Cortical Bone Thickening

Cortical Thickening Long Bones
Figure 2.15. Radiograph of the lower extremities of the same infant with camptomelic dysplasia. Note the marked bowing of the long bones with cortical thickening of the concave border and thinning of the convex border. Also note the absent left fibula and hypoplastic right fibula.

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Robinow Syndrome

Figure 2.16. Radiograph of die upper and lower extremities showing the stippling of the epiphyses of an infant with chondrodystrophia calcificans congenita. This may occur as a rhizomelic form with a flat facies, low nasal bridge and cataracts, short humeri and femora, coronal clefts in the vertebrae, and punctate epiphyseal mineralization. It also occurs in an autosomal dominant form (Conradi-Hunermann syndrome) in which there is asymmetric limb shortness and early punctate epiphyseal mineralization. In infants with stippling of the epiphyses, consideration should also be given to the diagnoses of Zellweger syndrome and the fetal warfarin syndrome.

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