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The trunks in all our patients were characterized by the presence of complete aplasia of the clavicles and are associated with disappearance of the supraclavicular and infraclavicular fossae so that the neck seems to imperceptibly continue into the thorax. Winged scapulae, drooping shoulders with abnormal excessive mobility, allowing the shoulders to be adducted to the point where the deltoid areas touch each other in the region of the sternum (puppet shoulders) are shown.
