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Assessing Indications for Operative Treatment

Goodell, Parker B., MD, MPH*; Bauer, Andrea S., MD

doi: 10.1097/BTO.0000000000000334

Symbrachydactyly is a congenital hand difference which is sporadic and generally unilateral that presents with shortened or absent central digits. The treatment of symbrachydactyly is multifaceted and optimized when opportunities to enhance innate ability through nonoperative interventions and surgical procedures are applied effectively. There is a significant, meaningful role for hand therapy, normalizing hand differences through hand camps or peer relationships, and, when appropriate, referral to mental health professionals. Surgical management is targeted at the associated features of symbrachydactyly including syndactyly, shortened first web space, short and/or unstable digits, and addressing absent digits.

*Department of Orthopaedic Surgery, University of California, San Francisco-Fresno, Fresno, CA

Department of Orthopaedic Surgery, Boston Children’s Hospital, Boston, MA

The authors declare that they have nothing to disclose.

For reprint requests, or additional information and guidance on the techniques described in the article, please contact Andrea S. Bauer, MD, at or by mail at Department of Orthopaedic Surgery, Boston Children’s Hospital, Boston 02115, MA. You may inquire whether the author(s) will agree to phone conferences and/or visits regarding these techniques.

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