Pediatrics

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Cleidocranial Dysostosis

  • Wormian bones
  • Absent clavicles
  • Coxa Vara
  • Short tubular bones with extra epiphyses

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DDX Wormian Bones “”PORKCHOPS”

  • Pyknodysostosis
  • Osteogenesis Imperfecta
  • Rickets in healing
  • Kinky Hair Syndrome
  • Cleidocranial Dysostosis
  • Hypothyroidism
  • Otopalatodigital syndrome
  • Pachydermoperiostosis
  • Syndrome of Down

DDX Coxa Vara (<120)

  • Incomplete development – infantile, AKA proximal focal fermoral deficiency
  • Bone softening disorders – metabolic deficiency, congenital dysplasia (OI, FD, Cleidocranial dysostosis)

DDX Coxa Valga (>140)

  • Not bearing adequate weight to include normal neck/shaft angle. Caused from neurologic and musculoskeletal condition
  • Infantile Coxa Vara
  • Severely hypoplastic, partially ossified femoral neck, small femoral head, elevation of the femur and marked coxa vara

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