Apert's Hand - Clinical Scenario

Apert syndrome presents with craniosynostosis, midface hypoplasia, and complex syndactyly affecting the upper limbs. The Upton classification helps guide surgery for hand anomalies, with staged interventions to improve function and appearance.
Apert's Hand - Clinical Scenario

Clinical Scenario

A 2-month-old child with a diagnosis of Apert syndrome is referred to your paediatric hand clinic for evaluation and consideration of surgical intervention for their upper limb deformities.

Objectives:

  1. Describe the key clinical features of Apert syndrome with a focus on craniofacial and limb anomalies.
  2. Discuss the detailed hand anomalies visible in the images.
  3. List investigations necessary to assess the condition.
  4. Explain the involvement of a multidisciplinary team (MDT) in the management of a child with Apert syndrome.
  5. Outline surgical treatment options and their timing.

Primary Contributor: Dr Suzanne Thomson, Educational Fellow.
Reviewer: Dr Kurt Lee Chircop, Educational Fellow.

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