A seven-toed central polydactyl in an adult: A neglected, unclassifiable case

Abstract

Kenan Koca, Bahtiyar Demiralp, Yuksel Yurttas, Inanc Guven, Ercan Koseoglu, Serkan Akpancar, Mustafa Basbozkurt

The aim of this study was to present a neglected, unclassifable case that involved a central type polydactyl adult with 7 toes and metatarsals, 4 cuneiforms and 1 cuboid. A 22 year-old male soldier with a right polydactyl was referred to our hospital. He sufered from the need of excessively wide-shoes and occasional shoe irritation. He was evaluated with plain radiography and 3D tomography. The patient had central-type polydactyl with 7 toes and metatarsals, and 4 cuneiforms and 1 cuboid. Ankles and hind feet were completely normal. All toes were capable of tendon fexion and extension. His medical and family history was unremarkable. We planned to excise the excessive toes and metatarsals, but the patient denied the surgery. We present a very rare case with a central polydactyl having 7 toes and metatarsals, 4 cuneiforms and 1 cuboid. The striking point in our case was that he was a neglected, unclassifable case