• Corpus ID: 25586881

Polydactyly of the hand.

@article{Faust2015PolydactylyOT,
  title={Polydactyly of the hand.},
  author={Katherine C. Faust and Tara Kimbrough and Jean E Oakes and J. Ollie Edmunds and D C Faust},
  journal={American journal of orthopedics},
  year={2015},
  volume={44 5},
  pages={
          E127-34
        }
}
Polydactyly is considered either the most or second most (after syndactyly) common congenital hand abnormality. Polydactyly is not simply a duplication; the anatomy is abnormal with hypoplastic structures, abnormally contoured joints, and anomalous tendon and ligament insertions. There are many ways to classify polydactyly, and surgical options range from simple excision to complicated bone, ligament, and tendon realignments. The prevalence of polydactyly makes it important for orthopedic… 
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Highly Influential Citations
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24 Citations

[Recent progress in research of congenital polydactyly].
  • Weiyang Gao, Jian Ding, Zongwei Zhou
  • Medicine
    Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery
  • 2018
TLDR
Fine manipulation can improve the postoperative nail deformity, so that the reconstructed nail reaches a satisfactory aesthetic score.
Reconstruction of Thumb Polydactily: A Case Report
TLDR
A case of polydactyly, the patient had bone exicision of the duplicates when the patient was four-month-old, but that extra metacarpal with no phalanges resulted in a greater space of finger 1 and 2, which is a common congenital hand occurrence.
Polydactyly: A Review
TLDR
Polydactyly is a common congenital limb defect, which can present with various morphologic phenotypes, and treatment options depend on the underlying feature.
A Case Report of a Complex Form of Hand Pre-Axial Polydactyly
TLDR
Surgical excision is the preferred choice of method for most types to stabilize the thumb by making it well-aligned for proper functioning, however, most of corrected digits will be thinner, shorter, and stiffer.
Preaxial hand polydactyly in association with lumbar hemivertebra
TLDR
A 20-month-old boy presented with a double right thumb and is the first child born to non-consanguineous healthy parents to be presented with the skeletal disorder involving his right hand.
Pedicle complex tissue flap transfer for reconstruction of duplicated thumbs with unequal size
TLDR
Harvesting a pedicle flap from a severed thumb is a safe and reliable procedure and defects of the preserved thumb, such as the skin, nail, and bone, can be effectively restored using the complex tissue flap.
Outcomes of reconstruction of polydactyly among children in a tertiary health facility in China
TLDR
Congenital polydactyly of both hands and feet is rare and complex, but as long as the timing and method of operation are properly chosen, bothhands and feet can acquire good appearance and functions after operation.
Long-Term Outcomes After Treatment for Type B Ulnar Polydactyly
TLDR
While ligation and surgical excision result in similar function and esthetics, patient satisfaction is higher after surgery, advising parents of patients with type B ulnar polydactyly should include these considerations to assist them in selecting the best treatment for their child.
Congenital Disorders of the Pediatric Extremities
TLDR
In this chapter the most important congenital disorders of the pediatric extremities will be discussed in more detail with a focus on their principal imaging features and correct terminology.
Identification of novel mutations in preaxial polydactyly patients through whole‐exome sequencing
TLDR
Polydactyly is one of the most common hereditary limb malformation characterized by additional digits in hands and/or feet, caused by mutations of genes that involve in digit formation.
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References

SHOWING 1-10 OF 41 REFERENCES
Polydactyly and the triphalangeal thumb.
Polydactyly associated with triphalangeal thumb is not rare, as among the records of 1,269 patients with congenital deformation of the upper extremity at the University of Iowa there were 21 patients…
Thumb duplication.
Thumb duplication is a complex congenital anomaly. Treatment requires a detailed understanding of the pathophysiology as well as an appreciation of all the components involved. The goals of surgery…
Radial polydactyly.
TLDR
Reconstruction of a thumb with stable joints, muscle balance, and good alignment requires attention to each tissue component at the time of the initial surgery.
Congenital triangular bones in the hand.
Treatment of postaxial polydactyly type B.
Complications of duplicate thumb reconstruction.
Thumb duplication is a common anomaly treated by most hand surgeons. Successful reconstruction of this disorder requires the surgeon to address abnormalities of collateral ligaments, tendon, and…
Duplicated Thumb
TLDR
A follow-up study was made of 77 hands for 6 months or more after operation for bifid thumb, finding no significant differences in the results after repair of detached thenar muscles and capsule.
A Selective Approach to Treatment of Ulnar Polydactyly: Preventing Painful Neuroma and Incomplete Excision
TLDR
A series of 10 patients in which previous string ligation produced an unsightly incomplete amputation, a tender neuroma, or both were presented and patients were successfully treated with completion amputation of the residual stump combined with proximal ligation of the supernumerary digital nerves.
Postaxial Type B Polydactyly Treated by Excision in the Neonatal Nursery
TLDR
For infants with postaxial type B polydactyly, excision of the extra digit in the neonatal nursery is a safe and simple procedure with a good clinical and cosmetic outcome.
Triphalangeal thumb.
Triphalangeal thumb (TPT), a rare malformation of uncertain pathogenesis, may occur as an isolated defect, in association with other malformations of the hands, or as a feature of a syndrome or…
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