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Syndactyly

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The most common problem with syndactyly correction is creeping of the skin towards the fingertip over time. This is likely due to tension at the site of the repair between the digits. Additional surgery may be required to correct this. One critique of using skin grafts is that the grafts darken in
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Because the circumference of the conjoined fingers is smaller than the circumference of the two separated fingers, there is not enough skin to cover both digits once they are separated at the time of surgery. Therefore, the surgeon must bring new skin into the area at the time of surgery. This is
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Syndactyly of the border digits (thumb/index finger or ring/small fingers) is treated at early age to prevent the larger digit from curving towards the smaller digit with growth. Typically, syndactyly of these digits is treated at six months of age. The treatment of syndactyly of the other digits
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the years after surgery and become more noticeable. Also, if the skin grafts are harvested from the groin area, the skin may grow hair. Finally, the fingers may deviate after surgery. This is most commonly seen in complex syndactyly (when there has been a bone joining of the fingers).
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most commonly done with a skin graft (from groin or anterior elbow). Skin can also be used from the back of the hand by mobilizing it (called a "graftless" syndactyly correction), which requires planning over a period of months prior to surgery.
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Fenestrated syndactyly, also known as acrosyndactyly or terminal syndactyly, means the skin is joined for most of the digit but in a proximal area there are gaps in the syndactyly with normal skin. This type of syndactyly is found in
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is elective and is more commonly performed when the digits have grown, at 18 months of age. Special situations, such as complex syndactyly and involvement of border digits, may warrant surgical intervention earlier than 6 months.
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Simple syndactyly can be full or partial, and is present at birth (congenital). In early human fetal development, webbing (syndactyly) of the toes and fingers is normal. At about 6 weeks of gestation,
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In incomplete syndactyly, the skin is only joined part of the distance to the tip of the involved digits.
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The earliest appreciation of syndactyly as a birth anomaly or burn-trauma can be traced back to the
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Dao, Khiem D.; Shin, Alexander Y.; Billings, Annette; Oberg, Kerby C.; Wood, Virchel E. (2004).
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In complete syndactyly, the skin is joined all the way to the tip of the involved digits.
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Five types of syndactyly have been identified in humans. The corresponding
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In simple syndactyly, adjacent fingers or toes are joined by soft tissue.
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In complex syndactyly, the bones of adjacent digits are fused. The
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Radiograph of Type 1 syndactyly of the hands (no bony involvement)
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The Journal of the American Academy of Orthopaedic Surgeons
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Condition of fingers or toes being fused together at birth
630:"Surgical treatment of congenital syndactyly of the hand" 347:(d. 1013 CE), known in the West as Abulcasis. The French 209:: 6q21-q23; small finger is merged into the ring finger. 151:
Complex syndactyly occurs as part of a syndrome (such as
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Partial simple syndactyly in the second and third toes
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also described syndactyly in the sixteenth century.
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(1995). 382: 125:Syndactyly can be simple or complex. 7: 1412:Greig cephalopolysyndactyly syndrome 278:adding citations to reliable sources 170:takes place due to a protein named 79:is a condition wherein two or more 902:malformations and deformations of 681:European Journal of Human Genetics 406:British Journal of Plastic Surgery 25: 675:Malik, Sajid (15 February 2012). 121:with syndactyly of several digits 857: 646:10.5435/00124635-200401000-00006 250: 1085:Congenital patellar dislocation 964:Wallis–Zieff–Goldblatt syndrome 465:10.1080/08998280.2005.11928029 1: 418:10.1016/s0007-1226(62)80021-6 98: 'together' and 391:"Diprotodontia Introduction" 136:exhibits complex syndactyly. 1371:Oto-palato-digital syndrome 1366:Hallermann–Streiff syndrome 1090:Congenital knee dislocation 908:musculoskeletal abnormality 190:expression are as follows: 119:Greig cephalopolysyndactyly 1589: 1402:Craniodiaphyseal dysplasia 447:Flatt A (1 January 2005). 117:The hand of a person with 1376:Treacher Collins syndrome 1227:reduction deficits / limb 606:10.1007/s10038-007-0150-5 593:Journal of Human Genetics 49: 40: 1201:Cenani–Lenz syndactylism 954:Cleidocranial dysostosis 1348:Craniofacial dysostosis 904:musculoskeletal system 238: 161:amniotic band syndrome 122: 1456:Klippel–Feil syndrome 866:at Wikimedia Commons 236: 116: 1466:Spina bifida occulta 982:Madelung's deformity 959:Sprengel's deformity 693:10.1038/ejhg.2012.14 566:10.1093/hmg/4.8.1453 274:improve this section 1284:RAPADILINO syndrome 1146:Rocker bottom foot 820:External resources 239: 229:may also be fused. 123: 1560: 1559: 1556: 1555: 1552: 1551: 1481:Thoracic skeleton 1461:Spondylolisthesis 1430: 1429: 1296: 1295: 1292: 1291: 1159: 1158: 1005: 1004: 862:Media related to 854: 853: 502:Am. J. Hum. Genet 310: 309: 302: 74: 73: 30:Medical condition 16:(Redirected from 1580: 1528:Pectus carinatum 1523:Pectus excavatum 1486: 1444:Spinal curvature 1436:Vertebral column 1356:Crouzon syndrome 1320:Craniosynostosis 1316: 1307: 1172:fingers and toes 1168: 1080:Discoid meniscus 1037:Upington disease 1016: 938: 929: 893: 886: 879: 870: 861: 727: 715: 714: 704: 672: 666: 665: 625: 619: 618: 608: 584: 578: 577: 551: 542: 536: 535: 525: 493: 487: 486: 476: 449:"Webbed fingers" 444: 438: 437: 401: 395: 394: 387: 305: 298: 294: 291: 285: 254: 246: 105: 'finger'. 70: 69: 61:Medical genetics 45: 33: 21: 1588: 1587: 1583: 1582: 1581: 1579: 1578: 1577: 1563: 1562: 1561: 1548: 1544:Poland syndrome 1532: 1508: 1475: 1426: 1380: 1342: 1288: 1279:Larsen syndrome 1267:multiple joints 1262: 1222: 1155: 1094: 1075:Genu recurvatum 1051: 1028:Hip dislocation 1001: 968: 918: 910: 897: 855: 850: 849: 815: 814: 738: 724: 719: 718: 674: 673: 669: 627: 626: 622: 586: 585: 581: 554:Hum. Mol. 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178:Genetics 134:kangaroo 101:ÎŽÎŹÎșÏ„Ï…Î»ÎżÏ‚ 1514:sternum 799:D013576 702:3400728 574:7581388 523:1287194 474:1200697 364:Dactyly 335:History 282:removed 267:sources 213:type IV 201:type II 85:mammals 1537:other: 1251:Amelia 1128:valgus 834:003289 788:186300 785:186200 782:186100 779:185900 709:  699:  660:  652:  613:  572:  530:  520:  481:  471:  432:  424:  219:type V 195:type I 81:digits 63:  1504:Bifid 1385:other 1302:Axial 1109:varus 810:29330 768:755.1 550:(PDF) 96:(syn) 91: 1490:ribs 1057:knee 933:Arms 920:limb 794:MeSH 774:OMIM 763:9-CM 707:PMID 658:PMID 650:ISSN 611:PMID 570:PMID 528:PMID 479:PMID 430:PMID 422:ISSN 265:any 263:cite 225:and 184:loci 1020:hip 1011:Leg 759:ICD 753:Q70 744:ICD 697:PMC 689:doi 642:doi 601:doi 562:doi 518:PMC 510:doi 469:PMC 461:doi 414:doi 276:by 94:σύΜ 1569:: 1182:/ 1030:/ 944:/ 922:/ 906:/ 843:: 832:: 808:: 797:: 777:: 766:: 751:: 748:10 705:. 695:. 685:20 683:. 679:. 656:. 648:. 638:12 636:. 632:. 609:. 597:52 595:. 591:. 568:. 556:. 552:. 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Index

Syndactylism

Specialty
Medical genetics
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digits
mammals
Ancient Greek

Greig cephalopolysyndactyly
kangaroo
Apert syndrome
amniotic band syndrome
apoptosis
sonic hedgehog
loci
phenotypical
metacarpals
metatarsals


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Andalusian
Al-Zahrawi
barber surgeon

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