Post-axial polydactyly

Case contributed by Ammar Haouimi
Diagnosis certain

Presentation

Feet deformity.

Patient Data

Age: 5 months
Gender: Male
x-ray

Accessory digit lateral to the right 5th (little) toe with a bifid 5th metatarsal bone.

Accessory digit lateral to the left 5th (little) toe with a bifid proximal 5th phalanx.

Both hands were normal (not shown).

Case Discussion

Radiographic features of a post-axial polydactyly of the feet type according to Temtamy and McKusick classification.

Post-axial polydactyly is defined as an additional digit on the ulnar margin of the hand, or lateral to the 5th (little) toe. It is more common than preaxial polydactyly.

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