Abstract
Skeletal dysplasias are a large diverse group of disorders characterized by abnormal bone and cartilage growth. Approximately one-quarter of them are considered lethal in the perinatal period. This paper will review the components of the skeletal survey, the primary imaging tool for diagnosing dysplasias postnatally, emphasizing the use of an organized approach and appropriate descriptive terminology. Several illustrative cases of lethal and nonlethal dysplasias will be shown, with additional discussion of commonly associated genetic mutations and classification systems.
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Lachman RS (2008) Skeletal dysplasias. In: Slovis T (ed) Caffey’s pediatric diagnostic imaging, 11th edn. Mosby Elsevier, Philadelphia, p 2613
Spranger JW, Brill PW, Poznanski A (2002) Bone dysplasias: an atlas of genetic disorders of skeletal development, 2nd edn. Oxford University Press, New York, pp IX–XIV
Lachman RS (2007) “Teaching approach to the skeletal dysplasias” in Taybi and Lachman’s radiology of syndromes, metabolic disorders and skeletal dysplasias, 5th edn. Mosby Elsevier, Philadelphia, pp 1337–1350
Offiah AC, Hall CM (2003) Radiological diagnosis of the constitutional disorders of bone. As easy as A, B, C? Pediatr Radiol 33:153–161
Lachman RS (2007) Taybi and Lachman’s radiology of syndromes, metabolic disorders and skeletal dysplasias, 5th edn. Mosby Elsevier, Philadelphia, pp 1131–1132
Skeletal Dysplasia Group (1989) Instability of the upper cervical spine. Arch Dis Child 64:283–288
Lachman RS (1997) The cervical spine in the skeletal dysplasias and associated disorders. Pediatr Radiol 27:402–408
Phillips G, Parnell S, Paladin A (2009) Interactive digital CT atlas of the pediatric cervical spine. MedEdPORTAL. Available via http://services.aamc.org/30/mededportal/servlet/s/segment/mededportal?subid=1769. Accessed 8 Mar 2011
Caffey J, Madell S (1956) Ossification of the pubic bones at birth. Radiology 67:346–350
Strouse PJ, Keats TE (2008) Normal anatomy, growth, and development. In: Slovis T (ed) Caffey’s pediatric diagnostic imaging, 11th edn. Mosby Elsevier, Philadelphia, pp 2548–2549
Greulich W, Pyle S (1999) Radiographic atlas of skeletal development of the hand and wrist, 2nd edition. Stanford University Press
Superti-Furga A, Unger S, Nosology Group of the International Skeletal Dysplasia Society (2007) Nosology and classification of genetic skeletal disorders: 2006 revision. Am J Med Genet Part A 143A:1–18
Kornak W, Mundlos S (2003) Genetic disorders of the skeleton: a developmental approach. Am J Hum Genet 73:447–474
Krakow D, Alanay Y, Rimoin LP et al (2008) Evaluation of prenatal-onset osteochondrodysplasias by ultrasonography: a retrospective and prospective analysis. Am J Med Genet A 146A:1917–1924
Lachman RS (2007) Taybi and Lachman’s radiology of syndromes, metabolic disorders and skeletal dysplasias, 5th edn. Mosby Elsevier, Philadelphia, pp 1339–1340
Lachman RS (2007) Taybi and Lachman’s radiology of syndromes, metabolic disorders and skeletal dysplasias, 5th edn. Mosby Elsevier, Philadelphia, pp 1342–1343
Lachman RS (2007) Taybi and Lachman’s radiology of syndromes, metabolic disorders and skeletal dysplasias, 5th edn. Mosby Elsevier, Philadelphia, pp 1018–1024
Spranger JW, Brill PW, Poznanski A (2002) Bone dysplasias: an atlas of genetic disorders of skeletal development, 2nd edn. Oxford University Press, New York, pp IX–XIV, 429–439
Osteogenesis Imperfecta, Type IX. OMIM (Online Mendelian Inheritance in Man). Available via http://www.ncbi.nlm.nih.gov/omim. Accessed 8 Mar 2011
Osteogenesis Imperfecta, Type VIII. OMIM (Online Mendelian Inheritance in Man) Available via http://www.ncbi.nlm.nih.gov/omim. Accessed 8 Mar 2011
Osteogenesis Imperfecta, Type VII. OMIM (Online Mendelian Inheritance in Man) Available via http://www.ncbi.nlm.nih.gov/omim. Accessed 8 Mar 2011
Spranger JW, Brill PW, Poznanski A (2002) Bone dysplasias: an atlas of genetic disorders of skeletal development, 2nd edn. Oxford University Press, New York. pp. IX–XIV, 130–131
Lachman RS (2007) Taybi and Lachman’s radiology of syndromes, metabolic disorders and skeletal dysplasias, 5th edn. Mosby Elsevier, Philadelphia, p 1341
Acknowledgement
The authors would like to thank Corey Wall for his assistance in the preparation of images for this paper.
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The supplement this article is part of is not sponsored by the industry. Dr. Parnell and Dr. Phillips have no financial interest, investigational or off-label uses to disclose.
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Parnell, S.E., Phillips, G.S. Neonatal skeletal dysplasias. Pediatr Radiol 42 (Suppl 1), 150–157 (2012). https://doi.org/10.1007/s00247-011-2176-2
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DOI: https://doi.org/10.1007/s00247-011-2176-2