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Polydactyly also occurs in modern extant reptiles [82] and amphibians. [83] Polydactyly was a non-pathological, reacquired condition in extinct marine reptiles such as ichthyosaurs and hupehsuchians, some of which containing upwards of ten digits within their flippers. [84]
Synpolydactyly is a combination of syndactyly and polydactyly. This image shows the hand morphology of an individual with polydactyly. SPD is inherited in an autosomal dominant pattern, meaning that an individual only needs to inherit one copy of the affected gene, also known as an allele, from either parent to potentially develop the condition.
Acrocephalosyndactyly presents in numerous different subtypes, however, considerable overlap in symptoms occurs. Generally, all forms of acrocephalosyndactyly are characterized by atypical craniofacial, hand, and foot characteristics, such as premature closure of the fibrous joints in between certain bones of the skull, [16] [17] fusion of certain fingers or toes, [16] [18] and/or more than ...
Despite the individual variations listed below, the relationship is to the original five-digit model. In reptiles, the limbs are pentadactylous. Dogs have tetradactylous paws but the dewclaw makes them pentadactyls. Cats also have dewclaws on their front limbs but not their hind limbs, making them both pentadactyls and tetradactyls.
Polysyndactyly has full penetrance but variable expressivity; individuals who possess an allele for polysyndactyly may have a different severity of the condition. This has been seen in case studies where a parent has hexadactyly in their 4th and 5th fingers but their child has hexadactyly in their 1st, 2nd, 3rd and 4th fingers.
Individuals affected by Carpenter syndrome often experience cutaneous syndactyly (fusion of the digits) or polydactyly (presence of extra digits) of the toes more often than fingers. Individuals also have short fingers. Approximately one third of individuals born with Carpenter syndrome have a type of heart defect.
Ellis–Van Creveld syndrome often is the result of founder effects in isolated human populations, such as the Amish and some small island inhabitants. Although relatively rare, this disorder does occur with higher incidence within founder-effect populations due to lack of genetic variability.
The most common problem with syndactyly correction is creeping of the skin towards the fingertip over time. This is likely due to tension at the site of the repair between the digits. Additional surgery may be required to correct this. One critique of using skin grafts is that the grafts darken in the years after surgery and become more noticeable.