Here is one example.
|This is an unusual form of cleft hand (central deficiency). There is no thumb except the floppy "nubbin."|
|Another picture of unusual cleft hand with absent thumb|
|This is the xray. Notice the lack of the thumb. The thumb metacarpal measures 22mm- good enough to support a fixator.|
|We have placed the fixator to allow a gradual lengthening of the bone.|
|Another view of fixator for cleft hand lengthening of a thumb.|