C/O : Feet deformity in
first fetus. This is second pregnancy screening.
revealed deep cleft extending proximally, involving distal one third
of feet with normal great toes and syndactyly of fourth and fifth
toes .Second and third toes on both sides were missing. No other
abnormality was detected on detailed examination.
Hands appear normal (Not shown in image).
Diagnosis : Ectrodactyly
(Split foot / Lobster Claw Deformity)
Split hand/split foot malformation (SHFM) is a genetic disorder
characterized by the complete or partial absence of some fingers or
toes, often combined with clefts in the hands or feet. There may
also be the appearance of webbing between fingers or toes (syndactyly).
This may give the hands and/or feet a claw-like appearance.
There are many types and combinations of deformities that appear in
split hand/split foot malformation. They range widely in severity,
even in members of the same family. The malformation may occur
alone, or it may occur as a component of a syndrome with other
Reference & Resource :
D.Prasada Reddy, DMRD.
Dr.G.Gowri Sekhar, DMRD., DNB.