Pachydermodactyly: A Case Report

Abstract

Pachydermodactyly is a rare form of fibromatosis of the hand related to repeated mechanical trauma to the skin. The recommended management is nonsurgical. Most of the literature regarding the topic appears in the nonsurgical literature and, hence, the condition is not familiar to hand surgeons. In the authors’ hand centre, one patient with pachydermodactyly was misdiagnosed with a fibrous tumour and underwent surgical excision. The correct diagnosis was made retrospectively from the histology and on asking the patient about habitual manipulation of the finger. The authors present the case and review the literature to increase the awareness of hand surgeons to this condition.