0001204 Distal symphalangism of hands	0009282 Abnormality of the distal phalanx of the 4th finger	0009308 Symphalangism of middle phalanx of 4th finger
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0009305 Distal/middle symphalangism of 4th finger

synonym

Symphalangism of the distal and middle phalanges of the 4th finger

Fused outermost and middle bones of ring finger