I have posted many times on polydactyly- both on the thumb side and the pinky side- as can be seen HERE. The following patient demonstrates an unusual presentation of what initial appears to be an extra finger, an ulnar polydactyly. But, as a quick ‘count’ confirms, there are only 4 fingers with a thumb. Ulnar deficiency […]
Month: August 2018
Function in Radial Deficiency
Radial longitudinal deficiency is both a functional challenge and an appearance issue. Different surgeons have developed different strategies based on these challenges and the lack of a ‘perfect’ surgery. My philosophy is to consider different surgeries, based on the child. I will consider centralization (typically with a period of external fixator distraction prior to the […]