An interesting case of simple syndactyl
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
Syndactyly is the most common congenital abnormality of the hand and is estimated to affect 1 in 2000 new-borns. It is more common in males and can occur both unilaterally and bilaterally with equal incidence. Syndactyly can be inherited or sporadic, when inherited it can be non-syndromic or as part of a syndrome such as Apert’s syndrome.

An 18-month-old child presented to the pediatric hand clinic with a fused ring and middle finger on the left hand. The child was born at term with an unremarkable past medical history and no family history of congenital abnormalities. On examination, there was webbing of the ring and middle finger extending past the distal interphalangeal joint without synonychia. There was no visible shortening of the affected digits and range of motion at the metacarpophalangeal, proximal, and distal interphalangeal joints were preserved. On general examination, there were no syndromic features, and examination of the feet and contralateral hand was unremarkable.

The child was diagnosed with simple incomplete syndactyly and underwent surgical release using a modified Flatt technique, where a dorsal hourglass flap, interdigitating zigzag flaps, and a full-thickness skin graft were used to reconstruct the webspace. An excellent aesthetic outcome was obtained and the child retains full use of the left hand without pain.

Source:https://academic.oup.com/jscr/article/2020/12/rjaa517/6048934
Like
Comment
Share