Good morning,
I'm here with a short question. I'm dealing with a 12 y child, height 100 cm, presenting marked hypoplastic forearm (radii laterally bowed extremely shortened; ulnae shortened, thickened but longer than radii).
The clinical picture seems consistent with a case of radial longitudinal dyspalsia (type II). However, the small stature, toghether with the small ratio tibia/femur (0.76) and the tibial shape thickened and flared at both ends) suggest a possibly alternative diagnosis. Could be the case of a mesomelic dyspalsia, involving the shortening of both forearmas and lower leg?.
The observed pattern is moreover complicated by the relatively (even if not really marked) shortening of femurs and humeri.
Thanks i for any feedback.
marco