Polysyndactyly-Cleft foot complex: A rare case

Shah, Hitesh and Patel, Krunal H (2015) Polysyndactyly-Cleft foot complex: A rare case. International Journal of Scientific Reseach, 4 (6). p. 628. ISSN 2277 - 8179

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Introduction: Polydactyly is a common anomaly as an isolated or a part of congenital syndrome which has autosomal dominant inheritance [1]. It is classified as preaxial, central and post axial depending on location of duplication. Central polydactyly is very rare and usually associated with syndactyly [2].It isusually bilateral and more common in girls than boys. Case presentation: Six-month-old boy presented with left side polydactyly with broad hallux and forefoot. Growth and development of the child was normal (Fig 1). On examination, cleft with bony projection between broad hallux and second toe were found. Systemic examination was normal. Foot radiograph showed central metatarsal type 2nd and 3rd polydactyly with extra single phalange in the cleft (Fig 2 & 3). All other radiographs including right foot were normal.Patient was treated with central ray amputation and repair of transverse intermetatarsal ligament. Discussion: Central synpolydactyly is a genetic condition of the HOXD13 gene on chromosome 2 with autosomal dominant inheritance. Delayed appearance of the distal phalanx was described with central type of polydactyly.The best outcomes are from complete ray resection. Reconstructive surgery is complicated if there is osseous synostoses and deformity. Surgical outcome is better than natural history. Conclusion: Our case is unique in form of unilateral central Polysyndactyly cleftfoot complex. It is a rare combination which is unclassified.

Item Type: Article
Subjects: Medicine > KMC Manipal > Orthopaedics
Depositing User: KMC Library
Date Deposited: 29 Aug 2016 09:17
Last Modified: 29 Aug 2016 09:17
URI: http://eprints.manipal.edu/id/eprint/146847

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