Abstract

Syndactyly is the most common congenital hand defect, syndactyly occurs at a rate of 1 in 2000 live births. It had described by the ancient Greek doctors. Syndactyly could have many different clinical presentations; and so that there has not any consensus for the classification. By the year 2012 non syndromic syndactyly types have been classified in nine groups according to their phenotypes. Our article is about a syndactyly case which had seen at a 48 year old female patient with a unique clinical presentation. The presentation of the hand is different from the literature because she had no 4th finger hypoplasia and she had two viable nails on the middle and distal phalanx of the 5th finger. We did the operation by the technique which had described by Yao et al as creating a commissure on the subcutane pedicle by a V incision. There is not any complication and skin problem after the surgery as a one year follow up.