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Macrodystrophia lipomatosa of a fifth digit: a case report.
Foot Ankle Spec. 2014 Oct; 7(5):423-6.FA

Abstract

Macrodystrophia lipomatosa (MDL) is a rare, nonhereditary, congenital malformation that primarily affects the proliferation of mesenchymal structures. It presents with localized macrodactyly of one or more digits. The characteristic pathology is associated with hypertrophic fibroadipose tissues, more so to the plantar aspect of the foot. This condition can pose a threat to vascular supply, innervation, and even joint function. We present a single case of a 4-year-old male patient who presented with progressive enlargement of a unilateral left fifth digit since birth. The patient became increasingly symptomatic. Amputation was the selected treatment, and on pathological review of the specimen, the diagnosis of MDL was confirmed. The patient is approximately 1 year postoperative and has recovered uneventfully with an improved quality of life. The purpose of this article is to raise awareness of this condition with an emphasis on diagnosis through ancillary imaging results.

LEVELS OF EVIDENCE

Therapeutic, Level IV: Case report.

Authors+Show Affiliations

Heritage Valley Health Systems, Beaver, Pennsylvania (JR, MH)The Foot and Ankle Wellness Center of Western Pennsylvania, Ford City, Pennsylvania (MJS).Heritage Valley Health Systems, Beaver, Pennsylvania (JR, MH)The Foot and Ankle Wellness Center of Western Pennsylvania, Ford City, Pennsylvania (MJS) Drsabo@fawcpa.com.Heritage Valley Health Systems, Beaver, Pennsylvania (JR, MH)The Foot and Ankle Wellness Center of Western Pennsylvania, Ford City, Pennsylvania (MJS).

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

24686910

Citation

Rollandini, Jobeth, et al. "Macrodystrophia Lipomatosa of a Fifth Digit: a Case Report." Foot & Ankle Specialist, vol. 7, no. 5, 2014, pp. 423-6.
Rollandini J, Sabo MJ, Hasanovic M. Macrodystrophia lipomatosa of a fifth digit: a case report. Foot Ankle Spec. 2014;7(5):423-6.
Rollandini, J., Sabo, M. J., & Hasanovic, M. (2014). Macrodystrophia lipomatosa of a fifth digit: a case report. Foot & Ankle Specialist, 7(5), 423-6. https://doi.org/10.1177/1938640014527125
Rollandini J, Sabo MJ, Hasanovic M. Macrodystrophia Lipomatosa of a Fifth Digit: a Case Report. Foot Ankle Spec. 2014;7(5):423-6. PubMed PMID: 24686910.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Macrodystrophia lipomatosa of a fifth digit: a case report. AU - Rollandini,Jobeth, AU - Sabo,Matthew James, AU - Hasanovic,Mirsada, Y1 - 2014/03/30/ PY - 2014/4/2/entrez PY - 2014/4/2/pubmed PY - 2015/6/17/medline KW - amputation KW - congenital KW - fibroadipose tissue KW - macrodystrophia lipomatosa SP - 423 EP - 6 JF - Foot & ankle specialist JO - Foot Ankle Spec VL - 7 IS - 5 N2 - UNLABELLED: Macrodystrophia lipomatosa (MDL) is a rare, nonhereditary, congenital malformation that primarily affects the proliferation of mesenchymal structures. It presents with localized macrodactyly of one or more digits. The characteristic pathology is associated with hypertrophic fibroadipose tissues, more so to the plantar aspect of the foot. This condition can pose a threat to vascular supply, innervation, and even joint function. We present a single case of a 4-year-old male patient who presented with progressive enlargement of a unilateral left fifth digit since birth. The patient became increasingly symptomatic. Amputation was the selected treatment, and on pathological review of the specimen, the diagnosis of MDL was confirmed. The patient is approximately 1 year postoperative and has recovered uneventfully with an improved quality of life. The purpose of this article is to raise awareness of this condition with an emphasis on diagnosis through ancillary imaging results. LEVELS OF EVIDENCE: Therapeutic, Level IV: Case report. SN - 1938-7636 UR - https://www.unboundmedicine.com/medline/citation/24686910/Macrodystrophia_lipomatosa_of_a_fifth_digit:_a_case_report_ L2 - http://journals.sagepub.com/doi/full/10.1177/1938640014527125?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -