Ektrodaktylie


Ectrodactyly (also known as a split hand-split foot malformation, cleft hand or lobster claw hand) is a skeletal anomaly predominantly affecting the hands (although the feet can also be affected). The condition has a highly variable severity.
Epidemiology
The estimated incidence is at ~ 1 in 90,000-150,000 births.
Pathology
It results from a longitudinal deficiency in central digits where the mechanism is thought to be a failure of the median apical ectodermal ridge in the developing limb bud.
Genetics
The most common mode of transmission is as an autosomal dominant trait, although autosomal recessive and X-linked modes of transmission also have been described.
Associations
- syndromic
- EEC syndrome (ectrodactyly-ectrodermal dysplasia-clefting syndrome)
- ectrodactyly
- ectodermal dysplasia
- cleft lip or palate
- Karsch-Neugebauer syndrome
- Roberts syndrome
- EEC syndrome (ectrodactyly-ectrodermal dysplasia-clefting syndrome)
- non syndromic
- syndactyly, aplasia, or hypoplasia of the residual phalanges/metacarpals
- sensorineural hearing loss
Radiographic features
Plain film
- there is a deficiency or absence of one or more central digits of the hand +/- feet
- characterized by a deep V- or U-shaped central bony defect
Differential diagnosis
General differential considerations include
- amniotic band sequence: usually unilateral and may be not symmetrical
Siehe auch:
- Amniotisches-Band-Syndrom
- Syndaktylie
- Polysyndaktylie
- EEM-Syndrom
- Oligodaktylie
- Gollop-Wolfgang-Syndrom
- Tibia-Aplasie-Ektrodaktylie-Syndrom
- Karsch-Neugebauer-Syndrom
- Femur-Bifurkation
- ADULT-Syndrom
und weiter:
