Macrodactyly (local gigantism)
- Very rare with unknown etiology or genetic correlation
- Associated with other conditions - a/w hypertrophy
Cleft Hand
- True cleft hand will involve all 4 limbs including feet
- A/w absent metacarpals. (as opposed to symbrachydactyly)
- Management of cleft hand?
- 1. Cleft closure
- 2. Thumb reconstruction - web space deepening
- 3. Release syndactyly
Symphalangism
- Congenital digital stiffness
- Inheritance pattern of symphalangism?
- Hereditary - AD associated with hearing issues
- Nonhereditary - a/w Poland's syndrome, Apert's syndrome
- Associated conditions with symphalangism