PEDIATRICS Vol. 79 No. 5 May 1987, pp. 743-744
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Hand Radiographs in Russell-Silver Syndrome

Thomas E. Herman MD1, John D. Crawford MD1, Robert H. Cleveland MD1, and David C. Kushner MD1

1 From the Department of Radiology and Pediatric Endocrinology Section, Massachusetts General Hospital and Children's Service, Boston

Left-hand radiographs were analyzed for bone age of 15 patients with Russell-Silver syndrome. No single finding was pathognomonic. However, in children between 2 and 10 years of age, the concordance of significantly delayed maturation, clinodactyly, fifth middle or distal phalangeal hypoplasia, ivory epiphyses, and a second metacarpal pseudoepiphysis is suggestive and should prompt a search for the well-recognized clinical features of this condition.

Key Words: Russell-Silver syndrome • ivory epiphyses • pseudoepiphyses • clinodactyly

Submitted on April 21, 1986
Accepted on June 20, 1986




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