Rubinstein‐Taybi syndrome (RTS) with postaxial polydactyly of the foot: 4‐year follow‐up until improvement of dysbasia

ABSTRACT Rubinstein‐Taybi syndrome (RTS), also known as ‘broad thumbs syndrome’ or ‘broad thumb‐hallux syndrome’, is a malformation syndrome characterized by the triad of broad thumbs or first toes, a peculiar facial expression called ‘comical face’ and mental retardation. Although various malformations are combined with the triad, polydactyly is rare. We treated a male patient with RTS complicated by postaxial polydactyly of the foot. His clinical course was different from typical patients with polydactyly, especially in the aspect of walking development. Osteoplasty‐combined surgery, which was ideal for anatomical reconstruction, was performed on the patient at 2 years and 11 months of age. A 4‐year follow‐up period was required until there was an improvement of dysbasia.