title: Idiopathic Fenestrated Complex Syndactyly in a Unique Crisscross Fashion.
abstract: This case presents surgical treatment of a unique form of syndactyly: an isolated fenestrated, complex, crisscross syndactyly of the right middle and ring fingers. A 2-year-old boy presented with the ring finger lying dorsal and the middle finger lying volar, with the middle phalanges syndactylized. A surgical release was performed with a subsequent z-plasty, 2 years later, for scar elongation. At the age of 4, he has essentially full function of his hand with minimal limitations. This case demonstrates that 2 digits that were syndactylized in a coronal plane (ring finger dorsal and middle finger volar) can be successfully surgically separated.
authors.affiliation: Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN.
authors.forename: Benjamin R
authors.initials: BR
authors.lastname: Williams
authors.affiliation: Department of Orthopaedic Surgery, University of Minnesota, Minneapolis, MN. Electronic address: vanhe003@umn.edu.
authors.forename: Ann E
authors.initials: AE
authors.lastname: Van Heest
mesh_terms: D002675:Child, Preschool; D005385:Fingers / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D006801:Humans; D008297:Male; D019637:Orthopedic Procedures / Q000379:methods; D011859:Radiography; D013576:Syndactyly / Q000000981:diagnostic imaging / Q000601:surgery*
keywords: Syndactyly; hand function; surgical release