Cenani-Lenz syndrome is a form of complete syndactyly resembling the spoon
hand in Apert syndrome. It Is often associated with disorganization of phal
anges, the fusion of metacarpals and mesomelic shortness of the arm. We des
cribe an additional case of Cenani-Lenz type of syndactylism in a 16 month-
old girl who also has rib and vertebral abnormalities and mixed type hearin
g loss, that have not been seen before in a single patient.