Congenital Left Foot Polydactyly in Corrected Case of Congenital Talipes Equinovarus of Left Foot (original) (raw)
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Lower Extremity Rare Preaxial Polydactyly. A Case Report and Literature Review
SAR journal of surgery, 2023
The condition known as pediatric foot polydactyly can manifest itself in a broad range of malformations, from a single extra digit that is only connected to the rest of the foot by a thin band of connective tissue to intricate central foot duplications that involve the duplication of tarsal bones. The presentation of preaxial polydactyly of the foot is crucial to understand, even though it is quite uncommon. This is because in over half of the cases, several congenital malformations, such as syndactyly and atrial septum defects, have been described. The result of surgical reconstruction should be a foot that is stable, mobile, and pain-free, with five aesthetically pleasing toes. This should allow the patient to wear standard footwear and walk without experiencing any discomfort.
An unusual presentation of postaxial polydactyly of the foot
International Wound Journal, 2016
A 6-month-old Caucasian baby is described with a postaxial polydactyly of the letf foot. Radiographic examination revealed the accessory digit was composed of soft tissue, some with a tiny osseous element, originated from around the metatarsophalangeal joint, defined by floating type (FT). The parents had consistent difficulty putting shoes. We encountered an exceedingly rare presentation of FT, to our inspection, had neither been previously related in published studies. To the best of our knowledge, this represents the unusual case of congenital deformity lesion on the left foot to be reported in the medical literature.
Complex Hand Polydactyly: A Case Report and Literature Review
Cureus, 2021
Polydactyly is a common congenital malformation in which extra digits are present in at least one extremity. It has various presentations, and it can be an isolated anomaly or part of other diseases. Most isolated polydactyly cases are sporadic and unilateral, but there is an increased incidence in some populations. Polydactyly is multifactorial and can occur in different forms. Its main line of treatment is surgery to improve cosmesis and functioning. In this report, we present a rare case of bilateral complex hand polydactyly in a one-year-seven-months old girl of African descent. She is otherwise healthy with no family history of malformations. The pattern is not consistent with any syndromic disease. She subsequently underwent surgical resection of the extra digits.
Clinical Genetics of Polydactyly: An Updated Review
Frontiers in Genetics, 2018
Polydactyly, also known as hyperdactyly or hexadactyly is the most common hereditary limb anomaly characterized by extra fingers or toes, with various associated morphologic phenotypes as part of a syndrome (syndromic polydactyly) or may occur as a separate event (non-syndromic polydactyly). Broadly, the non-syndromic polydactyly has been classified into three types, i.e.; preaxial polydactyly (radial), central polydactyly (axial), and postaxial polydactyly (ulnar). Mostly inherited as an autosomal dominant entity with variable penetrance and caused by defects that occur in the anteriorposterior patterning of limb development. In humans, to-date at least 10 loci and six genes causing non-syndromic polydactyly have been identified, including the ZNF141, GLI3, MIPOL1, IQCE, PITX1, and the GLI1. In the present review, clinical, genetic and molecular characterization of the polydactyly types has been presented including the recent genes and loci identified for non-syndromic polydactyly. This review provides an overview of the complex genetic mechanism underlie polydactyly and might help in genetic counseling and quick molecular diagnosis.
Polydactyly is a common congenital condition of the hand & foot which is characterized by supernumery toes or digits along with metacarpal & metatarsal bones. The frequency of polydactyly varies widely among races. It may be an isolated condition or part of a congenital syndrome. Nine-toed bilateral polydactyly is a distinctly rare congenital foot anomaly supported by the literatures. Careful clinical and radiographic evaluation should be made prior to treatment to achieve good functional and cosmetic results. Most cases are treated during childhood before walking age. In this report, 16 months old boy with bilateral 9 toed feet had been treated with excision of the excess rays followed by muscular and ligamentous reconstructions but the surgical management of the deformity is still debated. The patient had presented a good postoperative result. The parents expressed excellent shoe fit, cosmetic and functional outcome. We report this case because of its rarity and to share our surgical experience and its acceptable outcome.
Foot Polydactyly and Polysyndactyly: Genetic Implications in Two Families
The Journal of Foot and Ankle Surgery, 2005
The purpose of this study was to determine the genetic characteristics of foot polydactyly and identify its inheritance pattern by analyzing familial pedigree. Five cases from 2 Korean families were studied: 1 is a family whose members have been affected for 4 generations and the other for 2 generations. Using peripheral blood samples, we performed chromosomal analysis using the banding technique with Giemsa stain and karyotyping. We investigated the shape and structure of 46 chromosomes, looking for translation, deletion, inversion, ring chromosome, and isochromosome abnormalities. All peripheral blood samples demonstrated no chromosomal abnormalities, though the genetic nature of foot polydactyly and a new genetic locus was identified recently by other studies. Familial pedigree analysis suggested that polydactyly was inherited as an autosomal dominant trait in the first family. The mode of inheritance for the second family could not be determined due to an insufficient number of family members. The result of this study brought us to the conclusion that, while genetic factors play a major role in polydactyly, other factors may contribute to its occurrence.
Left hand polydactyly: a case report
Cases Journal, 2008
BackgroundPolydactyly is a congenital anomaly with a wide range of manifestations that occurs in many forms, ranging from varying degrees of mere splitting to completely duplicated thumb. When duplication occurs alone, it is usually unilateral and sporadic.Case presentationIn this case report we describe an otherwise healthy 19-year-old woman of Tibetan heritage with isolated left hand preaxial polydactyly. She experienced working related difficulties in her daily yak's milking. She subsequently underwent surgical correction, and the over number thumb was removed with associated meticulous skeletal and soft tissue reconstruction.ConclusionPolydactyly is the most common congenital digital anomaly of the hand and foot. It can occur in isolation or as part of a syndrome. Surgery is necessary to create a single, functioning thumb and is indicated to improve cosmesis. Skin, nail, bone, ligament, and musculoskeletal elements must be combined to reconstruct an optimal digit. In this case (Tibetan society is almost exclusively a sheep-breeding one) surgery was necessary to leave a single, functioning thumb for her work as yak milkmaid.