Why fused toes? Fused toes of the newborn: causes

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2018-03-19 02:45:41

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Well, if the baby was born healthy! But sometimes parents are surprised to discover he has strange defects. Take, for example, fused toes of the newborn. The causes of this pathology sometimes they can be explained by the fact that their family has called a special sign is passed from generation to generation, but sometimes to understand what provoked the development of the defect can be very difficult. That is a syndactyly (fusion of fingers upper or lower extremities), and why it develops, and we'll talk in our article. fused toes

Syndactyly does not occur often

Have webbed feet and hands are fixed very rarely – in one case, 2-3 thousand newborns. And girls is found in 2 times less often than boys. Fused are often 2 and 3 fingers on the leg or middle and ring fingers on the hand. Most often, such fusion does not hurt joints and tendons, making the problem is only cosmetic.

And if his fingers, as a rule, subjected to surgical separation, the feet are often not touching, not seeing the defect hindered the development of the child (such a violation usually does not interfere with normal walking). However, in the presence of syndactyly in 60 % of these children were most often detected, and other congenital disorders of the extremities – feet deformity, pseudarthrosis, clubfoot, etc.

the child has webbed feet

Fused toes of the newborn: causes pathology

What triggers the appearance of syndactyly? The fact that the fingers of the hands and feet of the baby are laid at 4-5 weeks of pregnancy, when the mother usually still have no idea about it, and therefore without limits. Hence there is a high probability that the fetus may be affected by harmful factors – x-rays, antibiotics, alcohol, Smoking, etc. we can Not exclude the danger of serious consequences for the pregnant woman and her fetus against such diseases as influenza, mumps or syphilis.

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And the most common reasons that a newborn fused toes, is heredity that is passed from parents to children.

Incidentally, the discovery of the child's syndactyly, even in mild degree, it must necessarily be tested for the presence of genetic and chromosomal syndromes (Apert syndrome, Poland or Edwards) in which the fusion of the fingers is a symptom of serious defects in the baby.

By the Way, in medical practice was also observed in the cases of acquired adhesions of the fingers as a result of chemical or thermal burn of the hand or foot.

About what to do if your baby webbed feet and hands, we'll talk further, but for now a bit of theory.

webbed feet of a newborn causes

Classified As pathology

In medicine before us, the pathology klassificeret depending on the condition of the bones and degree of accretion. So, mind the spikes happen-tissue syndactyly and bone, and the magnitude of the fusion - complete and incomplete.

Depending on how the fused fingers on the leg or arm, syndactyly happens:

  • Webbed skin – between the toes there is a membrane of skin (this type of pathology is considered the easiest);
  • Cutaneous – between the fingers is thick skin with underlying soft tissue, often for the entire length of the fingers;
  • Bone – fusion occurs at the level of the phalanges, and they as a rule, underdeveloped or deformed;
  • Compatible – there are several types of syndactyly (this form is the most difficult thing in the treatment).

Diagnosis of syndactyly

As a rule, detect syndactyly in the first hours of a newborn, seen his neonatologist. If a baby has fused the toes, then the question of the necessity of the operation usually not necessary, and parents have the opportunity to weigh the pros and cons of surgical intervention.

In order to have a complete picture of the disease, the baby should be show a children's surgeon and do x-rays of the foot in two projections. This will allow to determine the peculiarities of the defect and the condition of the bones and joints of the baby.

baby webbed feet

How to treat syndactyly

And yet, regardless of why fused toes, the only treatment for this pathology is surgical intervention.

The Optimum age of the baby for this - 4-5 years. However, in that case, if the connected terminal phalanges of digits, the operation is best done before one year of age to prevent uneven growth of the fingers and their deformation.

Surgery to correct syndactyly can be divided into 5 groups:

  1. Simple dissection at the membranous fusion.
  2. The Dissection with the use of skin plasty with local tissues.
  3. The Dissection with the use of skin grafting with full-thickness or split skin graft.
  4. The Dissection with the use of combination skin plasty (used the free autotransplanted or local tissue).
  5. Operation in several stages, including bone, tendon and muscle and skin plastic.

Which of the following operations would be most optimal, the doctor will decide, taking into account the nature and form of pathology.

how many fused toe

The Postoperative period: how many fused toe?

After the surgery recovery period usually takes place in the house. Limbs at this time need to rest (during the month). You have to follow the instructions of the doctor, providing proper care for postoperative wounds.

They, for reducing inflammation and getting rid of scars, smeared with ointment “Germain” or gel “Contractubex”, and after about 7 weeks for the specialist appointment, start to attend physiotherapy. By the way, hurry up with this not worth it – let the surgical wound heal as it should, so as not to cause the child pain during treatment.

In some cases is also wearing braces from orphit to the operated fingers are not fused seams. Initially (within a month) they always wear, and then wear it only at sleep time.

It Should be noted that complying with all the requirements you will soon forget about the considered problem (the child has webbed feet). The patient will recover fairly quickly and without complications.

Forecast

Despite the fact that cases of syndactyly in our time have increased, which researchers have not yet found adequate explanation, the prognosis of this disease is generally favorable. Modern methods of treatment allow to get rid of the defect, restoring all functions of the hand or the foot and correct the deformity of the fingers.

If a baby has fused toes on the leg or arm, the operation allows formation of normal interdigital spaces and to preserve joint mobility and sensitivity of the fingers of the patient. That is, rid it of any difficulties associated with syndactyly.if a woman has fused toes

Do I have to do the surgery for syndactyly of the toes

Almost always parents find your baby has problems with her fingers, begin to insist on immediate operation. But if fused fingers and really can deliver not only aesthetic, but also physical problems, in a situation when there is a defect on the feet, especially if the fingers are not deformed and normally bent, it is possible to do without operation.

If a woman has fused toes can cause a lot of negative emotions, down to not wanting to wear open shoes or walk barefoot on the beach, the child, as a rule, such problems have not and will not, of course, with the right attitude. Many people live without feeling any unpleasant sensations from fused toes on his feet. And for some, this special sign is also a peculiar twist. As you can see, it all depends on whether you accept yourself as you are.

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BE: https://tostpost.com/be/zdaro-e/4126-chamu-zrastayucca-pal-cy-na-naze-zroslyya-pal-cy-na-nagah-u-novanarodz.html

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KK: https://tostpost.com/kk/densauly/4128-nege-srastayutsya-sausa-tar-aya-a-k-y-ne-alu-kerek-osylyp-sken-sausa-t.html

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Alin Trodden - author of the article, editor
"Hi, I'm Alin Trodden. I write texts, read books, and look for impressions. And I'm not bad at telling you about it. I am always happy to participate in interesting projects."

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