Bilateral radial clubhand in a 6-year-old boy treated with ulnar radialization in a low-income country. A case report.

INTRODUCTION

Radial club hand is a rare congenital malformation with functional and aesthetic repercussions.

PRESENTATION OF CASE: We present the case of a 6-year-old boy with bilateral hand deformity, associated with hypoplasia of the thenar muscles and aplasia of the radius (Bayne stage IV). After bilateral ulnar radialisation, recovery was favorable, with stability of the hand axis and a fine grip allowing writing. At 18 months postoperatively, the child was able to integrate into school without assistance.

DISCUSSION: Radial clubhands are rare malformations, often treated late in Madagascar due to a lack of resources. Despite these challenges, simple techniques like ulnar radialization can achieve excellent outcomes with minimal equipment.

CONCLUSION

Surgery remains essential, even in cases treated late.