Main clinical features
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severe extreme shortening of the ribs with a narrow thorax, a bulging forehead, depressed nasal bridge, and median cleft, extreme pre- and postaxial polysyndactyly with seven fingers and toes ventriculoseptal defect and cystic kidneys
radiographic hallmarks included shortened and horizontal ribs, squared scapulae and elevated clavicles with lateral kinking, normal spine and pelvis, and shortening of the bones of all four extremities, with extreme reduction of tibial bone length |