Welcome to our world. My son Camron is 27 years old and also has 4q deletion at 31st quarter. He had the same pinkie fingers as you described. They were awful. They got caught on everything. The nail was impossible to trim. At the age of 4 yrs we had the pinkie fingers removed at the recommendation of the orthopedic surgeon. We were ambivalent about it at first but he assured us that his hands would be less noticeable without there fingers and Camron would never be able to use them as they were non-functional and could not be fixed. He was asbsoloutley right. Nobody ever notices that they are missing unless you point it out, and they were no longer in the way. Camron also had uni lateral cleft lip and palate, which were both repaired. Camron does not have overlapping toes, but has very small feet and also flat feet. Camron is developmentally delayed. At 27, he has cognitive level of a 2-3 year old. He does walk, but still has no verbal speech. He does have some behaviour issues, but is controlled well with medication. Mostly he is very loving. This is all just a brief synopsis of life with Camron. There is alot that fills in the blanks for his 27 yrs. It's been all about one day at a time to see how Camron would grow and develop. There was no guide of history of other cases for me to go by. Please feel free to ask any questions that you may have. I do know how it feels to not know whats ahead.
And Chris, glad to see Henry is doing so well. I do keep up with ya'll thru your website.