A Case of Postaxial Polydactyly Managed Under Local Anesthesia.

Area of Science:

• Pediatric Surgery
• Congenital Hand Anomalies

Background:

• Polydactyly, the presence of extra digits, is a common congenital anomaly.
• It is classified by the location of the supernumerary digit: preaxial, postaxial, or mesoaxial.
• Surgical excision is the primary management, often performed under general anesthesia.

Observation:

• A 5-month-old male infant presented with post-axial polydactyly of the left hand.
• The case involved a single extra digit, a common presentation of polydactyly.

Findings:

• The infant underwent surgical excision of the extra digit under local anesthesia.
• This alternative approach to polydactyly management in infants offers potential benefits over general anesthesia.

Implications:

• Local anesthesia for polydactyly excision in infants may reduce post-procedural complications.
• This case highlights a safe and effective alternative management strategy for pediatric congenital hand differences.