Congenital middle finger and thumb-in-palm deformities

Case contributed by Salman S. Albakheet
Diagnosis certain


Bilateral hand joints deformity and contraction since birth.

Patient Data

Age: 9 weeks
Gender: Male

Bilateral flexion deformity at the proximal interphalangeal joint of the 3rd finger. Bilateral flexion deformity at the interphalangeal joint of thumb finger (clasped thumb). 

Case Discussion

These congenital deformities can present as isolated deformities, as part of congenital ulnar drift (CUD) of the hand, or associated with congenital syndromes like Freeman-Sheldon syndrome or arthrogryposis multiplex congenita.

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