Abstract A 17-year-old girl was evaluated at the Roger Williams General Hospital, Providence, RI, because of multiple injuries received during an assault. Roentgenograms of her pelvis and long bones showed no evidence of fractures or dislocations (Fig 1). However, an unusual pattern was noted in the bones. She previously had been well, without complaints of limb or bone pain, joint swelling or stiffness. Her parents, both 40 years old, were unrelated by birth and came from mixed ethnic backgrounds. Pelvic roentgenograms of her father (Fig 2) and her 13-year-old brother (Fig 3) showed similar skeletal patterns, but her sister and mother were unaffected. Denouement and Discussion Osteopoikilosis: Familial Documentation Osteopoikilosis (spotted bones) is a rare, clinically harmless condition classified in the orthopedic and pathology literature1 as an anomaly of bone. It has been reported about 150 times in series published in both the radiologic and orthopedic literature.1,2The condition, although first References 1. Green AE Jr, Ellswood WH, Collins JR: Melorheostosis and osteopoikilosis . Am J Roentgenol 87:1096-1111, 1962. 2. Melnick JL: Osteopathia condensans disseminata (osteopoikilosis) . Am J Roentgenol 82:229-238, 1959. 3. Stieda A: Uber umschriebene Knochenverdichtungen im bereich der substantia spongiosa im rontgenbilde . Beitr Klin Chir 45:700-703, 1905. 4. Albers-Schonberg HE: A rare unknown structural anomaly of the skeleton . Fortschr geb Röntgenstrahlen 23:174-175, 1915. 5. Ledoux-Lebard R, Chabaneix, Dessane: L'ostéopoécilie, forme nouvelle d'ostéite condensante generalisée sans symptomes cliniques . J Radiol Électrol 2:133-134, 1916. 6. Schmorl G: Anatomische Befunde bei einem falle von Osteopoikilie . Fortschr geb Röntgenstrahlen 44:1-8, 1931. 7. Jonasch E: 12 Falle von Osteopoikilie. Fortschr geb Röntgenstrahlen 82:344-353, 1955.Crossref 8. Martincić N: Case reports: Osteopoikilie (spotted bones) . Br J Radiol 25:612-614, 1952.Crossref 9. Henson A: Familial osteopoikilosis . Am J Surg 45:566-573, 1939.Crossref 10. Wachtel G: Über einen Fall von Osteopathia condensans disseminata . Fortschr Röntgenstr 21:624-625, 1919.
American Journal of Diseases of Children – American Medical Association
Published: Apr 1, 1980
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