Macrodactyly of the foot

Ulla, Ignacio Arzac

doi:10.30795/scijfootankle.2019.v13.1097

Cited by 2 publications

(1 citation statement)

References 5 publications

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“…Although, none of our patients had a positive family history or any similar deformity consistent with other reports [ 7 , 17 ] and the external environmental factor did not seem to affect the pathogenesis of the pedal macrodactyly, multiple pregnancy and live birth accounted for 45%, indicating that intrauterine environment might play an important role in the pathogenesis of foot macrodactyly during fetal development [ 1 , 18 ].…”

Section: Discussionsupporting

confidence: 88%

Clinical characteristics of 93 cases of isolated macrodactyly of the foot in children

et al. 2021

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Background The purpose of this study was to describe the clinical characteristics of macrodactyly of the foot through a large cohort of cases to further understand this rare entity. Methods Medical records, clinical photographs, plain radiographs, pathological findings, and intraoperative photographs of 95 feet of 93 patients were reviewed. Data including age; sex; laterality; ethnicity; birthplace; family history; and history of gestation, environment, whether smoking, or drinking during pregnancy were collected and analyzed. Results Female patients (60%), left foot (56%), and static overgrowth (63%) were more prominent in the study cohort. Southern provinces (74%) and Han Chinese ethnicity (95%) predominated in terms of geographical region and demographic distribution, respectively. Multiple-toe involvement was 2.01-times more frequent than single-toe involvement. All five toes were involved with midline toes being most frequently affected overall and a medial distribution being more common than a lateral one. The forefoot was affected in 90 feet. The affected areas (toes and forefeet) were mostly located in the innervation of the affected medial plantar nerve (91%). The nerves showed enlargement in 49 feet, fatty infiltration in 25, a tortuous course in one, and were normal in 10 feet. Only six feet involved the musculature. Enlargement of phalanges and metatarsals were observed in 92 and 57 feet, respectively, and advanced bone maturation was seen in 63 feet. Twenty-two cases had syndactyly. Conclusions Macrodactyly of the foot is a rare congenital malformation with diverse clinical manifestations and multiple elements’ involvement. It also presents the characteristics of nerve-mediated overgrowth and “nerve territory-oriented” deformity similar to that of macrodactyly of the hand.

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Section: Discussionsupporting

confidence: 88%

Clinical characteristics of 93 cases of isolated macrodactyly of the foot in children

et al. 2021

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Surgical Management of Macrodystrophia Lipomatosa, a rare case report of the left hand middle finger macrodactyly

Sumarwoto

Hadinoto

Idulhaq

et al. 2021

International Journal of Surgery Case Reports

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Introduction Macrodystrophia Lipomatosa is a rare congenital non-hereditary disorder, characterized by the presence of gigantism of a small part of the limb or the whole limb due to an overgrowth and disproportionate growth of fibroadipose tissue, causing macrodactyly. Case presentation One case of the 14-year-old girl presented with an enlarged middle finger of her left hand since birth, discomfort during the last 6 months, and resistance to flex, was underwent surgery by performing debulking procedure and a yellow cord-like mass was obtained from the digital nerve covered and enlarged by fibrofatty tissue to the palm area, could be cut off completely. Imaging and histopathological examination revealed to macrodystrophia lipomatosa. We follow up the patient for the finger's range of motion, the neurological disturbance and re-enlargement of the tumor. Discussion Since there were compression of the nerves, functional impairment due to enlarge fingers and cosmesis problems, the surgery was indicated. Types of surgery may include debulking of soft tissue, especially adipose tissue. The mass size was decrease, motor function and movement of the middle finger were normal post operatively, but sensory deficits persisted according to the distribution of the digital nerves. Three months and six years after surgery, no enlargement of the middle finger, normal motor function, normal finger movements but sensory deficit still persisted according to the distribution of the digital nerves. Conclusion Surgical management in macrodactyly due to macrodystrophia lipomatosa of the finger give the satisfactory result.

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Macrodactyly of the foot

Cited by 2 publications

References 5 publications

Clinical characteristics of 93 cases of isolated macrodactyly of the foot in children

Clinical characteristics of 93 cases of isolated macrodactyly of the foot in children

Surgical Management of Macrodystrophia Lipomatosa, a rare case report of the left hand middle finger macrodactyly

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