Presentation
X-rays indicated for disease monitoring
Patient Data
Supernumerary digit originating from the ulnar margin (postaxial polydactyly). Duran classification type IVA (fusion of the metacarpal) on the left and type II (hypoplastic proximal phalanx) on the right.
Presence of two metal screws in the proximal phalanx of the second left digit (post-fracture).
Case Discussion
The patient has recently been diagnosed with rheumatoid arthritis; radiographs were indicated for monitoring. History of asymptomatic polydactyly without other malformations or syndromes, and previous fracture of the left index finger. Radiographs demonstrate postaxial polydactyly in all four extremities.