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DOI: 10.1055/s-0038-1675571
Unusual Type of Hand Preaxial Polydactyly
Publication History
24 March 2017
06 September 2018
Publication Date:
06 November 2018 (online)

Abstract
Preaxial polydactyly is a common congenital anomaly of the hand. In this anomaly, an additional digit is seen along the preaxial border of the thumb. Several possible types of preaxial polydactyly have been observed and categorized into several types based on the level of duplications. In the present case, we report an unusual type of polydactyly in an approximately 55year-old male cadaver of South Indian origin. An additional non-functional digit was noted along the preaxial border of the thumb, at the level of the base of the distal phalanx. Upon careful dissection of the anomalous digit, a thick cord of connective tissue formed by the fibrous flexor sheath around the flexor pollicis longus tendon was noted in its central core. This cord was surrounded by a mass of fatty tissue. The skeletal, muscle and tendon components were found to be absent in the additional digit.
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References
- 1 Zayed EF, Elbanoby TM, Ayad W, El-Shishtawy AM. Polydactyly: Surgical Strategy and Clinical Experience with 40 Cases. Egypt J Plast Reconstr Surg 2011; 35: 287-300
- 2 Blauth W, Olason AT. Classification of polydactyly of the hands and feet. Arch Orthop Trauma Surg 1988; 107 (06) 334-344
- 3 Mumoli N, Gandini D, Wamala EK, Cei M. Left hand polydactyly: a case report. Cases J 2008; 1 (01) 346
- 4 Wassel HD. The results of surgery for polydactyly of the thumb. A review. Clin Orthop Relat Res 1969; 64 (64) 175-193
- 5 Zwtlling E. Abnormal morphogenesis in limb development. In Limb Development and Deformity: Problems of Evaluation and Rehabilitation (ed. C. A. Swinyard), Springfield: C. C. Thomas: 1969. .pg.100–113.
- 6 Kameyama Y, Hayashi I, Hoshino K. Morphogenesis of 5-fiuorouracil induced polydactylism in mice. Teratology 1973; 8: 95-96
- 7 Yasuda M. Pathogenesis of preaxial polydactyly of the hand in human embryos. J Embryol Exp Morphol 1975; 33 (03) 745-756
- 8 Ezaki M. Radial polydactyly. Hand Clin 1990; 6 (04) 577-588
- 9 Graham TJ, Ress AM. Finger polydactyly. Hand Clin 1998; 14 (01) 49-64
- 10 Netscher DT, Baumholtz MA. Treatment of congenital upper extremity problems. Plast Reconstr Surg 2007; 119 (05) 101e-129e