Download PDF
CC BY-NC-ND 4.0 · Indian J Plast Surg 2008; 41(02): 195
DOI: 10.4103/0970-0358.44842 
Original Article
Association of Plastic Surgeons of India

Complete cleft of the upper limb: A very rare anomaly

C. Bhatt Yogesh
Department of Plastic Surgery, SSG Hospital and Medical College, Vadodara, Gujarat-390 001, India
,
A. O. Harpreet
Department of Plastic Surgery, SSG Hospital and Medical College, Vadodara, Gujarat-390 001, India
,
Bakshi S. Olabanji
Department of Plastic Surgery, SSG Hospital and Medical College, Vadodara, Gujarat-390 001, India
,
A. Vyas Kinnari
Department of Plastic Surgery, SSG Hospital and Medical College, Vadodara, Gujarat-390 001, India
,
S. Ambat Girish
Department of Plastic Surgery, SSG Hospital and Medical College, Vadodara, Gujarat-390 001, India
,
Laad Hitesh
Department of Plastic Surgery, SSG Hospital and Medical College, Vadodara, Gujarat-390 001, India
,
S. Panse Nikhil
Department of Plastic Surgery, SSG Hospital and Medical College, Vadodara, Gujarat-390 001, India
› Author Affiliations
Further Information

Publication History

Publication Date:
15 January 2020 (online)

Also available at
  PDF Download Permissions and Reprints

ABSTRACT

Background: We describe here a very rare congenital deformity that involves the splitting of the right upper limb with the superior limb articulating with the shoulder joint, and the inferior limb laterally attached to the chest wall. Material and Methods: The child with this rare split limb was treated by transferring the inferior limb on an islanded pedicle to the superior one while creating the hand. Results: A unified limb was reconstructed while creating the hand without any compromise on the existing function and vascularity. The patient is on regular follow-up and further staged procedures have been planned to provide a better functional and aesthetic limb. Conclusion: The congenital deformity described here has not been mentioned in world literature so far and its embryological basis is a matter of discussion. Opinions regarding further management of this anomaly are invited from experts in the field.

KEY WORDS

Complete splitting of upper limb - complete cleft upper limb - very rare congenital deformity
 
  • 1 Manske PR. Symbrachydactyly instead of atypical cleft hand. Plast Reconstr Surg 1993;91:196.
  • 2 Ogino T. Teratogenic relationship between polydactyly, syndactyly and cleft hand. J Hand Surg Br 1990;15:201-9.
  • 3 Ogino T, Kato H. Cleft hand without absence of a finger. Handchir Mikrochir Plast Chir 1988;20:184-8.
  • 4 Harrison RG, Pearson MA, Roaf R. Ulnar dimelia. J Bone Joint Surg Br 1960;42:549-55.
  • 5 Barton NJ, Buck-Gramcko D, Evans DM. Soft-tissue anatomy of mirror hand. J Hand Surg Br 1986;11:307-19.
  • 6 Barton NJ, Buck-Gramcko D, Evans DM, Kleinert H, Semple c, Ulson H. Mirror hand treated by true pollicization. J Hand Surg Br 1986;11:320-36.
  • 7 Lichtblau PO. Mirror hand. One stage reconstruction. Orthop Rev 1981;10:77-80.
  • 8 O′Rahilly R. Morphological patterns in limb deficiencies and duplications. Am J Anat 1951;89:135-94.
  • 9 Davis RG, Farmer AW. Mirror hand anomaly: A case presentation. Plast Reconstr Surg Transplant Bull 1958;21:80-3.