As professor of orthopaedic surgery within the University of Virginia Health System, Dr. Bobby Chhabra draws on extensive experience in surgical correction of congenital hand abnormalities. Dr. Bobby Chhabra completed his fellowship in hand, microvascular, and congenital hand surgery at the Hand Center of San Antonio and has since been selected as one of the “Best Doctors in America” multiple times.
The term “congenital hand abnormality” refers to a malformation of the hand that develops while a fetus is in utero. The American Society for Surgery of the Hand has approved classification of these abnormalities into seven categories. The first, problems in development of the parts, indicates the premature cessation of a body part’s development. This may include underdevelopment of the hand or finger bones on either the thumb or little finger side of the hand.
Other malformations include fusion of the fingers, also known as syndactyly, which is caused by cells (tissue and/or bone) failing to differentiate in utero. Contractures of the hand, which is another instance of a failure of the hand to separate, is a condition that, due to problems with muscle or skin, causes one or more digits to curl into the palm, unable to extend.
Additional common abnormalities include duplication of digits, underdevelopment of one or more fingers, and the abnormally large growth of a digit. Ring constriction, when a band of tissue grows around a digit or arm, may also lead to deformities and can be associated with other structural issues such as clubfoot or cleft palate. The cause of ring constriction remains unknown.
Knowledgeable in the field of orthopaedic medicine, Dr. Bobby Chhabra teaches on the subject and is also an administrator in the sports medicine and orthopaedic field. One of Bobby Chhabra’s areas of focus is sprains of the wrist.
A wrist sprain is a type of ligament injury. Therefore, the injury affects the connective tissues that link one bone to the next. A common sports injury, a wrist sprain generally results when a ligament is torn or stretched.
Because a number of ligaments act to support the wrist, any sprain that occurs may be rated mild, moderate, or severe. The degree of severity then depends on the extent of the injury. Grade one wrist sprains are mild and generally happen when a ligament is merely overstretched. Moderate or grade two sprains are denoted by partial tearing of the affected ligament or ligaments. The patient may also complain about some loss of functioning.
Severe or grade three sprains happen when the ligament is entirely torn. These types of injuries generally necessitate surgery. An avulsion fracture, characterized by a chipped bone, is usually considered a grade three injury.
Symptoms of a wrist sprain include pain at the outset, wrist swelling, pain while moving the wrist, bruising, tenderness, and a popping sensation. The patient may also feel some warmth around the wrist itself.
While some wrist strains may present very little in the way of swelling, it does not mean that the injury is not severe. A crucial ligament may have been torn, and this can result in eventual stiffness and pain if the injury is not addressed. Therefore, it is important to have the wrist carefully examined whenever any injury occurs.
An orthopedic surgeon with a specialization in hand and upper extremity surgery, Bobby Chhabra currently splits his time between various teaching and clinical responsibilities at the University of Virginia.