Symphalangism distal
Symphalangism distal is a rare genetic disorder characterized by the fusion of the distal joints in the fingers and toes, leading to a limitation in their flexibility and motion. This condition can affect one or more digits and can vary in severity from partial to complete fusion of the joints. Symphalangism distal is primarily inherited in an autosomal dominant manner, meaning that only one copy of the altered gene in each cell is sufficient to cause the disorder.
Causes[edit | edit source]
The primary cause of symphalangism distal is mutations in specific genes that are involved in the development and formation of joints. The most commonly implicated gene is the NOG gene, which plays a crucial role in the development of bones and joints. Mutations in this gene disrupt the normal formation of the synovial joints in the fingers and toes, leading to their fusion.
Symptoms[edit | edit source]
Symptoms of symphalangism distal include:
- Limited mobility or complete immobility of the affected fingers and toes
- Visible fusion of the joints at the distal phalanges
- Possible pain or discomfort in the affected digits, especially when attempting to move them
- In some cases, associated anomalies such as hearing loss or other skeletal abnormalities
Diagnosis[edit | edit source]
Diagnosis of symphalangism distal is primarily based on physical examination and the family history of the patient. Imaging tests such as X-rays can confirm the presence of joint fusion in the fingers and toes. Genetic testing may also be conducted to identify mutations in the NOG gene or other genes associated with the condition.
Treatment[edit | edit source]
There is no cure for symphalangism distal, and treatment focuses on managing symptoms and improving the quality of life for affected individuals. Options may include:
- Physical therapy to maintain as much mobility as possible in the affected digits
- Pain management strategies
- Surgical intervention in some cases to separate fused joints, although this is not always possible or successful
Prognosis[edit | edit source]
The prognosis for individuals with symphalangism distal varies depending on the severity of the condition and the number of digits involved. While the disorder does not typically affect overall life expectancy, it can significantly impact the functionality of the hands and feet, affecting daily activities and quality of life.
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Contributors: Prab R. Tumpati, MD