Macrodactyly, enlargement of one or multiple digits, was described in the literature nearly 200 years ago. This is an exceptionally uncommon diagnosis that has led to a paucity of descriptive literature on the treatment options. Because the literature is scarce, and the frequency with which hand surgeons encounter macrodactyly is even scarcer, treatment can be a formidable task often left exclusively to those trained in congenital hand deformity. This article presents our algorithm and surgical techniques for dealing with children with macrodactyly in such a way that should make a complex problem more easily approachable.
Keywords: Macrodactyly; PI3K-AKT; epiphysiodesis; osteotomy; overgrowth.
Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.