case_images: PMC2648951_01
case_images: Anteroposterior hand radiograph at the age of 2- years showed advanced carpal ossification centres equivalent to bone age of 4 years 8 months, supernumerary ossicles at the proximal portion of the first metacarpal and another at the proximal portion of the middle phalanx of the second metacarpal. Delta like- middle phalanx of the fifth finger was evident.
case_images: 1757-1626-2-45-1.jpg
case_images: PMC2648951_01_1757-1626-2-45-1.jpg
case_images: F1
case_images: When examined at the age of 2 years, he had normal craniofacial contour, normal facial features and normal growth (fig 1). Delta like- middle phalanx of the fifth finger was evident (fig 1).
case_images: Anteroposterior radiograph of the pelvis showed a mild monkey wrench appearance of the femora, elevated greater trochanters, coxa vara, rounded shaped dysplastic capital femoral epiphyses and a horizontally dysplastic acetabulae and a tongue-like projection of the lesser trochanters.
case_images: 1757-1626-2-45-2.jpg
case_images: PMC2648951_01_1757-1626-2-45-2.jpg
case_images: F2
case_images: The anteroposterior radiograph of the pelvis showed a mild monkey wrench appearance of the femora, coxa vara, elevated greater trochanters, rounded shaped dysplastic capital femoral epiphyses and a horizontally dysplastic acetabulae and a tongue-like projection of the lesser trochanters (fig 2).
case_images: Sagittal MRI imaging of the spine showed platyspondyly associated with anterior clefting of the 12 Th thoracic vertebra (arrow) and hook-like deformity of the 5 Th lumbar vertebra (fig 4).
case_images: 1757-1626-2-45-3.jpg
case_images: PMC2648951_01_1757-1626-2-45-3.jpg
case_images: F3
case_images: Sagittal MRI imaging of the spine showed platyspondyly associated with anterior clefting of the 12 th thoracic vertebra (arrow) and hook-like deformity of the 5 th lumbar vertebra (fig 3).