AI Article Synopsis

  • Macrodactyly is a rare condition where a finger (digit) grows larger than normal, making up less than 1% of congenital hand issues.
  • A case study of a 49-year-old woman showed that after surgery to reduce tissue and release pressure on nerves, there was no significant growth in the affected area over 6 years.
  • The findings emphasize that tissue overgrowth can worsen with age, and surgical intervention, particularly median nerve neurotomy, is important to minimize the chance of deformity returning.

Article Abstract

Background: Macrodactyly is a rare congenital malformation characterized by an increase in the size of all structures of a digit, accounting for less than 1% of all congenital upper extremity conditions.

Case Summary: We report a case involving a 49-year-old woman who presented for the first time with untreated, radial-sided hand macrodactyly. We performed soft tissue debulking, amputation, median nerve neurotomy and coaptation, and carpal tunnel release. At the 6-year follow-up, no significant growth was observed in the bone or soft tissue of the affected area.

Conclusion: Tissue overgrowth in patients with progressive macrodactyly can continue and progress excessively with age. Median nerve neurotomy and coaptation play a crucial role in preventing recurrence of the deformity.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11238793PMC
http://dx.doi.org/10.12998/wjcc.v12.i22.5236DOI Listing

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