Overview
Polydactyly of a triphalangeal thumb (unilateral) is a rare congenital hand condition present at birth. In this condition, a person is born with an extra finger or an unusually shaped thumb on one hand. The term 'triphalangeal thumb' means the thumb has three bones (phalanges) instead of the usual two, making it look more like a finger than a typical thumb. 'Polydactyly' means having extra digits. When described as 'unilateral,' it means only one hand is affected. This specific Orphanet entry is marked as OBSOLETE, meaning it has been retired or merged into a broader or updated classification of thumb and digit abnormalities. The condition is typically noticed immediately at birth because the thumb appears longer than normal or an extra digit is visible. It can affect hand function, particularly grip strength and fine motor skills like pinching. Treatment usually involves surgical correction to improve both the appearance and function of the hand. Surgery is often performed in early childhood. Outcomes after surgery are generally good, especially when performed by an experienced pediatric hand surgeon. Physical or occupational therapy may be recommended after surgery to help the child develop normal hand function.
Key symptoms:
Extra finger or thumb on one handThumb that looks like a finger (longer than normal with an extra bone)Difficulty gripping objectsReduced pinch strengthUnusual appearance of the handDifficulty with fine motor tasks like buttoning clothesOne hand looks different from the other
Variable
Can be inherited in different ways depending on the underlying gene
Neonatal
Begins at or shortly after birth (first 4 weeks)
Treatments
No FDA-approved treatments are currently listed for OBSOLETE: Polydactyly of a triphalangeal thumb, unilateral.
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Specialists
View all specialists →No specialists are currently listed for OBSOLETE: Polydactyly of a triphalangeal thumb, unilateral.
Treatment Centers
8 centersBaylor College of Medicine Rare Disease Center ↗
Baylor College of Medicine
📍 Houston, TX
🏥 NORDStanford Medicine Rare Disease Center ↗
Stanford Medicine
📍 Stanford, CA
🔬 UDNNIH Clinical Center Undiagnosed Diseases Program ↗
National Institutes of Health
📍 Bethesda, MD
🔬 UDNUCLA UDN Clinical Site ↗
UCLA Health
📍 Los Angeles, CA
🔬 UDNBaylor College of Medicine UDN Clinical Site ↗
Baylor College of Medicine
📍 Houston, TX
🔬 UDNHarvard/MGH UDN Clinical Site ↗
Massachusetts General Hospital
📍 Boston, MA
🏥 NORDMayo Clinic Center for Individualized Medicine ↗
Mayo Clinic
📍 Rochester, MN
👤 Mayo Clinic Center for Individualized Medicine
🏥 NORDUCLA Rare Disease Day Program ↗
UCLA Health
📍 Los Angeles, CA
Travel Grants
No travel grants are currently matched to OBSOLETE: Polydactyly of a triphalangeal thumb, unilateral.
Community
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Caregiver Resources
NORD Caregiver Resources
Support, advocacy, and financial assistance for caregivers of rare disease patients.
Mental Health Support
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Family & Caregiver Grants
Financial assistance programs specifically for caregivers of rare disease patients.
Social Security Disability
Learn how rare disease patients may qualify for SSDI/SSI benefits.
Questions for your doctor
Bring these to your next appointment
- Q1.What is the best age for my child to have surgery?,What type of surgery will be needed, and what are the risks?,How will this affect my child's hand function long-term?,Should we pursue genetic testing to understand the cause?,Is there a chance our future children could have the same condition?,What kind of therapy will my child need after surgery?,Are there any activities my child should avoid before or after treatment?
Common questions about OBSOLETE: Polydactyly of a triphalangeal thumb, unilateral
What is OBSOLETE: Polydactyly of a triphalangeal thumb, unilateral?
Polydactyly of a triphalangeal thumb (unilateral) is a rare congenital hand condition present at birth. In this condition, a person is born with an extra finger or an unusually shaped thumb on one hand. The term 'triphalangeal thumb' means the thumb has three bones (phalanges) instead of the usual two, making it look more like a finger than a typical thumb. 'Polydactyly' means having extra digits. When described as 'unilateral,' it means only one hand is affected. This specific Orphanet entry is marked as OBSOLETE, meaning it has been retired or merged into a broader or updated classification
At what age does OBSOLETE: Polydactyly of a triphalangeal thumb, unilateral typically begin?
Typical onset of OBSOLETE: Polydactyly of a triphalangeal thumb, unilateral is neonatal. Age of onset can vary across affected individuals.