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Syndactyly

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Congenital Anomalies of the Upper Extremity

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Abstract

Syndactyly is a condition well known to the pediatric surgeon due to it being the second most common congenital upper limb defect. Ranging from simple interdigital webbing, syndactyly is frequently seen in association with soft tissue and bone variances in the hand as well as in syndromes associated with abnormalities of the other organ systems. Coming from the Greek syn (“συν” meaning together) and dactyly (“δακτυλος” meaning digits) it describes an embryological failure of finger separation. Although common in some species, including birds and kangaroos, it has a major aesthetic and functional significance for humans born with the condition.

This chapter focuses on the current understanding of the genetic and molecular causes of syndactyly. It will also discuss the varying clinical presentations as well as highlighting its management.

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  1. Plastic Surgery, Whiston Hospital, Warrington Road, Liverpool, L355DR, UK

    Daniel J. Jordan M.B.Ch.B. & Sandip Hindocha M.D., M.B.Ch.B. M.Phil, M.R.C.S.

  2. Burns and Plastic Reconstruction Unit, Whiston Hospital, Flat 1, 6 Parkfield Road, Aigburth, Liverpool, L178UH, UK

    Emma Snashall M.B.ChB.

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  1. Fletcher Allen Health Care and Vermont Children’s Hospital, Departments of Surgery and Pediatrics, University of Vermont School of Medicine, Burlington, Vermont, USA

    Donald R. Laub Jr.

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Jordan, D.J., Snashall, E., Hindocha, S. (2015). Syndactyly. In: Laub Jr., D. (eds) Congenital Anomalies of the Upper Extremity. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7504-1_13

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