eMedicine Specialties > Orthopedic Surgery > Hand & Upper Extremity
Syndactyly: Workup
Updated: Feb 5, 2009
Workup
Imaging Studies
- Obtain radiographs of the hands to evaluate for any other bony anomalies, such as synostosis, delta phalanx, or symphalangism.
Diagnostic Procedures
If the infant has no associated medical conditions, a formal preoperative evaluation by the anesthesia team is usually not necessary. However, should there be any congenital syndromes or associated medical conditions, the patients should be scheduled for operative clearance with the preoperative evaluation service of the hospital where the surgery will be done. Generally, if there is no issue with postoperative monitoring, many of these cases can be handled as outpatient procedures.
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Workup: Syndactyly |
| Treatment: Syndactyly |
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References
Schwabe GC, Mundlos S. Genetics of congenital hand anomalies. Handchir Mikrochir Plast Chir. 2004;36:85-97. [Medline].
Mandal K, Phadke SR, Kalita J. Congenital swan neck deformity of fingers with syndactyly. Clin Dysmorphol. Apr 2008;17(2):109-11. [Medline].
Flatt AE. The Care of Congenital Hand Anomalies. St Louis, Mo: Quality Medical Publishing; 1977.
Poland, Alfred. Deficiency of the pectoral muscles. Guy's Hospital Reports. 1841;VI:191-193.
Upton J. Apert syndrome. Classification and pathologic anatomy of limb anomalies. Clin Plast Surg. Apr 1991;18(2):321-55. [Medline].
De D, Narang T, Kanwar AJ, Dogra S. Brachycephaly and syndactyly: Apert's syndrome. Indian J Dermatol Venereol Leprol. Jul-Aug 2008;74(4):395-6. [Medline].
Patterson TJ. Congenital ring constriction. Br J Plast Surg. 1961;14:1–31. [Medline].
Percival NJ, Sykes PJ. Syndactyly: a review of the factors which influence surgical treatment. J Hand Surg [Br]. May 1989;14(2):196-200. [Medline].
Eaton CJ, Lister GD. Syndactyly. Hand Clin. Nov 1990;6(4):555-75. [Medline].
Lamb DW, Wynne-Davies R, Soto L. An estimate of the population frequency of congenital malformations of the upper limb. J Hand Surg [Am]. Nov 1982;7(6):557-62. [Medline].
Light TR. Congenital anomalies: syndactyly, polydactyly, and cleft hand. In: Peimer CA, ed. Surgery of the Hand and Upper Extremity. New York, NY: McGraw-Hill: 1996: 2111-44.
Man LX, Chang B. Maternal cigarette smoking during pregnancy increases the risk of having a child with a congenital digital anomaly. Plast Reconstr Surg. Jan 2006;117(1):301-8. [Medline].
Agarwal A. Comment on Shevtsov and Danilkin: Application of external fixation for management of hand syndactyly. Int Orthop. Jul 16 2008;[Medline].
Frick L, Fraisse B, Wavreille G, Fron D, Martinot V. [Results of surgical treatment in simple syndactily using a commissural dorsal flap. About 54 procedures]. Chir Main. Apr-Jun 2008;27(2-3):76-82. [Medline].
Upton J. Congenital anomalies of the hand and forearm: syndactyly. In: McCarthy JG, ed. Plastic Surgery. Philadelphia, Pa: WB Saunders Co: 1990: 5279.
Sharma RK, Tuli P, Makkar SS, Parashar A. End-of-Skin Grafts in Syndactyly Release: Description of a New Flap for Web Space Resurfacing and Primary Closure of Finger Defects. Hand (N Y). Sep 19 2008;[Medline].
Dillon CK, Iwuagwu F. Cavi-care dressings following syndactyly correction. J Plast Reconstr Aesthet Surg. Sep 24 2008;[Medline].
Barot LR, Caplan HS. Early surgical intervention in Apert's syndactyly. Plast Reconstr Surg. Feb 1986;77(2):282-7. [Medline].
Colville J. Syndactyly correction. Br J Plast Surg. Jan 1989;42(1):12-6. [Medline].
Wu JC, Cunningham BB. Ectopic acanthosis nigricans occurring in a child after syndactyly repair. Cutis. Jan 2008;81(1):22-4. [Medline].
Further Reading
Keywords
syndactyly, simple syndactyly, incomplete simple syndactyly, complete simple syndactyly, complex syndactyly, complicated syndactyly, type I acrocephalosyndactyly, acrocephalosyndactyly, Apert syndrome, type I Apert syndrome, type II Apert syndrome, type III Apert syndrome, Apert's syndrome, Apert syndactyly, Poland syndrome, constriction band syndrome, polydactyly, cleft hands, ring constrictions, brachysyndactyly, symbrachyphalangisms, spade hands, mitten hands, spoon hands, rosebud hands, hoof hands, Holt-Oram syndrome, congenital hand deformity, congenital syndromes
Workup: Syndactyly