A Rare Footprint: A Case Report of Isolated Pre-Axial Fully Developed Supernumerary Toe.

INTRODUCTION

Cleft hands and feet constitute a rare, congenital abnormality of limb bud development, manifesting as a cosmetically and, occasionally, a functional debility of the hands or feet. Patients often pursue expert advice regarding the surgical reconstruction of their deformities, which may pose an ethical dilemma to the treating practitioner.

CASE REPORT: We present a case series of a family of three with bilateral cleft hands and feet, highlighting the dissimilarities in their phenotypic presentation. The clinical pointers indicate a possible syndromic association of ectrodactyly, ectodermal dysplasia, and clefting syndrome.

MANAGEMENT: All patients were evaluated for the possibility of surgical reconstruction of their deformities, and were managed non-operatively in view of their satisfactory functional adaptation.

CONCLUSION

The present report highlights the clinical features, diagnosis, and role of a multidisciplinary approach in the evaluation of this culturally disconcerting disorder. Surgery should be reserved for severe functional limitation in case of cleft hands and unadaptable cleft feet.