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CASE REPORT article

Front. Pediatr.

Sec. Pediatric Orthopedics

Volume 13 - 2025 | doi: 10.3389/fped.2025.1631029

Congenital absence of the fifth metacarpal with polydactyly and syndactyly: a case report

Provisionally accepted
zhihong  Qinzhihong Qinxiaolin  Luoxiaolin LuoXiaofei  DingXiaofei DingShijie  LiaoShijie Liao*
  • First Affiliated Hospital, Guangxi Medical University, Nanning, China

The final, formatted version of the article will be published soon.

Congenital hand malformations encompass various types, with polydactyly and syndactyly being common. However, congenital absence of the metacarpal is rarely reported, and literature on this condition remains limited. To date, no cases of congenital absence of the fifth metacarpal combined with polydactyly and syndactyly have been documented. Here, we present a case of a 7-month-old female infant with congenital absence of the fifth metacarpal accompanied by polydactyly and syndactyly. The intraoperative management strategy is described, and early postoperative outcomes are evaluated. This case report aims to provide treatment approaches and clinical experience for complex congenital hand malformations, offering reference for clinicians managing similar cases in the future.

Keywords: Congenital metacarpal agenesis, Polydactyly, Syndactyly, Surgery, case

Received: 19 May 2025; Accepted: 31 Jul 2025.

Copyright: © 2025 Qin, Luo, Ding and Liao. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Shijie Liao, First Affiliated Hospital, Guangxi Medical University, Nanning, China

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