An unusual bifid first metacarpal

Bifid first metacarpal is a common congenital anomaly. Here, we report an unusual case of bifid first metacarpal in a 13-year-old girl who presented with swan neck deformity of left thumb, a bony prominence on ulnar aspect of left thumb in the first web space and a bifid first metacarpal lacking its own epiphysis. The patient underwent surgery, resulting in complete functional recovery as well as cosmetic improvement of the left thumb.