“…FATCO is an uncommon entity whose prevalence has been reported to be less than one per million births ( https://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=ES&Expert=2,492 ). The majority of reported cases, as with the case reported here, present with the defined criteria for the complex, i.e., Fibular Aplasia, Tibial Campomelia and Oligosyndactyly ( Hecht and Scott, 1981 ; Cuillier et al, 2004 ; Courtens et al, 2005 ; Monteagudo et al, 2006 ; Kitaoka et al, 2009 ; Karaman and Kahveci, 2010 ; Vyskocil et al, 2011 ; Bieganski et al, 2012 ; Ekbote and Danda, 2012 ; Goyal, 2014 ; Sezer et al, 2014 ; Bastaki et al, 2015 ; Hazan et al, 2016 ; Nogueira et al, 2016 ; Smets et al, 2016 ; D’Amato Gutiérrez and Palacio Díaz, 2016 ; Abdalla and El-Beheiry, 2017 ; Ahmad et al, 2017 ; Petricevic, 2017 ; Guevara Zárate et al, 2018 ; Otaryan et al, 2018 ; Isik et al, 2019 ; Önder Yılmaz et al, 2019 ; Igoche and Umaru, 2020 ; Izadi and Salehnia, 2020 ; Kavipurapu et al, 2021 ; Marinho et al, 2021 ; Mishra and Verma, 2021 ; Yucel Celik et al, 2021 ; Mumtaz Hashmi et al, 2022 ; Georgeos and Elgzzar, 2022 ; Georgescu et al, 2022 ), but other systemic manifestations have been described in some cases ( Hecht and Scott, 1981 ; Courtens et al, 2005 ; Kitaoka et al, 2009 ; Bieganski et al, 2012 ; Nogueira et al, 2016 ; Isik et al, 2019 ; Igoche and Umaru, 2020 ; Kavipurapu et al, 2021 ; Marinho et al, 2021 ; Georgeos and Elgzzar, 2022 ). Although data is scarce, no significant difference in laterality nor with the frequency of other extra-skeletal conditions has been found, probably due to the rarity of this entity.…”