Intra-natal Torsion of Polydactyly
2011
Intra-natal Torsion of Polydactyly
Sample size: 1
publication
Evidence: low
Author Information
Author(s): Sanjay Saraf
Primary Institution: NMC Specialty Hospital, Dubai, UAE
Hypothesis
This case report presents an unusual instance of intra-natal torsion of post-axial polydactyly.
Conclusion
The case represents the first reported instance of intra-natal torsion of post-axial polydactyly presenting as gangrene at birth.
Supporting Evidence
- Post-axial polydactyly is a common congenital hand anomaly.
- The torsion of the accessory digit is sometimes seen in Type I duplication.
- This case is the first reported instance of intra-natal torsion of post-axial polydactyly.
- Post-axial polydactyly occurs in approximately 1 in 300 black births and 1 in 3000 in Caucasians.
Takeaway
A baby was born with a twisted extra finger that got gangrene, and doctors had to remove it.
Methodology
The gangrenous digit was excised from the base under local anaesthesia.
Limitations
The true incidence of post-axial polydactyly is difficult to determine as many cases are removed at birth.
Participant Demographics
A male child, full term, weighing 6.25 kg, with no family history of congenital anomalies.
Digital Object Identifier (DOI)
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