What is a realistic outcome for the child with osteogenesis imperfecta?
a. The child will have a decreased number of fractures.
b. The child will demonstrate normal growth patterns.
c. The child will participate in contact sports.
d. The child will have no fractures after infancy.
A
The biochemical defect associated with osteogenesis imperfecta causes a defect in the synthesis of collagen. The abnormal collagen results in incomplete bone development, placing the child at high risk for fracturing bones. Receiving safety education and wearing protective apparatus can decrease the number of fractures. Because of incomplete bone formation, children with osteogenesis imperfecta do not have normal growth patterns. The high risk of fractures and the abnormal growth patterns do not allow for active participation in contact sports. Osteogenesis imperfecta is a life-long disease process.
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