Isolated split hand-split foot…

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Isolated split hand-split foot malformation

ORPHA:2440Malformation syndrome

Also called Ectrodactyly · SHFM · Split hand foot malformation

What it is

A rare, congenital, bone development disorder characterized by a spectrum of terminal limb malformations including hypoplasia/absence of central rays of the hands and feet (that can occur in one to all four digits), variable degrees of median clefts of the hands and/or feet, aplasia and syndactyly, with a wide range of severity ranging from malformed central finger/toe to a lobster claw-like appearance of the hands and feet. It can occur as an isolated malformation or it can be a feature in various syndromes.

Key facts

Prevalence
1-9 / 100 000 (at birth, Europe)
Age of onset
Infancy, Neonatal
Inheritance
Autosomal dominant, Autosomal recessive, X-linked recessive
Classified as
Malformation syndrome

Prevalence figures describe populations, not individuals, and are often estimates from a single study. Where the figure is an incidence or a birth prevalence, it says so.

Signs and symptoms

These ranges are how often a sign appears across everyone diagnosed, not a prediction for one person — most people have some of these and not others. Orphanet also records findings that are specifically absent in this disease; those are in the data but not listed here.

Genes

DLX5Disease-causing germline mutation(s)
DLX6Disease-causing germline mutation(s)
EPS15L1Disease-causing germline mutation(s) (loss of function)
TP63Disease-causing germline mutation(s)
WNT10BDisease-causing germline mutation(s)
BTRCCandidate gene tested
FBXW4Role in the phenotype of
SEM1Candidate gene tested

ICD-10 codes

Q74.8filed under a broader ICD-10 category — shared with 24 other rare diseases

ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.

Cross-references

GARD 6319MEDDRA 10079827MONDO 0016576OMIM 183600OMIM 225300OMIM 246560OMIM 313350OMIM 605289OMIM 606708UMLS C0265554

Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.

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