# A Case of Fibular Aplasia-Tibial Campomelia-Oligosyndactyly (FATCO) Syndrome Associated With Split Hand/Foot Syndrome With Long Bone Deficiency (SHFLD) and Review of the Literature

## TL;DR

This paper reports a rare case of a fetus with combined limb defects and reviews similar cases in medical literature.

## Contribution

The novelty lies in reporting a rare combination of SHFLD and FATCO syndromes in a Greek fetus.

## Key findings

- A male fetus was found to have SHFLD combined with FATCO syndrome.
- This is the first reported case of FATCO syndrome in Greece.
- The paper reviews existing literature on these rare limb defects.

## Abstract

Split hand/foot malformation is a heterogeneous congenital disorder mainly presented with a median cleft of hands or/and feet. It can be associated with long bone aplasia, a syndrome also known as split hand/foot syndrome with long bone deficiency (SHFLD), which is a very rare condition. We report a very rare case of a male fetus with SHFLD syndrome combined with fibular aplasia, tibial campomelia, and oligosyndactyly (FATCO) syndrome. FATCO syndrome is also an extremely infrequent congenital limb defect by itself. Based on our review of the literature, there appears to be no other FATCO case reported in Greece.