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[Macrodactylies of the hand and foot].
[proteus syndrome]
Macrodactyly
is
a
rare
congenital
anomaly
defined
by
an
enlargement
of
all
the
structures
of
fingers
or
toes
.
Two
forms
of
macrodactyly
have
been
described
.
One
form
is
static
with
an
enlargement
present
at
birth
and
growing
proportionately
to
the
other
digits
.
The
other
is
progressive
with
an
enlargement
beginning
in
early
childhood
and
growing
faster
than
that
of
the
normal
digits
.
Macrodactyly
is
responsible
of
a
functional
handicap
and
an
aesthetic
prejudice
.
Treatment
may
be
indicated
for
this
reason
.
Treatment
must
be
individualised
and
depends
on
the
proportionate
size
of
the
enlarged
finger
,
growth
rate
and
the
patient
's
age
when
first
seen
.
The
parents
and
the
child
should
be
advised
that
multiple
procedures
may
be
required
and
that
the
result
will
be
somewhat
unsatisfactory
.
Surgical
approaches
include
either
reconstructive
surgery
or
amputation
.
Amputation
is
indicated
at
any
age
for
a
large
,
unsightly
and
stiff
digit
that
interferes
with
function
of
the
rest
of
the
hand
.
In
feet
with
involvement
of
the
lesser
toes
,
proximal
amputation
has
the
best
cosmetic
and
functional
outcome
.
Epiphyseal
arrest
,
bulk
reduction
procedures
,
finger
shortening
,
lateral
closing-wedge
osteotomies
or
stripping
of
the
nerves
can
be
performed
in
the
other
cases
.
Diseases
Validation
Diseases presenting
"proximal amputation"
symptom
proteus syndrome
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