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Pediatric Hand Therapy: Assessment and Treatment of Congenital Anomalies

presented by Jill Peck-Murray & Mary "Peggy" Faussett

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Due to genetic conditions or abnormal embryological development, infants may be born with congenital anomalies, and many will require therapy. The therapist may have limited experience with these unique diagnoses. This course will review aspects that might cause abnormal development and discuss the newest classification system used to describe the upper extremity congenital anomalies. Instructors will discuss five common congenital anomalies found in pediatric hand therapy and describe their symptoms and subtypes. Therapy intervention, common surgical intervention, and postoperative therapy will be reviewed for these congenital anomalies.

Meet Your Instructors

  • Jill Peck-Murray, MOTR/L, CHT

    Jill Peck-Murray, MOTR/L, CHT, is a pediatric hand therapist. She worked as an occupational therapist/hand therapist at Rady Children’s Hospital in San Diego, CA from 1982 through 2017. During her 35 years, she gained expertise, with special skills in creative splinting/orthotic intervention, and developed the hand therapy program for the hospital. She is currently devoting her time to sharing her knowledge with the therapy community by teaching continuing education courses. She has been teaching pediatric-oriented CE courses nationwide through Rehab Education, LLC since 2007. Jill has authored numerous journal articles, chapters on pediatric splinting/orthotic intervention in "Orthotic Intervention for the Hand and Upper Extremity" and "Foundations for Pediatric Occupational Therapy." She has also co-authored a book entitled "101 Creative Therapy Ideas." She has presented at annual conferences for professional organizations, including AOTA, ASHT, and OTAC. She has been an invited speaker several times at international conferences. She is currently the President of the San Diego Hand Special Interest Group.

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  • Mary "Peggy" Faussett, MOTR/L, CHT

    Mary “Peggy” Faussett is an occupational therapist and certified hand therapist. She graduated with a master’s in Occupational Therapy in 2001 from Chatham University. She became a Certified Hand Therapist in 2012. Peggy currently works at Children’s Hospital Colorado as the Program Coordinator for the Pediatric Hand Therapy Program. She enjoys treating children of all ages with a variety of hand and upper extremity conditions. Peggy has presented both locally and nationally on pediatric hand therapy. When not working as an OT, Peggy enjoys spending time with her husband and two boys.

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Chapters & Learning Objectives

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  1. Classification Systems for Upper Extremity Congenital Anomalies

    1. Classification Systems for Upper Extremity Congenital Anomalies

    This chapter will briefly review normal development of the hand and upper extremity and highlight primary reasons for abnormal development. The incidence and types of upper extremity congenital anomalies and their classification systems are explained.

  2. Radial Longitudinal Deficiency

    2. Radial Longitudinal Deficiency

    Radial longitudinal deficiency is due to a lack of development of the radial side of the extremity and presents with instability and weakness of the thumb (hypoplastic thumb) or entire forearm. It is noted in infancy but impacts the child throughout his life. This chapter will explain the OMT classification of the diagnosis and describe the condition, subtypes, and how the condition may impact the child. It will also discuss some surgical options and therapeutic intervention (pre and postoperative).

  3. Trigger Thumb and Trigger Finger

    3. Trigger Thumb and Trigger Finger

    Trigger thumb or finger are a restriction of full, smooth motion of the thumb or finger tendon. It can be present at birth or noted later in infancy. This chapter will explain the OMT classification of the diagnosis and describe the condition, subtypes, and how the condition may impact the child. It will also discuss some surgical options and therapeutic intervention (pre and postoperative).

  4. Camptodactyly

    4. Camptodactyly

    Camptodactyly is a flexed posturing of finger/s often present in infancy or later in adolescence. This chapter will explain the OMT classification of the diagnosis and describe the condition, subtypes, and how condition may impact the child. It will also discuss some surgical options and therapeutic intervention (pre and postoperative).

  5. Syndactyly

    5. Syndactyly

    Syndactyly is skin and/or bony fusion of the fingers due to lack of finger separation in utero. This chapter will explain the OMT classification of the diagnosis and describe the condition, subtypes, and how the condition may impact the child. It will also emphasis some surgical options and therapeutic intervention (postoperative).

  6. Arthrogryposis Multiplex Congenita (AMC)

    6. Arthrogryposis Multiplex Congenita (AMC)

    Arthrogryposis is a condition with multiple joint contractures and weakness. It presents in infancy but impacts the child throughout his life. This chapter will explain the OMT classification of the diagnosis and describe of the condition, subtypes, and how the condition may impact the child. It will also discuss some surgical options and therapeutic intervention (pre and postoperative).