Incidental finding of a hidden central polydactyly: A case report

Area of Science:

• Pediatric Orthopedics
• Hand Surgery
• Congenital Malformations

Background:

• Congenital hand anomalies are frequently encountered in clinical practice.
• These anomalies necessitate consideration in the differential diagnosis of pediatric hand pathology.
• Early recognition is crucial for appropriate management and outcomes.

Observation:

• A pediatric patient presented with a fingertip injury.
• The injury revealed an atypical manifestation of a congenital hand anomaly.
• Central polydactyly was identified as the underlying condition.

Findings:

• The case demonstrates an unusual presentation of central polydactyly.
• Fingertip injuries can unmask or be associated with congenital hand differences.
• This highlights the importance of a thorough examination in pediatric hand trauma.

Implications:

• Clinicians should maintain a high index of suspicion for congenital anomalies in pediatric hand injuries.
• This case broadens the understanding of how congenital hand differences may present.
• Improved diagnostic approaches for congenital hand anomalies can be informed by such unusual presentations.