Extremities

Expected findings

Maintains posture of flexion
Equal and bilateral movement and tone
Full range of motion all joints
Ten fingers and ten toes
Legs appear bowed
Feet appear flat



Palmar creases present



Sole creases present



Negative hip click
Grasp reflex present

Signs of potential distress or deviations from expected findings

Unequal tone
Asymmetrical movement of extremities
Polydactyly



Syndactyly
Unequal leg length
Asymmetrical skin creases posterior thigh



Dislocation of hip



Simean crease
Persistent cyanosis of nail beds
Marked metatarus varus