Growth arrest lines

Case contributed by Dr Matt A. Morgan

Presentation

Patient with a chronic disease and multiple osseous dysmorphisms. No history of osteogenesis imperfecta or bisphophonate therapy. No lead exposure.

Patient Data

Age: Child
Gender: Male
X-ray

These dense transverse metaphyseal bands are from alternating growth arrest and then growth resumption in this patient with a systemic chronic illness.

Case Discussion

Growth arrest lines (or "growth resumption lines") are patterns of parallel sclerotic transverse metaphyseal bands in long bones. The differential for this appearance is long, but after a thorough workup, these lines were thought to be due to the patient's cerebral palsy and multiple lower extremity surgical interventions.

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Case information

rID: 37960
Case created: 27th Jun 2015
Last edited: 15th Oct 2016
Inclusion in quiz mode: Included

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