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What Do My Ultrasound Scan Test Results Indicate?
Question: Hello doctor,
This is XXXX from Vellore. I would like to ask you regarding my wife's pregnancy. This is our second baby and she is now 33 weeks and everything was normal until the recent scan which showed the following,
1. Long bones are short by 3-4 weeks. Femur,Humerus,Fibula,Tibia,Radial,Ulna.
2. Left Femur is bent.
HC, BPD, AC all are normal. Femur to Foot length ratio is 0.77
TC/AC ratio normal. Late onset Skeletal Dysplasia with no signs of lethality.
Planned for normal vaginal delivery.
They have ruled out Down's but we are afraid of the physical appearance of the baby. And moreover we do not have a family history of any genetic malformations. I am 5'9 and my wife is 5'4. Our first child is a girl baby and is one and a half year old healthy child but she too was an IUGR baby with birth weight of 2.24 kg.
I have attached the scan reports along with this.
We would like to know if the baby will be normal physically and what can be done about the femur bent? How to increase bone growth and fetal weight since there is some more time left for the delivery.?
This is XXXX from Vellore. I would like to ask you regarding my wife's pregnancy. This is our second baby and she is now 33 weeks and everything was normal until the recent scan which showed the following,
1. Long bones are short by 3-4 weeks. Femur,Humerus,Fibula,Tibia,Radial,Ulna.
2. Left Femur is bent.
HC, BPD, AC all are normal. Femur to Foot length ratio is 0.77
TC/AC ratio normal. Late onset Skeletal Dysplasia with no signs of lethality.
Planned for normal vaginal delivery.
They have ruled out Down's but we are afraid of the physical appearance of the baby. And moreover we do not have a family history of any genetic malformations. I am 5'9 and my wife is 5'4. Our first child is a girl baby and is one and a half year old healthy child but she too was an IUGR baby with birth weight of 2.24 kg.
I have attached the scan reports along with this.
We would like to know if the baby will be normal physically and what can be done about the femur bent? How to increase bone growth and fetal weight since there is some more time left for the delivery.?
Brief Answer:
Wait till delivery
Detailed Answer:
Thanks for asking on Health care magic.
The late onset skeletal dysplasia could be due to some genetic problems. Such problems can also arise sporadically without any family history. With the current stage of advancement of pregnancy termination is out of question. The only thing that can be done now is to complete the pregnancy and further steps can be planned thereafter. Nothing can be done now about the bend in femur or about the length of the long bones.
Regards
Wait till delivery
Detailed Answer:
Thanks for asking on Health care magic.
The late onset skeletal dysplasia could be due to some genetic problems. Such problems can also arise sporadically without any family history. With the current stage of advancement of pregnancy termination is out of question. The only thing that can be done now is to complete the pregnancy and further steps can be planned thereafter. Nothing can be done now about the bend in femur or about the length of the long bones.
Regards
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for your prompt reply Doctor.
I would like to ask you,
1. Whether the skeletal dysplasias can be treated with Stem Cells? If no, then what are all the options available to treat the condition?
2. Whether the bent femur can be corrected once the child grows?
Thanks and regards.
Brief Answer:
Supportive management
Detailed Answer:
Thanks for writing back.
Skeletal dysplasia cannot be treated with stem cells. The underlying problem cannot be corrected but the presentations can be dealt with as they appear. Depending upon the degree of bending, it can be corrected by the use of various types of orthoses or braces. Surgery might be required only in extreme cases.
Regards
Supportive management
Detailed Answer:
Thanks for writing back.
Skeletal dysplasia cannot be treated with stem cells. The underlying problem cannot be corrected but the presentations can be dealt with as they appear. Depending upon the degree of bending, it can be corrected by the use of various types of orthoses or braces. Surgery might be required only in extreme cases.
Regards
Note: For detailed guidance on genetic screening consult a genetics specialist
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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