Macrodactyly.

نویسندگان

  • P P Kotwal
  • M Farooque
چکیده

We report the results of the treatment of 23 patients with macrodactyly. Eighteen had a two-stage bulk-reducing (defatting) procedure; phalangectomy was used to shorten the digits. At a mean follow-up of nine years (2 to 12), two patients had been lost to follow-up, and three await a second-stage procedure. Good cosmetic correction was achieved in 12 patients, with satisfactory results in seven; two patients had poor results and required amputation.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Expression Analysis of Macrodactyly Identifies Pleiotrophin Upregulation

Macrodactyly is a rare family of congenital disorders characterized by the diffuse enlargement of 1 or more digits. Multiple tissue types within the affected digits are involved, but skeletal patterning and gross morphological features are preserved. Not all tissues are equally involved and there is marked heterogeneity with respect to clinical phenotype. The molecular mechanisms responsible fo...

متن کامل

Somatic gain-of-function mutations in PIK3CA in patients with macrodactyly

Macrodactyly is a discrete congenital anomaly consisting of enlargement of all tissues localized to the terminal portions of a limb, typically within a 'nerve territory'. The classic terminology for this condition is 'lipofibromatous hamartoma of nerve' or Type I macrodactyly. The peripheral nerve, itself, is enlarged both in circumference and in length. It is not related to neurofibromatosis (...

متن کامل

Congenital macrodactyly: a clinical study.

Congenital macrodactyly is a rare congenital malformation characterised by progressive enlargement of all mesenchymal elements of a digit. The present study is an attempt to draw the attention towards the similarities and differences between macrodactyly of the hand and foot. Radiographical, operative findings and histopathological examination of five cases are included in the present study. Em...

متن کامل

Island nail flap in the treatment of foot macrodactyly of the first ray in children: report of two cases

PURPOSE We evaluated the result of a combined single-stage surgery in the treatment of first ray macrodactyly in children. INTRODUCTION Macrodactyly is a rare congenital abnormality that involves thickening of both the soft tissue and bone of the affected digits. It is more frequent in fingers than toes, where there is less neural involvement. Increased growth is also seen in neurofibromatosi...

متن کامل

Prenatal Sonographic Diagnosis and Evaluation of Isolated Macrodactyly

Macrodactyly, defined as enlargement of one or several digits of the hands or feet, is a rare malformation. It may be due tumorous enlargement of a single tissue element, as in hemangioma, lymphangioma or enchondroma or it may be caused by overgrowth of all structures of the digit, including phalanges, subcutaneous tissue, nerves, vessels and skin as in ‘true macrodactyly’(Barsky, 1967). Furthe...

متن کامل

Ray Amputation for Macrodractyly of the Foot: An Effective Treatment in an Environment With Limited Resources

Macrodactyly represents a rare congenital anomaly characterized by distal limb overgrowth of all tissue elements. This should be distinguished from secondary digital/limb enlargement that occurs in vascular anomalies or as a result of other syndromes. Macrodactyly is defined by an elargement of all the structures of fingers or toes and characterized by hypertrophy of the bones and surrounding s...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • The Journal of bone and joint surgery. British volume

دوره 80 4  شماره 

صفحات  -

تاریخ انتشار 1985