Strangulation of an accessory digit

BMJ 2013; 347 doi: https://doi.org/10.1136/bmj.f5696 (Published 23 September 2013) Cite this as: BMJ 2013;347:f5696
  1. Daniel Morritt, plastic surgery registrar,
  2. Kavit Amin, plastic surgery registrar,
  3. Paul Cussons, consultant plastic reconstructive surgeon
  1. 1Department of Plastic and Reconstructive Surgery, Royal Free Hospital, London NW3 2QG, UK
  1. Kavamin{at}yahoo.co.uk

A 54 year old builder presented with an accessory digit at the ulnar aspect of his left little finger, which had spontaneously strangulated and become painful (figure). This was excised under local anaesthetic and he made an uneventful recovery.


Preoperative photograph showing accessory digit

Accessory digits usually present at birth and are most common on the ulnar side of the hand. They range from incomplete to complete digits and there is often a family history. Ligation at the base of the digit can cause strangulation and the digit to fall off. However, the standard treatment is surgical excision under local anaesthetic when the child is young.


Cite this as: BMJ 2013;347:f5696

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