Macrodactyly- A case report

Macrodactyly is a rare non-hereditary congenital anomaly of finger and toes and it is very difficult to treat this, as it largely depends on exposure of surgeon to the disease process. The disease process may be static or progressive. It accounts for about 1% of upper extremity congenital anomalies. Usually involve fibrofatty tissue and sometimes bones. The first detail study was done by Barsky in 1967. It is linked with mutation in the PIK3CA gene which control cell proliferation and migration. Barsky defined it as an increase in size of all the elements or structures within a digit or digits1. Kelikian coined the term “Nerve territory-oriented macrodactyly” due to involvement of area along the digital nerve2. This is an isolated case as no other deformity is present to group it under congenital deformity syndrome