Ezaki Marybeth, Beckwith Terri, Oishi Scott N
1 Texas Scottish Rite Hospital for Children, Dallas, TX, USA.
2 Orthopedic Surgery Department at UT Southwestern Medical Center, Dallas, TX, USA.
J Hand Surg Eur Vol. 2019 Jan;44(1):32-42. doi: 10.1177/1753193418796441. Epub 2018 Sep 12.
Macrodactyly is a rare condition in which fingers, hands or limb growth is unregulated, resulting in overgrowth of tissues in the affected extremities. It is critical to properly assess these extremities for signalling pathway, psychological impact and potential surgical intervention, to achieve the best possible outcome for each patient. Treatment approaches can vary, and patient and family expectations weigh heavily on care complexity. Common surgical procedures may include epiphysiodeses, osteotomies, debulking procedures, carpal tunnel releases, toe transfers and amputations. The selection and timing of these surgeries is a vital component of the approach, as delayed healing and excessive scarring may occur. The purpose of this review is to assist in the navigation of decision-making and surgical timing for patients presenting with overgrowth manifesting itself as macrodactyly.
巨指（趾）症是一种罕见病症，手指、手部或肢体生长不受调控，导致受累肢体的组织过度生长。对这些肢体进行信号通路、心理影响及潜在手术干预的恰当评估，对于为每位患者实现最佳治疗效果至关重要。治疗方法可能各不相同，患者及家属的期望对护理复杂性影响重大。常见的外科手术可能包括骨骺阻滞术、截骨术、减容手术、腕管松解术、足趾移植术和截肢术。这些手术的选择和时机是治疗方法的关键组成部分，因为可能会出现愈合延迟和瘢痕过度增生的情况。本综述的目的是帮助指导患有表现为巨指（趾）症的过度生长患者的决策制定和手术时机选择。
