title: Rubinstein-Taybi syndrome (RTS) with postaxial polydactyly of the foot: 4-year follow-up until improvement of dysbasia.
abstract: 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.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Kagawa University, Kagawa 761-0793, Japan. muneuchi@med.kagawa-u.ac.jp
authors.forename: Gan
authors.initials: G
authors.lastname: Muneuchi
authors.forename: Tetsukuni
authors.initials: T
authors.lastname: Kogure
authors.forename: Norihisa
authors.initials: N
authors.lastname: Sano
authors.forename: Yusuke
authors.initials: Y
authors.lastname: Hamamoto
authors.forename: Yuka
authors.initials: Y
authors.lastname: Kishikawa
authors.forename: Motoki
authors.initials: M
authors.lastname: Tamai
authors.forename: Hiroharu H
authors.initials: HH
authors.lastname: Igawa
mesh_terms: 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