Ayakta Sıradışı bir Preaksiyel Polidaktili Olgusu; Vaka Sunumu

Abstract

Polidaktili sık rastlanan bir deformitedir. Herhangi bir sendromun parçası olabileceği gibi izole bir deformite şeklinde de karşımıza çıkabilir. En çok el, ayak ya da her ikisini birden etkileyebilen polidaktilinin sadece tek bir ayakta gözlenmesi oldukça nadir bir durumdur. Bu olguda, 1 yaşındaki bir erkek hastada gözlenen preaksiyel polidaktilinin çok nadir bir formu ve tedavisi sunulmaya çalışılmıştır. Hastanın inkomplet tarsal duplikasyonu ve aksesuar anterior tibialis tendonu mevcut olup ekstra parmakta fleksör ya da ekstansör tendon bulunmamakta idi. Ekstra parmak başarılı bir şekilde çıkarıldı ve aksesuar anterior tibial tendon medial küneiforma taşındı. Bu çalışmanın amacı sonuçlarımızı tartışarak nadir gözlenen bu polidaktili formuna dikkati çekmektir.

Keywords

• Polidaktili
• Doğuştan ayak şekil bozukluğu
• Çocuk

An Unusual Preaxial Polydactyly of the Foot; a Case Report

Abstract

Polydactyly is a commonly seen disorder. It can be seen as part of a syndrome or isolated deformity. Most commonly affects hand, foot or both but the presence of extra digit in only one foot is a very rare condition. We here present a very rare case of preaxial polydactyly of the foot with incomplete tarsal duplication, an accessory anterior tibialis tendon and without any flexor or extensor tendons in a 1-year-old male. The extra digit was removed successfully and the accessory anterior tibial tendon was repaired to the medial cuneiform. The purpose of this report was to discuss our results and to take attention to this rare presentation of polydactyly.

Keywords

• Polydactyly
• Congenital Foot Deformity
• Child

References

1. Phelps DA, Grogan DP. Polydactyly of the foot. J Pediatr Orthop. 1985; 5(4): 446–51.
2. Chiang H, Huang SC. Polydactyly of the foot: manifestations and treatment. J Formos Med Assoc. 1997; 96(3): 194–8.
3. Haber LL, Adams HB, Thompson GH, Duncan LS, Didomenico LA, McCluskey WP. Unique case of polydactyly and a new classification system. J Pediatr Orthop. 2007; 27(3): 326–8.
4. Venn-Watson EA. Problems in polydactyly of the foot. Orthop Clin North Am. 1976; 7(4): 909–27.
5. Watanabe H, Fujita S, Oka H. Polydactyly of the foot: an analysis of 265 cases and a morphological classification. Plast Reconstr Surg. 1992; 89(5): 856–77.
6. Gawlikowska-Stroka A. Polydactyly and syndactyly as the most common congenital disorders of the limbs. Ann Acad Med Stetin. 2008; 54(3): 130–3.
7. Granite G, Herzenberg JE,Wade R. Rare case of tibial hemimelia, preaxial polydactyly, and club foot. World J Clin Cases. 2016; 4(12): 401-8.
8. Moore JL, Joseph A. Complete First Ray Polydactyly: A Case Report. J Foot Ankle Surg. 2018; 57(5): 1027-9. Belthur MV, Linton JL, Barnes DA. The spectrum of preaxial polydactyly of the foot. J Pediatr Orthop. 2011; 31(4): 435-47.

9. Cobey MC, Cobey JC. A true prehallux. The first to be described in the literature. J Bone Joint Surg Am. 1966; 48(5): 953–4.
10. Scaduto AA, Cracchiolo A III. Lacerations and ruptures of the flexor or extensor hallucis longus tendons. Foot Ankle Clin. 2000; 5(3): 725–36.
11. Turra S, Gigante C, Bisinella G. Polydactyly of the foot. J Pediatr Orthop B. 2007; 16(3): 216–20.