Symbrachydactyly of the Foot

Symbrachydactyly, or short webbed fingers, is a birth difference which almost always affects one arm.  I have blogged about this anomaly several times- this is a link to all relevant posts.  http://congenitalhand.wustl.edu/search/label/Symbrachydactyly One of the ways we differentiate symbrachydactyly from other anomalies is that it is almost always affects only one arm.  When more than […]

Toe Transfers

Symbrachydactyly may present in different forms although the thumb is typically well formed.  Reconstructive technique are varied and can include free toe transfers as I have previously writtenhttp://congenitalhand.wustl.edu/2013/01/toe-transfers.html . I recently saw a symbrachydactyly patient back for followup 10 years after initial treatment.  We had, after a lengthy family discussion in 2003, treated the 9 month old patient […]

Toe syndactyly, more thoughts

I have previously posted on toe syndactyly with an example of a surgical case.  http://congenitalhand.wustl.edu/search/label/Syndactyly While this was a fascinating case with a very satisfying outcome, it is unusual.  Most cases of toe syndactyly involve the lesser toes (toes 2-5) and have little functional or appearance issues.  This type of toe syndactyly involving the lesser […]