Last Next

Teaching file series




US scan :LS of feet shows deep cleft (two arrows) extending proximally



C/O : Feet deformity in first fetus. This is second pregnancy screening.



Feet 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).

DiagnosisEctrodactyly (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 characteristics.


Reference & Resource :



Submitted by:

                           Dr.M.Adinarayana Rao, MD.,RD.

                           Dr. D.Prasada Reddy, DMRD.

                           Dr.G.Gowri Sekhar, DMRD., DNB.