Evolution of the radiographic appearance of the metaphyses over the first year of life in type V osteogenesis imperfecta: clues to pathogenesis

J Bone Miner Res. 2011 Apr;26(4):894-8. doi: 10.1002/jbmr.258.

Abstract

We present the first report of the development of characteristic radiologic appearances of long bones during the first year of life in an infant with type V osteogenesis imperfecta (OI). We show the evolution of metaphyseal abnormalities from a rickets-like appearance to the classically described dense metaphyseal bands. These abnormalities suggest that the underlying defect in type V OI may involve a molecule common to both bone and cartilage that is involved in the regulation of growth plate development and metadiaphyseal ossification. Our findings provide new insights into skeletal development in type V OI and potentially yield useful clues to the identity of the defect underpinning the condition.

Publication types

  • Case Reports

MeSH terms

  • Arm Bones / abnormalities
  • Arm Bones / diagnostic imaging
  • Arm Bones / pathology
  • Bone Density Conservation Agents / therapeutic use
  • Bone Diseases, Metabolic / diagnostic imaging
  • Bone Diseases, Metabolic / pathology
  • Cranial Fontanelles / abnormalities
  • Cranial Fontanelles / pathology
  • Diphosphonates / therapeutic use
  • Female
  • Femoral Fractures / pathology
  • Fetus / abnormalities
  • Fetus / pathology
  • Fibula / abnormalities
  • Fibula / pathology
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / pathology
  • Growth Plate / abnormalities
  • Growth Plate / diagnostic imaging*
  • Growth Plate / pathology
  • Humans
  • Infant, Newborn
  • Leg Bones / abnormalities
  • Leg Bones / diagnostic imaging
  • Leg Bones / pathology
  • Longitudinal Studies
  • Osteogenesis Imperfecta / diagnostic imaging
  • Osteogenesis Imperfecta / drug therapy
  • Osteogenesis Imperfecta / etiology
  • Osteogenesis Imperfecta / pathology
  • Pamidronate
  • Plagiocephaly / pathology
  • Radiography
  • Rib Fractures / diagnostic imaging
  • Rib Fractures / pathology
  • Ribs / abnormalities
  • Ribs / diagnostic imaging
  • Ribs / pathology
  • Skull / abnormalities
  • Skull / diagnostic imaging
  • Skull / pathology
  • Spine / abnormalities
  • Spine / diagnostic imaging
  • Spine / pathology
  • Tibia / abnormalities
  • Tibia / diagnostic imaging
  • Tibia / pathology
  • Ulna / abnormalities
  • Ulna / diagnostic imaging
  • Ulna / pathology
  • Ultrasonography, Prenatal
  • Vitamin D / therapeutic use

Substances

  • Bone Density Conservation Agents
  • Diphosphonates
  • Vitamin D
  • Pamidronate

Supplementary concepts

  • Osteogenesis Imperfecta, Type V