Fig. 4
X-rays of the hands showed fully fused epiphyses, terminal tufting more marked in bilateral 2nd and 3rd fingers and osteopenia in the middle and distal phalanges of all the fingers as well as the distal aspect of the proximal phalanges bilaterally. There was no definite subperiosteal resorption. Early Madelung deformity was seen but, the length of the metacarpals was normal. There was no evidence of rickets