Hexadactyly: A Rare Case

E Rossi¹, A Barbieri², S Tamasi³, M Pignatiello², MC Smaldone⁴, L Castelli¹, S Cappabianca² and M Zeccolini¹

Received: September 15, 2017;   Published: September 22, 2017

DOI: 10.26717/BJSTR.2017.01.000385

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Abstract

A 2-year-old Caucasian female patient, referred to our Department, presented on physical examination a symmetrical duplication of the 5th finger in both hands and feet. (Figure 1) Bone structures could be also palpated and observed at X-ray exam (Figures 1 & 2). Clinical family history was negative for malformation disease or teratogenic drugs taken during pregnancy. Furthermore the child was not suffering from other associated malformations or organ dysfunction, the genetic examinations showed a normal karyo type and the absence of known mutations. She had no other anomalies and growth and development were normal. Radiographic examination showed six sets of phalanges with five metacarpals Figure 1; the last finger did not have an associated metacarpal in both hands but on the left the proximal phalanx of the last finger appears fused with the fifth metacarpal instead on the right hand the sixth finger is attached by a skin bridge only. The long bones of the arms were normal. According to Stelling and Turek classification, the right hand can be classificated as Type I, the left one as Type II [1].

Abbreviations: IFSSH: International Federation of Societies for Surgery of the Hand; ASSH American Society for Surgery of the Hand

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