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Osteogenesis Imperfecta Explained

Osteogenesis Imperfecta (OI) means “bones formed imperfectly”. It is a genetic condition that someone is born with and will always carry throughout their life. It primarily affects the bones, causing them to be fragile.

There are currently 5 ‘Types’ of OI (with many sub-types) that vary in the level of fragility and other accompanying properties. 17 genetic causes have been identified and research continues. It is estimated that roughly 7 people per 100 000 are born with OI. It is considered rare.

The mildest form of OI (Type I) is the most common and can often go undiagnosed until later in life. OI may also result in: short stature, blue tinted sclerae (the white of the eyes), hearing loss, brittle teeth, muscle weakness, hypermobility and restricted breathing.

Children born with more severe Types of OI can often sustain fractures in the womb or during childbirth. The most severe cases of OI can result in infant death, often due to respiratory failure during or shortly after birth. People with OI are all unique! No two people display exactly the same characteristics of OI, even within the established Types.

OI presents with a wide range of appearances and severities. It is typically classified as mild, moderate, or severe, with the most severe forms potentially resulting in early death. Clinical characteristics—including fracture frequency, muscle strength, and extra-skeletal issues—can vary significantly not only between different types of OI but also within the same type and even among members of the same family. Additionally, some features of OI change with age.

 

 

Introduction to Bone Fragility syndromes
A new Dyadic Naming System for OI and Bone Fragility syndromes
Bone fragility is shared with many other rare disorders
Digenic Inheritance of OI and Bone Fragility in some families
Recognising Sex-Linked inheritance and its consequence for families
Multidisciplinary Care Clinics have revolutionized care of people with OI.

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OI is usually diagnosed as a result of family history and/or clinical observation. In most cases OI will be detected early on in a child’s life as a result of the child having a number of fractures. In addition to this some key clinical observations may be present such as:

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Osteogenesis imperfecta (OI) is the result of a mutation in one of the two genes that carry instructions for making type 1 collagen (the major protein in bone and skin). Collagen is the major protein of the body’s connective tissue and can be likened to the framework around which a building is constructed. In OI, a person has either less collagen than normal, or a poorer quality of collagen than normal, leading to weak bones that fracture easily.

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OI is treated primarily by managing fractures and promoting as much mobility and independence as possible. Prolonged immobility can further weaken bones and lead to muscle loss, weakness, and more fractures. Many orthopedists prefer to treat fractures with short-term immobilization in lightweight casts, splints, or braces to allow some movement as soon as possible after the fracture.

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What is a fracture?

A fracture is a break in the bone or cartilage. It usually is a result of trauma.

It can, however, be a result of disease of the bone that leads to weakening, such as osteoporosis, or abnormal formation of the bone from congenital diseases at birth, such as osteogenesis imperfecta.

Read moreabout Types of Fractures

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