Orthonotes
Orthonotes
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v3.0 Fusion
v3.0 Fusion
pediatrics topic hub

Achondroplasia — Orthopaedic Issues

Autosomal dominant **FGFR3** mutation → rhizomelic limb shortening with normal trunk, macrocephaly. Neonates risk **foramen magnum stenosis** and central apnea; screen in infancy. Orthopaedic: **thoracolumbar kyphosis**, **genu varum**, and **lumbar spinal stenosis** in adulthood. Management includes posture/physio, guided growth or tibial osteotomy for varus, and decompressive laminectomy when symptomatic stenosis. Discuss limb lengthening carefully—psychosocial and complication considerations.

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Autosomal dominant **FGFR3** mutation → rhizomelic limb shortening with normal trunk, macrocephaly. Neonates risk **foramen magnum stenosis** and central apnea; screen in infancy. Orthopaedic: **thoracolumbar kyphosis**, **genu varum**, and **lumbar spinal stenosis** in adulthood. Management includes posture/physio, guided growth or tibial osteotomy for varus, and decompressive laminectomy when symptomatic stenosis. Discuss limb lengthening carefully—psychosocial and complication considerations.
MCQs

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Question 1

Which of the following genetic mutations is primarily responsible for achondroplasia?

Question 2

What is the most common skeletal deformity associated with achondroplasia in adults?

Question 3

Which of the following is a critical complication that requires surveillance in infants with achondroplasia?

Question 4

In achondroplasia, which of the following orthopedic interventions is most appropriate for managing symptomatic lumbar spinal stenosis?

Question 5

What is the primary cause of respiratory compromise in homozygous achondroplasia?

Question 6

Which of the following findings is commonly seen in patients with achondroplasia?

Question 7

What is the recommended management for significant genu varum in children with achondroplasia?

Question 8

Which of the following screening tests is advised for infants diagnosed with achondroplasia?

Question 9

What psychosocial consideration is important when discussing limb lengthening in achondroplasia?

Question 10

What is the primary goal of treatment with vosoritide in achondroplasia?