2013, Number 3
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Perinatol Reprod Hum 2013; 27 (3)
Ectrodactyly; case report
Valderrama-Zaldivar LJ
Language: Spanish
References: 12
Page: 200-204
PDF size: 315.20 Kb.
ABSTRACT
Ectrodactilia is an autosomic dominant disease, present in six of 10,000 born neonates, first described in 1770 in group of African slaves in South America. The illness could be associated with different syndromes. Since 20 weeks prenatal diagnosis is possible by ultrasonographic method. Case report: Female term newborn, with family history non contributory, born to a 23 year old mother by vaginal delivery in a second level municipal Hospital in the State of México. No complications at the time of birth, the diagnosis of ectrodactilia was done by inspection, right hand absence of two digits, the second and the medium, lower extremities: deep cleft in left foot, absence of the second and third fingers, and in the right foot, absence of the second, third and four fingers. Discussion: Congenital malformations of limbs are disabling, in the case of hands; the functionality and the aesthetic are affected. If the problem involves lower limbs, mobility could be restricted; not to mention the future implications on the scope psychosocial. In cases such as this, the commitment of biomechanics should be assessed according to the growth and development of skills, guarded by a multidisciplinary team including pediatric, orthopedic, physical therapy and rehabilitation, child psychology, among others.
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