PMC4897656_01
PMC4897656_02
Achondroplastic patient with short strature with rhizomelic shortening of the arms and legs
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F1
General physical examination showed short stature, rhizomelic shortening of the arms and legs (Figure 1(Fig. 1)) and a trident hand configuration.
Lateral view showing concave profile, midfacial hypoplasia, flat nasal bridge and normal appearing mandible
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F2
A concave facial profile was also noticed, however, the mandible appeared normal and the chin was not prominent (Figure 2(Fig. 2)).
Hand-wrist radiograph showing trident hand configuration and according to the Fish's skeletal maturity index, the patient was in stage 3
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F3
The hand wrist radiograph revealed trident hand configuration and according to the Fish's skeletal maturity index, the patient was in stage 3 (Figure 3(Fig. 3)) and was in the pre-pubertal stage.
Surgical lower limb lengthening
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F4
The patient underwent surgical limb lengthening of lower limbs bilaterally as a result of which a gain of height of 8 cm was seen (Figure 4(Fig. 4)).