Abstract
Polydactyly is one of the common congenital anomaly. It occurs in many forms, ranging from varying degrees of mere splitting to complete duplication. It belongs to the category of duplication . The extra digit can be a small piece of soft tissue that can be removed, but it can also contain bone without joints or it may be a complete, functioning digit. A 33 year old male patient presented with the complaint of pain in left second toe since last one year and uneasiness on wearing shoes. On physical examination, we found macrodactyly of the left second toe with duplication of the nail beds which was noticed by his parent since the birth of child. Radiological findings of the left foot showed the presence of duplicated distal phalanx of the second toe with fused proximal ends. The remaining toes and the right side structures were found to be normal. This is a rare case of macro-poly-syndactyly of distal phalanx of left second toe. Nevertheless orthopedic surgeons should be aware of this anomaly since these patients are often referred for corrective surgery on the feet.
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