Transverse and longitudinal osteotomy for the treatment of macrodactyly simplex congenita - a case report.

We report on a three-year-old girl with a severely enlarged right ring finger, which was diagnosed as macrodactyly simplex congenita. This was treated by epiphysial resection and osteosynthesis of the distal interphalangeal joint, longitudinal and transverse osteotomy of the phalanges, and soft tissue coverage using palmar proximal and dorsal distal flaps taken from the original oversised finger.

[1]  J. Bertelli,et al.  Hemidigital resection with collateral ligament transplantation in the treatment of macrodactyly: a case report. , 2001, The Journal of hand surgery.

[2]  J. Pearn,et al.  Macrodactyly simplex congenita. A case series and considerations of differential diagnosis and aetiology. , 1986, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.

[3]  K. Tsuge.  Treatment of Macrodactyly , 1967, The Journal of hand surgery.

[4]  P. Beighton,et al.  Limb overgrowth--clinical observations and nosological considerations. , 1983, South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde.

[5]  B. O'brien,et al.  Thumb reconstruction with a free neurovascular wrap-around flap from the big toe. , 1980, The Journal of hand surgery.

[6]  S. P. Chow,et al.  Immediate return of sensation after digital nerve repair. , 1980, The Australian and New Zealand journal of surgery.