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Congenital Anomalies of the Upper Extremity pp 179–189Cite as

Syndactyly: Apert Syndrome

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Abstract

Apert syndrome is a rare congenital disorder characterized by craniosynostosis, midface hypoplasia, and bilateral syndactyly of the hands and feet. Characteristic hand anomalies include a short thumb with radial clinodactyly; involvement of the first web space with varying degrees of syndactyly between the thumb and index finger; complex syndactyly between the index, long, and ring fingers typically at the level of the distal interphalangeal joints or beyond; and variable degrees of syndactyly between the ring and small fingers. Reconstruction of the hand involves a series of staged procedures that are performed with the goal of minimizing the number of procedures, maximizing the functional outcome of the hand, and providing a favorable cosmetic result. The techniques and preferences of several groups and their outcomes are reviewed in this chapter.

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Author information

Authors and Affiliations

  1. Division of Plastic and Reconstructive Surgery, Stanford University Medical Center, 770 Welch Road, Suite 400, Palo Alto, CA, 94304, USA

    Brian C. Pridgen M.D., Arhana Chattopadhyay B.A. & James Chang M.D.

Authors
  1. Brian C. Pridgen M.D.
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  2. Arhana Chattopadhyay B.A.
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  3. James Chang M.D.
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Corresponding author

Correspondence to James Chang M.D. .

Editor information

Editors and Affiliations

  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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Pridgen, B.C., Chattopadhyay, A., Chang, J. (2015). Syndactyly: Apert Syndrome. In: Laub Jr., D. (eds) Congenital Anomalies of the Upper Extremity. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7504-1_14

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  • DOI: https://doi.org/10.1007/978-1-4899-7504-1_14

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-7503-4

  • Online ISBN: 978-1-4899-7504-1

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