Traumatic amputation of a supernumerary digit: a 16-year-old boy's perspective of suture ligation.
Traditionally, the duplicated digit in an infant with polydactyly is managed by suture ligation and the digit is allowed to auto-amputate. However, painful neuromas may result from this commonly used technique and sharp excision has been suggested as a superior alternative. We present a case of a 16-year-old male who requested revascularization after a traumatic partial amputation of a supernumerary digit on his left hand. He requested revascularization because suture ligation of a duplicated digit on his right hand as an infant had resulted in a neuroma and considerable pain.
Hartzell
Tristan L
TL
Brigham and Women's Hospital, Boston, Massachusetts 02115, USA. thartzell@partners.org
Taylor
Helena
H
D000293:Adolescent; D000673:Amputation, Traumatic / Q000601:surgery*; D006801:Humans; D008297:Male; D009437:Neuralgia / Q000517:prevention & control*; D009463:Neuroma / Q000517:prevention & control; D017060:Patient Satisfaction; D017689:Polydactyly / Q000523:psychology* / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D013537:Sutures; D014656:Vascular Surgical Procedures