{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T09:05:19Z","timestamp":1789290319775,"version":"build-2803163510"},"reference-count":0,"publisher":"Indian Orthopaedic Research Group","issue":"8","content-domain":{"domain":["jocr.co.in"],"crossmark-restriction":true},"short-container-title":["Jocr"],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>Introduction: Split-hand\/split-foot malformation (SHFM) is a congenital limb defect characterized by central ray deficiency, resulting in deep median clefts of the hands and\/or feet. Due to the nature of the malformation, the outer digits \u2013 those predominantly innervated by the ulnar nerve \u2013 are typically spared. In patients who rely on central cleft adduction and abduction as a substitute for thumb-index opposition, the ulnar nerve may assume a disproportionately critical role in hand function.\n\nCase Report: We report a case of bilateral cubital tunnel syndrome (CubTS) in a 23-year-old patient with familial SHFM. We review the variable phenotypes of SHFM, the Manske and Halikis classification system, the clinical presentation and management of CubTS, and the functional anatomy of cleft closure.\n\nConclusion: We argue that the prioritization of neuropathy treatment in patients with congenital hand malformations should be advanced, given their overreliance on different nerve\u2013distributed musculature for essential hand function.\n\nKeywords: Split-hand\/split-foot malformation, cubital tunnel syndrome, ulnar neuropathy, cleft-based prehension.<\/jats:p>","DOI":"10.13107\/jocr.2026.v16.i08.7870","type":"journal-article","created":{"date-parts":[[2026,8,8]],"date-time":"2026-08-08T06:21:02Z","timestamp":1786170062000},"page":"279-283","update-policy":"https:\/\/doi.org\/10.13107\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Management of Cubital Tunnel Syndrome in Split-Hand\/Split-Foot Malformation: A Case Report and Review of Ulnar Nerve Dependence in Cleft Hand Prehension"],"prefix":"10.13107","volume":"16","author":[{"given":"Seth","family":"Stidham","sequence":"first","affiliation":[{"name":"Saint Louis University School of Medicine, St. Louis, Missouri,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Devin","family":"Soldati","sequence":"additional","affiliation":[{"name":"University of Iowa Carver College of Medicine, Iowa City, Iowa,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily K","family":"Stidham","sequence":"additional","affiliation":[{"name":"University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin,"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Thomas","sequence":"additional","affiliation":[{"name":"Department of Family and Community Medicine, Saint Louis University School of Medicine, SLUCare Academic Pavilion, St. Louis, MO."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5271","published-online":{"date-parts":[[2026]]},"container-title":["Journal of Orthopaedic Case Reports"],"original-title":[],"deposited":{"date-parts":[[2026,9,13]],"date-time":"2026-09-13T08:45:27Z","timestamp":1789289127000},"score":1,"resource":{"primary":{"URL":"https:\/\/jocr.co.in\/wp\/2026\/08\/management-of-cubital-tunnel-syndrome-in-split-hand-split-foot-malformation-a-case-report-and-review-of-ulnar-nerve-dependence-in-cleft-hand-prehension\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026]]},"references-count":0,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2026]]},"published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.13107\/jocr.2026.v16.i08.7870","relation":{},"ISSN":["2321-3817"],"issn-type":[{"value":"2321-3817","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026]]},"assertion":[{"value":"Research Article","name":"content_type","label":"Content Type"},{"value":"Yes","name":"crosschecked","label":"CrossChecked"},{"value":"Yes","name":"peer_reviewed","label":"Peer Reviewed"},{"value":"10.13107\/jocr.2026.v16.i08.7870","name":"published","label":"Published"},{"value":"Creative Commons Attribution","name":"license","label":"License","explanation":{"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},"group":{"name":"rights","label":"Rights"}}]}}