The syndrome consists of bilateral
aplasia of the tibiae and split-hand/foot deformities (also called
lobster-claw deformity). Other anomalies may include hypoplasia or aplasia of the ulnae, distal
hypoplasia or bifurcation of the femora, aplasia of patellae, hypoplastic
big toes, postaxial and intermediate polydactyly, and cup-shaped ears.