Osteogenesis imperfecta

Case contributed by Hani Makky Al Salam

Multiple x-rays of a child demonstrating widespread abnormalities. 

The skull demonstrates prominent wormian bones and platybasia

The long bones demonstrate numerous horizontal lines (zebra stripes) associated with cyclical bisphosphonate therapy. Additionally, a number of united fractures are noted, particularly of the femurs and left tibia. 

Features are consistent with osteogenesis imperfecta

Case Discussion

Osteogenesis imperfecta is a cause of multiple fractures in young patients. It is a very important diagnosis as it must be differentiated from non-accidental injury.

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