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Duplicated Longitudinal Bracketed Epiphysis ‘Kissing Delta Phalanx’ in the Hand

From the Department of Orthopaedic Surgery, Loma Linda University, School of Medicine, Loma Linda, California, USA

Correspondence: Dr Virchel E. Wood, Dept of Orthopaedic Surgery, Loma Linda University Medical Center, 11234 Anderson Street, Room A519, Loma Linda, CA 92350 USA. E-mail: lkent{at}som.llu.edu

The duplicated longitudinal bracketed epiphysis ("kissing delta") phalanx has been described rarely. These delta bones have a bizarre appearance and are often associated with other developmental abnormalities such as central polydactyly. We have seen a total of 13 kissing delta phalanges in the hands. We discuss their natural history, look at the associated anomalies and consider the treatment options for this very rare congenital anomaly.

Journal of Hand Surgery (British and European Volume), Vol. 27, No. 3, 249-252 (2002)
DOI: 10.1054/jhsb.2001.0713


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