Osteogenesis Imperfecta - week 17 Flashcards
What is osteogenesis imperfecta?
Genetic connective tissue disorder, brittle bones
Epidemiology of osteogenesis imperfecta?
Children
Rare
Type 1 - mild
Type 2 - fatal from birth
Type 3 - severe
type 4 - moderate
Pathophys of osteogenesis imperfecta?
Mutation of collagen - Col-1-A1 an Col-1-A2
Autosomal dominant (type 1 collagen)
Presentation of osteogenesis imperfecta?
Brittle bones
Fractures (from low impacts)
Blue Sclera
Short height
Scoliosis
Saber shins (tibia)
Muscle weakness
Investigation for osteogenesis imperfecta?
Exam
Genetics
History
Xray
DEXA
Management of osteogenesis imperfecta?
Bisphosphonates
Vit D and Ca supplements
Surgery (IM rods)
Prognosis of osteogenesis imperfecta?
Type 1 - normal life
Type 2 - fatal at birth
Type 3 - severe disability
type 4 - moderate