Rajesh Kishanrao Ambulgekar1 , Amit Manohar Awachat2 , Ramesh Laxman Dhakare3
We report a rare case of a patient with left unilateral clubfoot and left foot polydactyly. The patient presented to our orthopaedic clinic with left unilateral clubfoot, with left foot seven toes. The pattern does not fit any described syndrome such as Laurin-Sandrow syndrome or Martin syndrome. A 1 year 28 days old female patient was referred to our clinic for evaluation of left club foot with polydactyly. She was born full-term normal vaginal delivery and weighed 2 and ½ kg at birth. Upper extremity examination revealed both hand with normal anatomy. The long bones of the arms were normal. In her lower extremities she had unilateral hind foot equinovarus, metatarsal adductus, and cavus deformities consistent with clubfoot. Left foot had seven toes, and none appeared to be a hallux. She had no calluses laterally from weight bearing on the outside of her feet. Radiographic examination showed seven metatarsals; the appendicular toes are joint with each other. She had no other anomalies and growth and development were normal. The patient was evaluated by an orthopaedic specialist to address her left club foot with polydactyly. No other abnormalities were found. Surgery planned to optimize care and minimize patient morbidity.
