm function. Current research projects include:

  • Motion analysis studies of children’s thumbs, elbows and shoulders
  • Development and evaluation of a smartphone application to test hand function in preschoolers
  • Studies of hand function in several conditions including cerebral palsy and symbrachydactyly
  • Development of pediatric elbow function evaluation tool
  • Long term follow-up studies of children with brachial plexus birth palsy