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Case Reports in Pediatrics
Volume 2017, Article ID 6073619, 3 pages
Case Report

Split-Hand Malformation in a 4-Year-Old Child

1Department of Pharmacology, Postgraduate Institute of Medical Education and Research and Dr. Ram Manohar Lohia Hospital, New Delhi, India
2Department of Pediatrics, Richmond University Medical Centre, Staten Island, NY, USA
3Department of Radiology, University of Texas Health Science Centre, San Antonio, TX, USA

Correspondence should be addressed to Girish Gulab Meshram; ni.oc.oohay@32hsirigrd

Received 27 April 2017; Revised 15 June 2017; Accepted 5 July 2017; Published 3 August 2017

Academic Editor: Maria Moschovi

Copyright © 2017 Girish Gulab Meshram et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Split-hand deformity is one of the milder manifestations of a congenital disorder called split-hand/split-foot malformation. We present a case of a 4-year-old child with split-hand malformation in his left hand since birth. A median cleft was present in the affected hand with absence of the 3rd and 4th digits, giving rise to a characteristic lobster-claw appearance. Functionality of the affected hand was modestly impaired. As none of the close family members of the patient had similar limb malformations, the deformity was postulated to arise most likely from a de novo mutation. The patient was discharged after the parents were provided with genetic counseling.