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Brachysyndactyly in Poland Syndrome
Pratyush Shahi1, Apoorv Sehgal1, Ahmer Zafar1
1Orthopaedics, University College of Medical Sciences, Delhi, IND.
Cureus
|September 18, 2020
Summary
This case report details a rare instance of Poland syndrome with associated brachysyndactyly, affecting the left side of a 36-year-old man. The condition presented as chest wall asymmetry and hand deformities, diagnosed via imaging.
Area of Science:
- Medical case report
- Rare congenital anomalies
- Orthopedic and Thoracic Surgery
Background:
- Poland syndrome is a rare congenital condition characterized by chest wall asymmetry, often involving the pectoralis muscle.
- Brachysyndactyly refers to the fusion of digits and shortening of fingers, which can occur in isolation or as part of syndromes.
Observation:
- A 36-year-old male presented with congenital left-sided chest asymmetry due to absent pectoralis major muscle.
- Associated findings included brachysyndactyly of the left hand, specifically affecting the second, third, and fourth digits.
Findings:
- Imaging studies, including chest X-ray and CT scan, confirmed the absence of the left pectoralis major.
- Hand X-rays revealed hypoplasia and aplasia of phalanges in the second, third, and fourth digits of the left hand.
Implications:
- This case highlights the rare co-occurrence of Poland syndrome with ipsilateral brachysyndactyly.
- The patient's minimal functional limitation led to a decision against surgical intervention, underscoring the importance of individualized treatment approaches.
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