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Average 4.6 of 16 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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Classic tibial Slant sign of MED