Study of Various Types Congenital Anomalies of Hand.

The present study is aimed at studying the various types, patterns and their percentages of incidences of anomalies of hand and associated with any other anomalies in district of Bangalore. A four years study was done in Bangalore district Bangalore. from 2007—2011. This fours years study was done on 1257 males 743 females of human hands for the presence of any anomalies .Out of them, only forty subjects had anomalies of hand ranging from new born to adult age group. Each case, a detailed history of family, personal history past history of drug intake in first trimester associated with any other anomalies were taken..Later relevant investigations were done for those subjects who had anomalies of hand.Then were ,grouped and photographed The subjects were classified into 5 groups as follows:Group-1,-Those subjects who had extra digits not involving the thumb(37.5%)--Post axial type polydactyly. Group-2,Those subject who had involvement of thumb(30.00%)…Preaxial type polydactyly.Group-3,Those subjects who had fusion of digits(27.5%),….Syndactyly. Group-4,Those subjects massive enlargement of thumb only(2.5%)…Macrodactyly .Group-5,Those subjects who had absence of fingers associated without shortening of limb .Most of the anomalies can be corrected surgically except those in cases of macrodactyly and absence of fingers Hence this study gives us knowledge of various types of anomalies hand not only to the Anatomists but also to plastic surgeons and to orthopedicians Hence it has been studied and reported.

Extadigits: an unusual presentation.

Extra digit is a common congenital anomaly in our environment which usually affect the hands and occasionally the feet but very rarely both. A five months old male infant presented with accessory digits of the both hands and feet, with two extra digits on the left hand and one on the right hand, right foot and left foot. The extra digits were well developed, with normal range of motion, good capillary refill and intact sensation. General examination revealed an otherwise healthy child with no associated congenital malformations. The treatment modality used was surgical removal of the extra digits and reconstruction of any associated anomalies in the remaining ray such as longitudinal epiphyseal bracket. After the surgery the patients is no longer experience difficulty with fitting gloves and shoes as well as discrimination among peer groups in his future life.