Syndactyly

Changed by Joshua Yap, 8 May 2023
Disclosures - updated 15 Jul 2022: Nothing to disclose

Updates to Article Attributes

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Syndactyly (plural: syndactylies) refers to a congenital fusion of two or more digits. It may be confined to soft tissue (soft tissue syndactyly / simple syndactyly) or may involve bone (bony syndactyly / complex syndactyly).

Epidemiology

The overall estimated incidence is at ~1 per 2500 to 5000 live births 6,8. There may be a greater male predilection.

Associations

Syndactyly can occur as an isolated phenomenon or can be associated with numerous other entities. Isolated cases can be either sporadic or familial.

Aneuploidic
  • aneuploidic syndromic

Non
  • non-aneuploidic syndromic

    Non
  • non-syndromic

  • Pathology

    There is a very wide spectrum of syndactyly ranging from partial to complete.

    Location

    Overall, the 2nd and 3rd digits tend to be most frequently associated 6. May involve the toes more than the fingers.

    Radiographic features

    Plain radiograph

    Postnatally the type and degree of bony syndactyly can be easily diagnosed on plain film.

    Antenatal ultrasound

    Often difficult to diagnose on ultrasound (especially with soft tissue syndactyly). The diagnosis may be suggested if the digits appear to constantly move together 7. The fingers may appear constantly deformed with complex syndactyly 6.

    Treatment and prognosis

    The overall prognosis can be extremely variable depending on the presence of other associated anomalies.

    History and etymology

    The term syndactyly is derived from the Greek words "syn" meaning together and "daktulos" meaning fingers.

    See also

    • -<p><strong>Syndactyly</strong> (plural: syndactylies) refers to a congenital fusion of two or more digits. It may be confined to soft tissue (<a href="/articles/soft-tissue-syndactyly">soft tissue syndactyly</a> / <a href="/articles/simple-syndactyly">simple syndactyly</a>) or may involve bone (<a href="/articles/bony-syndactyly">bony syndactyly</a> / <a href="/articles/complex-syndactyly">complex syndactyly</a>).</p><h4>Epidemiology</h4><p>The overall estimated incidence is at ~1 per 2500 to 5000 live births <sup>6,8</sup>. There may be a greater male predilection.</p><h5>Associations</h5><p>Syndactyly can occur as an isolated phenomenon or can be associated with numerous other entities. Isolated cases can be either sporadic or familial.</p><h6>Aneuploidic syndromic</h6><ul>
    • +<p><strong>Syndactyly</strong> (plural: syndactylies) refers to a congenital fusion of two or more digits. It may be confined to soft tissue (<a href="/articles/soft-tissue-syndactyly">soft tissue syndactyly</a> / <a href="/articles/simple-syndactyly">simple syndactyly</a>) or may involve bone (<a href="/articles/bony-syndactyly">bony syndactyly</a> / <a href="/articles/complex-syndactyly">complex syndactyly</a>).</p><h4>Epidemiology</h4><p>The overall estimated incidence is at ~1 per 2500 to 5000 live births <sup>6,8</sup>. There may be a greater male predilection.</p><h5>Associations</h5><p>Syndactyly can occur as an isolated phenomenon or can be associated with numerous other entities. Isolated cases can be either sporadic or familial.</p><ul>
    • +<li>
    • +<p>aneuploidic syndromic</p>
    • +<ul>
    • -</ul><h6>Non-aneuploidic syndromic</h6><ul>
    • +</ul>
    • +</li>
    • +<li>
    • +<p>non-aneuploidic syndromic</p>
    • +<ul>
    • -</ul><h6>Non-syndromic</h6><ul>
    • +</ul>
    • +</li>
    • +<li>
    • +<p>non-syndromic</p>
    • +<ul>
    • +</ul>
    • +</li>

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