Further modification of this classification system by Tada and associates divides type II based on the presence (type IIa) or absence (type IIb) of syndactyly
Major criteria Minor criteria Syndactyly
Anorectal defects Cryptophthalmos spectrum Dysplastic ears Urinary tract abnormalities Skull ossification defects Ambiguous genitalia Umbilical abnormalities Laryngeal and tracheal Nasal anomalies anomalies Positive family history Ref: Slavotinek and Tifft 
In this rare type, described by Haas in the American Journal of Surgery in 1940, there is a complete syndactyly of all digits.
A child's hand may well be different than a parent's hand, or neither parent may have a syndactyly.
Either way, the mutation does not enable the affected protein to work correctly thus resulting in extremely fragile skin, and other manifestations of EB like: anemia, cardiomyopathy, syndactyly
(fusion of the fingers and toes), renal insufficiency, dysphagia (difficulty swallowing), malnourishment, cancer, constipation, osteoporosis, muscular dystrophy and pyloric atresia.
A hand-wrist radiograph showed localised gigantism of the 2nd and 3rd digits with flexion deformity at the proximal metacarpo-phalangeal joints and soft tissue syndactyly of the 4th and 5th fingers, with fusion of the terminal phalanges.
Radiography of the feet revealed soft-tissue syndactyly of the 2nd and 3rd toes bilaterally and a bone island on the proximal phalanx of the big toe (Fig.
Furthermore, variable anomalies of the hands and feet, such as duplicated terminal phalanx of the thumb, triphalangeal thumb (long finger-like thumb with three phalanges instead of two), preaxial polydactyly (thumb duplication), syndactyly (fusion) of the second and third digits, and fifth finger clinodactyly (curving of the fifth finger towards the fourth) have also be seen in cases with LADD [Guven et al.
A number of reports have detailed anomalies of the hands and feet, such as duplicated terminal phalanx of the thumb, triphalangeal thumb, preaxial polydactyly, syndactyly of the second and third digits, and fifth finger clinodactyly [Poznanski et al.
is the most common of all congenital diagnoses in the hand.
9,10] Occasionally, other noncardiac abnormalities, such as diabetes mellitus, asthma, or syndactyly, may also be associated with QT prolongation.
Long QT syndrome associated with syndactyly identified in females.
ACF has engaged the staff at Cedars-Sinai Medical Center in conjunction with the International Children's Surgery Fund, directed by Greg Fontana, MD, to correct Hussein's other medical problems: hearing difficulties, syndactyly
(fused digits), hypospadias, agenesis of one kidney and incomplete closure of the skull.
Digital anomalies include polydactyly (presence of more than five fingers or toes on a hand or foot), adactyly (the absence of fingers or toes) and syndactyly
(fused or webbed fingers or toes).
The children underwent a total of 15 operations to relieve syndactyly
(webbing of the fingers), and finger contractures.