Figure 1. Right hand radiograph. on the right hand complete cutaneous syndactyly of the 1st and 2nd fi ngers; shallow axial cleft between 2nd and 3rd fi ngers; 3rd and 4th fi ngers had a complete syndactyly with synostosis of the distal phalanges; depressed longitudinal scar in the mid-palmar area not confi guring a lobster claw malformation; no absence of phalanges..