Tolk Jaap J, van Mourik Jan B A
Máxima MC, afd. Orthopedie en Traumatologie, Eindhoven en Veldhoven.
Contact: Jaap J. Tolk (
Ned Tijdschr Geneeskd. 2020 Mar 5;164:D4419.
The case of a 4-year-old boy with a symmetrical deformity of the 5th fingers is presented. Radiographs showed dysplastic development of the middle phalanx resembling the shape of ''Christmas tree angels''. A finding typical for Angel-shaped phalango-epiphyseal dysplasia (ASPED). Differential diagnosis, associated conditions and treatment are discussed.