In post mortem physical examination of the present case, a hydrocephalus fetus with IUGR, low set ears and limb abnormalities including bilateral
syndactyly of the third and fourth digits and club foot was observed (Figure 2).
He had small hands and feet with tapered, short fingers with fingers 3-4 showing
syndactyly as well as
syndactyly of his 2-3 toes.
In cases of multiple-digit amputation at a level distal to the web, bilateral STT is preferred because unilateral transfer of the second and third toes combined would create the appearance of
syndactyly. However, in the case of multiple-digit amputation at a level proximal to web, unilateral transfer of the second and third toes combined is preferred [6, 13].
More predominantly, 94% of patients have some musculoskeletal abnormalities including limb discrepancies, scoliosis, and abnormalities of the digits such as
syndactyly, polydactyly, and bifid thumb.
These include
syndactyly and cranial deformation in mice, cattle, and humans, which are reminiscent of diseases caused by a mutated SOST gene [62-64].
(4),(5)
Syndactyly is the webbing or fusing together of two or more fingers or toes.
Apert syndrome (AS) is a considerably rare syndrome characterized by craniosynostosis, mid-facial hypoplasia, and
syndactyly in the hands and feet.
He had bilateral 3-4 complete cutaneous
syndactyly of his hands (Fig.
It includes hypoplasia of the distal phalanges/nails, a 'finger-like' thumb,
syndactyly, polydactyly, absent palmar creases and positional limb defects like club feet.
They don't have to live with the disorder called
Syndactyly as it can be treated, but the family doesn't acknowledge it as a medical problem.
Birth anomalies were described as follows, based on the criteria of the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD-10): talipes equinovarus (n = 1), polydactyly (n = 1),
syndactyly (n = 1), other congenital anomaly of the foot (n = 2), Down syndrome (n = 3), macrocephaly (n = 1), unspecified syndrome (n = 1), spina bifida (n = 1), unspecified brain abnormality (n = 1), congenital anomaly of male genital tract (n = 1), unspecified head and neck abnormality (n = 2), and multiple malformations (n = 1).
microcephaly (4.5%), open eye lid (4.5%), hemorrhagic spot (6.81%).In control group few abnormalities like
syndactyly (0.91%) and hemorrhagic spots (0.91%) are present (Table1, Fig 1).
There were a few blisters on the left second and fifth toe with sclerosis of skin and partial
syndactyly of second and third toes (figure 2).
Many patients with isolated anomalies of lip, palate (like cleft lip/palate), limb deformity (CTEV,
syndactyly, polydactyly, etc.), chest deformity (like pectus excavatum), and ear anomalies (microtia, anotia, etc.) were excluded from our study as they did not require immediate surgery and hence were not admitted and managed on OPD basis.
