Pediatrics

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Thumbnail imageThumbnail imageAchondroplasia

  • Flat, horizontal iliac bones
  • Flat accetabular roofs
  • Rhizomelic dwarfism
  • Flaring of the metaphyses
  • Fibula longer than tibia
    Frontal bossing
    Narrow foramen magnum – cervicomedullary kinking
    Anterior VB beaking
    Accentuated lordosis
    Narrowed interpeduncular distances
     

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    Short pedicles
    Trident hand with stubby long bones
     

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    DDX Anterior VB Beaking (Bullet Shaped)

    • Mucopolysacchridosis – Hurler inferior, Moroquio central
    • Achondroplasia
    • Cretinism
    • Down’s
    • Neuromuscular disease

    DDx Dwarf with Horizontal Acetabular Roof

    • Achondroplasia
    • Thanatophoric dwarf
    • Epiphyseal dysplasia
    • Jeune’s Asphyxiating Thoracic Dystrophy

    Duke DDX small/Bell-shaped Thorax




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