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Multiple Epiphyseal Dysplasia (MED)short-limbed, disproportionate dwarfism manifests 5-14y/o irregular, delayed ossification at multiple epiphyses Bilateral flattening of the femoral heads sugguest MED. If noted a skeletal survey is indicated to evaluate other epipyses for involvement. Unilateral flattening of the femoral head suggests Perthes disease. |
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