Journal List > J Korean Orthop Assoc > v.10(1) > 1143721

Kim, Ihin, and Lee: Macrodactyly

Abstract

Macrodactyly is one of the more unusual and interesting congenital anomaly characterized by an increase in the şize of all the elements or structures of digit or digits.
The condition was first described by Power in 1840. Since that time, over 93 cases have been reported.
The authors has treated 2 cases of macrodactyly manus and 1 case of macrodactyly tarsus, which were treated with multiple defatting procedures and amputations. ‘
The purpose of this article is to report an additional cases along with review of previous literatures.

REFERENCES

1). Barsky A. J.Congenital Anomalies of the Hand and their Surgical Treatment. Springfield, Illinois, Charles C. Thomas;1958.
2). Barsky A. J.Macrodactyly, f. Bone and Joint Surg. 49-A:1255–1266. Oct. 1967.
3). Bu nnell S.Surgery of the Hand, Ed. 3. J. B. Lippincott Company, Philadelphia;1956.
4). Clifford R. H.The Treatment of Macrodacty- lism, A Case Report, Plast. Reconstr. Surg. 23:245–248. 1959.
5). Emmett A. J. J.Lipomatous Hamartomia of the Median Nerve in the Palm, Brit. J. Plast. Surg. 18:208–213. 1965.
6). McCarroll H. R.Clinical Manifestations of Congenital Neurofibromatosis,. J. Bone and Joint Surg. 32-A:601–616. 1950.
crossref
7). McCarroll H. R.Soft-Tissue Neoplasms Associated with Congenital Neurofibromatosis,. J. Bone and Joint Surg. 38-A:716–731. July 1956.
crossref
8). Moore B. H.Macrodactyly and Associated Perpheral Nerve Changes,. J. Bone and Joint Surg. 24:617–631. 1942.
9). Mikhail I. K.Median Nerve Lipoma in the Hand,. J. Bone and Joint Surg. 46-B:726–732. 1964.
crossref
10). Pulvertaft, R.G.: Unusual Tumors of the Median Nervve, J. Bone.
11). Thorne F. L.., Posch J. L.., Mladick R. A.Mehalodaciyly, Plast. Reconstr. Surg. 41:232–239. 1968.
12). Tsuge Kenya. Treatment of Macrodactyl y, Plast. Reconstr. Surg. 39:590–599. 1967.
13). Yeoman P. M.Fatty Infiltratimi of the Median Merve,. J. Bone and Joint Surg. 46-B:737–739. 1964.
14). Joung M.., Chung C. H.A Case of Macroadctyly, The. J. of the Korean Orthopedic Asso. 9:96–98. March. 1974.
15). Kim N. H.., Choi I. Y.Macrodactylism./Isso- ciated with Neurofibroma of the Median Nerve, The. J. of the Korean Orthopedic Asso. 6:265–268. Sept.1971.

Fig. 1-a.
Case 1; macrodactyly of index, middle and ring finger.
jkoa-10-117f1a.tif
Fig. 1-b.
Case 1; counter side normal hand.
jkoa-10-117f1b.tif
Fig. 2.
Case 1; after multiple defatting and 3rd M- P disarticulation.
jkoa-10-117f2.tif
Fig. 3.
Case 2; [macrodactyly of thumb and index finger.
jkoa-10-117f3.tif
Fig. 4.
Case 3; macrodactyly of great, second and third toe.
jkoa-10-117f4.tif
Fig. 5.
Case 3å after 2nd metatarsal resection and 3rd M-P disarticulation.
jkoa-10-117f5.tif
Table 1.
Macrodactyly
1840 Power
1834 Pollaillon 43Cases
1966 Mathews 55Cases
1966 Barsky 64Cases
1967 Kenya Tsuge SOCases
1968 Thorne 93Cases in total
Table 2.
Classification of Macrodactyly
By Barsky (64 Cases)
1. Involvement, of One Digit ᄋnly-19Cases
2. Involvement of more than One Digit-45Cases
  a. Thumb-index- 11
  b. Thumb-Index-Long- 5
  c. Index-Long-Ring- 1
  d. Index-Long- 11
  e. Other Combinations-17
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