Abstract

The evaluation of the international classification of congenital anomalies of the upper limb in the past 25 years is described. Syndactyly, cleft hand, and central polydactyly have the same embryological defect. Triphalangeal thumb and five fingered hand are unclassifiable, while camplodactyly, clinodactyly and haemangioma should not be grouped under “failure of differentiation of parts”. A new approach in classification is suggested.

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