Tibial hemimelia-split hand/foot syndrome with rare anomalies.

Fig. 1.Claw like deformity of both hands, right sided tibial hemimelia with hypoplastic three toed foot and a transverse cleft on planter side of left foot. Tibial hemimelia-split hand/foot syndrome (TH-SHFM) is a rare constellation of multiple congenital malformations which includes Ectrodactyly (Lobster claw deformity or Cleft hand/foot) with a wide range of phenotypes of absent tibia/tibial hemimelia or long bone deficiency(1,2). We describe a proposita with these characteristic anomalies in absence of family history of malformations. This was associated with sacral agenesis, anorectal atresia, hemi-vertebra and ventricular septal defect, hither to undescribed.