Charles E. Seay, Jr. Hand Center

Texas Scottish Rite Hospital for Children was the first pediatric orthopedic hospital in the United States to employ full-time hand surgeons. TSRHC has treated thousands of patients with hand and upper limb disorders and is a leader in training hand surgeons from around the world.
The Charles E. Seay, Jr. Hand Center provides specialized care for children born with congenital upper limb anomalies through quality patient care, education and research. In addition, it provides care for children with acquired problems of the hand and upper limb.

The hand center staff is dedicated to the well-being of the child, both physically and emotionally. In addition, there are organized support groups that are available to families to help cope with issues that can commonly arise as the child goes through his or her development.  The physicians deliver care in a compassionate, reassuring environment, considering the needs of the child and family as a whole. Our goal is to help children with congenital hand anomalies become active, happy, productive, and independent adults.

Physician Members of the Hand Center

Scott Oishi, M.D., F.A.C.S.
Christopher Stutz, M.D.

Research Staff Members of the Hand Center

Lesley Butler, M.P.H, C.C.R.P.
Janith Mills, P.A.-C, M.P.A.S.
Amy Lake, OTR, CHT


Current Studies

Upper Limb Anomaly Registry

Purpose: The purpose of this study is to examine the epidemiology of children with upper limb anomalies who present to the Hand Clinic at Scottish Rite Hospital. Researchers will be looking on patient charts from January 2000 and will also collect information on new patients who present in the clinic.
Inclusion Criteria:

  • Male and Female patients with an upper limb anomaly
  • Between the ages of 0-18 years at the time of presentation


Long-term Outcomes of Long Head of the Triceps Transfer in Patients with Amyoplasia

Purpose: Patients with amyoplasia lack active elbow flexion. This deficiency affects their ability to eat as well as interfering with performance of daily living. The purpose of this study is to investigate the long-term outcomes of the long head of the triceps transfer to promote active elbow flexion in the amyoplasia patient-population.
Inclusion Criteria:

  • Male and Female patients seen at the Hand Clinic between January 1, 1990 and February 1, 2014.

Impact of Camp Participation in School-Aged Children with a Congenital Hand Difference

Purpose: The purpose of this study is to investigate the impact camp attendance and participation may have on a child with a congenital hand difference. The study will evaluate a child’s self-esteem, function and participation in activities, as well as their relationship with peers, before camp as well as after attending camp. In addition, the study will identify factors or variables that may affect a patients and his/her family’s willingness to attend camp as well as assess expectations of camp.
Inclusion Criteria:

  • Patients between the ages of 10 and 14 years of age with a congenital hand difference who are invited to participate in hand camp.


Unilateral Limb Malformation: Is Somatic Mosaicism an Underlying Cause?

Purpose: to investigate and report cases of unusual unilateral (one-sided) hand or upper limb anomalies (birth defects) that may be related to post-zygotic genetic mutation (a mutation that an organism acquires after fertilization, rather than inheriting a mutation from its parents) as an underlying etiology for the asymmetric malformation (deformity that is not the same on both sides).
Inclusion Criteria:

  • Male and female patients between the ages of 0 and 18
  • Diagnosis that includes an asymmetric limb malformation


Cellular and Molecular Pathology of Macrodactyly

Purpose: The purpose of this study is to collect and preserve surgical material in order to study the cellular and molecular mechanisms underlying the pathology of macrodactylous digits, a congenital malformation of the hand characterized by large, malformed fingers.
Inclusion Criteria:

  • Planned surgical correction of macrodactyly


Prospective Review of Dysplastic Development of the Shoulder in Children with Muscle Imbalance Due to Brachial Plexopathy

Purpose: Neonatal brachial plexus palsy is an injury to the brachial plexus that occurs during or before the birth process. Infants with neonatal brachial plexus palsy may develop progressive shoulder dislocation due to muscle imbalance. The purpose of this study is to assess the short and intermediate-term results of early reduction and rebalancing of the shoulder for infants with shoulder subluxation and dislocation due to neonatal brachial plexus palsy.
Inclusion Criteria:

  • All patients with the diagnosis of shoulder contracture, subluxation, and dislocation who also have neonatal brachial plexus palsy will be included.