Hand & Upper Extremities

Hand and Upper Extremities

Nemours’ world-renowned pediatric orthopedic surgeons have special training in hand, upper extremity and microvascular surgery (surgery on very small blood vessels) which allows them to provide the most precise advice and treatment. 

Read More About Hand and Upper Extremities
The nature of disorders, deformities and disabilities involving the hand, wrist, elbow and shoulder can vary a lot. They may be:
  • present at birth (congenital)
  • develop later in life (acquired)
  • caused by an accident or injury (traumatic)
  • associated with other medical problems (part of a syndrome)

And these orthopedic conditions can be complex in the way they affect the bones, muscles, tendons, nerves and blood vessels.

Nemours Children's Hospital, Orlando

13535 Nemours Parkway
Orlando, FL 32827
Get Map & Directions »
Learn More About This Location »

For Appointments: (407) 650-7715

Hours: Monday–Friday, 8 a.m. to 5 p.m.

View Doctors
To find out which providers serve this location, please call the main number above.
What to Bring
  • photo ID
  • medical and pharmacy insurance cards
  • preferred pharmacy name and phone number
  • names and dosage of all medications, including over-the-counter medication, your child is currently taking
  • guardianship and custody papers, if a legal guardian rather than a parent accompanies your child
New Patients

Bring these forms for your first appointment:

Returning Patients
  • Patient Presents Without Legal Guardian (PDF)
    English | Spanish
    Note: A parent or legal guardian must be with a child for a first visit.
Forms & Resources
New Patient Forms
Returning Patient Forms
  • Patient Presents Without Legal Guardian (PDF)
    English | Spanish
    Note: A parent or legal guardian must be with a child for a first visit.
Resources for Patients & Families

Comprehensive Care for Kids With Hand and Upper Arm Conditions

The pediatric orthopedic specialists and surgeons at Nemours Children’s Hospital in Orlando offer comprehensive, integrated care and the best possible course of treatment (surgical and/or nonsurgical) for children with musculoskeletal conditions including hand and upper extremity problems. In addition to innovating new ways to diagnose and treat orthopedic conditions, our care team uses the latest technologies and therapies to help your child get back to the business of being a kid.

Learn More About Pediatric Orthopedics and Orthopedic Surgery »

Our Approach to Your Child's Care

The medical term “upper extremity” refers to all of the parts of the arm from the shoulder down to the fingertips, to include the elbow, forearm, wrist, hand, thumb and fingers. Problems of the upper extremities may also involve the muscles and bones that attach the arm to the rib cage, including the collarbone (clavicle) and shoulder blade (scapula). Upper extremity conditions may be congenital (present at birth) or they may be the result of infection, injury (trauma) or cancer.

Hand and Upper Extremity Conditions We Treat

At Nemours Children’s Hospital, we care for children, even newborns only hours old, with orthopedic problems in the hands and upper extremities, including:

  • congenital deformity or contractures (radial deficiency/dysplasia/dislocation, arthrogryposis)
  • limb or finger/thumb length deficiency (skeletal dysplasia, hypoplasia, brachydactyly)
  • limited range of motion in joints
  • bone or muscle tumor
  • joint contractures due to trauma or infection
  • disruption of normal growth due to trauma (growth plate injury)
  • polydactyly (more than five digits on a hand)
  • syndactyly (webbed or joined fingers or toes)
  • constriction/amniotic band syndromes
Specialists on Your Child’s Care Team

In addition to pediatric orthopedists and orthopedic surgeons, your child’s care team will include experienced advanced registered nurse practitioners and physician’s assistants. We also work with:

Evaluation and Diagnosis: What to Expect

Your first trip to our pediatric orthopedic clinic is a comprehensive visit with an orthopedic specialist that includes:

  • reviewing your child’s medical history family medical history
  • reviewing your child’s medical records and previously obtained X-rays
  • performing a physical examination, including detailed measurements of your child’s joint motions (how much each joint can move) and the lengths of arm and leg bones

We will also schedule additional tests your child may need. Depending on your child’s condition, these may include:

  • imaging: X-ray, ultrasound, CT (computed tomography) and MRI (magnetic resonance imaging)
  • biochemical tests: determine levels of critical proteins in a sample of blood, urine or other fluid or tissue
  • molecular tests: determine a child’s genetic makeup and confirm the clinical diagnosis

Hand and Upper Extremity Treatments and Programs

Treating hand and upper extremity conditions in children may include non-surgical and/or surgical solutions. We work with your family to form a comprehensive plan, with options that can range from simple observation and casting to surgery and rehabilitation. If surgery is necessary, our pediatric orthopedic surgeons use only the most advanced techniques available with the fewest complications.

Special Programs and Services We Offer
Limb Lengthening and Reconstruction Program

Pediatric orthopedic surgeons at Nemours provide diagnostic evaluation and treatment for children with limb length differences using advanced technology and equipment to lengthen a limb entirely from the inside.

Learn More About Limb Lengthening and Reconstruction and Nemours Children's Hospital »

Physical Medicine and Rehabilitation

Pediatric physiatrists (physician specialists who are nerve, muscle and bone experts who treat injuries or illnesses that affect how your child moves) provide therapeutic treatment for maximum functionality, as well as education and training for continued progress at home.

Our physicians are certified by the American Board of Physical Medicine and Rehabilitation, and include one of fewer than 250 physicians in the United States with a certificate of subspecialty in pediatric rehabilitation medicine.

Learn More About Physical Medicine and Rehabilitation at Nemours Children's Hospital »

Pain Management Program

Pediatric anesthesiologists and pain management specialists prescribe medicines, physical therapies and complementary alternatives (hydrotherapy, biofeedback, massage) to manage pain in an inpatient, outpatient and/or day-stay hospital setting.

Learn More About the Pediatric Pain Management Program at Nemours Children's Hospital »

Pediatric Prosthetics and Orthotics

Certified prosthetic technicians fabricate state-of-the-art prosthetics to replace upper extremities in children, including customized options for every age and stage.

Learn More About Pediatric Prosthetics at Nemours Children’s Hospital »
Learn More About Pediatric Orthotics Services at Nemours Children’s Hospital »


Convenient Care and Support for the Entire Family

At Nemours Children’s Hospital in Orlando, we’re dedicated to providing care in a truly family-centered environment. Our team cares about your physical and emotional wellness, and values your involvement throughout the entire process. We understand that dealing with a chronic or complex medical condition can be difficult for your child and family, but you don’t have to go through it alone.

Convenient Follow-Up Appointments in Your Neighborhood

Some of the very same orthopedic specialists and surgeons and other pediatric specialists your child may see at Nemours Children’s Hospital also provide follow-up appointments at our convenient specialty care locations in downtown Orlando, Lake Mary and Melbourne in Florida.

Electronic Health Record: Keeping Track of Your Child’s Progress

No matter where your child receives care at Nemours, your medical team (including your primary care provider) can access your child’s medical history, test results and visit notes anytime through our award-winning electronic health record system.
You can also view parts of your child's health records, communicate with your Nemours care team, make appointments, request prescription refills and more through our MyNemours online patient portal.

A Hospital Designed by Families, for Families

At Nemours Children’s Hospital, family-centered care is at the heart of everything we do. In fact, families helped shape the unique amenities and convenient services that make our hospital like no other in the region.

If Your Child Needs to Stay Overnight in Our Hospital

You’ll feel right at home in one of our private patient rooms designed with input from families who know what it’s like to have a child in the hospital.

Our large, comfortable, single-patient rooms have sleeping accommodations for two parents, a private bathroom, wireless Internet access, connections for DVD players and game systems, and two flat-screen TVs.

Other in-room features include:
  • full floor-to-ceiling windows for natural light
  • refrigerator for family meals and snacks
  • wardrobe storage for personal items and a hotel-style safe
  • GetWellNetwork interactive television (uniquely based on your child’s age, medical condition and more) and allows your child to watch TV, surf the Web, check e-mail, play music and games, and learn about your Nemours health care team.

Our “hospital within a garden” setting features many places for you and your family to go for fresh air and relaxation, including a one-acre interactive sensory discovery garden or one of our rooftop gardens on the second and fourth floors.

We have many more comforts and amenities such as:
  • complimentary valet and parking
  • kid-friendly commons areas for siblings
  • café and coffee shop
  • nondenominational chapel
  • concierge services

Learn More About Nemours Children’s Hospital »

Advanced Pediatric Medical Imaging Services Available Onsite

If your child needs medical imaging, we offer some of the area’s most advanced pediatric radiology services here on campus at Nemours
Children’s Hospital.

Our unique services include:
  • interventional radiology: Our team of experts uses image guidance to diagnose and treat diseases and tumors throughout the body. Certain conditions that previously required open surgery can now be treated by Nemours pediatric interventional radiologists. We are very fortunate to have the only dual-trained pediatric diagnostic and interventional radiologist in the state.
  • neuroradiological or cardiovascular imaging, and fetal MRI (magnetic resonance imaging): Our subspecialty-trained pediatric radiologists see children with complex conditions who require this highly specialized imaging.
  • Central Florida’s only 256-slice Brilliance iCT Scanner: We are one of only a handful of children’s hospitals in the country to have this latest generation CAT (or CT) scanner that scans faster than most machines and produces excellent images in a much shorter time with much less radiation exposure for the child.

Our team of board-certified pediatric radiologists and pediatric radiologic technologists are experts in the safe medical imaging of children of every age, even newborns.

We have also pledged our commitment to the “Image Gently” campaign of the Alliance for Radiation Safety in Pediatric Imaging, which is increasing awareness of the opportunities to promote radiation protection in the imaging of children.

Learn More About Medical Imaging at Nemours Children's Hospital »

Family-Centered Care Means We're Here for You

At Nemours, we want to hear your concerns and share with you everything we can about your child's condition and treatment. If English is not your first language, we'll make sure you understand what to expect — in your language.

Learn More About Interpreter Services at Nemours Children’s Hospital »

With Your Family From Clinic or Hospital to Home: KidsTRACK

If your child has a complex or chronic condition we encourage you to take advantage of KidsTRACK, a unique service of Nemours Children’s Hospital. Located on the first floor of our hospital, KidsTRACK is designed to help families by providing expert assistance and information on all aspects of your child’s care, even before you leave our hospital or clinic.

A KidsTRACK care coordinator is available during every step of diagnosis, treatment and healing — helping your family make a smooth transition from Nemours Children's Hospital to home. Your coordinator works alongside the nursing/case managers in our subspecialty areas and acts as a single point of contact connecting you to medical and community resources.

Simply ask your physician for a referral to KidsTRACK
or call (407) 650-7715.

Learn More About KidsTRACK at Nemours Children's Hospital »

Coping & Support for the Entire Family

To help make the experience as comfortable as possible, we also provide emotional and psychosocial support and many other services for your child and family, including:

Learn More About the Support Services and Amenities at Nemours Children’s Hospital »

What to Expect When Your Child Needs Surgery

If your child needs surgery, you can trust the highly trained pediatric surgical team at Nemours Children’s Hospital. Our pediatric surgical specialists (surgeons, anesthesiologists, and nurses) understand what kids (and families) need, psychologically, and physically.

Because we truly believe in family-centered care, we invite you (one parent or guardian) to the operating room to be with your child until just after sedation. We also provide our families with a peaceful place to wait without leaving the surgical floor, in our beautiful rooftop garden.