font size

Definition of Split-hand/split-foot malformation

Split-hand/split-foot malformation: A genetic malformation syndrome of the limbs with syndactyly, median clefts of the hands and feet, and aplasia (failure of development) and/or hypoplasia (underdevelopment) of the phalanges (the digits), the metacarpals (the bones leading up to the fingers), and the metatarsals (the bones leading up to the toes).

The split-hand/split-foot malformation (SHFM) involves ectrodactyly (the absence of all or part of a finger or toes) It has also been called the lobster-claw deformity.

SHFM is inherited as an autosomal dominant trait with variable expressivity and incomplete penetrance. (There are six known loci for SHFM; 7q21.2, Xq26,10q24,12q13,2q31 and 3q27)

(In a related but distinct syndrome) SHFM has been found to be due to a mutation in the p63 gene required for the development and maintenance of what is called the apical ectodermal ridge, a critical signaling center in the developing limbs. This ridge is crucial for the development of the thumb-pinky axis, proper differentiation of cells in the developing limb, and linear growth of the limb.

Mutations in the p63 protein are also responsible for the EEC (ectrodactyly, ectodermal dysplasia, and facial cleft) syndrome. The location of the mutation in the p63 protein determines whether it leads to SHFM or EEC.

Source: MedTerms™ Medical Dictionary
http://www.medicinenet.com/script/main/art.asp?articlekey=13614
Last Editorial Review: 9/20/2012

Drug Medical Dictionary of Terms by Letter

Top RxList Drug News

advertisement
advertisement
Use Pill Finder Find it Now See Interactions

Pill Identifier on RxList

  • quick, easy,
    pill identification

Find a Local Pharmacy

  • including 24 hour, pharmacies

Interaction Checker

  • Check potential drug interactions
Search the Medical Dictionary for Health Definitions & Medical Abbreviations

NIH talks about Ebola on WebMD