syndactyly

Introduction

And refers to the introduction of malformation More than two parts of the finger are connected to congenital pathology, congenital and deformed (congenitalsyndactyly), which is the common hand congenital malformation after multi-finger malformation. Buck-Gramcko (1988) reported its incidence. For the 0.33~0.5, half of the children were bilateral and the ratio of male to female was 3:1. About 10% of the patients had a family history, and there was a family history and the middle and the ring fingers often appeared in the deformity. Accompanied by 2 or 3 toes and toes. basic knowledge Sickness ratio: 0.0001% Susceptible people: no specific people Mode of infection: non-infectious Complications: congenital and refers to multiple finger deformities

Cause

And refers to the cause of malformation

Performance is divided into skin shortage, skeletal malformations and blood vessels, neurological abnormalities.

1. Skin shortage: It means that the skin and subcutaneous tissue on the adjacent sides are less than normal, and the skin shortage in the fingertip area of the finger base is most obvious.

2. Skeletal malformation: The light finger refers to the metacarpal, the metacarpal bone and the corresponding joints are normal. Complexity and refers to skeletal malformations are divided into sacral bone deformities and secondary bone deformities.

(1) sacral bone deformity: manifested as diversity, with two interphalangeal bone fusion, phalanx and/or metacarpal dysplasia, interphalangeal joint fusion or rigidity, or presence of hornbone phalanx, or more Refers to the existence, or there is a bone bridge between the two fingers or between the metacarpal bones, which is more common in the split hands and refers to deformities.

(2) Secondary bone deformity: It is caused by the ulnar or metacarpal deformity, which causes static or dynamic force, which limits the growth of bone. This effect can be a bone fusion malformation, resulting in growth retardation or growth direction of the phalanx; or the traction of the soft tissue causes the finger, the length of the metacarpal bone, lateral curvature of the joint or flexion deformity.

Prevention

And refers to deformity prevention

The world has not been particularly specific yet to explain the origin of the cause, which is now generally considered to be caused by autosomal dominant inheritance or genetic mutation. Therefore, it is generally from this side to prevent and implement related measures. The following is a detailed introduction from the authoritative experts of Dajiang Health Network.

Pregnant women from pre-pregnancy to prenatal, mainly have the following aspects:

First, the marriage check: pre-marital physical examination has a positive effect on the prevention of deformity, and this also has a great relationship with the items examined, including: serological tests (such as hepatitis B virus, syphilis, HIV, etc.), reproductive system Examination, general medical examination, family history of illness, personal medical history, etc., doing genetic disease counseling work, these are very important factors, so premarital physical examination has a prominent role in preventing deformity.

Second, to avoid harm: Many external factors have a great impact on the appearance of fetal malformations, pregnant women have to pay special attention. Such as alcohol, smoke, drugs, pesticides, noise, volatile harmful gases, toxic and harmful heavy metals, external radiation. Especially during pregnancy, health care should be done well. Regular ultrasound examinations, serological screening, etc., and routine examination of chromosomes are required when necessary.

Complication

Malformed complications Complications congenital and refers to multiple finger deformities

1. And refers to the treatment of deformity is very easy to cause infection.

2. Implant or skin impregnation.

3. The graft is destroyed.

4. Form again.

Experts advise: Want to effectively avoid and refer to complications after malformation correction, postoperative care is very important, pay attention not to touch water in the short term, avoid eating irritating food, etc. are all issues that need attention. In order to avoid the occurrence of complications, the elbow should be bent 90 degrees after surgery. The long arm tubular gypsum protects the postoperative limbs and avoids wetting gypsum or dressing in the bathtub or swimming pool. In addition, it is necessary to find a professional doctor with rich experience in regular hospitals to perform surgery. This is the fundamental solution to eliminate hidden dangers after surgery.

Symptom

And refers to abnormal symptoms, common symptoms and refers to (toe) deformity, skewed fingers, giant feet, multiple fingers (toe) deformity, slow growth, forearm small

It also refers to a variety of clinical manifestations, some of which are expressed in the form of skin soft tissue and some are bones that are fused together. It can be either alone or as a deformity, or it can be one of the symptoms of other malformations, such as Apert syndrome, cracked hand deformity and short finger deformity. Often expressed as two fingers in parallel, there are three fingers or four fingers in parallel, and even five fingers in parallel.

Examine

And refers to abnormal examination

And refers to the deformity should be genetically examined to determine whether it is a familial genetic disease. In addition, the most important thing is to do all necessary preoperative examinations, including blood tests, routine urine tests, blood tests, electrocardiograms, chest X-ray examinations and hand X-ray film inspection.

Diagnosis

And refers to the diagnosis of malformation

Type

(1) According to the structure of the joint organization.

1 Simpleness refers to: only the skin of adjacent fingers and connective tissue are connected, and the skin of the gap is different. The X-ray film shows that the boundary between the fingers is clear, so it is also called soft tissue.

2 Complexity means: In addition to continuous skin soft tissue connection between two fingers or multiple fingers, there is also a fusion between the phalanges, or nerve vessels and muscle tendons connected, so it is also called bone and refers.

(2) Classification according to the degree of parallel connection.

1 Completeness means: completely connected from the base of the adjacent finger to the fingertip.

2 Incompleteness means that only parts of adjacent fingers are connected.

3Composite refers to: that is, refers to the combination of other malformations, such as pointed and pointed fingers, short fingers and fingers, split fingers and fingers, multi-finger fingers and ring grooves and so on.

(3) Mixed type.

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