Hand & Upper Extremity Program
Our Hand and Upper Extremity Program offers comprehensive and compassionate care for infants, children, and adolescents with complex injuries and congenital or acquired deformities. With access to the full resources of Johns Hopkins All Children’s Hospital, our team includes specialists in Pediatric Orthopaedic Hand Surgery, Musculoskeletal Radiology, Plastic Surgery, and Rehabilitation Services. Whether your child needs surgery or non-operative treatment for a condition that affects the hand or arm, our team is here to help.
We specialize in the diagnosis, treatment, and long-term care of pediatric patients with congenital, neuromuscular, traumatic, and tumorous conditions. Our team considers all aspects of treatment for infants, children, and adolescents with hand and upper extremity disorders and is dedicated to providing the best possible outcomes for your child. We provide a multidisciplinary approach for the following conditions:
- Fracture care and surgical treatment of soft tissue injuries to the hand and upper extremity
- Post-traumatic reconstruction of complex injuries
- Congenital hand differences and upper extremity deficiency or deformity
- Acute and chronic sports related injuries to the hand and upper extremity
- Hand and upper extremity benign and malignant tumors
- Neuromuscular disorders such as cerebral palsy (CP) and arthrogryposis, or branchial plexus injury
Our mission is to provide accurate diagnosis and state of the art treatment options, for a wide range of conditions affecting the hand and upper extremity of children of all ages. Individualized programs are used to treat complex upper extremity conditions and are aimed at improving function and enhancing quality of life. Whether it be for congenital differences, acquired deformity, traumatic or sports related injury, neuromuscular disorders, or tumorous conditions, our multidisciplinary team can help your child.
Hand it To Us
The hand is very complicated! Did you know there are more than 27 bones, 123 ligaments, 48 nerves, 30 arteries and 34 muscles which move the fingers and thumb in the hand? Treating children with a hand condition or injury is often more complex than treating adults with the same condition or injury. Children's bones are still growing and their hands changing, that’s why it is important to seek out experts who are specially trained to work with a child's unique physiology.
A number of genetic disorders can affect the hand. Two of the most common disorders are polydactyly and syndactyly.
- Polydactyly means “many fingers.” There are many forms of this common diagnosis. Some extra fingers are on the thumb side, some on the pinkie side, and some in the middle of the hand. Polydactyly of the feet is also common.
- Syndactyly is the name given to the extra webbing between fingers and toes. It is very common and happens when this skin does not dissolve on its own at the end of the second month of pregnancy.
Click here to view Upper Extremity Case Examples »
There are very few pediatric hand specialty programs in the state of Florida. It is important to consider a surgeon with special training to work with the complexity of hands especially in infants and children.
Dr. Lee Phillips has fellowship training in complex surgical techniques needed for treating pediatric conditions of the hand and upper extremity. He is fellowship trained in both General Pediatric Orthopaedic Surgery and Pediatric Hand and Upper Extremity Surgery. Dr. Warnick is fellowship trained in minimally invasive arthroscopic treatment of sports injuries of the elbow and shoulder.
Our team of occupational therapists helps children with upper extremity impairment and/or traumatic injuries achieve independence in all aspects of their daily lives. They specialize in creating custom splints and are also skilled in making equipment adaptations and in rehabilitating children with neurological impairment, traumatic and congenital hand deformities.
If your child has been diagnosed with the following conditions, you should consider a pediatric hand and upper extremity specialist:
- Extra or Missing Digits
- Congenital Birth Deformities
- Webbed Fingers or Toes
- Hand/Finger Fractures
Your child may have a treatable hand or upper extremity disorder. Please call our office at (727) 898-2663 or (813) 879-2663 to schedule an appointment with our hand and upper extremity physician today. Dr. Phillips sees patients at the St. Petersburg, Tampa, and Sarasota clinics. Dr. Warnick sees patients at the St. Petersburg, Tampa, and East Lake/Pasco clinics.
In the News
Dr. Phillips, a pediatric orthopaedic and hand specialist at Johns Hopkins All Children’s Hospital, diagnosed a little boy named Andrew's hand condition and had good news to share…
Upper Extremity Specialists
- Brachial Plexus Injury/ Shoulder Dysplasia
- Camptodactyly/ Clinodactyly
- Cerebral Palsy
- Congenital Hand or Upper Extremity Difference
- Constriction Ring Syndrome
- Benign or Malignant Bone Tumor/ Cyst
- Fracture or Dislocation of the Hand or Upper Extremity
- Gymnast Wrist
- Little League Shoulder or Elbow
- Madelung’s Deformity
- Nerve or Tendon Injury
- Post-traumatic or Post-infectious Deformity
- Radioulnar Synostosis
- Thumb Duplication or Hypoplasia
- Trigger Finger or Thumb
- Vascular Malformation
Last Modified: September 5, 2017