Evalution for bony deformities
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Platyspondyly with anterior central beaking of vertebral bodies along the spine.
Slight kyphotic change is noted in the thoracolumbar junction.
Small irregular carpal bones.
Relatively squared iliac wings with flat acetabuli.
Bilateral mild coxa valga is present. Genu valgus is seen.
Bilateral upper femoral epiphysis are flattened.
Bilateral proximal tibial flaring.
The imaging features are likely to be representing mucopolysaccharidosis - type IV; Morquio syndrome.
This case is also contributed by Dr. Hidayatullah Hamidi