Mirror Hand: An Uncommon Neglected Case Managed with Pollicisation

Mirror hand or ulnar dimelia is a very rare congenital anomaly characterized by symmetric duplication of the upper limb in the midline. In most cases there is mirrored symmetry with a central digit and 3 digits on either side representing the middle ring and small fingers. The thumb is absent despite presence of seven digits. There is duplication of ulna and absence of radius. The preaxial ulna is often hypoplastic and supports the duplicated carpal elements.1 There are a few case reports of this rare anomaly. We report another case of mirror hand. It falls under I2bv according to IFSSH2 classification and type 1 in Al-Quattan classification.