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Brachydactyly: causes, symptoms, diagnosis, treatment

 
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Last reviewed: 07.07.2025
 
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Brachydactyly is a congenital malformation of the hand, in which, depending on the severity, underdevelopment or absence of the middle phalanges, middle and proximal phalanges, or middle, proximal phalanges, and metacarpal bones is observed.

ICD-10 code

Q70.9 Brachydactyly.

Ectrodactyly

Ectrodactyly is a congenital malformation of the hand, characterized by underdevelopment of the nail phalanges; as the malformation worsens, defects of the nail and middle phalanges are observed; in severe cases, the nail, middle and main phalanges are absent. The metacarpal bones are normally developed. In most cases, ectrodactyly is combined with congenital constrictions; such an anomaly is called secondary ectrodactyly.

ICD-10 code

Adactyly

Adactyly is a congenital malformation of the hand in which the phalanges of the fingers are absent; depending on the severity, the metacarpal bones are partially or completely preserved.

ICD-10 code

Q71.8 Adactyly.

Treatment of brachydactyly

The purpose of surgical treatment of transverse defects of the hand

  • Correction of the linear dimensions of the fingers using distraction methods, microsurgical transplantation of the toe to the hand, and pollicization surgery.
  • Elimination of finger syndactyly by local tissue plastic surgery or combined skin plastic surgery (depending on the size of the adhesion).
  • Correction of concomitant pathology (congenital constrictions in ectrodactyly, clinodactyly).

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