Possible Causes for spatulated ribs Fucosidosis This investigation reports the biochemical findings in a native-born Briton suffering from the adult form of fucosidosis. Alpha-L-fucosidase, alpha-L-iduronidase, and beta-D-galactosidase were studied in cultured fibroblast and leucocytes from the patient with fucosidosis, her maternal grandfather, and several normal[…] [ncbi.nlm.nih.gov] Dilated Cardiomyopathy Type 2B Chest X-ray illustrating the cardiomegaly and the broadened spatulate ribs at the age of 9months ECG clarified marked signs of biventricular hypertrophy with 1st degree atrioventricular [ncbi.nlm.nih.gov] Mucopolysaccharidosis Beyond the clinical findings described above, imaging often reveals macrocephaly, atlantoaxial dislocation, wedge-shaped vertebral bodies and platyspondyly, spatulate ribs [symptoma.com] Figure 5: CXR showing ribs with tapered posterior ends (a paddle and/or spatulated appearance). [omicsonline.org] An anteroposterior X-ray showed his ribs as wide with tapered posterior ends (a paddle and/or spatulated appearance) ( Figure 5 ). [omicsonline.org] Pseudoachondroplasia Radiographic findings included a normal skull, with chest X-ray dipicting spatulate ribs with anterior widening. [comprped.com] The radiographic features include, a normal skull, spatulate ribs with anterior widening, pelvis with poorly formed acetabulam with rounded iliac wings. [comprped.com] Acrootoocular Syndrome ribs Need help with a diagnosis? [mendelian.co] […] bones Acromesomelia Short digit Aplasia/Hypoplasia involving the metacarpal bones Aplasia/Hypoplasia of the patella Pes valgus Short 1st metacarpal Short femur Short tibia Spatulate [mendelian.co] Platyspondyly ribs Fragmented epiphyses Radial metaphyseal irregularity Fragmented, irregular epiphyses Small epiphyses of the phalanges of the hand Ulnar metaphyseal irregularity Childhood [mendelian.co] Arthritis Pain Milia Intestinal polyposis Multiple epiphyseal dysplasia Clinodactyly of the 5th finger Lumbar spinal canal stenosis Hydrocephalus Depressed nasal bridge Spatulate [mendelian.co] Geleophysic Dysplasia She has kyphosis of the upper thoraic and biconvexities of thoraic vertebral column, with wide, broad - shaped spatulate ribs. [angelfire.com] Mucopolysaccharidosis Type 2 Figure 5: CXR showing ribs with tapered posterior ends (a paddle and/or spatulated appearance). [omicsonline.org] An anteroposterior X-ray showed his ribs as wide with tapered posterior ends (a paddle and/or spatulated appearance) ( Figure 5 ). [omicsonline.org] Glycogen Storage Disease Type 2 Plain radiography will demonstrate a constellation of skeletal findings known as dysostosis multiplex: J-shaped sella turcica, “spatulate” ribs with anterior widening, wedge-shaped [dx.doi.org] Congenital Hemihypertrophy ribs Small epiphyses Synophrys Limb ataxia Progressive neurologic deterioration Sleep disturbance Juvenile onset Hirsutism Dysmetria Aggressive behavior Ataxia Hyperactivity [mendelian.co] Premature osteoarthritis Atlantoaxial dislocation Hamartomatous polyposis Multiple epiphyseal dysplasia Irregular epiphyses Intestinal polyposis Radial metaphyseal irregularity Spatulate [mendelian.co] Freeman-Sheldon Syndrome A case of Freeman-Sheldon syndrome (cranio-carpotarsal dysplasia) with spatulate (“canoe paddle”) ribs. British Journal of Radiology 1993; 36:50-52. 47. Rutt A. [wikidoc.org] Costello Syndrome […] tips Orthopaedic problems Short neck and cervical kyphosis Spinal abnormalities Chest deformity with pectus and rib cage asymmetry Joint laxity with positional foot deformity [dermnetnz.org] […] aging, hair loss Musculoskeletal system Diffuse hypotonia and joint laxity Ulnar deviation of wrists and fingers, splayed fingers resulting in characteristic hand posture Spatulate [ncbi.nlm.nih.gov] […] folds Square mandible with a pointed chin Prominent tongue Full cheeks and lips with a wide mouth Characteristic hands Hypermobile with ulnar deviation Splayed fingers with spatulate [dermnetnz.org] Spondyloenchondrodysplasia Paddle Ribs. Observe that the ribs are overly wide, producing a paddled or spatulated appearance. Note the characteristic varus deformity of the humerus (arrows). D. [de.slideshare.net] Atelosteogenesis Type 2 in addition to short neck, thoracic narrowing, small hands with shortened and spatulate fingers, legs in a “lotus flower” position with large hallux, and club feet. [scielo.br] […] multiple skeletal anomalies: marked shortening of the femurs, humeral agenesis, micrognathia, nasal hypoplasia, ocular hypertelorism, thoracic scoliosis, and hypoplastic ribs [scielo.br] Spondyloepiphyseal Dysplasia Type Kimberley ribs Pain Milia Abnormal vertebral morphology Carpal bone hypoplasia Metaphyseal widening Rickets Abnormality of the hip bone Genu recurvatum Beaking of vertebral bodies [mendelian.co] […] irregularity Radial metaphyseal irregularity Joint laxity Hamartomatous polyposis Growth delay Short distal phalanx of finger Short foot Sensory neuropathy Lumbar hyperlordosis Spatulate [mendelian.co] Lethal Multiple Pterygium Syndrome ribs 4/8 2 2 2 1 5/15Hypoplastic scapula 7/12 1 2 2 1 9/19Undermodelling 12/16 1 2 4/4 1 18/23of long bonesProximal radio-ulnar 3/10 2 2 2 3/16fusionHip dislocation 3/7 2 [docslide.com.br] 4 1 2 2 2 5thin diaphragmVertebral defects 7/13 2 2 2 1 8/20Vertebral fusion 5/15 2 2 2 1 6/22Hypoplastic ilia 5/10 1 2 2 1 7/17Rib hypoplasia 7/15 2 2 2 2 7/22Broad or spatulated [docslide.com.br] X-Linked Lethal Multiple Pterygium Syndrome ribs 4/8 2 2 2 1 5/15Hypoplastic scapula 7/12 1 2 2 1 9/19Undermodelling 12/16 1 2 4/4 1 18/23of long bonesProximal radio-ulnar 3/10 2 2 2 3/16fusionHip dislocation 3/7 2 [docslide.com.br] 4 1 2 2 2 5thin diaphragmVertebral defects 7/13 2 2 2 1 8/20Vertebral fusion 5/15 2 2 2 1 6/22Hypoplastic ilia 5/10 1 2 2 1 7/17Rib hypoplasia 7/15 2 2 2 2 7/22Broad or spatulated [docslide.com.br] Mucolipidosis Type 2 ribs moderate joint limitation osteopenia in early infancy pathologic fractures thickened cranium normal enlarged sella turcica dorsolumbar kyphosis atlantoaxial dislocation [humpath.com] […] widely spaced nipples diastasis recti abdominal protuberance umbilical hernia hepatomegaly minimal splenomegaly inguinal hernia skeletal anomalies scapular hypoplasia broad, spatulate-appearing [humpath.com] Geleophysic Dysplasia 2 She has kyphosis of the upper thoraic and biconvexities of thoraic vertebral column, with wide, broad - shaped spatulate ribs. [angelfire.com] Autosomal Recessive Distal Osteolysis Syndrome A case of Freeman-Sheldon syndrome (cranio-carpotarsal dysplasia) with spatulate ("canoe paddle") ribs. Br J Radiol. 1983;56(661):50-1. Martini AK, Banniza von Bazan U. [fsrgroup.org] Argemone Mexicana First_leaves First leaves are simple, alternate, arranged in a rosette, green ribbed white, sessile .The blade is spatulate, attenuate at base, 6 to 8 cm long and 1 cm wide [publish.plantnet-project.org] Bent Bone Dysplasia Paddle Ribs. Observe that the ribs are overly wide, producing a paddled or spatulated appearance. Note the characteristic varus deformity of the humerus (arrows). D. [slideshare.net] Thai Symphalangism Syndrome […] in appearance) - Hypoplastic disc space is frequently an associated finding Transitional Vertebra L1 - Lumbar ribs (See transitional vertebra L5) Meningocele - Meningocele [cram.com] 100 39-50% (Average is 45%) Transtional Vertebra L5 - Sacralisation of L5 - Generally, findings involve enlargement of one or both transverse processes (hyperplastic or spatulate [cram.com] Kyphomelic Dysplasia Paddle Ribs. Observe that the ribs are overly wide, producing a paddled or spatulated appearance. Note the characteristic varus deformity of the humerus (arrows). D. [slideshare.net] Stevenson Carey Syndrome […] aging, hair loss Musculoskeletal system Diffuse hypotonia and joint laxity Ulnar deviation of wrists and fingers, splayed fingers resulting in characteristic hand posture Spatulate [ncbi.nlm.nih.gov] […] fingernails Tight Achilles tendons, often developing throughout childhood Positional foot deformity Vertical talus Kyphoscoliosis Pectus carinatum, pectus excavatum, asymmetric rib [ncbi.nlm.nih.gov]
