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Hand & Upper Limb
intermediate
X-Type

Syndactyly

Congenital Hand Anomalies

A 6-month-old infant is referred to a pediatric hand surgeon with fusion of the middle and ring fingers of the left hand. The parents noticed this at birth. On examination, there is complete soft tissue fusion extending to the fingertips with no bony connection on radiograph. The parents ask about the timing and nature of surgical correction. Regarding syndactyly:

Mark each as TRUE or FALSE

A

Syndactyly is the failure of separation of digits during embryonic development (normally occurs week...

B

Timing of surgery depends on which digits are involved: border digits (thumb-index or ring-little) w...

C

Syndactyly results from excessive separation of digits; complex means soft tissue only; simple means...

D

Surgical technique involves zigzag incisions (to prevent scar contracture), creation of a commissure...

E

Complications include web creep (distal migration of the web requiring revision), scar contracture, ...

Answer the questions to see explanations

Click T (True) or F (False) for each option