Macrodactyly - options and outcomes.
We report the outcomes of 32 patients diagnosed with macrodactyly. The average age at presentation was 46 months and there was an equal distribution across the sexes, although there was a male predominance in the upper limb and female predominance in the lower limb. There were 20 cases of upper limb macrodactyly and 13 cases affecting the lower limb. Multiple digits were more commonly affected than isolated digits, with an average of 2.5 digits affected. Static disease required significantly fewer operations than progressive disease. The need for repeated procedures must be highlighted in cases of progressive macrodactyly. In the vast majority of cases the functional and cosmetic outcome is good, with good patient acceptance.
Children's Hand and Upper Limb Service, Department of Plastic Surgery, Birmingham Children's Hospital NHS Foundation Trust, Birmingham, UK. hardwickej@doctors.co.uk
J
J
Hardwicke
M A A
MA
Khan
H
H
Richards
R M
RM
Warner
R
R
Lester
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D004185:Disability Evaluation; D005260:Female; D005385:Fingers / Q000002:abnormalities* / Q000601:surgery*; D006801:Humans; D007223:Infant; D017880:Limb Deformities, Congenital / Q000601:surgery*; D008297:Male; D012189:Retrospective Studies; D018709:Statistics, Nonparametric; D011795:Surveys and Questionnaires; D014034:Toes / Q000002:abnormalities* / Q000601:surgery*; D016896:Treatment Outcome