Pictures of the Month

作者: Craig S. Derkay

DOI: 10.1001/ARCHPEDI.1994.02170090067011

关键词: Numerical digitSurgeryMacrodactylyMetatarsal bonesFamily historyMedicinePhysical examinationAnatomy

摘要: A newborn female with an uncomplicated prenatal course was noted to have abnormalities on the hand and feet (Figure 1andFigure 2). The results of remainder physical examination were normal, family history without similar abnormalities. Denouement Discussion Congenital Macrodactyly MANIFESTATIONS macrodactyly is uncommon anomaly present at birth characterized by disproportionate enlargement one or more digits a foot.1,2The digit may continue increase in size as child grows it assume tremendous proportions. metacarpal metatarsal bones are generally not involved.1,3In blacks, congenital usually involves toes, whites, fingers predominantly affected.4 represent true pseudomacrodactyly. In macrodactyly, all thesoft tissues, including tendons, nerves, blood vessels, nails, skin, subcutaneous tissue, affected digit, enlarged.

参考文章(6)
B J McGrory, P C Amadio, J H Dobyns, G B Stickler, K K Unni, Anomalies of the fingers and toes associated with Klippel-Trenaunay syndrome. Journal of Bone and Joint Surgery, American Volume. ,vol. 73, pp. 1537- 1546 ,(1991) , 10.2106/00004623-199173100-00012
MM** Pearn, J., * Bloch, CE** & Nelson, Macrodactyly simplex congenita. A case series and considerations of differential diagnosis and aetiology. South African Medical Journal. ,vol. 70, pp. 755- 758 ,(1986)
Mohammod Younus, Peter E. Coode, Nasal glioma and encephalocele: two separate entities. Report of two cases. Journal of Neurosurgery. ,vol. 64, pp. 516- 519 ,(1986) , 10.3171/JNS.1986.64.3.0516
Dennis P. Grogan, R. Matthew Bernstein, Mutaz B. Habal, John A. Ogden, Congenital lipofibromatosis associated with macrodactyly of the foot. Foot & Ankle International. ,vol. 12, pp. 40- 46 ,(1991) , 10.1177/107110079101200108
Ferdinand A. Ofodile, Macrodactyly in blacks. Journal of Hand Surgery (European Volume). ,vol. 7, pp. 566- 568 ,(1982) , 10.1016/S0363-5023(82)80103-2
Owen Lg, Weisskopf B, Fliegelman Mt, Dinno Nd, Macrodactyly and epidermal nevus. Cutis. ,vol. 20, pp. 242- 244 ,(1977)