Newborn Angus

Angus has a very narrow chest due to his short ribs and sternum. You can also see that his arms a bit shorter than average. Doesn't stop him being cute.

Hand

You can see the extra little finger here. The size and completeness of this finger is very variable between each person with EvC.

Foot of child with EvC

10% of babies with EvC are born with polydactyly of the feet. This is not post-axial, it varies from person to person. Angus has poly/syndactyly of the 2nd/3rd toes on both feet.Even without polydactyly, the foot of a baby with EvC is very characteristic - broad, triangular sole, pronounced fat pad on the top of the foot, and short toes with deep set nails.

Bilateral Hand X-ray

This shows the post-axial polydactyly seen in EvC

Left Hand X-ray

A more detailed x-ray of a left hand showing incomplete separation of the 5th/6th metacarpal, and the 5th distal phalanx. Other common findings in EvC hands are fused joints anywhere in the fingers and commonly of the hamate.

Leg X-ray

Showing the early stages of genu valgum in a 3 year old child with EvC. Normally children without EvC have slightly varus knees at this age.

AP View of Thorax

Chest xray showing thoracic dystrophy and mild right ventricular hypertrophy secondary to pulmonary hypertension.

Lateral View of Trunk and Pelvis

Showing the marked thoracic kyphosis resulting from a shortened sternum and ribcage. This in turn causes a compensatory increase in the lumbar lordosis.