<unk>  or<unk> sm (from the Greek poly = "many" + daktylos = "finger"), also known as hyperdactyly, is a congenital physical anomaly consisting of supernumerary fingers or toes. When each hand or foot has six digits, it is sometimes called "sexdactyly", "hexadactyly", or "hexadactylism". Although the condition is usually not life-threatening or even particularly debilitating, most people in Western societies have the extra digits removed surgically.
The extra digit is usually a small piece of soft tissue; occasionally it may contain bone without joints; rarely it may be a complete, functioning digit.  The extra digit is most common on the ulnar (little finger) side of the hand, less common on the radial (thumb) side, and very rarely within the middle three digits. The extra digit is most commonly an abnormal fork in an existing digit, or it may rarely originate at the wrist like a normal digit does.<unk>  can occur by itself, or more commonly, as one feature of a syndrome of congenital anomalies. When it occurs by itself, it is associated with autosomal dominant mutations in single genes, i.e. it is not a multifactorial trait.  But mutation in a variety of genes can give rise to<unk> . Typically the mutated gene is involved in developmental patterning, and a syndrome of congenital anomalies results, of which<unk>  is one feature.
The condition has an incidence of 1 in every 500 live births although the frequency is higher in some groups (an example is the Amish in the United States, due to the founder effect).
Polydactyly
Brachydactyly
Dactyly
Pitted nails
Webbed toes
Erlenmeyer flask deformity
Elfin facies
Tripe palms