hip

Metaphyseal Chondrodysplasia

Type

 

Short limbed dwarfism, normal trunk and spine

 

Characteristics

 

Metaphyseal changes of tubular bones

- Normal epiphyses

- metaphysis adjacent to physis very broad and mildly scalloped

- resembles healing rickets

 

Pathology

 

Defect in proliferative and hypertrophic zones of physis

 

Types:

 

Jansens (Rare)

- most severe

Hip Exam

Look

 

Walking aid

 

Footwear - shoe raises

 

Front

- Overall alignment of Lower Limb

 

Side

- lumbar lordosis

- flexed attitude of hip / knee

- scars

 

Back

- lumbar spine

- buttock wasting

- popliteal creases

- examine ROM

- try to differentiate spine and hip