%0 Case Reports
%T Surgical management of adult hand macrodactyly in a 49-year-old patient: A case report.
%A Pang CJ
%A Huo XY
%A Liu Y
%A Yang ZY
%A Liu L
%A Fan XB
%A Xu SW
%J World J Clin Cases
%V 12
%N 22
%D 2024 Aug 6
%M 39109039
%F 1.534
%R 10.12998/wjcc.v12.i22.5236
%X <B>BACKGROUND: </B>Macrodactyly is a rare congenital malformation characterized by an increase in the size of all structures of a digit, accounting for less than 1% of all congenital upper extremity conditions.<BR><B>METHODS: </B>We report a case involving a 49-year-old woman who presented for the first time with untreated, radial-sided hand macrodactyly. We performed soft tissue debulking, amputation, median nerve neurotomy and coaptation, and carpal tunnel release. At the 6-year follow-up, no significant growth was observed in the bone or soft tissue of the affected area.<BR><B>CONCLUSIONS: </B>Tissue overgrowth in patients with progressive macrodactyly can continue and progress excessively with age. Median nerve neurotomy and coaptation play a crucial role in preventing recurrence of the deformity.