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Updated: Sep 21, 2025

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Parent Perspectives for Type B Ulnar Polydactyly Management.

Gunnar J Goebel1, Scott N Loewenstein2, Joshua M Adkinson1

  • 1Indiana University School of Medicine, Indianapolis, USA.

Hand (New York, N.Y.)
|June 6, 2022
PubMed
Summary
This summary is machine-generated.

Parents choosing treatment for type B ulnar polydactyly (a common congenital hand difference) prioritize rapid treatment. Suture ligation, though faster, has a higher complication rate and lower satisfaction than excision.

Keywords:
anatomycongentialdiagnosishandoutcomespediatricresearch and health outcomessoft tissue reconstructionspecialtysurgerytrauma

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Area of Science:

  • Congenital Hand Surgery
  • Pediatric Orthopedics
  • Plastic Surgery

Background:

  • Type B ulnar polydactyly is a frequent congenital hand difference.
  • Treatment options include ligation or surgical excision.
  • Understanding parental decision-making factors is crucial for optimal care.

Approach:

  • Retrospective review of treatment outcomes for type B ulnar polydactyly.
  • Telephone surveys administered to parents of treated children (2015-2020).
  • Assessment of parental satisfaction, treatment choice rationale, and complications.

Key Points:

  • Rapid treatment was a key factor for parents choosing in-office suture ligation.
  • Suture ligation had a significantly higher complication rate (64% residual remnant) than excision.
  • Residual remnants correlated with significantly lower satisfaction with appearance and outcomes.

Conclusions:

  • Parental treatment choices for type B ulnar polydactyly are influenced by various factors, including surgeon recommendations.
  • While most parents are satisfied, the urgency for timely treatment often favors ligation.
  • Higher complication rates with ligation may impact long-term satisfaction.