- Metaphyseal chondrodysplasia is a group of inherited skeletal disorders involving abnormal development of the metaphyses and growth plates of the long bones.
- This group includes several genetic subtypes, and inheritance patterns and associated features may differ by subtype.
- When the conversion of cartilage to bone in the growth plates and metaphyses is disrupted, abnormalities in bone growth and shape can occur.
- Typical clinical features may include short stature, bowed legs, skeletal deformities, and stiffness or pain around the joints.
- The age at onset and severity vary widely according to the genetic subtype, family history, and stage of growth.
- Leg deformities or functional limitations may become more apparent with growth, although some patients have relatively mild symptoms or are identified later.
- Diagnosis combines the growth pattern, physical examination, and skeletal X-ray findings and, when needed, adds genetic testing and evaluation for other skeletal disorders.
- X-ray findings may vary with the subtype and stage of growth, so no single finding confirms the diagnosis, and a negative genetic test does not always exclude the disorder.
- Management includes regular assessment of growth and the skeleton, evaluation of pain and function, and rehabilitation and orthopedic consultation when needed.
- Treatment focuses on symptom management and correction of deformities according to the subtype and functional problems rather than using one method to correct the entire disease group.