MACRODACTYLY - REPORT OF 8 CASES OF A RARE ANOMALY

Macrodactyly or megalodactyly is a rare anomaly of the extremities. Ne ural factors are involved in the etiology. Presented here are eight ca ses which comprise five macrodactylous toes and three fingers. The mea n age at first referral was 6.8 years. Six patients underwent resectio n of the proximal phalanges together with bulk reduction of the soft t issue mass. Only soft tissue reduction was performed in the remaining two patients. Skin necrosis was observed in two cases, one of which ne cessitated amputation at the proximal interphalangeal joint level. The functional outcome was evaluated as poor with limited range of motion and stiffness in the joints. As far as functional results are concern ed, macrodactylous toes had a better prognosis than that of fingers.