 Fig 1. A, Front and B. side view of patient with osteogenesis imperfecta, showing showing short stauture and significant muscular develpment of the payient's thorax and upper extrmeties. found in osteogenesis imperfecta. His eyes showed the classic blue sclera, and he required corrective contact lenses for vision. He had abnormal dentiion and normal hearing deformation of the foot from the underlying bone disease. Examination of the elbows showed the inability to fully extend and lock the elbows Rediographic Examination Radiographs of both elbows showed osseous deformity and evidence of previous multiple fractures. The elbow articulation at both the ulnar and radial side showed deformity and disorgaization, which was constent with the patient's inability to fully extend both his elbows (Fig 2, A and B). Radiographs assessment of both knees showed osteoporsis and sever bowing deformities of both femurs. Stabilizing pins were placed in both femurs (removed in 1985) and in the tibia, bilaterally (still in place and noted on radiographic examination Fig3). There was severe deformity of the pelvis, with bilateral protrusio acctebulae. Both iliac wings showed contour deformity. The proximal femora were bowed, with bilateral coxa vara defornity of the femoral necks (Fig 4). Treatment With the understanding that there is no treament for osteogenesis imperfecta, an an attempt to help the patient with his current symptoms was initiated. A course of therapy, consisting of cross-friction massage, ice to reduce pain and swelling, and a change in his trainingroutine to reduce pressure on the elbows,was instuted. Seated pressing exercises were added tobalance and complement his develment. Nutritional supplementation with microcystaline hydroxyapatite concentrate, concentrate calcium, magnesium, and protein was institutrd to help his body structures. Prognosis A side from making execellent gains in his competitiveness, there been a reduction in msculosketal pain and injury (such as strain-spain) and no new fracture during the |
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