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</div><div><span>Polydactyly</span></div></div>
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<article><div id="d-article"><div class="page-info"><div class="page-title"><a name="start" id="start">
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</a><h1 class="with-also" itemprop="name">Polydactyly</h1>
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</noscript></div><div class="main"><div id="ency_summary"><p>Polydactyly is a condition in which a person has more than 5 fingers per hand or 5 toes per foot.</p></div><section><div class="section"><div class="section-header"><div class="section-title"><h2>Considerations</h2></div><div class="section-button"><button type="submit" aria-controls="section-1" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-1"><p>Having extra fingers or toes (6 or more) can occur on its own. There may not be any other symptoms or disease present. Polydactyly may be passed down in families. This trait involves only one gene that can cause several variations.</p><p>African Americans, more than other ethnic groups, can inherit a 6th finger. In most cases, this is not caused by a genetic disease.</p><p>Polydactyly can also occur with some genetic diseases.</p><p>Extra digits may be poorly developed and attached by a small stalk. This most often occurs on the little finger side of the hand. Poorly formed digits are usually removed. Simply tying a tight string around the stalk can cause it to fall off in time if there are no bones in the digit.</p><p>In some cases, the extra digits may be well-formed and can even function. </p><p>Larger digits may need surgery to be removed. </p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Causes</h2></div><div class="section-button"><button type="submit" aria-controls="section-2" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-2"><p>Causes may include:</p><ul><li>Asphyxiating thoracic dystrophy</li><li>Carpenter syndrome</li><li><a test="test" href="./001667.htm">Ellis-van Creveld syndrome</a> (chondroectodermal dysplasia)</li><li>Familial polydactyly</li><li>Laurence-Moon-Biedl syndrome</li><li><a test="test" href="./001249.htm">Rubinstein-Taybi syndrome</a></li><li>Smith-Lemli-Opitz syndrome</li><li><a test="test" href="./001660.htm">Trisomy 13</a></li></ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Home Care</h2></div><div class="section-button"><button type="submit" aria-controls="section-3" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-3"><p>You may need to take steps at home after surgery to remove an extra digit. These steps may include checking the area to make sure the area is healing and changing the dressing. </p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>When to Contact a Medical Professional</h2></div><div class="section-button"><button type="submit" aria-controls="section-4" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-4"><p>Most of the time, this condition is discovered at birth when the baby is still in the hospital.</p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>What to Expect at Your Office Visit</h2></div><div class="section-button"><button type="submit" aria-controls="section-5" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-5"><p>The health care provider will diagnose the condition based on a family history, medical history, and a <a test="test" href="./002274.htm">physical exam</a>.</p><p>Medical history questions may include:</p><ul><li>Have any other family members been born with extra fingers or toes?</li><li>Is there a known family history of any of the disorders linked to polydactyly?</li><li>Are there any other symptoms or problems? </li></ul><p>Tests used to diagnose the condition:</p><ul><li><a test="test" href="./003935.htm">Chromosome studies</a></li><li><a test="test" href="./002353.htm">Enzyme tests</a></li><li>X-rays</li><li>Metabolic studies </li></ul><p>You may want to make a note of this condition in your personal medical record. </p><p>Extra digits may be discovered after the first 3 months of pregnancy with ultrasound or a more advanced test called embryofetoscopy. </p></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>Alternative Names</h2></div><div class="section-button"><button type="submit" aria-controls="section-Alt" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Alt"><p>Extra digits; Supernumerary digits</p></div></div></section><section><div class="section sec-mb"><div class="section-header"><div class="section-title"><h2>Images</h2></div><div class="section-button"><button type="submit" aria-controls="section-tnails" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<li><img src="//medlineplus.gov/ency/images/ency/tnails/1719t.jpg" alt="Polydactyly - an infant's hand" title="Polydactyly - an infant's hand" class="side-img"/><a href="../imagepages/1719.htm">Polydactyly - an infant's hand</a></li>
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</ul></div></div></section><section><div class="section"><div class="section-header"><div class="section-title"><h2>References</h2></div><div class="section-button"><button type="submit" aria-controls="section-Ref" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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</div></div><div class="section-body" id="section-Ref"><p>Carrigan RB. The upper limb. In: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. <em>Nelson Textbook of Pediatrics</em>. 21st ed. Philadelphia, PA: Elsevier; 2020:chap 701.</p><p>Mauck BM. Congenital anomalies of the hand. In: Azar FM, Beaty JH, eds. <em>Campbell's Operative Orthopaedics</em>. 14th ed. Philadelphia, PA: Elsevier; 2021:chap 80.</p><p>Son-Hing JP, Thompson GH. Congenital abnormalities of the upper and lower extremities and spine. In: Martin RJ, Fanaroff AA, Walsh MC, eds. <em>Fanaroff and Martin's Neonatal-Perinatal Medicine</em>. 11th ed. Philadelphia, PA: Elsevier; 2020:chap 99.</p></div></div></section>
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<section><div class="section"><div class="section-header"><div class="section-title"><h2>Review Date 11/6/2023</h2></div><div class="section-button"><button type="submit" aria-controls="section-version" role="button" title="Expand/Collapse section"><span class="icon icon-section-action">
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<div id="section-version" class="section-body"><p>Updated by: Neil K. Kaneshiro, MD, MHA, Clinical Professor of Pediatrics, University of Washington School of Medicine, Seattle, WA. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.</p>
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</div></div><div name="Related MedlinePlus Health Topics" class="section-body" id="section-mtp"><ul class="side-nav"><li><a href="https://medlineplus.gov/fingerinjuriesanddisorders.html">Finger Injuries and Disorders</a></li>
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