History
  1. Check for other features of dysostosis multiplex, check hand radiograph
  2. Comma shaped iliac wing
  3. Pelvis Radiograph
  4. Platyspondyly with anteroinferior beaking
  5. Abnormal spine radiograph
  6. Normal Bone Density
  7. Skeletal survey in a child
Proximal pointing of metacarpals

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Unavailable Dysostosis multiplex, consider mucopolysaccharidosis (MPS) I, check for 'oar shaped' ribs