Surgery is performed under general anesthesia and usually takes a few hours. Depending on the extent of involvement of the syndactyly, skin grafts may be required, and this is typically taken from the groin area. Surgical separation of the digits is usually recommended, around the age of 2, when the child is old enough to make anesthesia as safe as possible, after he/she has started walking, and yet young enough to be able to easily adapt to the new, separated state of the fingers after recovering from surgery. Earlier treatment is recommended when the involved digits are of significantly different lengths, such as between the ring and small fingers. The web space between the long and ring fingers is most commonly affected, but syndactyly can occur between any adjacent digits. Syndactyly can be simple (soft tissue only, with no bone involvement) or complex (failure of the bones of the fingers to separate, as well as the soft tissues) complete (all the way out to the fingertips) or incomplete (there is some degree of separation of the fingers). Nadezhda Ivanisova, Dr.Syndactyly refers to persistent webbing between digits, or failure of the digits to separate during embryonic development. The webbing is split evenly and, if needed, a skin graft is used to cover some areas.Īfter surgery, the patient needs to wear a cast for 2-3 weeks to completely recover.Īuthors: Dr. It is usually conducted under general anesthetic. Plastic separation surgery is currently the most effective type of surgery for this condition. The doctor will observe the child and make an assessment of when the best time for surgical intervention is. Each case is highly individual, but it is usually best for surgery to be performed when the child is around 1 or 2 years old, when there is less likelihood of complications due to the anesthetic. It is vital that the surgery is performed at a point in the child’s life when the connected tissue is most likely to be separated effectively. Surgical intervention is usually the only treatment possible for this condition. An X-Ray, which can determine whether there are any signs of bone and tissue problems that cause syndactyly.A blood test, to see if everything is alright with the amount of white and red blood cells.In order to check for other abnormalities, the doctor can also arrange for: Webbed fingers are usually the only symptom of this disease, however in some cases it can also indicate other abnormalities.ĭiagnosis is usually confirmed after the baby’s birth during general inspection. Syndactyly symptoms can be picked up during an ultrasound, which is usually conducted during the sixth or seventh month of pregnancy when the fetus’s hands and feet are distinctly delineated in the image. In 50% of syndactyly cases, both hands are affected. Very rarely, a patient can have the condition known as polysyndactyly, where there is an extra number of fingers or toes. It can occur with other defects of the skull and bones. In most cases, webbing develops between the second and third finger. In some cases, it is caused by such genetic defects as Down syndrome. It can occur if a child has a genetic predisposition. This does not happen in cases of syndactyly. Usually, a baby forms fingers and toes during the sixth or seventh week of prenatal development. Syndactyly is most common in Caucasian baby boys. According to American website Healthline, 1 baby out of 2,000-3,000 is born with this condition. In some cases of Syndactyly, fingers also become connected by bones as well as by webbed skin.
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