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Hand & Upper Limb
intermediate
X-Type

Cleft Hand

Congenital Hand Anomalies

A 4-month-old infant is referred with a V-shaped central deficiency of the left hand with absence of the middle ray. The index and ring fingers are present but webbed together on both sides of the cleft. Family history reveals the father has a similar hand deformity. Radiographs confirm absence of the third metacarpal and phalanges. Regarding cleft hand (ectrodactyly):

Mark each as TRUE or FALSE

A

Cleft hand (ectrodactyly or split hand) is a central longitudinal deficiency characterized by absenc...

B

The Manske classification grades cleft hand by first web space involvement: Type I (normal first web...

C

Cleft hand is a peripheral longitudinal deficiency; atypical cleft hand is inherited and bilateral; ...

D

Surgical goals include cleft closure to improve grasp and aesthetics, first web space deepening or r...

E

Symbrachydactyly is the main differential diagnosis: it represents failure of formation (atypical cl...

Answer the questions to see explanations

Click T (True) or F (False) for each option