Artikel
Complete complex type-4 syndactyly of all digits with ASD (L>R): A Rare Case Report
Suche in Medline nach
Autoren
-
Neeraj Godara
- Ganga Hospital & Medical Center, Coimbatore, India
| Veröffentlicht: | 6. Februar 2020 |
|---|
Gliederung
Text
Objectives/Interrogation: Syndactyly is defined as the failure of separation of the digits during early gestation. It is one of the most common congenital anomalies. The incidence of syndactyly is uncertain, but estimates range from 1 in 2,500 live births. During development, the fingers are webbed. This remains so, until apoptosis and skin recession allow for formation of the digital interspaces. Full inter-digital spaces are usually present by the end of the 6th week of gestation. Here we present a patient who presented to us with syndactyly of all fingers of both upper and lower extremities. The patient, who was a 3-year-old girl, had complete complex type-4 syndactyly of the all fingers and toes of both upper limb and lower limb. She underwent complete body workup and it was found associated with Ostium Secundum type (L>R).
Methods: 3 year old Female child presented to our clinic with all five fingers fused together in both hands and all the toes in both feet were also fused together (Figure 1). She was first born child of normal parents born out of non-consanguineous marriage. The perinatal history and family history were not contributory.
On examination there was complete complex Type-4 syndactyly of all fingers and toes with ASD(L>R) (Figure 2). No active movements were present in all digits. Rest of the sensory system, motor system were normal. All other developmental milestones were normal.
X-Ray findings revealed evidence of bony anomalies & fusion in the Fused digits.
Results and Conclusions: The case reported here is a live born baby with complete complex Type-4 syndactyly. On observation this case was found to have all digits fused of both hand and foot.
On gross examination of the extremities, it was seen that (Figure 1) all five fingers were fused together in both hands and all the toes in both feet were fused together (Figure 2). It was associated with ASD Ostium Secundum type (L>R) which was detected on 2-DEcho (Figure 3) and no other associated anomalies were found in this case. X-ray of the hand and feet showed bony fusion (Figue 4).
