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Symbrachydactyly

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Congenital Anomalies of the Upper Extremity

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Abstract

Symbrachydactyly is a distal manifestation of a transverse deficiency within group I failure of axis formation and/or differentiation and within the proximal distal outgrowth division. In its mildest form, the fingers are shortened due to absence of the middle phalanges and involved in varying degrees of syndactyly. Children with more severe forms of symbrachydactyly usually have either a thumb and a small finger separated by “nubbins” or only have a thumb but are missing all four fingers, which are represented just by “nubbins,” or have absence of all five digits, which are represented just by “nubbins.” Surgical options for reconstruction of children with transverse failure or symbrachydactyly include nonvascularized toe phalangeal bone grafting, distraction osteogenesis, and microsurgical toe-to-hand transfers.

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Authors and Affiliations

  1. WVU Medicine, United Hospital Center, Bridgeport, WV, USA

    William J. Dahl

  2. David Geffen School of Medicine, University of California, Los Angeles, Ronald Reagan UCLA Medical Center, Los Angeles, CA, USA

    Neil F. Jones

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  1. William J. Dahl
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  2. Neil F. Jones
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Correspondence to Neil F. Jones .

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  1. Colchester, VT, USA

    Donald R. Laub Jr.

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Dahl, W.J., Jones, N.F. (2021). Symbrachydactyly. In: Laub Jr., D.R. (eds) Congenital Anomalies of the Upper Extremity. Springer, Cham. https://doi.org/10.1007/978-3-030-64159-7_12

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  • DOI: https://doi.org/10.1007/978-3-030-64159-7_12

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