This pilot study will adapt an existing USC technology, the strength-dexterity (S-D) measurement system, for use in children with upper extremity dysfunction. The S-D system will be used to evaluate the hand function of children who have undergone pollicization (surgical transposition of the index finger to a missing thumb’s position). The results will provide quantitative measurements of post-surgical function and will be used as preliminary data to support future research and grant applications.