Children's National Health System's Hand Program utilizes a team approach to treating
and correcting pediatric hand ailments. The team consists of pediatric experts in hand surgery,
orthopaedic surgery, anesthesiology, plastic surgery, and occupational therapy to provide
comprehensive care to patients and families.
More than 3,000 pediatric and upper extremity patients are treated each year at the Hand Program.
The Hand Program combines the skills and expertise of Children's Orthopaedic Surgery and
Sports Medicine with subspecialty-trained pediatric hand surgeons.
The two dedicated pediatric hand surgery specialists, Emily A. Hattwick, MD, and Robert H. Wilson,
MD, have more than 20 years of experience combined. They participate in national and international programs
focused on pediatric hand surgery and are part of a global effort to improve the understanding of
pediatric hand and upper extremity disorders.
The team works closely with other team members including our dedicated pediatric plastic surgeons,
the Cerebral Palsy Clinic, and the Brachial Plexus Palsy Clinic. These multidisciplinary clinics bring the pediatric hand
surgeons together with other specialists in pediatric orthopedics, physical medicine, neurosurgery,
prosthetics, and occupational therapy. In order to ensure the best outcomes, the Hand Program team
joins with other specialists, families, and patient to understand the plan and follow through to the
best functional result.
Conditions treated include:
- Constriction ring syndrome/amniotic band syndrome
- Radius deficiency
- Ulnar deficiency
- Central deficiency/cleft hand
- Transverse failure of formation
- Congenital dislocation of the radial head
- Congenital radio-ulnar synostosis
- Thumb polydactyly/ finger polydactyly
- Thumb deficiency/hypoplasia
- Trigger thumb
- Finger hypoplasia
- Macrodactyly- hand and foot
- Postraumatic Elbow reconstruction
- Brachial Plexus Birth Palsy
- Neuromuscular Upper Extremity Contractures
- Madelung's Deformity
- Pediatric Hand fractures and soft tissue injuries
The Hand Program team is committed to ongoing research as they measure treatment outcomes of upper
extremities in cerebral palsy patients. Researchers are also working with the National Institutes
of Health's (NIH) Department of Genetics looking at the outcomes of surgical treatment of hand
and wrist deformities in Proteus patients. Research efforts are coordinated with NIH for certain
rare diagnoses. Additionally, Drs. Hattwick and Wilson participate in educating residents at
Georgetown University, George Washington University, Howard University, and Walter Reed Orthopedic
Residency programs about pediatric hand and upper extremity surgery.
In This Section:
We provide a healthcare experience designed with kids in mind, and delivers confidence and assurance when parents need it most.
We see children from around the Washington, DC, metropolitan region, nation, and world who need the kind of specialized expertise and child-focused care we offer.
Pediatric specialists work closely to ensure an integrated approach to caring for each child and family.