Lobster Claw Hand Foot Syndrome: Rare Congenital Orthopedic Disorder

A term male infant was born to 28 year old primigravida mother, non-consanguineous marriage, with birth weight of 2.8 kg and with normal Apgar score 8/8/9. At birth baby was noted to have deformed left foot with syndactyly of the lateral two toes with median cleft of the left foot with associated hypoplasia of nails (Figures 1 and 2). There were no other facial and limb abnormalities noted in infant. The infant was diagnosed as case of diagnosed with a case of cleft foot (lobster foot). The lower limb x-ray showed presence of tibia as these patients are known to have tibial agenesis. The infant was evaluated with echocardiography and brain ultrasound which was normal. There was no orthopedic abnormality in the parents or their relatives. The baby was discharged and now in regular orthopedician follow up.