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Published on: January 29, 2020
[Symbrachydactyly]
1Institut de la main et du membre supérieur, clinique Monticelli, 88, rue du Commandant-Rolland, 13008 Marseille, France. phillippe.samson@wanadoo.fr
Chirurgie De La Main
|October 10, 2008
Summary
Symbrachydactyly, a condition of short and fused fingers, presents in four types. Treatment for symbrachydactyly ranges from simple syndactyly release to complex reconstructive surgeries like toe transfers.
Area of Science:
- Hand Surgery
- Pediatric Orthopedics
- Congenital Hand Anomalies
Background:
- Symbrachydactyly is a congenital hand difference characterized by digital shortening and syndactyly.
- The Blauth and Gekeler classification system categorizes symbrachydactyly into four distinct types based on severity.
Purpose of the Study:
- To outline the classification and surgical management strategies for symbrachydactyly.
- To provide an overview of functional outcomes and treatment indications for each type.
Main Methods:
- Review of the Blauth and Gekeler classification of symbrachydactyly.
- Description of surgical interventions including syndactyly release, digital stump resection, finger translocation, toe transfers, and bone lengthening.
- Analysis of functional restoration based on the presence of active motion and specific digital ray involvement.
Main Results:
- Type I (short finger) typically requires only syndactyly release for functional improvement.
- Type II (cleft hand) with thumb and ulnar finger presence allows for pinch function, managed by separation of webbed fingers or other reconstructive options.
- Type III (monodactyly) and Type IV (peromely) may require toe transfers or bone lengthening for pinch creation, with Type IV's surgical indication dependent on existing active motion.
Conclusions:
- The management of symbrachydactyly is tailored to its specific type and the potential for functional restoration.
- Surgical interventions aim to improve dexterity and function, with the decision for surgery guided by the degree of anomaly and existing functional capacity.
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