Tiffany is a 17 year old girl who had a congenital deformity of her left ring finger. The finger metacarpal was very short making the finger appear quite short. (Figure 1) When she made a fist it was quite obvious that she had no knuckle over the ring finger. (Figure 2) This was a source of great embarrassment for her, and she was constantly hiding her hand from the view of the public. She was very concerned that one day she would need to wear a wedding band on this finger drawing constant attention to the deformity.