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A form of preaxial polydactyly of fingers, a limb malformation syndrome, that is characterized by the presence of a usually opposable triphalangeal thumb with or without additional duplication of one or more skeletal components of the thumb. The thumb appearance can differ widely in shape (wedge to rectangular) or it can be deviated in the radio-ulnar plane (clinodactyly). PPD2 is also associated with systemic syndromes, including Holt-Oram syndrome and Fanconi anemia.
Features include very common findings: Preaxial hand polydactyly, Duplication of thumb phalanx, and Opposable triphalangeal thumb; and common findings: Postaxial hand polydactyly, Duplication of phalanx of hallux, Preaxial foot polydactyly, and Postaxial foot polydactyly and others. 9 total HPO annotations.
Organ System | Phenotype Count | Example Features |
|---|---|---|
Arms and legs | 4 | Preaxial hand polydactyly, Postaxial hand polydactyly, Preaxial foot polydactyly |
Phenotype severity distribution: 3 very common features, 5 common features.
No clinical trials have been registered for polydactyly of a triphalangeal thumb.
6 publications have been identified in PubMed for polydactyly of a triphalangeal thumb. Research spans Case Report / Case Series (67%), Basic Science / Preclinical (17%), and Epidemiology / Natural History (17%).
Liu X (2026). [PMID: 41764505](https://pubmed.ncbi.nlm.nih.gov/41764505/). *Journal of cardiothoracic surgery*. [Case Report / Case Series]
Shimada K (2025). [PMID: 40497261](https://pubmed.ncbi.nlm.nih.gov/40497261/). *Journal of hand surgery global online*. [Case Report / Case Series]
Kim JK (2025). [PMID: 39846166](https://pubmed.ncbi.nlm.nih.gov/39846166/). *The Journal of hand surgery, European volume*. [Epidemiology / Natural History]
Zepeda-Olmos PM (2024). [PMID: 39273297](https://pubmed.ncbi.nlm.nih.gov/39273297/). *International journal of molecular sciences*. [Case Report / Case Series]
Ilhan O (2024). [PMID: 38721582](https://pubmed.ncbi.nlm.nih.gov/38721582/). *Journal of pediatric genetics*. [Basic Science / Preclinical]
Data assembled from 5 of 12 sources · Last updated Sep 19, 2026, 9:42 PM UTC
Online Mendelian Inheritance in Man
European rare disease database
Genetic and Rare Diseases Info Center
Inaba N (2024). [PMID: 37882671](https://pubmed.ncbi.nlm.nih.gov/37882671/). *The Journal of hand surgery, European volume*. [Case Report / Case Series]