Pediatric and Adolescent Plastic Surgery for the Clinician by Aleksandar M. Vlahovic & Emir Q. Haxhija

Author:Aleksandar M. Vlahovic & Emir Q. Haxhija
Language: eng
Format: epub
Publisher: Springer International Publishing, Cham

Incomplete syndactyly is presented as the fusion of the fingers proximal to the distal phalanx [1, 3]. In the complete form of syndactyly, the nails can be separated with full pulps of the affected fingers, or there are conjoined nails, and when fingers are of unequal length, the longest finger will tend to bend more during growth [1, 3, 5–8].

Complex syndactyly (with distal bone fusion) can involve only two fingers when it is recognized by a tapered distal end with inward rotation of the fingers and abnormally ridged or confluent nails or more fingers can be involved when they are flat to very cupped with anomalous nails, abnormal bones, and joints (Fig. 9.3a, b) [3, 6]. Complicated syndactyly is a broad category characterized by abnormal osseous abnormalities including fusions, rudimentary bones, missing bones, abnormal joints, and sometimes crossbones [1, 5, 6]. Thumb-index syndactyly treatment is more complicated than finger syndactyly, and it is treated differently from other fingers [7].

Fig. 9.3Complex syndactyly of the hand in Apert’s syndrome: (a) clinical appearance; (b) radiography of both hands revealing fusion of distal bones

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