Document Detail

MedLine Citation:
PMID:  19457694     Owner:  NLM     Status:  MEDLINE    
There are two types of congenital enlargement of the finger. In one type, the finger is enlarged as part of a syndrome or because of a tumor or a malformation. In the other, the finger is enlarged as an isolated anomaly called "true macrodactyly", with an abundance of fat mainly on the palmar side of the finger. This condition is a rare congenital malformation and the etiology is unknow. The enlarged portion of the finger or the hand can be in a distribution of a major peripheral nerve, most often the median nerve. This condition is called nerve territory-oriented macrodactyly. Macrodactyly can be static, present at birth and does not increase disproportionately with growth, or progressive with a disproportionate growth of the digit. Treatments are difficult and challenging. The goals of operative treatments are: to control the growth in children, mainly with epiphysiodesis; to reduce the size of the finger with resection of skin and subcutaneous tissue with occasionally recession osteotomy, angulation osteotomy and arthrodesis; amputation in severe progressive macrodactyly. Parents should be informed of the potentiel number of operations necessary and of the limitation of function.
F Fitoussi; B Ilharreborde; P Jehanno; J-M Frajman; P Souchet; K Mazda; G-F Penneçot
Publication Detail:
Type:  English Abstract; Journal Article     Date:  2009-05-06
Journal Detail:
Title:  Chirurgie de la main     Volume:  28     ISSN:  1297-3203     ISO Abbreviation:  Chir Main     Publication Date:  2009 Jun 
Date Detail:
Created Date:  2009-06-01     Completed Date:  2009-08-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100937750     Medline TA:  Chir Main     Country:  France    
Other Details:
Languages:  fre     Pagination:  129-37     Citation Subset:  IM    
Service de chirurgie orthopédique pédiatrique, urgences main enfant, hôpital Robert-Debré, 48, boulevard Serrurier, 75019 Paris, France.
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MeSH Terms
Diagnosis, Differential
Fibroma / pathology
Fingers / abnormalities*,  pathology,  surgery
Hamartoma / pathology
Lipoma / pathology
Magnetic Resonance Imaging
Median Nerve / pathology
Neurologic Examination
Toes / abnormalities,  pathology,  surgery

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