Digital shortening for macrodactyly (Tsuge). A, Matching sections (shaded areas) of volar half of distal phalanx and dorsal half of middle phalanx are removed. B, Distal phalanx is reduced on middle phalanx, with preservation of dorsal skin bridge, but removal of excess soft tissue. C, Soft-tissue closure is completed, accepting some excess dorsal soft tissue. SEE TECHNIQUE 80.58.