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Polydactyly

Extra digits; Supernumerary digits

 

Polydactyly is a condition in which a person has more than 5 fingers per hand or 5 toes per foot.

Considerations

 

Having extra fingers or toes (6 or more) can occur on its own. There may not be any other symptoms or disease present. Polydactyly may be passed down in families. This trait involves only 1 gene that can cause several variations.

African Americans, more than other ethnic groups, can inherit a 6th finger. In most cases, this is not caused by a genetic disease.

Polydactyly can also occur with some genetic diseases.

Extra digits may be poorly developed and attached by a small stalk. This most often occurs on the little finger side of the hand. Poorly formed digits are usually removed. Simply tying a tight string around the stalk can cause it to fall off in time if there are no bones in the digit.

In some cases, the extra digits may be well-formed and can even function.

Larger digits may need surgery to be removed.

 

Causes

 

Causes may include:

  • Asphyxiating thoracic dystrophy
  • Carpenter syndrome
  • Ellis-van Creveld syndrome (chondroectodermal dysplasia)
  • Familial polydactyly
  • Laurence-Moon-Biedl syndrome
  • Rubinstein-Taybi syndrome
  • Smith-Lemli-Opitz syndrome
  • Trisomy 13

 

Home Care

 

You may need to take steps at home after surgery to remove an extra digit. These steps may include checking the area to make sure the area is healing and changing the dressing.

 

When to Contact a Medical Professional

 

Most of the time, this condition is discovered at birth when the baby is still in the hospital.

 

What to Expect at Your Office Visit

 

The health care provider will diagnose the condition based on a family history, medical history, and a physical exam.

Medical history questions may include:

  • Have any other family members been born with extra fingers or toes?
  • Is there a known family history of any of the disorders linked to polydactyly?
  • Are there any other symptoms or problems?

Tests used to diagnose the condition:

  • Chromosome studies
  • Enzyme tests
  • X-rays
  • Metabolic studies

You may want to make a note of this condition in your personal medical record.

Extra digits may be discovered the first 3 months of pregnancy with ultrasound or a more advanced test called embryofetoscopy.

 

 

References

Carrigan RB. The upper limb. In: Kliegman RM, Stanton BF, St Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 681.

Winell JJ, Davidson RS. The foot and toes. In: Kliegman RM, Stanton BF, St Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 674.

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    • Polydactyly - an infant's hand

      Polydactyly - an infant'...

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    Review Date: 11/19/2015

    Reviewed By: Neil K. Kaneshiro, MD, MHA, Clinical Assistant Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.

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