Hemidigital resection with collateral ligament transplantation in the treatment of macrodactyly: a case report.

Macrodactyly is a rare congenital anomaly of the hand that is difficult to treat. We describe a new technique consisting of hemidigital, longitudinal, and transverse en bloc resection with collateral ligament transplantation to the proximal interphalangeal joint that we used in a case of macrodactyly. Four years after the procedure the digit's appearance was largely improved with preservation of complete motion at the proximal interphalangeal joint. Transplantation of the collateral ligament ensured a stable joint. Fingertip sensibility was maintained.

[1]  A. Kayıkçıoğlu,et al.  Macrodactyly: report of eight cases of a rare anomaly. , 1996, The Turkish journal of pediatrics.

[2]  K. Müller,et al.  [Clinical aspects, morphology and therapy of an unusual case of bilateral macrodactyly]. , 1993, Handchirurgie, Mikrochirurgie, plastische Chirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Handchirurgie : Organ der Deutschsprachigen Arbeitsgemeinschaft fur Mikrochirurgie der Peripheren Nerven und Gefasse : Organ der V....

[3]  Meng Qz.  Treatment of macrodactyly with epiphyseal plate excision in growth retardation , 1989 .

[4]  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.

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

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

[7]  A. Degreef,et al.  Macrodactyly. A review with a case report. , 1983 .

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