REBIA ( wearing a blue jumper)
Rebia has type I, spade hand, the most common and least severe of the deformations. The thumb is separated from the index. The index, middle, and ring are fused at the DIP joints and form a flat palm. The 4th web space has a simple syndactyly. The surgeons wanted to release Rebia’s 4th webspace to improve her hand function, however, she was not a candidate for surgery because of other health issues.
Picture of type I spade hand showing separate thumb and simple syndactyly of small finger. The thumb shows radial deviation and clinodactyly. Digital fusions form a flat palm. The fingers are of normal length.
