| Introduction |
- Congenital digital stiffness that comes in two forms
- hereditary symphalangism
- an autosomal dominant form and associated with correctable hearing loss
- more common in ulnar digits
- nonherediatry symphalangism
- found with syndactyly, Alpert's syndrome, and Poland's syndrome
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| Presentation |
- Physical exam
- stiff digits, usually ulnar
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| Treatment |
- Nonoperative
- there is no indication for surgery in children
- Operative
- angular osteotomies may be considered during adolesence to improve function and cosmesis
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