Major symptoms arise when complications such as fractures, bone deformity or mechanical joint problems occur. He had a deformed right foot that turned inwards, due to a congenital deformity. Such malunion can result in cubitus varus deformity. Tenderness at an area with no obvious deformity may still point to underlying fractures. Symptoms may include pain, swelling, deformity, and bruising. He studied tap dance and became a drummer, despite having a congenital deformity. It usually results from pain, weakness, neuromuscular imbalance, or a skeletal deformity. Thus the chief cause of this deformity is rickets. Symptoms include a slow-growing, painless swelling leading to facial deformity. The extent of surgery depends on the severity of the deformity. Surgery can be most useful in patients who have an extensive deformity. The hammer toe deformity may be seen. ADAM is an abbreviation for Amniotic Deformity, Adhesions Mutilations. These treatments address symptoms but do not correct the actual deformity. The fingers may suffer from almost any deformity depending on which joints are most involved.