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Year : 2003  |  Volume : 13  |  Issue : 3  |  Page : 335-338
Radiological quiz - skeletal radiology

Dept of Radiodiagnosis and Pediatic Medicine, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi-110029, India

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How to cite this article:
Grover S B, Kumar S, Taneja D K. Radiological quiz - skeletal radiology. Indian J Radiol Imaging 2003;13:335-8

How to cite this URL:
Grover S B, Kumar S, Taneja D K. Radiological quiz - skeletal radiology. Indian J Radiol Imaging [serial online] 2003 [cited 2020 Nov 28];13:335-8. Available from:
An eight-year-old girl presented with gradually increasing deformity of the upper and lower limbs for the past six months. Birth history was normal, however, milestones were delayed, with sitting attained at one year and walking attained at three years of age. On examination, the child was short statured. Genu varus deformity and bowing of forearm bones with broadened wrist joints were observed. Dentition was normal and the head circumference was also normal (52 cm). Systemic examination was unremarkable. There was no significant family history. Routine laboratory parameters were within normal limits. Serum calcium was 9.3 mg% and Serum phosphorous was 4 mg%. Radiographs of arms [Figure - 1], forearm and wrists [Figure - 2]a&b, both legs including knee and ankles [Figure - 3]a&b, chest [Figure - 4], pelvis [Figure - 5] and skull [Figure - 6] were obtained. What is the diagnosis?

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   References Top

1.Pitt MJ. Rickets and Osteomalacia. In: Resnick D, ed. Diagnosis of Bone and Joint Disorders, 4th ed. Philadelphia: WB Saunders, 2002: 1901-1935.   Back to cited text no. 1    
2.Girschick HJ, Schneider P, Kruse K, Huppertz HI, Bone metabolism and Bone Mineral Density in Childhood Hypophosphatasia. Bone 1999; 25(3): 361-367.   Back to cited text no. 2    
3.Agarwal RP, Sharma DK, Upadhyay VK, Goel SP, Gupta P, Singh R, Hypophosphatasia. Indian Pediatr 1991; 28(12): 1518-1520.   Back to cited text no. 3    
4.Edeiken J, Dalinka M, Karasick D. Edeiken's Roentgen Diagnosis of Diseases of Bone, 4thed. Baltimore: Williams and Wilkins, 1990:1143-1149.   Back to cited text no. 4    
5.Silverman FN, Kuhn JP. Caffey's Pediatric X-Ray Diagnosis: An Integrated Imaging Approach. 9thed. St. Louis: Mosby, 1993:1764-1767.   Back to cited text no. 5    
6.Murray RO, Jacobson HG. The Radiology of Skeletal Disorders, 2nd ed. Edinburgh: Churchill Living stone, 1977:1082-1086.   Back to cited text no. 6    
7.States LJ, Imaging of Metabolic Bone Disease and Marrow Disorders in Children, Radiol Clin North Am 2001; 39: 749-772.   Back to cited text no. 7    

Correspondence Address:
S B Grover
E-81, Kalkaji, New Delhi-110019
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Source of Support: None, Conflict of Interest: None

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[Figure - 1], [Figure - 2], [Figure - 3], [Figure - 4], [Figure - 5], [Figure - 6]


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