No claws, no distal phalanges, no fur.

Each bone was aligned with anatomical precision, right down to the distal phalanges of the hands and feet.

We report a 21-year-old patient with speech problems, autistic traits, dysmorphic facial features, broad thumbs with short distal phalanges and a pancreatic gastrinoma.

Therefore the hand is usually in the so-called interosseal position, with flexion of the proximal and extension of the middle and distal phalanges.

"Note the medial and distal phalanges."