The gladiator painting inspired Ridley Scott, and he agreed to make the film on the spot. There are a variety of different surgical options available depending on the position and formation stage of the extra thumb.Based on the behind-the-scenes of the making of Gladiator, the screenwriters came to Ridley Scott with their script, proposal, and a copy of the Thumbs Down painting. Surgery may be needed to reconstruct one functioning thumb, using parts of both thumbs. Treatments for thumb duplication are more complicated because the extra thumb may affect the function of the other thumb.įor this reason, it may not be possible to remove the extra thumb simply. If an extra small finger is more fully-formed or functional, it may require surgery to remove. This procedure often takes place in the first year after birth. This cuts off the blood supply, allowing excess soft tissue to fall away naturally. A doctor may do this by tying a tight string around the base of the extra finger. If an extra small finger is only partially formed and does not contain any bones, it may be easy to remove. However, they may still want to treat it for cosmetic reasons. Small finger duplication may not require treatment, as it does not usually affect how people can use their hand. Treatment depends on which type of the condition a person has: Small finger duplication People who have central polydactyly may also have webbed hands or feet. Thumb duplication often occurs in isolation and on only one hand or foot. In Caucasians, it is more likely to be associated with a genetic condition or syndrome. In African-Americans, small finger duplication tends to occur in isolation, inherited from a specific dominant gene. This form of the condition is 10 times more common among African-American people than other groups. Small finger duplication is often hereditary. Others are more likely to be associated with a genetic condition. Some types of polydactyly are more likely to be passed down. Ellis-van Creveld syndrome (chondroectodermal dysplasia).If polydactyly is not passed down, it occurs due to a change in a baby’s genes while it is in the womb.Ĭonditions associated with polydactyly include: Polydactyly may also be associated with a genetic condition or syndrome, which means it may be passed down along with a genetic condition. This form of polydactyly typically happens in isolation, meaning a person may not experience any associated symptoms. When polydactyly is passed down, it is known as familial polydactyly. Polydactyly may be passed down in families. This form of the condition has the same name when it affects the toes. The extra finger is attached to the ring, middle, or most often index finger. Central polydactyly: This is a rare type of polydactyly.When this form of the condition affects the toes, it is called tibial polydactyly. This side of the hand is known as the radial side. The extra finger is on the outside of the thumb. Radial or preaxial polydactyly or thumb duplication: This is less common, occurring in 1 in every 1,000 to 10,000 live births.When this form of the condition affects the toes, it is called fibular polydactyly. This side of the hand is known as the ulnar side. Ulnar or postaxial polydactyly or small finger duplication: This is the most common form of the condition, where the extra finger is on the outside of the little finger.fully functioning finger or toe with tissues, bones, and joints.
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