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Symphalangism of middle phalanx of finger

MedGen UID:
869755
•Concept ID:
C4024184
•
Anatomical Abnormality
Synonym: Fused middle finger bone
 
HPO: HP:0009849

Definition

Fusion of a middle phalanx of a finger with another bone. [from HPO]

Professional guidelines

PubMed

Central Coalition Osteotomy of Phalangeal Synostoses in the Management of the Type III Apert Hand.
Theman TA, Upton J, Taghinia AH, Firriolo JM, Nuzzi LC, Labow BI
J Hand Surg Am 2018 Nov;43(11):1042.e1-1042.e8. Epub 2018 Jun 8 doi: 10.1016/j.jhsa.2018.03.050. PMID: 29891270

Recent clinical studies

Etiology

Central Coalition Osteotomy of Phalangeal Synostoses in the Management of the Type III Apert Hand.
Theman TA, Upton J, Taghinia AH, Firriolo JM, Nuzzi LC, Labow BI
J Hand Surg Am 2018 Nov;43(11):1042.e1-1042.e8. Epub 2018 Jun 8 doi: 10.1016/j.jhsa.2018.03.050. PMID: 29891270
Characteristic radiographic features of the central ray in Apert syndrome.
Kim JH, Rhee SH, Gong HS, Lee HJ, Kwon ST, Baek GH
J Hand Surg Eur Vol 2013 Mar;38(3):257-64. Epub 2012 Oct 11 doi: 10.1177/1753193412462895. PMID: 23060462
Complex syndactyly: aesthetic and objective outcomes.
Goldfarb CA, Steffen JA, Stutz CM
J Hand Surg Am 2012 Oct;37(10):2068-73. Epub 2012 Aug 31 doi: 10.1016/j.jhsa.2012.06.033. PMID: 22939825
Oculodentodigital dysplasia: ulnar-sided syndactyly and its associated disorders.
Jones C, Baldrighi C, Mills J, Bush P, Ezaki M, Oishi S
J Hand Surg Am 2011 Nov;36(11):1816-21. doi: 10.1016/j.jhsa.2011.08.026. PMID: 22036282
STARplasty for reconstruction of the burned web space: introduction of an alternative technique for the correction of dorsal neosyndactyly.
Hultman CS, Teotia S, Calvert C, Thornton S, Schram J
Ann Plast Surg 2005 Mar;54(3):281-7. PMID: 15725834

Diagnosis

Hypothesis: Symbrachydactyly.
Holmes LB, Nasri HZ
Am J Med Genet A 2022 Nov;188(11):3236-3241. Epub 2022 Sep 8 doi: 10.1002/ajmg.a.62941. PMID: 36073773
Brachydactyly type A3 is caused by a novel 13 bp HOXD13 frameshift deletion in a Chinese family.
Zhang M, Lu L, Wei B, Zhang Y, Li X, Shi Y, Ge W, Sun M
Am J Med Genet A 2020 Oct;182(10):2432-2436. Epub 2020 Aug 13 doi: 10.1002/ajmg.a.61788. PMID: 32789964
Oculodentodigital dysplasia: ulnar-sided syndactyly and its associated disorders.
Jones C, Baldrighi C, Mills J, Bush P, Ezaki M, Oishi S
J Hand Surg Am 2011 Nov;36(11):1816-21. doi: 10.1016/j.jhsa.2011.08.026. PMID: 22036282
Osteogenesis imperfecta: a case with hand deformities.
Oz B, Olmez N, Memis A
Clin Rheumatol 2005 Sep;24(5):565-8. Epub 2005 Apr 23 doi: 10.1007/s10067-005-1087-8. PMID: 15856364

Prognosis

Oculodentodigital dysplasia: ulnar-sided syndactyly and its associated disorders.
Jones C, Baldrighi C, Mills J, Bush P, Ezaki M, Oishi S
J Hand Surg Am 2011 Nov;36(11):1816-21. doi: 10.1016/j.jhsa.2011.08.026. PMID: 22036282
STARplasty for reconstruction of the burned web space: introduction of an alternative technique for the correction of dorsal neosyndactyly.
Hultman CS, Teotia S, Calvert C, Thornton S, Schram J
Ann Plast Surg 2005 Mar;54(3):281-7. PMID: 15725834

Clinical prediction guides

Central Coalition Osteotomy of Phalangeal Synostoses in the Management of the Type III Apert Hand.
Theman TA, Upton J, Taghinia AH, Firriolo JM, Nuzzi LC, Labow BI
J Hand Surg Am 2018 Nov;43(11):1042.e1-1042.e8. Epub 2018 Jun 8 doi: 10.1016/j.jhsa.2018.03.050. PMID: 29891270
Characteristic radiographic features of the central ray in Apert syndrome.
Kim JH, Rhee SH, Gong HS, Lee HJ, Kwon ST, Baek GH
J Hand Surg Eur Vol 2013 Mar;38(3):257-64. Epub 2012 Oct 11 doi: 10.1177/1753193412462895. PMID: 23060462
Complex syndactyly: aesthetic and objective outcomes.
Goldfarb CA, Steffen JA, Stutz CM
J Hand Surg Am 2012 Oct;37(10):2068-73. Epub 2012 Aug 31 doi: 10.1016/j.jhsa.2012.06.033. PMID: 22939825
A case of symbrachydactyly with oligodactyly.
Seven M, Yuksel A, Ozkilic A
Genet Couns 2001;12(1):77-83. PMID: 11332981
MODED: microcephaly-oculo-digito-esophageal-duodenal syndrome.
Frydman M, Katz M, Cabot SG, Soen G, Kauschansky A, Sirota L
Am J Med Genet 1997 Aug 22;71(3):251-7. doi: 10.1002/(sici)1096-8628(19970822)71:3<251::aid-ajmg1>3.0.co;2-x. PMID: 9268091

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