multiple fingers (polydactyly)
Polydactyly is when more than five digits are present in a hand. One of the most common upper limb malformations. Often bilateral, commoner in boys. Incidence is 1:2000 among Caucasians, 1:150 among African Americans.
Extra digits since birth may be located on the Medial (ulnar) border, Centre, lateral (radial) border.
Polydactyly correction depends on its type:
Type I: soft tissue mass without skeletal structure… Can be excised under local anaesthetic in the first few weeks of life.
Type II: digit contains all normal components
Type III: complete digit with metacarpal.
Types II and III: surgical excision and reconstruction of soft tissue elements: ∘ Attachments of the ligaments and muscle (ulnar collateral ligament (UCL) and abductor digiti minimi (ADM) are transferred to the adjacent finger).
Very few complications, depends on its type, infection, incomplete excision.
This complication can be easily avoided by performing surgery under loupes magnification, aseptic technique, and postoperative care and by performing operation by properly trained plastic surgeon.
Surgery can be performed safely at six months to one year but in Type I, it can be excised under local anesthesia in the first few weeks of life.
Few minutes to hours, but it depends on type of deformity.
Day care set up for Type I deformity and In Types II and III, usually patient admits for one to two days.
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