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Living with Ectrodactyly

A birth difference of the hands or feet with missing fingers or toes, a deep cleft in the center, and joined remaining digits.

Understanding Ectrodactyly

Ectrodactyly, also called split hand foot malformation (SHFM), is a birth difference with missing fingers or toes, a deep cleft down the hand or foot, and fused remaining digits.

Severity varies widely. It can occur by itself or as part of a syndrome with other body differences. At least six forms of isolated SHFM have been described, each with a different genetic cause. It is present from the newborn and infant years.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Missing fingers or toes (oligodactyly)
  • Deep cleft in the hand or foot
  • Joined fingers (syndactyly)
  • Hand with a single finger (monodactyly)
  • Split foot

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include bone and joint specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which type of SHFM does my child have?
Would genetic testing help identify the cause?
What surgery or therapy can improve hand or foot function?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant, Autosomal Recessive, X-Linked

GARD says different types have different genetic causes, including the TP63 gene (SHFM4), the WNT10B gene (SHFM6), and changes on chromosomes 7, 10, 2, and the X chromosome. It can be autosomal dominant, autosomal recessive, or X-linked.

Genetic

Also known as: cleft hand; fewer digits; lobster claw deformity; lobster claw hand; lobster-claw deformity; shfm

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · EctrodactylyGARD ID 6319 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Ectrodactyly.

Explore the Ectrodactyly blog

Explore research for Ectrodactyly

Explore actively recruiting Ectrodactyly studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Ectrodactyly with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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