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Malformations of the Hand


Malformations of the Hand

Hand malformations include syndactyly (webbed fingers), polydactyly (extra fingers), trigger fingers, crooked fingers, absent thumb, short fingers and missing fingers. All congenital hand malformations should raise suspicion of associated deformities of other organs or tissues. Syndactyly, for example, is frequently a readily visible manifestation of Poland's syndrome--congenital absence of thoracic structures in association with hand malformation.

Plastic surgery can correct many hand malformations definitively; in other instances, plastic surgery can provide some degree of functional capacity. An example of functional restoration is microvascular toe-to-hand tissue transfer, which offers potential for surgical correction of hypoplastic or aplastic fingers. The stress is restoring function than appearance.

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