Alternate Names: Extra digits; Supernumerary digits
Considerations: Abnormal numbers of digits (6 or more) can occur as an isolated finding or in conjunction with some genetic diseases. Polydactyly may occur in families as a dominantly inherited trait.
Extra digits may be extremely rudimentary and attached by a small stalk (generally on the little finger side of the hand) or fairly well formed.
Common Causes:
Call If: (This condition is normally discovered at birth and evaluated during the newborn hospital stay.)
What To Expect: The medical history will be obtained and a physical examination performed.
Medical history questions documenting polydactyly in detail may include:
- Have any other family members been born with extra fingers or toes?
- Is there a known family history of any of the disorders that can be associated with polydactyly?
- What other symptoms or abnormalities are also present?
Physical examination:
An infant with polydactyly may have other symptoms and signs that, when taken together, define a specific syndrome or condition. Diagnosis of that condition will be based on a family history, medical history, and thorough physical evaluation.
Diagnostic tests:
Laboratory studies such as chromosome studies, enzyme assays, X-rays, and metabolic studies may be ordered to confirm the presence of a suspected disorder.
After seeing your health care provider:
You may want to add a note to your personal medical record indicating that polydactyly was present, any diagnosis related to it, and any treatment done.