of Cases Total (Percentage) Cases Polydactyly 20(57.14%) 35 Syndactyly 8(22.56%) Thumb aplasia (ectrodactyly) 1(2.86%) Brachydactyly 1(2.86%) Constriction ring 1(2.86%) Polysyndactyly 1(2.86%) Macrodactyly
2(5.71%) Lobster claw hand 1(2.86%) Table 2.
However females predominate when the lesion is associated with macrodactyly. The upper extremity is involved in 78% to 96% of patients, and there is a marked predilection for the median nerve.
Unlike most cases in the literature, our patient was a male, with a painless mass along with macrodactyly of left index finger.
MR diagnosis of fibrolipomatous hamartoma of nerve: association with nerve territory oriented macrodactyly
True macrodactyly involves hypertrophy of all the structures of the digit: the skin, toenail, subcutaneous fat, bones, nerves, and blood vessels.
In static macrodactyly, the deformity is present in infancy and is usually have diffuse enlargement of the digit.
The differential diagnosis of macrodactyly includes both acquired and congenital conditions.
In conclusion, radiological investigations especially CT and MRI are essential to make a definitive noninvasive diagnosis of macrodystrophia lipomatosa and help to differentiate from other causes of macrodactyly.
Clinical Feature Points Macrodactyly
, Hemihypertrophy or both 5.0 Thickening of Skin 4.0 Lipomas and Subcutaneous Tumours 4.0 Verrucous Epidermal Nevus 3.0 Macrocephaly, Buckelshadel or both 2.5 Other minor abnormalities 1.0 Definitive diagnosis >13 points_ questionable diagnosis, 10 to 13 points, diagnosis excluded <10 points.
1: Clinical photograph of both hands demonstrates the macrodactyly
involving the thumb of the right hand.
He described two dt forms of the true macrodactyly
. The first one also called as Static form where the size of enlarged digits increases proportionally in relation to the rest of the body.
Here we report a very rare case of macrodactyly
with polysyndactyly of distal phalanx of second toe.