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Polydactyly Case Study PDF
Polydactyly Case Study PDF
Pit Baran Chakraborty *, Bani Marjit **, Sikha Dutta ***, Alpana De ****
Bankura Sammilani Medical College*, IPGME & R, Kolkata**, C.M.C Kolkata***, M.M.College, Kolkata****
ABSTRACT: Polydactyly is the commonest congenital deformity of the foot and hand presenting as a range of defects from
minor soft tissue duplications to major bony abnormalities. For proper management a comprehensive knowledge is required
amongst medical fraternity. Here we intend to summarise the experience obtained from a family having bilateral polydactyly of
both hands and both feet. Photograph and radiograph of hands and feet of the two brothers were studied.
Fig.1 Both hands contain one extra digit on ulnar side (Post Fig.2 On the right side of 5th metacarpal is bifid and one extra
axial Type-II polydactyly), on the right hand the extra carpal bone is formed for its articulation. The 6th
digit is very and closely fitted with hand. metacarpal base articulates with that extra carpal bone
on its medical side. The proximal phalanx or 6th digit
articulates on medial side of bifurcated base of 5th
metacarpal bone. In left hand the 5the metacarpal
bifucrate and become 'Y' shaped at its distalend.
Fig.3 Both the feet are well formed and all six toes are Fig.4 The base of 5th and 6th metatarsal bones united
uniformly placed. together, extra tarsal bone.
postaxial digit is well formed with normal spacing On radiological view (Fig-8) it was found that
(Type-Pvpolydactyly). But on the left hand it was both great toes having broad bases and are slightly
noted that the 6th finger arises from ulnar border of deviated towards medial side. The bases of 5th and
hand slightly proximal to the base of 5th finger. 6th metatarsals are fused up to middle of the
On radiological findings (Fig-6) it was noted that metatarsals. After that they look like separate bone
one extra carpal bone was developed for articulation with only two phalanges in both 6th toes.
of 6th digit on the right side. On the left side the 5th No other abnormalities were found in both the
metacarpal base is much wider. The proximal phalanx cases.
of 6th finger articles with ulnar side of 5th metacarpal So, although the photographs of hands and
bone (Type-III polydactyly). There is no 6th feet of the two brothers seem apparently of the same
metacarpal on the left side but the right 6th metacarpal person, radiological findings are clearly different.
is well formed. In addition, it can be mentioned here that
Both the feet are found (Fig-7) containing an although polydactyly is not very rare, it is very
extra toe on lateral side with normal shape and uncommon to be acquainted with polydactyly of both
position (Type IV polydactyly). hands and both feet of the two brothers of a family as it
is in our case.
Discussion
The patients develop polydactyly along with
other abnormalities. In chondroectodermal dysplasia