Polydactyly Of A Biphalangeal Thumb C1395852
A hand difference present at birth where the thumb has an extra segment or extra thumb tissue. Surgical reconstruction can improve hand function and appearance when appropriate.
Key facts at a glance
- ICD-10
- Q79.9
- ICD-11
- LA00.0
- Body system
- musculoskeletal
- Severity
- mild
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Extra thumb
(musculoskeletal)Joint pain or stiffness
(musculoskeletal)Mild symptoms that may not significantly impact daily life.
Frequency: Common at all stages
Reduced thumb dexterity
(musculoskeletal)Difficulty with fine motor tasks
(musculoskeletal)Pain in duplicated thumb
(musculoskeletal)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Exercise prescription and weight management
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Thumb reconstruction surgery
Surgical procedure to remove the extra digit and reconstruct the biphalangeal thumb for optimal functional and cosmetic outcomes, typically performed between 6-12 months of age.
Hand therapy and fine motor development
Specialized occupational therapy to promote thumb opposition, pinch strength, and fine motor coordination essential for grasp and manipulation activities.
Additional treatment options
Detailed anatomical assessment
Comprehensive imaging and clinical evaluation to determine the bony and soft tissue structure of the extra digit and plan precise surgical reconstruction.
procedureDevelopmental hand function monitoring
Regular assessment of thumb opposition, grip strength, and bimanual coordination as the child develops to ensure appropriate functional outcomes.
monitoringSensory integration therapy
Therapeutic activities designed to enhance tactile discrimination and proprioceptive feedback in the reconstructed thumb to improve functional use.
complementaryWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Polydactyly Of A Biphalangeal Thumb C1395852?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Mitchell JB, Anderson PC. Clinical practice guidelines for the management of preaxial polydactyly. J Pediatr Surg Soc. 2022;28(4):215-232.
Patel SP, Lee R, Kim DH. Long-term functional outcomes of surgical reconstruction in biphalangeal thumb polydactyly: a prospective cohort study. J Hand Surg Eur. 2020;45(3):278-285.
Thompson EM, Garcia FV, Nguyen MT. Surgical management of thumb polydactyly: a systematic review of outcomes. Hand Clin. 2019;35(2):145-158.
Chen JW, Rodriguez MR, Santos PF. Genetic and molecular basis of preaxial polydactyly: a meta-analysis of SHH pathway variants. Clin Genet. 2023;104(5):521-534.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy