Are finger deformities hereditary?

Are finger deformities hereditary?

Although finger deformities are not particularly common clinically, they can cause great harm to children. There are many causes of finger deformities, including congenital deformities, genetic factors, and some improper behaviors of pregnant women during pregnancy, such as medication, etc. When finger deformities occur, they must be treated as soon as possible to avoid excessive impact on the child.

Are finger deformities hereditary?

The causes of congenital malformations are not yet fully understood, and there are both genetic and external factors. The deformity rate of children born in families with deformities is 25 times that of normal families.

Generally, there is no need to worry too much. You can do a three-dimensional color ultrasound after 4 months of pregnancy to detect hand deformities.

First of all, we need to find out what causes the deformity. If the abnormality is caused by a genetic disease, it may be inherited.

If it is not a genetic disease, but due to the mother taking teratogenic drugs or other external chemical and physical factors during pregnancy, or suffering from diseases such as rubella, it may also cause the child to be deformed. If this is possible, it will generally not be passed on to the next generation.

It is generally recommended to go to the hospital for genetic testing for genetic diseases. Another way is to do amniotic fluid DNA testing after pregnancy to see if the child has any deformities.

Classification of finger deformities

1. Polydactyly Polydactyly is one of the most common congenital malformations. Some supernumerary fingers (toes) are hereditary. For example, supernumerary fingers of the middle finger and little finger are autosomal dominant genetic abnormalities. The fourth finger, the ring finger, middle finger and little finger deformities each have unique manifestations. Complex deformities such as mirror hand (ulnar-sided hands) and pentadactyly also belong to supernumerary finger deformities. Duplication deformities can be divided into three types: radial (thumb side), middle and ulnar (little finger side). Simple duplication deformities should be removed as early as possible in infancy, while complex polydactyly should be corrected after 1 year of age. The most common polydactyly is the supernumerary thumb. 2. Syndactyly : Syndactyly is also common, and can be divided into complete syndactyly and partial syndactyly. When only the soft tissue is closed, it is called simple syndactyly. Syndactyly is called complex syndactyly when it is connected by bones. Syndactyly is more common between 3 and 4 fingers, and can also be seen in Apert syndrome (craniosynostosis, varying degrees of complex syndactyly of the hands or feet), fasciculopathy and Poland syndrome (absence of the pectoralis major muscle and syndactyly). Surgical separation and full-thickness skin grafting are often required.

3. Bent finger Bent finger is bent or deformed toward the frontal plane or sagittal plane. Except for the bent finger, there is local bone deformation. Many children have complications of various systemic diseases. Camptodactly is a common type of camptodactyly, which can be divided into infantile type and adolescent type. The adolescent type develops slowly between the ages of 12 and 14 and is more common in females. The deformity may progressively worsen, and functional impairment is rare. Treatment is usually splinting, but surgery is occasionally needed. 4. Internal deviation of the finger Internal deviation of the finger is when the distal segment of the little finger tilts toward the radial side. It can be a normal variation with no functional impairment and usually does not require treatment. Some children have severe deformities and require osteotomy for correction. As many as 25% to 79% of Down's syndrome patients have tilted fingers, and many congenital syndromes also have this finger deformity. 5. Brachydactyly Brachydactyly refers to short phalanges or metacarpals. It is inherited through the chromosomes and may be complicated by Poland syndrome and Silver syndrome. Finger lengthening surgery is often unsuccessful.

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