Short report letters 783 supplementary digits on the left hand and right foot Louise L. Blankensteijn, Oren Lapid* were removed during the same surgical session. and Rick R. van Rijn Due to the recommendation to perform a further Department of Plastic, Reconstructive and Hand Surgery, and Department of Radiology, Academic Medical Center, work up in Caucasian patients with ulnar polydactyly, University of Amsterdam, Amsterdam, The Netherlands genome sequencing was offered (Dy et al., 2014). *Corresponding author: firstname.lastname@example.org Unfortunately, this was not approved by the patient’s parents. Today’s understanding of limb embryology is ! The Author(s) 2018 Reprints and permissions: based on the three axes system (Dy et al., 2014). The limb develops from proximal to distal under the http://www.sagepub.co.uk/journalsPermissions.nav influence of the apical ectodermal ridge. Polydactyly doi: 10.1177/1753193418778720 available online at http://jhs.sagepub.com is classified as a disruption of differentiation in the radial–ulnar, or anterior–posterior, axis (Tonkin, 2017). Based on current knowledge of embryology of the The use of local anaesthesia with extremities, this case of polydactyly on the right epinephrine in the harvest and transfer hand is difficult to comprehend. Since this case of polydactyly does not fit into any classification of an extended Segmuller flap in the described
Journal of Hand Surgery (European Volume): Journal of the British Society for Surgery of the Hand & Official Journal of the Federation of European Societies for Surgery of the Hand – SAGE
Published: Sep 1, 2018
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