In osteochondrodysplasias, the growth and development of bone Bones Bone, although strong, is a constantly changing tissue that has several functions. Bones serve as rigid structures to the body and as shields to protect delicate internal organs. They provide... read more , cartilage, and/or connective tissue is impaired. Connective tissue is the tough, often fibrous tissue that binds the body's structures together and provides support and elasticity.
Each type of osteochondrodysplasia causes different symptoms. Osteochondrodysplasias usually cause short stature (dwarfism). Some cause more shortening of the limbs than the trunk (short-limbed dwarfism), whereas others cause more shortening of the trunk than the limbs. The most common and best-known type of short-limbed dwarfism is called achondroplasia. There is a lethal form of short-limbed dwarfism called thanatophoric dysplasia that causes severe deformities of the chest and respiratory failure in newborns, which results in death.
Some children and adults have short limbs, bowlegs Bowlegs In bowlegs, what doctors call genu varum, the legs appear curved out at the knees so that the knees are more widely separated than normal. This appearance is usually created by the position... read more , a bulky forehead, an unusually shaped nose (saddle nose), and an arched back. Sometimes joints do not develop their full range of motion. Adults are usually less than 4 feet 10 inches (147 centimeters) tall.
(See also Overview of Hereditary Connective Tissue Disorders Overview of Connective Tissue Disorders in Children Connective tissue is the tough, often fibrous tissue that binds the body's structures together and provides support and elasticity. Muscles, bones, cartilage, ligaments, and tendons are built... read more .)
Diagnosis of Osteochondrodysplasias
A doctor's evaluation
Tests before birth
A doctor usually bases the diagnosis of osteochondrodysplasia on the symptoms, a physical examination, and x-rays X-rays A doctor can often diagnose a musculoskeletal disorder based on the history and the results of a physical examination. Laboratory tests, imaging tests, or other diagnostic procedures are sometimes... read more of the bones.
Sometimes the abnormal genes responsible for osteochondrodysplasias can be detected, usually by a blood test. Analyzing the genes is most helpful for predicting the disorder before birth.
Diagnosis of severe types before birth is also possible using other methods. In some cases, the fetus can be directly viewed with a flexible scope (fetoscopy), or ultrasonography Ultrasonography Prenatal diagnostic testing involves testing the fetus before birth (prenatally) to determine whether the fetus has certain abnormalities, including certain hereditary or spontaneous genetic... read more is done.
Treatment of Osteochondrodysplasias
Replacement of joints
Sometimes surgical lengthening of limbs and correction of bowlegs
If joint movement is severely restricted, surgery may be needed to replace joints such as the hip with artificial ones. Doctors may be able to increase a person’s adult height by doing a surgical procedure to lengthen the limbs. A surgical procedure can also be done to correct bowlegs.
Although people with achondroplasia are short, treatment with growth hormones is generally not effective. However, vosoritide, a drug that may play a role in bone growth, is being studied as a possible treatment.
Because the basic genetic defects have been identified in most of the osteochondrodysplasias, genetic counseling can be effective. Organizations such as Little People of America provide resources for affected people and act as advocates on their behalf. Similar societies are active in other countries.
The following is an English-language resource that may be useful. Please note that THE MANUAL is not responsible for the content of this resource.
Little People of America: An organization providing community resources and medical support and information to people of short stature