Spondylocarpotarsal synostosis syndrome: “Bat wings” spinal fusions and “ladybug” carpal coalitions

A pediatrician noticed a hump in a 1-year-old girl during a chest examination for cough and fever. The girl had suffered from intrauterine growth retardation and had been born preterm at 34 weeks, through a caesarean section, in the context of preeclampsia. The child's weight was 1.88 kg at birth. Growth rate was slower than expected for age (at 2 years and 6 months, height was on the 2.9th percentile and weight was on the 1.8th percentile; at 3...