{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T13:10:55Z","timestamp":1774444255799,"version":"3.50.1"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"C","license":[{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2024,9,1]],"date-time":"2024-09-01T00:00:00Z","timestamp":1725148800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T00:00:00Z","timestamp":1722297600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007517","name":"Instituto de Seguriidad y Servicios Sociales de los Trabadores del Estado","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007517","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction and importance:<\/jats:title>\n                    <jats:p>Polybrachysyndactyly is the combination of malformations and is considered a congenital anomaly that is very difficult to treat. In addition to presenting as a disabling entity, it is a reason for little acceptance under the aesthetic standards established by society.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation:<\/jats:title>\n                    <jats:p>6-year-old male patient with polybrachysyndactyly in all 4 extremities. The parents rejected surgery at a younger age, however, the social\/aesthetic pressure exerted on the patient at school and the child's inability to perform activities in a common way, motivated them to make a new decision.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Clinical discussion:<\/jats:title>\n                    <jats:p>Different surgical techniques were used on all four extremities. A soft tissue technique was performed on the pinkies of both feet and ray cuts to correct syndactyly of both thumbs of the feet and middle fingers of both hands, and excision. Extirpations were obtained: one thumb of the right foot, one thumb of the left foot and two middle fingers (one of each hand). He was discharged after recovery from surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Cases of polysyndactyly are considered extremely rare, the first thing to evaluate is the presence of other signs that could be part of a syndromic association in order to proceed with surgical intervention that allows the patient to lead a life as far away from aesthetic stigmas that could damage his mental health.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Evidence based medicine ranking:<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Highlights<\/jats:title>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijscr.2024.110104","type":"journal-article","created":{"date-parts":[[2024,7,31]],"date-time":"2024-07-31T03:11:05Z","timestamp":1722395465000},"update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Polybrachysyndactyly in all 4 extremities: Case report"],"prefix":"10.1097","volume":"122","author":[{"given":"Antonio","family":"de Jes\u00fas Gonz\u00e1lez-Luna","sequence":"first","affiliation":[{"name":"Regional Hospital \u201cDr. Valent\u00edn G\u00f3mez Far\u00edas\u201d, Institute of Security and Social Services for State Workers, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Damaris Estefania","family":"Navarro-Nu\u00f1o","sequence":"additional","affiliation":[{"name":"Regional Hospital \u201cDr. Valent\u00edn G\u00f3mez Far\u00edas\u201d, Institute of Security and Social Services for State Workers, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Luis","family":"Villarreal-Salgado","sequence":"additional","affiliation":[{"name":"Regional Hospital \u201cDr. Valent\u00edn G\u00f3mez Far\u00edas\u201d, Institute of Security and Social Services for State Workers, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Quitzia Libertad","family":"Torres-Salazar","sequence":"additional","affiliation":[{"name":"Ju\u00e1rez University of the State of Durango, Mexico"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"447","key":"R1-67-20260325","article-title":"Clinical genetics of polydactyly: an updated review","volume":"9","author":"Umair,","year":"2018","journal-title":"Front. 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Genomic Med."},{"issue":"5","key":"R12-67-20260325","doi-asserted-by":"crossref","first-page":"771","DOI":"10.3390\/genes13050771","article-title":"Recent advances in syndactyly: basis, current status and future perspectives","volume":"13","author":"Zaib,","year":"2022","journal-title":"Genes (Basel)"},{"issue":"10","key":"R13-67-20260325","first-page":"1010","article-title":"Molecular cytogenetic diagnosis of a case with ring chromosome 18 syndrome","volume":"36","author":"Lyu,","year":"2019","journal-title":"Chinese CMAPH."},{"issue":"4","key":"R14-67-20260325","article-title":"Manual de malformaciones cong\u00e9nitas de miembro superior en fetos o reci\u00e9n nacidos basado en estudios cadav\u00e9ricos","volume":"61","author":"Sarmiento-Osorio,","year":"2020","journal-title":"Universitas Medica"},{"issue":"4","key":"R15-67-20260325","doi-asserted-by":"crossref","first-page":"1126","DOI":"10.1097\/00006534-199804040-00039","article-title":"Genetics of limb development and congenital hand malformations","volume":"101","author":"Zguricas,","year":"1998","journal-title":"Plast. 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