Gabor Noah, Satnarine Travis, King Laurent, Chen Chen Karen, Alvarez Patricia
Pediatrics, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, Florida, USA.
Cureus. 2023 Jul 16;15(7):e41958. doi: 10.7759/cureus.41958. eCollection 2023 Jul.
Symbrachydactyly is a complex and rare congenital hand deformity characterized by missing or underdeveloped fingers and rudimentary digit nubbins. This case report focuses on a newborn female with type 3A symbrachydactyly, highlighting the unique clinical presentation, diagnostic assessment, and initial management approach. The rarity of this condition underscores the need for sharing cases to enhance understanding and treatment strategies. Various classification systems exist, contributing to the challenge of accurately categorizing symbrachydactyly. Surgical interventions play a crucial role in restoring hand function and appearance, with treatment choices tailored to individual evaluation and goals. Early surgical intervention is often necessary to improve outcomes, and nonvascularized toe phalangeal transfers have shown promising results. Further research is required to uncover the underlying cause and pathogenesis of symbrachydactyly, enabling more targeted and effective treatment approaches. This case report contributes to the existing knowledge and management of this uncommon congenital anomaly, emphasizing the importance of sharing and studying such cases for improved patient care.
短指并指畸形是一种复杂且罕见的先天性手部畸形,其特征为手指缺失或发育不全以及残留的指节小残端。本病例报告聚焦于一名患有3A型短指并指畸形的新生女婴,突出了独特的临床表现、诊断评估及初始治疗方法。这种病症的罕见性凸显了分享病例以增进理解和治疗策略的必要性。存在多种分类系统,这给准确分类短指并指畸形带来了挑战。手术干预在恢复手部功能和外观方面起着关键作用,治疗选择需根据个体评估和目标量身定制。早期手术干预通常对于改善预后是必要的,并且非血管化趾骨移植已显示出有前景的结果。需要进一步研究以揭示短指并指畸形的潜在病因和发病机制,从而实现更有针对性和有效的治疗方法。本病例报告为这种不常见先天性异常的现有知识和管理做出了贡献,强调了分享和研究此类病例对于改善患者护理的重要性。