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Suture Ligation of Supernumerary Digits and 'Tags': An Outmoded Practice?

Suture Ligation of Supernumerary Digits and 'Tags': An Outmoded Practice? Abstract Rudimentary supernumerary digits and preauricular skin "tags" are relatively common congenital abnormalities. These abnormalities can present as isolated occurrences or as part of a syndrome. Isolated polydactyly occurs in approximately 0.3 of 1000 live births in white populations and from 3.6 to 10 of 1000 live births in black populations.1,2 Preauricular tags are also relatively common anomalies. Little attention has been paid to the treatment of these lesions, but pediatricians are commonly taught to ligate the base of these lesions with suture material as a simple, inexpensive form of removal. We recently saw a patient in whom a secondary bacterial infection developed after suture ligation of a supernumerary digit (Figure), prompting us to reevaluate this technique and consider the potential problems inherent in this traditional form of treatment. Suture ligation of the base of supernumerary digits and preauricular skin tags is a commonly practiced technique in pediatrics. Although documentation References 1. Sonoga A, Guttmann G. Pedal polydactyly: a case report . J Am Podiatr Med Assoc . 1989;79:454-458.Crossref 2. Ruby L, Goldberg M. Syndactly and polydactyly . Orthop Clin North Am . 1976; 7:371-375. 3. Hubbell JP Jr. Dermatology . In: Cloherty J, Stark A, eds. Manual of Neonatal Care . 3rd ed. Boston, Mass: Little Brown and Co Inc; 1991:520. 4. Kasser J, Griffin P. Orthopedic problems . In: Cloherty J, Stark A, eds. Manual of Neonatal Care . 3rd ed. Boston, Mass: Little Brown and Co Inc; 1991:427-428. 5. Holtzman I. Neonatology . In: Zitelli B, Davis H, eds. Atlas of Pediatric Physical Diagnosis . St Louis, Mo: Mosby–Year Book; 1987:2.1-2.14. 6. Sponseller P, Tolo V. Bone, joint and muscle problems . In: Oski F, ed. Principles and Practice of Pediatrics . Philadelphia, Pa: JB Lippincott; 1990:958. 7. Hare PJ. Rudimentary polydactylies . Br J Dermatol . 1954;66:402-408.Crossref 8. Sebben J. The accessory tragus: no ordinary skin tag . J Dermatol Surg Oncol . 1989;15:304-307.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Pediatrics & Adolescent Medicine American Medical Association

Suture Ligation of Supernumerary Digits and 'Tags': An Outmoded Practice?

Suture Ligation of Supernumerary Digits and 'Tags': An Outmoded Practice?

Abstract

Abstract Rudimentary supernumerary digits and preauricular skin "tags" are relatively common congenital abnormalities. These abnormalities can present as isolated occurrences or as part of a syndrome. Isolated polydactyly occurs in approximately 0.3 of 1000 live births in white populations and from 3.6 to 10 of 1000 live births in black populations.1,2 Preauricular tags are also relatively common anomalies. Little attention has been paid to the treatment of these lesions, but...
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Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
1072-4710
eISSN
1538-3628
DOI
10.1001/archpedi.1995.02170240102021
Publisher site
See Article on Publisher Site

Abstract

Abstract Rudimentary supernumerary digits and preauricular skin "tags" are relatively common congenital abnormalities. These abnormalities can present as isolated occurrences or as part of a syndrome. Isolated polydactyly occurs in approximately 0.3 of 1000 live births in white populations and from 3.6 to 10 of 1000 live births in black populations.1,2 Preauricular tags are also relatively common anomalies. Little attention has been paid to the treatment of these lesions, but pediatricians are commonly taught to ligate the base of these lesions with suture material as a simple, inexpensive form of removal. We recently saw a patient in whom a secondary bacterial infection developed after suture ligation of a supernumerary digit (Figure), prompting us to reevaluate this technique and consider the potential problems inherent in this traditional form of treatment. Suture ligation of the base of supernumerary digits and preauricular skin tags is a commonly practiced technique in pediatrics. Although documentation References 1. Sonoga A, Guttmann G. Pedal polydactyly: a case report . J Am Podiatr Med Assoc . 1989;79:454-458.Crossref 2. Ruby L, Goldberg M. Syndactly and polydactyly . Orthop Clin North Am . 1976; 7:371-375. 3. Hubbell JP Jr. Dermatology . In: Cloherty J, Stark A, eds. Manual of Neonatal Care . 3rd ed. Boston, Mass: Little Brown and Co Inc; 1991:520. 4. Kasser J, Griffin P. Orthopedic problems . In: Cloherty J, Stark A, eds. Manual of Neonatal Care . 3rd ed. Boston, Mass: Little Brown and Co Inc; 1991:427-428. 5. Holtzman I. Neonatology . In: Zitelli B, Davis H, eds. Atlas of Pediatric Physical Diagnosis . St Louis, Mo: Mosby–Year Book; 1987:2.1-2.14. 6. Sponseller P, Tolo V. Bone, joint and muscle problems . In: Oski F, ed. Principles and Practice of Pediatrics . Philadelphia, Pa: JB Lippincott; 1990:958. 7. Hare PJ. Rudimentary polydactylies . Br J Dermatol . 1954;66:402-408.Crossref 8. Sebben J. The accessory tragus: no ordinary skin tag . J Dermatol Surg Oncol . 1989;15:304-307.Crossref

Journal

Archives of Pediatrics & Adolescent MedicineAmerican Medical Association

Published: Nov 1, 1995

References