title: Duplicated longitudinal bracketed epiphysis "kissing delta phalanx" in Rubinstein-Taybi syndrome.
abstract: A duplicated longitudinal bracketed epiphysis or the "kissing delta" phalanx is not well recognized in the world literature. This represents complex double-delta bones with a longitudinal epiphyseal bracket. This complex is composed of a back-to-back fusion of adjacent delta bones enclosed in a bracket. The convex side of each delta phalanx faces the other; hence the term kissing-delta bone. These delta bones have a very bizarre appearance and are associated with the Rubinstein-Taybi syndrome. We have seen a total of 36 kissing-delta phalanges in the foot. We discuss the natural history and treatment options of this very rare congenital anomaly. This is not a surgical-outcome study, but surgical treatment is observed.
authors.affiliation: Department of Orthopaedic Surgery, Loma Linda University, California 92354, USA.
authors.forename: V E
authors.initials: VE
authors.lastname: Wood
authors.forename: J
authors.initials: J
authors.lastname: Rubinstein
mesh_terms: D002648:Child; D004838:Epiphyses; D006801:Humans; D012189:Retrospective Studies; D012415:Rubinstein-Taybi Syndrome / Q000601:surgery*; D014034:Toes / Q000002:abnormalities* / Q000601:surgery*