Samuel Joben, Gharde Pankaj, Shrivastava Prakher, Surya Dheeraj
General Surgery, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2024 Jul 15;16(7):e64626. doi: 10.7759/cureus.64626. eCollection 2024 Jul.
Polydactyly is a common occurrence, observed as the presence of extra digit/s in the hands and feet. It can be categorized into preaxial, postaxial, and mesoaxial forms based on the location of the additional digit. In most instances only a single extra digit is present, research reports with more than one extra digit have been published. Most common management includes surgical excision under the influence of general anesthesia. An alternative approach by removing the pre-axial and post-axial supernumerary digit is carried out under local anesthesia in infants and small children, providing the additional benefit of fewer post-procedural complications. This is a case of a 5-month-old male child, with post-axial polydactyly of the left hand. He was managed by excision of the extra digit under the influence of local anesthesia. The patient recovered well and was discharged 3 days after the procedure with the advice of monthly follow-up until 3 months.
多指畸形是一种常见现象，表现为手和脚上出现额外的手指。根据额外手指的位置，可分为轴前型、轴后型和中央型。在大多数情况下，仅存在一个额外手指，但也有关于多个额外手指的研究报告发表。最常见的治疗方法包括在全身麻醉下进行手术切除。另一种方法是在婴儿和幼儿的局部麻醉下切除轴前和轴后的多余手指，这样做的额外好处是术后并发症较少。这是一名5个月大的男童，患有左手轴后多指畸形。他在局部麻醉下接受了额外手指切除手术。患者恢复良好，术后3天出院，并建议每月随访直至3个月。
