4.5 of 26 Ratings
A 9-year-old boy presents for evaluation of shortened stature. He denies back or extremity pain. Physical exam is notable for a valgus left knee and a waddling gait. Radiographs of the pelvis, knees, and left hand are provided in figures A-C. Genetic testing reveals a mutation of the cartilage oligomeric matrix protein(COMP). What is the most likely diagnosis?
Multiple epiphyseal dysplasia
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Figure 17 shows the AP radiograph of a 5-year old child who has mild short stature and a painless bilateral gluteus medius lurch. Initial work-up should include
a bone scan.
a skeletal survey.
MRI of the hips.
CT of the hips.
a CBC count and a C-reactive protein.