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The Pan African Medical Journal 2018Real macrodactylia is a rare congenital abnormality of unknown etiology, characterized by excessive growth of the anatomical structures of one or several rays of the...
Real macrodactylia is a rare congenital abnormality of unknown etiology, characterized by excessive growth of the anatomical structures of one or several rays of the hand. It is usually isolated and causes a fibrofatty infiltration mainly involving the palm. It can be caused by embryonic or neurogenic abnormalities with or without nerve involvement according to whether macrodactylia has led to an increase in the volume of a major nerve, more often the median. From an evolutionary point of view, it is necessary to distinguish between static macrodactylia (present at birth and remaining stable during growth) and progressive macrodactylia (with a disproportionate growths). Some other syndromes, tumors or abnormalities can cause an increase in finger volume. This abnormality results in functional disability but also in disfigurement. Treatment is based on surgery and rehabilitation.
Topics: Female; Fingers; Hand; Humans; Infant; Limb Deformities, Congenital
PubMed: 31007808
DOI: 10.11604/pamj.2018.31.61.15303 -
The Pan African Medical Journal 2018Macrodactylia is a rare congenital malformation of unknown origin that can affect the fingers or the toes. It is characterized by an increase in the size of all the...
Macrodactylia is a rare congenital malformation of unknown origin that can affect the fingers or the toes. It is characterized by an increase in the size of all the elements of one or more rays, recognizable at birth or occurring in a progressive manner. Social, aesthetic as well as functional impact imposes early surgical management or even amputations in advanced forms. We report the case of a 18-year old unmarried, left handed patient without a profession, admitted to the Department of Burns, Plastic and Aesthetic Surgery at the University Hospital Mohammed VI in Marrakech, with progressive acrodactylia involving the first and the second ray of the right hand. Clinical examination showed hypertrophy of the first two rays of the right hand associated with predominant fibro-fatty infiltration of the palmar as well as phalanx deviation 90 degrees at the level of the second finger. Given the severity of the macrodactylia, amputation of the second ray associated with reduction of the fatty infiltration of the palmar was proposed to the patient, allowing him to maintain pollici-digital pinch and to return to a social life as close as possible to normal life.
Topics: Adolescent; Amputation, Surgical; Fingers; Humans; Limb Deformities, Congenital; Male; Severity of Illness Index
PubMed: 30197736
DOI: 10.11604/pamj.2018.30.45.15118