Pre-axial polydactyly

Case contributed by Ian Bickle
Diagnosis certain


Tyre fell on foot. Fracture? No mention from clinical examination of an atypical appearance to the foot.

Patient Data

Age: 18 years
Gender: Male

Pre-axial distal phalanx duplication of the great toe (third toe medially).

Two additional fully formed digits lying medial to the great toe.

A total of 7 digits.

Case Discussion

An extraodinary foot. Polydactyly of the most uncommon order in a skeletally mature individual.

This is a case of pre-axial polydactyly where the additional digit(s) are on the medial aspect of the foot.

This must cause considerable issues with footwear.

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