← Back

Extra finger (polydactyly) in children

An extra finger from birth. A thin-stalked one can twist, so it is better treated early.

Clinical photograph of polydactyly (extra finger) on a child's hand
An extra finger on a child's hand can twist and cause a serious injury at any time.

What is polydactyly?

Polydactyly means an extra finger or toe from birth. It is often on the little-finger side of the hand. Some extra fingers are only a small soft piece of skin on a thin stalk; others contain bone and joints.

What parents notice

  • A small extra digit beside the little finger or thumb.
  • A thin stalk joining it to the hand.
  • It may change colour, turn dark or hurt if the stalk twists.

See a doctor soon if

  • The extra finger turns blue, dark or swollen.
  • A thread or cloth is tied around it.

Treatment

An extra finger on a thin stalk can twist and cut off its own blood supply, and can catch on clothes. It is better removed early by a surgeon, often as a small day-care procedure. If it contains bone, an X-ray is done first and a planned operation is needed so the hand works and looks normal. Do not tie it with thread at home.

Common questions

Is it a sign of another problem?

Usually it occurs alone, but the surgeon checks the child for other differences.

Does it come back?

Not when it is removed fully; the surgeon explains the exact plan for your child.

This page is for general information for parents. Every child is different: after examination and tests, an experienced paediatric surgeon decides the condition and the method of treatment. So for any problem, please consult a registered paediatric surgeon.