What is the role of imaging studies in the workup of Silver-Russell syndrome (SRS)?

Updated: Feb 11, 2019
  • Author: Sunil Kumar Sinha, MD; Chief Editor: Luis O Rohena, MD, MS, FAAP, FACMG  more...
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Answer

Obtain a hand radiograph to determine bone age. Plain film hand radiographic findings include the following:

  • Delayed bone age

  • Ivory epiphyses of distal phalanges

  • Small middle phalanx of the fifth finger in 80% of patients with Silver-Russell syndrome

  • Pseudoepiphyses at base of second metacarpal


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