Musculoskeletal

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14 year old female, minor trauma

Wormian Bones/ Cleidocranial Dysostosis
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  • Initial images showed Wormian Bones, especially involving the lambdoid sutures
  • DDX:   “PORK CHOPPS 1” 
    Pyknodysostosis, Osteogenesis imperfecta, Rickets (healing), Kinky hair syndrome, Cleidocranial dysostosis, Hypothyroidism/ Hypophosphatasia, Otopalatodigital syndrome, Primary Acrossteolysis (= Hajdu- Cheney), Pachydermoperiostosis, Progeria, Syndrome of Down, Idiopathic (normal variant, esp. up to 6 months of age)

Another Example
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This example shows very clearly where wormian bones occur.




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