PMC6409135_01
The short left upper limb. Note that the hand has only two digits
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F1
The left upper limb was short with an absent elbow joint, and the hand had two digits (Figure 1).
The dorsal aspect of the left hand. The ulnar digit has ventral dimelia; manifesting as absent nail along with the appearance of an ectopic pulp on the dorsal aspect of the digit
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F2
The ulnar digit had ventral dimelia; manifesting as absence of the normal dorsal nail along with the appearance of an ectopic pulp on the dorsal aspect of the digit (Figure 2 and 3). 
The ventral aspect of the left hand. The radial digit has dorsal dimelia; manifesting as a well-developed palmar nail and nail fold
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F3
The ulnar digit had ventral dimelia; manifesting as absence of the normal dorsal nail along with the appearance of an ectopic pulp on the dorsal aspect of the digit (Figure 2 and 3). 
X-ray of the left upper limb showing ulnar ray deficiency. Note the radio-humeral synostosis (the area of synostosis has a prominent humeral medial epicondyle and is marked with an arrow), the absent ulna, and the two digital rays in the hand
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F4
The hand had two metacarpals and two digital rays (Figure 4).