Q70.10

Clinical Causes: Genetic mutations that affect limb development during embryonic growth Inherited traits passing from parents to children Associated syndromes such as Apert syndrome, Poland syndrome, or Pfeiffer syndrome Environmental factors during pregnancy, though these are less common Spontaneous mutations with no clear familial history

Key Symptoms: Fingers that appear fused or connected, often at the middle or tip Restricted movement or flexibility in the affected fingers Varying degrees of fusion—ranging from superficial skin connections to complete bone fusion Possible deformities or abnormalities in hand shape In some cases, asymptomatic with minimal functional impact

Diagnosis Path: Diagnosis is primarily clinical, involving physical examination of the hand to assess the extent of fusion and any associated anomalies. Imaging tests, such as X-rays, are used to understand the internal structure and determine whether bones are fused. In some cases, genetic testing might be recommended to identify underlying syndromes or hereditary patterns. Early diagnosis enables planning for potential surgical correction and management strategies.

Treatment Protocols: Treatment options depend on the severity of syndactyly and associated conditions. Surgical intervention is often considered to separate fused fingers, especially when fusion impairs function or causes cosmetic concerns. The timing of surgery may vary but is usually performed in early childhood. Postoperative care includes physical therapy to improve mobility, prevent scarring, and ensure optimal hand function. In some cases, additional procedures or therapies may be necessary to address deformities or functional limitations.