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Less fingers: cleft hand and ulnar clubhand

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look ulnar clubhand or ulnar deficiency

Center of the hand: Central deficiency or cleft hand

In the split hand or central deficiency, the center of the hand does not form properly and there is a crack or defect in V, with different degrees of absence of the central fingers. It usually affects both hands and can also affect the feet and the lip (cleft lip) (Figure 17). It is a hereditary malformation and the geneticist will make genetic counseling of the risk of transmission.


Figure 17. Newborn with cloven feet. His father has severe cleft hands with no thumbs, and syndactyly between the existing fingers.

The cleft hand is a fundamentally aesthetic alteration. There are also function problems when associated with syndactylies affecting the thumb (read syndactyly section), and therefore require early surgery (6 months).

Despite being a malformation that draws much attention, the hand has a very good function. Therefore, since the purpose is mainly aesthetic, surgical treatment for closure of the cleft of the hand is done when the hand has a larger size (about 1.5 years old).

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