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Paediatrics
intermediate
X-Type

Polydactyly of the Foot - Diagnosis and Management

Congenital Foot Deformities

A 6-month-old infant is referred for evaluation of an extra toe on the lateral aspect of the right foot noted at birth. The extra digit appears to be a well-formed toe with its own nail and articulates with a duplicated metatarsal head. There is no syndactyly. The parents request treatment. Regarding polydactyly of the foot:

Mark each as TRUE or FALSE

A

Postaxial polydactyly (lateral/fibular side duplication) is more common than preaxial polydactyly in...

B

The Venn-Watson classification system categorizes foot polydactyly based on metatarsal involvement: ...

C

Surgical excision should be performed at birth to optimize cosmesis; the central digit should always...

D

Optimal surgical timing is between 9-18 months of age to allow ossification and identification of st...

E

The surgical principle is to excise the most peripheral or abnormal digit while preserving the most ...

Answer the questions to see explanations

Click T (True) or F (False) for each option