Idiopathic Fenestrated Complex Syndactyly in a Unique Crisscross Fashion

Benjamin R. Williams, Ann E. Van Heest

Research output: Contribution to journalArticlepeer-review


This case presents surgical treatment of a unique form of syndactyly: an isolated fenestrated, complex, crisscross syndactyly of the right middle and ring fingers. A 2-year-old boy presented with the ring finger lying dorsal and the middle finger lying volar, with the middle phalanges syndactylized. A surgical release was performed with a subsequent z-plasty, 2 years later, for scar elongation. At the age of 4, he has essentially full function of his hand with minimal limitations. This case demonstrates that 2 digits that were syndactylized in a coronal plane (ring finger dorsal and middle finger volar) can be successfully surgically separated.

Original languageEnglish (US)
Pages (from-to)e485-e489
JournalJournal of Hand Surgery
Issue number12
StatePublished - Dec 1 2016

Bibliographical note

Publisher Copyright:
© 2016 American Society for Surgery of the Hand


  • Syndactyly
  • hand function
  • surgical release


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