A case report of Poland Syndrome with Absent Limb Anomalies

• Published in: Journal of orthopaedic case reports Vol. 9; no. 4; pp. 3 - 5
• Main Authors: Jogani, Abhinav D, George, Prakash K, Marathe, Nandan A, Shah, Swapneel S, Desai, Jigar R
• Format: Journal Article
• Language: English
• Published: India Indian Orthopaedic Research Group 2019
• Subjects: Case Report; atypical Poland; Poland syndrome; congenital
• ISSN: 2250-0685; 2321-3817
• DOI: 10.13107/jocr.2019.v09i04.1452

Poland Syndrome(PS) is a rare congenital condition associated with the absence of unilateral chest wall muscles and sometimes ipsilateral symbrachydactyly (abnormally short and webbed fingers). The condition typically presents with unilateral absence of the sternal portion of the pectoralis major muscle which may or may not be associated with a hypoplasia of the breast, an ipsilateral webbing of the fingers (cutaneous syndactyly) and agenesis of 2, 3, 4, and 5 ipsilateral costal cartilages, and athelia.
We report a 13-year-old patient with an atypical variant of PS without any limb anomalies. In view of the good function of the upper limb, no surgical treatment was offered, and the patient and his family were counseled regarding the condition. A follow-up of the patient at 2 years revealed that the patient is still asymptomatic with good functional status of the upper limb.
It is hoped that this paper will further improve our understanding of this rare syndrome and its atypical presentations.