AP radiographs of the right and left upper extremities demostrate a cleft hand on the left and only 1 digit on the right with right ulnar hemimelia (partial absence of the distal ulna). Lower extremity radiographs obtained at 15 days of age demonstrate bilateral absence of the tibias, unossified epiphyses of the distal femurs, narrow distal femoral metaphyses of a bifid right femur.