Journal of orthopaedic case reports · 2026
Adult Presentation of Congenital Macrodactyly of the Hand Managed with Debulking and Amputation of a Digit: Report of a Rare Case.
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Ayyagari Shubhakar, Nellaiyappan B, Subashini R
Аннотация
INTRODUCTION: Macrodactyly is a rare, non-hereditary congenital anomaly characterized by progressive enlargement of digits due to overgrowth of bone, fat, nerve, or soft tissue. It is typically diagnosed and treated in childhood. If left untreated, it may persist into adulthood, resulting in significant functional impairment and cosmetic deformity.
CASE REPORT: We report a 51-year-old female with congenital macrodactyly affecting the left thumb, index, and middle fingers. She experienced progressive enlargement of these digits since birth and reduced function in her left hand. Clinical examination revealed marked hypertrophy, complete loss of function in the left index finger, and partial movement in the thumb and middle finger. Surgical management included amputation of the left index finger, debulking of the thumb and middle finger, and carpal tunnel release.
CONCLUSION: Postoperatively, the patient demonstrated significant improvement in hand function, reduced digit size, and satisfactory cosmetic results. Adult-onset presentation of macrodactyly is rare, but individualized surgical treatment can lead to substantial improvement.
CASE REPORT: We report a 51-year-old female with congenital macrodactyly affecting the left thumb, index, and middle fingers. She experienced progressive enlargement of these digits since birth and reduced function in her left hand. Clinical examination revealed marked hypertrophy, complete loss of function in the left index finger, and partial movement in the thumb and middle finger. Surgical management included amputation of the left index finger, debulking of the thumb and middle finger, and carpal tunnel release.
CONCLUSION: Postoperatively, the patient demonstrated significant improvement in hand function, reduced digit size, and satisfactory cosmetic results. Adult-onset presentation of macrodactyly is rare, but individualized surgical treatment can lead to substantial improvement.