HIGH YIELD I Flashcards
pediatric digital deformities?
ectrodactyly polydactylylism congenital hallux varus macrodactylism congenital digitus minimum varus varus toe syndactyly arachnodactyly phocomelia
classifications based on location of extra digit?
preaxial polydactylism
central polydactylism
postaxial polydactylism
classifications based on tissue differentiation?
type A polydactylism
type B polydactylism
type M polydactylism
associations of polydactylism?
Ellis-van Creveld Syndrome
Patau’s Syndrome-trisomy 13
Surgery for Polydactyly?
Soft tissue correction
Capsulorrhaphy
Excision of supernumerary digit – most peripheral digit usually removed + supernumerary met
Ligature for type B
name this example of congenital hallux varus?
Diastrophic Dwarfism, a secondary cause
macrodactylism associations?
Neurofibromatosis
Von Recklinghouse disease
Hyperplasia of lymphatics or adipose
Arteriovenous fistula
Increased circulation to the digit
Called clinodactyly in hand
Congenital Digitus Minimum Varus
(aka curly toe) toes are plantarflexed, medially deviated, & rotated laterally at DIPJ
Varus Toe
Any digit that overrides or underlaps can be treated w/…
Buddy splints & strappings
Casting w/ digital adductus
Digital aids
Conditions associated w/ syndactyly?
brachydactyly
Apert’s Syndrome
Poland’s Syndrome
Albright’s Syndrome
Classification of syndactyly?
Type I Zygodactyly
Type II Syncopolydactyly
Type V Metatarsals & Metacarpals
Surgery for syndactyly?
Soft tissue correction, capsulorrhaphy, rotational grafts, circulation/lymphatics