What feature is associated with Kabuki syndrome but is not one of the cardinal findings? A. skeletal dyplasia B. peculiar facies C. precocious puberty D. unusual dermatoglyphic patterns E. intellectual disability and growth retardation
Precocious puberty
At what age range does the ossification center for the navicular bone appear in girls?
12-24 months
The ossification center for the navicular bone in the left foot has not appeared and is concerning for delayed bone maturation. There is mild to moderate diffuse osteopenia. No abnormal soft tissue calcification. The joint spaces are preserved. Mild in-curving/varus deformity of the 3rd, 4th, and 5th toes. The talocalcaneal angle on the lateral view measures 44 degrees and is within normal limits for her age.