the reported case was diagnosed due to evidence of an extreme shortening of all long bones of the extremities associated with other skeletal deformities which , taken as a whole , are typical of this syndrome : micrognathia , cervical kyphosis , persistent extension limitation in elbow and knee joints , club feet , ulnar diviation of hands , shortened phalanges , and , in particular , abduction of thumbs ( 'hitchhiker thumbs ' ) and big toes .
C0018563
hands
C0040067
thumbs