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Journal of Hand Surgery (British and European Volume)
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Description of Congenital Hand Anomalies: A Personal View

M. A. TONKIN

From the Department of Hand Surgery, University of Sydney, Royal North Shore Hospital, Sydney, Australia

Correspondence: Professor M. Tonkin, MD, FRACS (orth), Department of Hand Surgery and Peripheral Nerve Surgery, Royal North Shore Hospital, St. Leonards NSW 2065, Australia. Tel.: +61 2 9926 7778; fax: +61 2 9926 7774. E-mail: mtonkin{at}surgery.usyd.edu.au

A series of four congenital hand cases exhibiting central clefting are presented. The cases are morphologically similar and exhibit characteristics of both symbrachydactyly and central longitudinal deficiency. The cases demonstrate difficulties in classification by either the IFSSH classification system or the JSSH modification of it. An alternative descriptive approach to classification is suggested.

Key Words: classification • congenital anomalies • central longitudinal deficiency • symbrachydactyly

Journal of Hand Surgery (British and European Volume), Vol. 31, No. 5, 489-497 (2006)
DOI: 10.1016/J.JHSB.2006.05.013
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P. R. Manske and K. C. Oberg
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