Brachydactyly-preaxial hallux varus syndrome is a rare genetic disorder characterized by shortening of the fingers and toes (brachydactyly) and an inward turning of the big toe (hallux varus). It is caused by a mutation in the HOXD13 gene. Symptoms may include shortening of the fingers and toes, an inward turning of the big toe, and a wide gap between the first and second toes. Other features may include a short stature, a curved spine, and a cleft palate. Treatment may include physical therapy, orthopedic surgery, and genetic counseling.