Abstract

Background: Polydactyly is one of the most common congenital anomalies of the hand with an incidence of approximately 1 in 500–1,000 live births.1,2 Bilateral postaxial polydactyly with syndactyly presenting in adulthood is rare. Case presentation: A 19-year-old female presented with bilateral postaxial polydactyly type A with syndactyly between ring and little fingers of both hands since birth. Management and outcome: Excision of supernumerary digits with Z-plasty syndactyly release and full-thickness skin grafting from the excised digit was performed with excellent functional and cosmetic outcome. Conclusion: A rare adult presentation successfully managed using tissue from the supernumerary digit itself.

Keywords

postaxial polydactyly, syndactyly, congenital hand anomaly, z-plasty, fullthickness skin graft