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. 2021 Nov 26;23(11):81. doi: 10.1007/s11926-021-01045-3

• Wrist AND thumb sign: 3 (wrist OR thumb sign: 1)

• Pectus carinatum deformity: 2 (pectus excavatum or chest asymmetry: 1)

• Hindfoot deformity: 2 (plain pes planus: 1)

• Pneumothorax: 2

• Dural ectasia: 2

• Protrusio acetabuli: 2

• Reduced upper segment/lower segment AND increased arm/height AND no severe scoliosis: 1

• Scoliosis or thoracolumbar kyphosis: 1

• Reduced elbow extension: 1

• Facial features (3/5): 1 (dolichocephaly, enopthalmos, downslanting palpebral fissures, malar hypoplasia, retrognathia)

• Skin striae: 1

• Myopia > 3 diopters: 1