MOJ
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Case Report Volume 18 Issue 1
Bilateral postaxial polydactyly type a with syndactyly in an adult female managed with excision and syndactyly release using full-thickness skin graft from the supernumerary digit
Harshit Jain, Dr Vijender Rawal, Mohit Jindal, Nitesh Saini, Ashish Pargaie
Received: January 31, 2026 | Published: February 24, 2026
Citation: Jain H, Rawal V, Jindal M, et al. Bilateral postaxial polydactyly type a with syndactyly in an adult female managed with excision and syndactyly release using full-thickness skin graft from the supernumerary digit. MOJ Orthop Rheumatol. 2026;18(1):31-33. DOI: 10.15406/mojor.2026.18.00736
Abstract
Background: Polydactyly is one of the most common congenital anomalies of the hand with an incidence of approximately 1 in 500–1,000 live births.1,2 Bilateral postaxial polydactyly with syndactyly presenting in adulthood is rare. Case presentation: A 19-year-old female presented with bilateral postaxial polydactyly type A with syndactyly between ring and little fingers of both hands since birth. Management and outcome: Excision of supernumerary digits with Z-plasty syndactyly release and full-thickness skin grafting from the excised digit was performed with excellent functional and cosmetic outcome. Conclusion: A rare adult presentation successfully managed using tissue from the supernumerary digit itself.
Keywords: postaxial polydactyly, syndactyly, congenital hand anomaly, z-plasty, fullthickness skin graft
©2026 Jain, et al. This is an open access article distributed under the terms of the, which permits unrestricted use, distribution, and build upon your work non-commercially.
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