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. 2019 Feb 14;104(3):422–438. doi: 10.1016/j.ajhg.2019.01.007

Table 1.

Skeletal Features of Subjects Diagnosed with SPONASTRIME Dysplasia

Subject ID 1 2 3-1 3-2 4 5 13 14 15
Sex f f m m f f m f m
Age at Last Follow-up 7 years, 9 months 7 years, 11 months 4 years, 9 months 9 months 22 years 23 years 17 years, 10 months 4 years 11 years
Height (Z score) −3.3 −4.2 −5.0 −9.0 −10.8 −8.8 −5.1 −6.7 −6.0
Weight (Z score) −0.1 −1.2 −2.1 −5.1 −4.2 −3.0 −2.4 −2.2 −4.0
FOC (Z score) N/A N/A −0.6 N/A −3.4 −2.1 0.6 −1.0 −3.0
Disproportionately Short Stature yes yes yes yes yes yes no yes yes
Orthopedic
Abnormalities
none genu valgum; leg length discrepancy; Perthes versus avascular necrosisa rhizomelia; brachydactyly rhizomelia; brachydactyly rhizomelia and mesomelia;
short, broad hands and feet
mildly short hands and feet knee pain but no surgeries or joint dislocations kyphoscoliosis; hyperlordosis; joint laxity; genu valgum genu valgum (s/p surgery); leg length discrepancy; brachydactyly

Radiographic Features

Metaphyses widened metaphyses with striations and irregularities metaphyseal irregularities broad, flared with striations and irregularities broad and flared metaphyseal striations with irregularities widened metaphyses with striations and irregularities irregular, with striations metaphyseal striations with irregularities striations and irregularities, most notably in distal femurs and proximal tibias
Epiphyses normal unknown small epiphyses which progressed to flattened epiphyses normal unknown normal normal normal small; delayed ossification
Spine platyspondyly platyspondyly platyspondyly platyspondyly platyspondyly with biconcave vertebrae; progressive, severe double curve scoliosis platyspondyly; biconcave vertebrae biconcave vertebrae with mild platyspondyly mild platyspondyly; some vertebral bodies with biconcave endplates biconcave deformities; pear-shaped vertebral bodies; progressive decrease in interpedicular distances
Other Skeletal Findings short, wide femoral necks unknown shallow acetabula with prominent ischial component; genu valgum squaring of iliac wings very short, irregular femoral necks; coxa vara; ivory epiphyses (hand); dislocated left hip with pseudoacetabulum short femoral neck;
coxa vara
exaggerated lumbar lordosis none slightly short and wide femoral necks

Abbreviations are as follows: f = female, m = male, FOC = frontal occipital circumference, and N/A = not available.

a

Reported by parents after evaluation.