Silver-Russell syndrome [SRS] is a rare condition that etiology is not completely understood and characterized by phenotypic changes. The genetic causes of SRS are complex, often results from the abnormal regulation of certain genes that control growth. Research has focused on genes located in particular regions of chromosome 7 and chromosome 11. In the etiology, there can be deletion of the short arm of chromosome 18 and genetic disorders, such as Turner mosaicism [1,2]. Here, we aim to provide our patients admitted to our clinic with hand hypoplasia.