Acrosyndactyly is a more complex type of syndactyly. The fingers had separated but a band formed around the fingers causing them to refuse during development.
Oral clefting occurs when the tissues of the lip and/or palate of a fetus don't grow together early in pregnancy. Children with clefts often don't have enough tissue in their mouths, and the tissue they do have isn't fused together properly to form the roof of their mouths.
A strong relationship between ABS and clubfoot exists. A 31.5% of associated clubfoot deformity and ABS can be correlated with 20% occurring bilaterally.
The accepted method of treating clubfeet is by the Ponseti method of Serial Plaster Casting. Treatment should be started right away. The initial treatment consists of manipulating the foot to get it to the best position possible, and then holding the correction in a cast...
This surgery creates growth at the rate of an inch of bone a month, to create new palms and to lengthen the fingers. It consists of the insertion of a device through the bone which is a complex group of bars, nails and steel screws. It requires screwing several turns per day to reach a growth rate of up to 1 ml. daily.
This is typical of Congenital Transverse Deficiency, a form of ABS. A short below-the-elbow amputation. The fingers may be represented only by nubbins or dimpling found on the end.
Congenital Overlapping toes are characterized by one toe lying on top of an adjacent toe. Congenital Underlapping toes usually involve the fourth and fifth toes
In this photo of Evan's hand at birth you can see the banding line from his wrist to his pinky finger and around the wrist. The three fingers are webbed together (syndactyly). His three fingers are small, with abnormal finger nails, and missing some joints, there is also some lymphedema (swelling at the joint) of the index finger middle joint.
