PMC3994738_01
X-ray both hips with thigh showing sclerotic bones, pathological fracture in shaft femur and narrow medullary canal (arrows).
IJMR-139-180-g001.jpg
PMC3994738_01_IJMR-139-180-g001.jpg
F1
Orthopaedics, Maulana Azad Medical College, New Delhi, India, in November 2012 with pathological fracture in shaft of femur (Fig. 1). On the basis of clinical and radiological findings, he was diagnosed as a case of pycnodysostosis.
Small fingers and grooved nails (arrow).
IJMR-139-180-g002.jpg
PMC3994738_01_IJMR-139-180-g002.jpg
F2
The patient had history of recurrent fractures with normal bone healing, open fontanelles, short stature, short finger tips, flat and grooved nails (Fig. 2), micrognathia, and irregular teeth with hypodontia.
X-ray of hand showing hypoplastic distal phalynx (arrows).
IJMR-139-180-g003.jpg
PMC3994738_01_IJMR-139-180-g003.jpg
F3
Radiological evaluation of patient revealed generalized osteopetrosis, short distal phalanges (Fig. 3), obtuse angle of mandible and open fontanelles (Fig. 4).