Polydactyly of the Foot

Phelps, Dennis A.; Grogan, Dennis P.

doi:10.1097/01241398-198507000-00012

Cited by 99 publications

(96 citation statements)

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“…Surgery should be delayed until skeletal ossification has occurred in the affected ray, so that accurate anatomic assessment in surgery is possible. Clinical outcomes can be evaluated according to the format published by Phelps and Grogan (9). According to these criteria, the operation result in our case was excellent.…”

Section: Discussionmentioning

confidence: 99%

“…Syndromes associated with polydactyly include Ellis-van Creveld syndrome, trisomy13, tibial hemimelia, and trisomy 21 (6, 7). Lateral ray or postaxial polydactyly is the most common foot polydactyly, occurring in 80% of cases, followed by medial or preaxial ones (15%) and the least frequent is central polydactyly (8,9). Males and females are almost equally affected, and unilateral involvement is twice as common as bilateral involvement.…”

Section: Introductionmentioning

confidence: 98%

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Preaxial Polydactyly of Foot, Report of a Rare Case

Jalili

2014

Shafa Ortho J

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Introduction:Polydactyly is the most common congenital anomaly of the forefoot. It can be isolated or associated with established genetic syndromes. Case Presentation: We presented a rare preaxial (medial) polydactyly of the foot. Because our patient reached maturity (24 years old), detailed bony anatomy of the forefoot could be evaluated. Radiographic examination showed a widened navicular bone, fusion of the first cuneiform with the first metatarsal, fusion of phalanges of the first ray, articulation of the second cuneiform with the second and third metatarsal, and cuboid with the fourth and the fifth ray. The first ray disarticulation was performed from the naviculocuneiform joint. Operation result was excellent according to published protocols. Conclusions: According to the Watanabe classification, our case was a tarsal medial (preaxial) foot polydactyly.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 98%

Preaxial Polydactyly of Foot, Report of a Rare Case

Jalili

2014

Shafa Ortho J

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“…Many attempts to classify polydactyly of the foot have been described in past publications [1,[3][4][5][6][7][8][9][10]. Numerous authors, feeling the need for an organized overview, have attempted to devise a classification system for polydactyly of the foot.…”

Section: Discussionmentioning

confidence: 99%

“…The surgical methods are diverse, and the prognosis varies greatly. Nevertheless, classification of polydactyly of the foot has received little attention relative to that of the hand, although some authors have attempted to classify polydactyly of the foot in past publications [1,[3][4][5][6][7][8][9][10]. Their cases were usually classified by representative conventional systems used in hand polydactyly, such as the Wassel classifica-tion [11], Stelling and Turek's classification [12], and the Hirase classification [13].…”

Section: Introductionmentioning

confidence: 99%

New Classification of Polydactyly of the Foot on the Basis of Syndactylism, Axis Deviation and Metatarsal Extent of Extra-Digit

Seok

Park

Kwon

2013

Plastic and Reconstructive Surgery

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Background Polydactyly of the foot is one of the most frequent anomalies of the limbs. However, most classification systems are based solely on morphology and tend to be inaccu rate and less relevant to surgical methods and results. The purpose of this study is to present our new classification of polydactyly of the foot, which can serve as a predictor of treatment and prognosis. Methods To find a correlation between the various morphologic traits of polydactyly of the foot and the treatment plan and outcomes, we reviewed 532 cases of polydactyly of the foot in 431 patients treated in our hospital, expanding on our previous study that described polydactyly based on the importance of metatarsal bone status and varus deformity. The records of patients were evaluated and compared with previous studies at other centers. Results Unsatisfactory results were seen in 36 cases, which included 5 cases of incomplete separation due to syndactylism, 23 cases of axis deviation, and 8 cases of remnants of extra digit metatarsal bones. The locus of the polydactyly, or the digit which was involved, did not seem to affect the final postoperative outcomes in our study. Three factors syndactylism, axis deviation, and metatarsal extension are the major factors related to treatment strategy and prognosis. Therefore, we developed a new classification system using three characters (S, A, M) followed by three groups (0, 1, 2), to describe the complexity of polydactyly of the foot, such as S1A2M2. Conclusions Our new classification could provide a communicable description to help deter mine the surgical plan and predict outcomes.

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“…Polidaktilinin etiyolojisi ve patogenezi hakkında kesin bilgi yoktur. Bu anomalinin ileri yaş gebelik veya gebeliğin erken döneminde kimyasal maddelerin etkilerine bağlı geliştiği düşünülmektedir (2). Yapılan çalışmalarda izole polidaktilinin otozomal dominant, ek patolojilerle birlikteliğinde ise otozomal resesif kalıtımsal geçişli olduğu gösterilmiştir (3).…”

Section: Introductionunclassified