News

Complete duplication of the left thumb in a baby boy was noted at birth; a radiograph of the thumb showed 2 proximal and distal phalanges with 1 first metacarpal bone. He also had fusion and incomplete bony duplication of the right thumb; a radiograph of this digit showed normal proximal and distal phalanges plus a small tiny bony remnant of the proximal and distal phalanges of an accessory thumb.

Imagine that you are working in an outpatient pediatric practice one morning when a mother arrives with her 3-month-old infant who is in respiratory florid distress.

This baby boy was born with bilateral medial colobomas of the upper eyelids without tarsal plates and bilateral accessory tragi. Radiographs showed no vertebral anomalies, and no other physical abnormalities were evident.