A Pediatric Radiology Textbook and Pediatric Radiology Digital Library
Wormian Bones
Etiology:
Imaging: Radiograph, CXR, AXR, US, US Prenatal, US Color Doppler, US Power Doppler, US Spectral Doppler, CT, MRI, MRA, MRCP, MRE, Angiogram, DMSA scan, MAG3 scan, V/Q scan, HIDA scan, Radionuclide cystogram, Tc-pertechnetate scan, Bone scan, PET FDG, Thyroid scan, UpperGI, Small bowel follow through, Enema, Fluoroscopy, VCUG
DDX:
Complications:
Treatment:
Clinical:
Radiology Cases of Wormian Bones
Radiology Cases of Wormian Bones in Cleidocranial Dysostosis
AP and lateral radiographs of the skull (above) show multiple wormian bones in the lambdoid sutures. CXR AP (middle) shows complete absence of the clavicles bilaterally. AP radiograph of the pelvis (below) shows delayed ossification of the pubic bones giving the appearance of pseudo-diastasis of the symphysis pubis.
Radiology Cases of Wormian Bones in Congenital Hypothyroidism
Lateral radiograph of the skull shows a relatively enlarged sella and multiple Wormian bones.
Radiology Cases of Wormian Bones in Osteogenesis Imperfecta Type III
AP and lateral radiographs of the skull (above) show multiple wormian bones in the coronal and lambdoid sutures. CXR AP (lower left) shows multiple bilateral acute rib fractures. AP radiograph of the lower extremities (lower right) shows multiple bilateral acute and chronic fractures of the bilateral femora and tibiae and fibulae causing bowing deformities of the lower extremities.Lateral radiograph of the skull (upper left) shows multiple wormian bones in the coronal and lambdoid sutures. CXR AP (upper right) shows multiple bilateral healing rib fractures. AP radiographs of the upper (lower left) and lower (lower right) extremities show multiple bilateral healing fractures of the extremities causing bowing deformities of all of the extremities.