The affected finger abnormally curves to the side and may overlap other fingers. I don't have Down syndrome, I am a female and I have it in both hands so I guess I'm just really abnormal. Clinodactyly is quite a rare condition and affects about 8-10% of the population. In addition to a physical exam and X-rays, your child may also undergo: Accurate diagnosis helps us determine the best course of treatment for your child. In einigen Fällen wird das abgelenkte Ende über oder unter dem benachbarten platziert. Our program is led by a medical staff with nearly 75 years of combined experience treating hand and arm conditions. In syndromic populations, the incidence is much higher, especially in Down syndrome. The fingers are often short, with clinodactyly (incurving) of the 5th digit, which often has only 2 phalanges. The degree to which this affects function varies in each case, and some people might have this slight malformation without ever requiring … Most cases of Down syndrome involve a nondisjunction during the first meiotic cell division, with mothers contributing the extra chromosome in 85% of cases. The clinodactyly is associated with different genetic disorders which include Down syndrome, Cornelia de Lange syndrome, Aarskog syndrome, Klinefelter (XXY) syndrome, Carpenter syndrome, Seckel syndrome, Mohr syndrome and Russell-Silver syndrome. The exact incidence of this condition is unknown, in part because there is no precise definition of what level of curvature is normal and abnormal. Surgical procedures typically involve making a cut in the bone, correcting the deformity and stabilizing the finger until the bone and soft tissue are healed. The primary symptom of clinodactyly is a finger that is abnormally curved in the middle. Clinodactyly | Radiology Reference Article | Radiopaedia.org Remove a wedge-shaped portion of the curved bone in the affected finger, Ensure the bones and soft tissues are lined up properly within the finger, Ensure the corrected finger lines up with the other fingers on the hand, ©2021 The Children’s Hospital of Philadelphia. Treatment for clinodactyly varies depends on the severity of the condition, but can include ongoing monitoring and surgery. A "J-shaped" epiphysis" sometimes continuing to form an abnormal distal epiphysis to the bone creating a "C-shaped epiphysis" or "longitudinally bracketed epiphysis". Unless the curved finger is severe, clinodactyly may go unnoticed for years. In most cases, splinting or stretching the finger is not recommended. (G) Various types of syndactyly (fusion) of the fingers or toes may be seen; second- … Our Department of Plastic and Oral Surgery is one of the largest and most experienced pediatric plastic and oral surgery centers anywhere in the world. Rather than grow perpendicular to the axis of the finger, therefore, these bones may change the direction they grow in, resulting in trapezoidal or triangular shaped bones. 122 However, a study of the hand radiographs of 324 patients with Down's syndrome revealed clinodactyly of the fifth finger in only 28% and the finding was also seen in up to 3% of normal caucasian patients. Eine Klinodaktylie kommt isoliert als harmlose Fehlbildung oder im Zusammenhang mit genetischen Erkrankungen wie dem Silver-Russell-Syndrom (SRS), dem Down-Syndrom (Trisomie 21) oder anderen Trisomien (Trisomie 3, Trisomie 8) vor. A crooked little finger can be seen in these syndromes: Down's, Mohr, Silver-Russell, Seckel, and some cases of Autism. Follow-up care for clinodactyly will depend on the treatment needed. Clinodactyly can be associated with many syndromes including Down syndrome, Klinefelter syndrome, Turner syndrome, Fanconi anemia and others.

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