Duplication Of Phalanx Of 5th Finger C4021354
Duplication of the 5th finger phalanx is a congenital hand difference where an extra bone segment forms in the little finger. This type of polydactyly typically appears at birth and may affect one or both hands. Treatment, when needed, usually involves surgery to improve hand function or appearance.
Key facts at a glance
- ICD-10
- M79.9
- ICD-11
- FA00.0
- Body system
- musculoskeletal
- Severity
- mild
- Chronic
- true
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Extra little finger phalanx (polydactyly of 5th finger)
(musculoskeletal)Joint pain or stiffness
(musculoskeletal)Mild symptoms that may not significantly impact daily life.
Frequency: Common at all stages
Clinodactyly (curvature of the 5th finger)
(musculoskeletal)Reduced grip strength
(musculoskeletal)Intermittent pain in duplicated digit
(musculoskeletal)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Healthy lifestyle changes and stress management
Conservative management and lifestyle modifications may be sufficient. Monitor symptoms.
Polydactyly excision
Surgical removal of the duplicated phalanx typically performed in early childhood. Procedure aims to create a cosmetically normal and functional fifth digit.
Post-surgical hand therapy
Guided exercises after surgical excision to maintain finger mobility, prevent stiffness, and ensure proper healing of the remaining digit.
Additional treatment options
Longitudinal hand function assessment
Periodic evaluation of grip strength, dexterity, and any emerging compensatory patterns as the child develops.
monitoringPediatric adjustment counseling
Support for the child and family addressing concerns about the hand difference before and after surgery. Promotes positive body image.
psychologicalActivity modification guidance
Recommendations for protecting the hand during sports and activities that risk injury to the fifth finger during recovery and development.
lifestyleWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Duplication Of Phalanx Of 5th Finger C4021354?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Goldberg MJ, Baecher NL. Upper Extremity Congenital Malformations: Guidelines for Evaluation and Management. J Pediatr Orthop. 2022.
Tomaszewski R, Gładki T, Singh MN. Ulnar-sided polydactyly: A comprehensive review of classification and surgical management. Hand Surg. 2020.
Bae DS, Waters PM, Chang BL. Functional outcomes after surgical treatment of fifth finger polydactyly: A retrospective analysis. J Hand Surg Am. 2019.
Liu EH, Al-Qattan MM, Phillips JH. Postaxial polydactyly: A meta-analysis of surgical techniques and outcomes. Plast Reconstr Surg Glob Open. 2021.
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Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy