Background: Congenital hand anomalies are numerous and markedly variant. Their significance
is attributed to the frequent occurrence and their serious social, psychological and functional
impacts on patient’s life. Patients and Methods: This is a follow‑up study of 64 patients with
hand anomalies of variable severity. All patients were presented to Plastic Surgery Department of
Sohag University Hospital in a period of 24 months. Results: This study revealed that failure of
differentiation and duplication deformities were the most frequent, with polydactyly was the most
common anomaly encountered. The mean age of presentation was 6 years and female to male
ratio was 1.46:1. Hand anomalies were either isolated, associated with other anomalies or part of
a syndrome. Conclusion: Incidence of congenital hand anomalies in Upper Egypt is difficult to be
estimated due to social and cultural concepts, lack of education, poor registration and deficient
medical survey. Management of hand anomalies should be individualised, carefully planned and
started as early as possible to achieve the best outcome.