Congenital pseudoainhum involving the lower parts of both legs and the right great toe with associated partial syndactyly and absence of distal phalanges occurred in a Negro infant boy. Plastic repair of the deformity produced by the constrictive bands was performed with a good cosmetic result. Histological examination of the excised specimen revealed broad finger-like projections of collagenous and coarse elastic bundles penetrating deeply into the subcutaneous fat.