By Arnold J. Rudolph Arnold J. Rudol Arnold J. Rudolph MD
Colour atlas of neonatology. quantity of a 5 quantity set overlaying an entire variety of dermatologic, cardiac, pulmonary, gastrointestinal, genitourinary, neurologic, and musculoskeletal issues, genetics, and syndromes.
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Additional resources for Atlas of the Newborn Volume 2: Musculoskeletal Disorders and Congenital Deformities (Atlas of the Newborn)
61. Postaxial polydactyly is most commonly seen in black infants where it occurs as an autosomal dominant trait. The polydactyly may be noted as a nubbin of scar tissue, as a pedunculated mass attached by a small pedicle, or as a fully developed digit. Polydactyly may be preaxial, occurring at the thumb or big toe, or postaxial, arising on the ulnar aspect of the fifth finger or fibular aspect of the fifth toe. Central polydactyly does occur but is extremely rare. The vast majority of infants with polydactyly have postaxial polydactyly.
The plantar surface of the foot is turned medially. Skin dimples at a joint are seen normally in infants but dimples over a long bone are always associated with pathology. 106. Tibia reduction-polydactyly syndrome in the same infant showing the septadactyly of the right foot, octadactyly of the left foot and bilateral pes equinovarus because of absence of the tibia. 107. Octadactyly and pes equinovarus of the left foot in the same infant. Note the position of the big toe. The extra digits are therefore preaxial.
Congenital curly toes (“overlapping” toes). These are very common and are often familial. The abnormality becomes less obvious as the infant grows. 134. Hypertrophy of the third toe of the right foot. This may occur as an isolated finding or may be seen in neurofibromatosis or in infants with vascular malformation of a digit. 135. Dorsal view of macrosyndactyly of the second and third toes of the right foot. 136. Plantar view of the toes of the same infant. 137. Single palmar crease and clinodactyly in the left hand of an otherwise normal infant.