# @nickpappasmd on Instagram

- **Type:** Video
- **Original URL:** https://www.instagram.com/p/DUS4M5ljXW2
- **Gondola URL:** https://gondola.cc/posts/59862659-nickpappasmd-instagram
- **Thumbnail:** https://img.gondola.cc/tr:w-,h-,fo-auto/postThumbnails/272be2faec.jpg
- **Posted:** 2026-02-03T12:00:00.000+00:00
- **Account Owner:** Nick Pappas, MD (@nickpappasmd) — https://gondola.cc/nickpappasmd

## Caption

I know everyone is coming to the caption for an additional explanation regarding her underlying diagnosis.  She actually has a condition known as ectrodactyly. 

👉 Ectrodactyly, or split hand/split foot malformation (SHFM), is a rare congenital, genetic limb disorder characterized by the absence of central digits (fingers or toes), resulting in a V-shaped cleft and “claw-like” appearance.  Fortunately, the girl in the video appears to have good hand function.  When there's no significant functional limitation, we generally do not recommend surgical intervention.

👉 As for carpal tunnel syndrome, it's probably one of the most common conditions I treat.  Generally we can manage it with activity modification, anti-inflammatories, splinting, and corticosteroid injections.  If all conservative measures fail, then we resort to a carpal tunnel release procedure.

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Original video credit: alyssatheamputee 

#carpaltunnelsyndrome #carpaltunnel #ectrodactyly

## Stats

- **Views:** 20,037
- **Likes:** 254
- **Shares:** 0
- **Comments:** 8

## Tags

carpaltunnelsyndrome, carpaltunnel, ectrodactyly

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