II. Definition
- Congenital remnant of digit or Skin Tag
III. Epidemiology
- More common in black infants
- Inherited trait
IV. Signs
- Location
- Base of metacarpophalangeal joint on hand
- Base of metatarsophalangeal joint on foot
- Lateral to fifth digit or medial to thumb
- Characteristics
- Skin Tag-like swelling without bone palpable
- Attached to extremity by small pedicle
- No voluntary motion
- Nail may be present
V. Differential Diagnosis
- Polydactyly (true extra-digit with bone palpable)
VI. Management
- Bone involvement requires plastic surgical management
- No signs of true Polydactyly (no bone involvement)
- Tie Suture tightly around pedicle
- Digit will fall off several days after ligature
VII. References
- Behrman (2000) Nelson Pediatrics, Saunders, p. 2093
- Fuloria (2002) Am Fam Physician 65(2):265-70 [PubMed]