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May 1, 1988Journal of Pediatric Orthopaedics78 citations

Macrodactyly of the Hands and Feet

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VKVicki KalenDBDudley S. BurwellGOGeorge E. Omer

Key Points

  • To determine whether macrodactyly lesions in the upper extremities share the same clinical characteristics as those in the lower extremities.
  • Analyzed 15 new clinical cases of macrodactyly involving the hands and feet.
  • Combined findings from new cases with previously published cases in the medical literature to compare upper and lower extremity presentations.
  • Upper and lower extremity cases exhibited qualitative similarities in overall incidence, specific digits affected, multiplicity of digit involvement, and patient sex ratios.
  • Significant clinical divergences emerged between the extremities regarding growth behavior patterns, the degree of bony involvement, and the presence of neural involvement.

Abstract

Fifteen new cases of macrodactyly of the hands and feet are presented. These cases were combined with those already reported in the literature to determine if lesions of the upper extremity are clinically the same as those in the lower extremity. Similarities were found in the incidence, specific digits involved, multiplicity of digital involvement, and sex ratio. Differences were found in growth behavior, extent of bony involvement, and presence of neural involvement. These findings suggest that this rare, usually isolated, congenital anomaly may be two distinct entities.

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Cite This Study

Kalen et al. (1988) studied this question.

synapsesocial.com/papers/6a033d4ec8c4199b329e4245https://doi.org/10.1097/01241398-198805000-00011
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