Rubinstein-Taybi syndrome (RTS) with postaxial polydactyly of the foot: 4-year follow-up until improvement of dysbasia.
Rubinstein-Taybi syndrome (RTS), also known as 'broad thumbs syndrome' or 'broad thumb-hallux syndrome', is a malformation syndrome characterized by the triad of broad thumbs or first toes, a peculiar facial expression called 'comical face' and mental retardation. Although various malformations are combined with the triad, polydactyly is rare. We treated a male patient with RTS complicated by postaxial polydactyly of the foot. His clinical course was different from typical patients with polydactyly, especially in the aspect of walking development. Osteoplasty-combined surgery, which was ideal for anatomical reconstruction, was performed on the patient at 2 years and 11 months of age. A 4-year follow-up period was required until there was an improvement of dysbasia.
Muneuchi
Gan
G
Department of Plastic and Reconstructive Surgery, Kagawa University, Kagawa 761-0793, Japan. muneuchi@med.kagawa-u.ac.jp
Kogure
Tetsukuni
T
Sano
Norihisa
N
Hamamoto
Yusuke
Y
Kishikawa
Yuka
Y
Tamai
Motoki
M
Igawa
Hiroharu H
HH
D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D017689:Polydactyly / Q000628:therapy*; D012415:Rubinstein-Taybi Syndrome / Q000601:surgery / Q000628:therapy*; D014034:Toes / Q000002:abnormalities* / Q000601:surgery; D016138:Walking