Pathology
Genetics
Diagnostics
Name Game
Grab bag
100

Poor mineralization of the calvarium and long bones, multiple fractures, and beaded ribs on US are classic for this disorder.

What is osteogenesis imperfecta type 2?

100

This is the most common genetic etiology for achondroplasia.

What is a gain of function mutation in FGR3?

100

The sonographic finding of long bone measurements < 3SD below the mean is highly of suggestive of this diagnosis.

What is a skeletal dysplasia?
100

The word thanatophoric in Greek is translated to mean this.

What is death bearing?

100

This is the most reliable imaging modality for the final diagnosis of bone dysplasias.

What is postnatal radiography?

200

This is the most common non-lethal skeletal dysplasia diagnosed in the third trimester.

What is achondroplasia?

200

These are the three most common single gene mutations in fetal skeletal dysplasias.

What are FGR3, COL1A1, and COL1A2?

200

This is the chest circumference to abdominal circumference ratio below which predicts lethality in skeletal dysplasias?

What is < 0.6?

200

Frontal bossing, a depressed nasal bridge, and trident hand configuration on ultrasound is most consistent with this diagnosis.

What is achondroplasia?

200

This MSK malformation, which develops as early as 6 weeks of gestation, is a major (and common) cause of congenital scoliosis and kyphoscoliosis.  

What are hemivertabrae?

300

This is the most common subtype of skeletal dysplasia with a positive family history.

What is osteogenesis imperfecta?

300

This syndrome, compatible with long term survival, is autosomal recessive in its inheritance pattern and is seen as frequently as every 5/1000 births in the old order Amish population of Pennsylvania.

What is Ellis-van Crevald Syndrome?

300

This is the femur length to abdominal circumference ratio threshold strongly associated with lethality. 

What is < 0.16?

300

This skeletal dysplasia is characterized by severe micromelia, a narrow thorax, and either bowed or straight long bones.

What is thanatophoric dysplasia?

300

This skeletal dysplasia is associated with a small bell-shaped thorax, short ribs, and is associated with pulmonary hypoplasia.

What is Jeune Syndrome?
400

This is the most common lethal skeletal dysplasia presenting with early hydrops. 

What is achondrogenesis?

400

This syndrome is associated with ambiguous genitalia, hypoplastic scapulae, acute femoral angulation, and SOX9 mutations.

What is campomelic dysplasia?

400

A femur to foot length less than 1.0 in the second trimester suggests this type of limb shortening.

What is rhizomelia?
400

This syndrome can be diagnosed prenatally by exome sequencing, and is characterized by syndactyly, midface hypoplasia, and craniosynostosis.

What is Apert Syndrome?

400

This rare, lethal skeletal dysplasia is characterized by boomerang-shaped femora and humeri

What is boomerang dysplasia?

500

This rare inherited metabolic bone disorder is characterized by deficient activity of the tissue-nonspecific isoenzyme of alkaline phosphatase.  With one mutation, your condition is benign.  With two, it is lethal.

What is hypophosphatasia?

500

The syndrome associated with a hitch-hiker's thumb and cauliflower ear, and more commonly seen in people of Finnish ancestry, is caused by a mutation in this transporter gene.

What is DTDST (diastrophic dysplasia sulfate transporter gene)?

500

This developmental malformation consists of missing digits, a deep median cleft, and fusion of the remaining digits.

What is Ectrodactyly?

500

This syndrome presents with craniosynostosis, midface hypoplasia, and proptosis, and can be diagnosed by exome sequencing.

What is Crouzon Syndrome?

500
It was not until 1985 that Benacerraf and Frigoletto first described the prenatal diagnosis of five cases of this common MSK malformation.

What is club foot?