Abstract
Localized gigantism frequently manifests as macrodactyly (Fig. 34.1) though the overgrowth is seldom limited to the affected digits of the hand or foot (Fig. 34.2). Macrodactyly has been classified in three ways (De Laurenzi 1962; Temtamy and McKusick 1978; Flatt 1994); each classification has clinical relevance (Table 34.1).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Bendon CL, Giele HP. Macrodactyly in the setting of a plexiform schwannoma in neurofibromatosis type 2: case report. J Hand Surg Am. 2013;38:740–4.
Bhat AK, Bhaskaranand K, Kanna R. Bilateral macrodactyly of the hands and feet with post-axial involvement – a case report. J Hand Surg Br. 2005;30:618–20.
Biesecker L. The challenges of Proteus syndrome: diagnosis and management. Eur J Hum Genet. 2006;14:1151–7.
Cohen Jr MM. Proteus syndrome review: molecular, clinical, and pathologic features. Clin Genet. 2014;85:111–9.
De Laurenzi V. Macrodactyly of the middle finger. G Med Mil. 1962;112:401–5.
Flatt AE. Large fingers. In: Flat AE, editor. The care of congenital hand anomalies. 2nd ed. St. Louis: Quality Medical Publishing; 1994. p. 317–33.
Hardwicke J, Khan MA, Richards H, et al. Macrodactyly – options and outcomes. J Hand Surg Eur Vol. 2013;38:297–303.
Jamis-Dow CA, Turner J, Biesecker LG, et al. Radiologic manifestations of Proteus syndrome. Radiographics. 2004;24:1051–68.
Stockley I, Smith TW. Dysplasia epiphysealis hemimelica an unusual case of macrodactyly of the thumb. J Hand Surg Br. 1985;10:249–50.
Temtamy SA, McKusick VA. The genetics of hand malformations. Birth Defects Orig Artic Ser. 1978;14:i–xviii, 1–619.
Tung HE, Shih SL. Tuberous sclerosis with rare presentation of macrodactyly. Pediatr Radiol. 2009;39:878.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer India
About this chapter
Cite this chapter
Joseph, B. (2015). Localized Gigantism of the Limbs. In: Paediatric Orthopaedic Diagnosis. Springer, New Delhi. https://doi.org/10.1007/978-81-322-2392-4_34
Download citation
DOI: https://doi.org/10.1007/978-81-322-2392-4_34
Publisher Name: Springer, New Delhi
Print ISBN: 978-81-322-2391-7
Online ISBN: 978-81-322-2392-4
eBook Packages: MedicineMedicine (R0)