Her skeletal deformities were described as distal arthrogryposis of all limbs, talipes equinovalgus
, and rhizomelic upper limbs, which were confirmed on plain X-rays.
Wedge-shaped distal tibial epiphysis in the pathogenesis of equinovalgus
deformity of the foot and ankle in tibial lengthening for fibular hemimelia.
(3) Spine and foot anomalies, such as equinovarus and equinovalgus
deformities, have been described but occur less frequently.
Physical examination revealed short stature and an incision scar with yellow-greenish purulent material at a recent surgical site on the right leg, pes equinovalgus
, right foot oligodactyly, syndactyly between the third and fourth fingers, and oligodactyly as a bifid digit on the left foot.
But the news brought by the doctor after delivery described an infant girl with multiple congenital defects, including lipomeningocele, single umbilical artery, bilateral club feet (equinovalgus
and equinovarus), left dysplastic and right multicystic kidneys, hypospadic urethral meatus, neurogenic bladder, and cleft clitoris.