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Long bones that are less than 5th percentile but still within 2-3
standard deviations of the mean have a good likelihood of being
either a normal variation or a nonlethal skeletal dysplasias.
Long bones that are 4+ standard deviations below the mean for
gestation are likely to be associated with skeletal dysplasias.
The ribs are also evaluated when looking at the chest. If very short,
the chest will be small; this is more commonly seen in lethal skeletal
dysplasias.
There is no evidence of
metaphyseal flaring or
irregularity
Abnormal foot
posture
Ultrasound of a mid-
Ultrasound of a 3rd trimester fetus
trimester fetus
with type I thanatophoric dysplasia
At 20 weeks sacral
Normal developmental ossification is well seen
finding in early gestation
Very small
chest
Platyspondyly,
With flat vertebral Which appears protuberant in this
bodies and increased fetus with thanatophoric dysplasiia.
space between the
vertebrae
Common finding in lethal skeletela
dysplasia
Absent spine
ossification
Very short and
crumpled ribs
thumb
The 14-week fetus shows normal appearance of a fetal hand and foot
Severe brachydactyly
Brachydactyly,
fingers frequently remain separated
Trident hand
Severe micromelia
with a foot length
Abnormally round
calvarial shape
Cloverleaf
skull
Profoundly
underossifie
d calvarium
Very short
humerus
micrognathia
micrognathia
micrognathia
Short nose,
micrognathia,
very short neck