DOI: https://doi.org/10.21203/rs.3.rs-1588215/v1
Macrodactyly of the foot is an extremely rare congenital malformation characterized by an increase in the size of all the elements or structures of a digit or digits. Sources indicate that macrodactyly of foot is less common than hands. This medical condition usually requires surgical intervention with a precise preoperative plan and postoperative rehabilitation for satisfying cosmetic appearance and functional outcomes.
Question: A 35-year-old female presented with a giant deformed both feet. Her medical history revealed that it is present since birth. On physical examination, there was remarkable hypertrophy of the all metatarsals except for that in the first ray. of right foot. There was concomitant excessive accumulation of fibro-fatty tissue, especially on the plantar side, and the dorsal aspect became remarkably thick. Blood laboratory studies were unremarkable. Because of the patient's problematic gait, reduction surgery was advised and patient was referred for Plastic and Reconstructive opinion. What is this condition?
Answer: Macrodactyly of the foot is an extremely rare congenital malformation characterized by an increase in the size of all the elements or structures of a digit or digits. Sources indicate that macrodactyly of foot is less common than hands. This medical condition usually requires surgical intervention with a precise preoperative plan and postoperative rehabilitation for satisfying cosmetic appearance and functional outcomes.
Macrodactyly of the foot is an extremely rare congenital malformation characterized by an increase in the size of all the elements or structures of a digit or digits. Sources indicate that macrodactyly of foot is less common than hands. The cause of macrodactyly remains unknown. Researchers believe the condition is not inherited, but may instead be linked to disruptions in prenatal development.
Macrodactyly can occur in conjunction with other conditions and syndromes, including neurofibromatosis, lipofibromatous hamartoma, vascular conditions, and tuberous sclerosis complex. It is present since birth. There is remarkable hypertrophy of the all metatarsals and concomitant excessive accumulation of fibro-fatty tissue, especially on the plantar side. There are two types of growth patterns for macrodactyly:
1. Static — the enlargement of the fingers or toes is present at birth, and the affected digits grow at the same pace as unaffected fingers or toes.
2. Progressive — the affected fingers or toes grow at a much faster rate than unaffected digits. The affected fingers or toes can become enormous and severely impact a child’s ability to perform normal activities. Children with macrodactyly may also have other musculoskeletal differences. The most common of which is syndactyly, webbed or conjoined fingers or toes. In most cases, X-ray confirms the diagnosis. This medical condition usually requires surgical intervention with a precise preoperative plan and postoperative rehabilitation for satisfying cosmetic appearance and functional outcome.
Work attributed to Department of Surgery, Jawaharlal Nehru Medical College & Hospital, AMU, Aligarh, Uttar Pradesh, India.
Correspondence to; Dr. Mohammad Nafees Ahamad, Email- [email protected]
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