IJOCP | April 2014 | Volume 1 | Issue 2 | Page 2
Conference: Poona Orthopaedic Society Annual Conference POSAC- 2014, India [Click for Full details]  

Authors: Dr Bhise swapnil , Dr Chandanwale A S , Dr Bartakke G D, Dr Deokate P D , Dr Mathesul Ambrish

Abstract                                                                                                                 

Introduction –Macrodystrophialipomatosa[MDL] is a rare congenital form of localized gigantism, characterized by an increase in all mesenchymal elements, particularly fibroadipose tissue. The areas of predilection are segments supplied by the median or plantar nerves. This developmental anomaly is reportedly more common in the foot than in the hand. The condition comes to clinical attention because of cosmetic reasons, mechanical problems secondary to degenerative joint disease, or development of neurovascular compression due to large osteophytes. Radiological investigations, especially MRI, help to make a definitive diagnosis noninvasively and to differentiate it from other causes of macrodactyly. We review the clinical and radiological features of MDL. Case Report:    A 1.5year-old female child presented with progressive enlargement and swelling of both dorsal and palmar aspects of the left fourth and fifth digits of the foot since birth. No tenderness, pitting edema, bruit, or skin changes were present and the movements of the toes were normal. A radiograph  revealed disproportionately enlarged left ring and little toes; there was soft tissue swelling, along with dorsal and medial  angulation of the fourth  and dorsal angulation of the fifth toe . MRI depicted fatty tissue proliferation around the left fourth and fifth toes, which was more along the dorsal aspect . There was no medullary or periosteal abnormality.A debulking procedure was performed and the toes were reconstructed. Extraction of fat  was done through an incision placed over the dorsum lateral aspect of nonweight bearing area of  foot. Pathological examination of the material revealed abundant adipose tissue with some interspersed fibrous tissue.

How to Cite this Abstract
Bhiseswapnil, Chandanwale A S, Bartakke G D, Deokate P D, Mathesul A A. Macrodystrophia Lipomatosa – Case Report. I J Orthopaedic Conference Proceedings April 2014;1(2):2.