Johns Hopkins All Children's Hospital

Fall 2016

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TEN PERFECT fingers, ten tiny toes. It's one of the first things many parents want to see with a newborn. Andrew—a beautiful baby with bright blue eyes and a winning smile—had all those things, except when it came to his left thumb. e team in the delivery suite told parents Megan and Anthony that the thumb was unusually small, a concern they would want to keep in mind in the months ahead. "When he was just a few months old, we thought Andrew just had a small thumb on his left hand," Megan recalls. "But after an examination with a specialist, we discovered that it was associated with a bigger problem. e thumb wasn't able to move correctly." e thumb is crucial for the development of a functional grasp, which includes opposition (pinching) of the thumb to the tip of the other fingers. A functional thumb is important for picking up objects, playing with toys, and using developmentally appropriate tools such as utensils, crayons, pencils and scissors. Children also use a functional grasp to develop independence in daily living skills such as dressing and grooming, and for many activities—from coloring and building with blocks to throwing a baseball. Without the use of a thumb, these activities are challenging or impossible and may impact a child's self-esteem. Expertise in Rare Pediatric Hand Surgery Earns Two Thumbs Up Lee Phillips, M.D., watches Andrew hold and release a ball several months after rebuilding his thumb. 14 Johns Hopkins All Children's Hospital | HopkinsAllChildrens.org Limb Restoration

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