Examination of the hands showed brachydac- tyly with flat fingers and spatulate distal phalanges.
phalanges, spatulate fingers. ( D, E ) Macrocephaly, ocular hypertelorism, low nasal root, short nasal dorsum, anteverted nostrils, prominent supraorbital ridges.
[…] asymmetrical legs, shortened upper left limb with restricted elbow extension; genum varum on the right. ( B, C ) Asymmetry of the hands, left hand with brachydactyly, wide distal