case_images: PMC7412821_01
case_images: Brachydactyly and cone shaped epiphyses seen in patient which is characteristic of ACRDYS
case_images: 13633_2020_85_Fig1_HTML.jpg
case_images: PMC7412821_01_13633_2020_85_Fig1_HTML.jpg
case_images: Fig1
case_images: Radiographs revealed severe brachymetatarsia, brachymetacarpia, and brachydactyly with cone-shaped epiphyses in the proximal phalanges (Fig. 1).
case_images: Linear Growth Chart
case_images: 13633_2020_85_Fig2_HTML.jpg
case_images: PMC7412821_01_13633_2020_85_Fig2_HTML.jpg
case_images: Fig2
case_images: After 7 months, her annualized growth velocity had increased from 3 cm/year to 11 cm/year and she had grown 6.5 cm (Fig. 2).
case_images: At onset of knee pain: Right capital femoral epiphyseal height loss was observed without evidence of slippage. No significant sclerosis
case_images: 13633_2020_85_Fig3_HTML.jpg
case_images: PMC7412821_01_13633_2020_85_Fig3_HTML.jpg
case_images: Fig3
case_images: Radiographs (Fig. 3) revealed flattening of the right femoral head consistent with LCPD.
case_images: PMC7412821_02
case_images: Six weeks later: Increased flattening and sclerosis of right capital femoral epiphysis and mild increased fragmentation laterally
case_images: 13633_2020_85_Fig4_HTML.jpg
case_images: PMC7412821_02_13633_2020_85_Fig4_HTML.jpg
case_images: Fig4
case_images: Six weeks later, radiographs (Fig. 4) revealed further collapse with involvement of the entire femoral head, and she was now using crutches/wheelchair.