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We are describing a new technique to utilize the skin of the cleft as a bipedicle flap to reconstruct and to widen the narrow first web space in congenital central deficiency. The skin of the cleft maintains its attachments on the dorsal and palmar aspects of the hand and the index finger is passed (tunneled) underneath it so that the skin of the cleft comes to occupy the first web space. This technique ensures maintenance of good blood supply of the skin of the cleft and a rounded edge of the first web without scars across it., (Copyright © 2020 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.)

In our experience, previous flaps designed for correction of the skin deficiency in complex clasped thumb do not sufficiently address the palmar contracture of the deformity. Moreover, the index finger flap, previously described by Ezaki and Oishi, provides insufficient skin at its apex with the possibility of incomplete correction and the frequent need of a thenar release incision. This article describes a flap designed for widening of the narrow thumb-index web space and release of the palmar thumb contracture in cases of congenital clasped thumb. This flap provides sufficient correction of the palmar contracture and at the same time provides adequate width and depth of the thumb-index web space., (Copyright © 2013 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.)

We report a case of Liebenberg syndrome in a 6-year-old girl, including the clinical, radiological, angiographic, and operative findings. We note that the forearm and hand malformations have similarities to leg and foot anatomy. Our observations may help provide insight into the etiology of this unusual condition., (Copyright © 2013 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.)

A rare case of malformation of the scapula, a cleft scapula, has been encountered. This case is associated with type V ulnar longitudinal deficiency of the ipsilateral upper limb. The scapular malformation has been treated with fusion of the 2 parts, with good aesthetic and functional outcome. In this report, the clinical, radiological, and surgical findings, as well as the surgical technique, are described. Four cases of similar malformation have been reported in the literature, and they were described as complete scapular duplication. According to the current findings and reinterpretation of the previous reports, this malformation is better called cleft scapula rather than scapular duplication., (Copyright 2010. Published by Elsevier Inc.)