title: Surgical Treatment of Macrodactyly.
abstract: Macrodactyly, enlargement of one or multiple digits, was described in the literature nearly 200 years ago. This is an exceptionally uncommon diagnosis that has led to a paucity of descriptive literature on the treatment options. Because the literature is scarce, and the frequency with which hand surgeons encounter macrodactyly is even scarcer, treatment can be a formidable task often left exclusively to those trained in congenital hand deformity. This article presents our algorithm and surgical techniques for dealing with children with macrodactyly in such a way that should make a complex problem more easily approachable.
authors.affiliation: Charles E. Seay, Jr. Hand Center, Texas Scottish Rite Hospital for Children, Dallas, TX. Electronic address: joshgluck@yahoo.com.
authors.forename: Joshua S
authors.initials: JS
authors.lastname: Gluck
authors.affiliation: Charles E. Seay, Jr. Hand Center, Texas Scottish Rite Hospital for Children, Dallas, TX.
authors.forename: Marybeth
authors.initials: M
authors.lastname: Ezaki
mesh_terms: D000465:Algorithms; D005385:Fingers / Q000002:abnormalities* / Q000601:surgery; D006801:Humans; D017880:Limb Deformities, Congenital / Q000601:surgery*; D010027:Osteotomy / Q000379:methods
keywords: Macrodactyly; PI3K-AKT; epiphysiodesis; osteotomy; overgrowth