History
  1. Hand radiograph
  2. Anterosuperior endplate defect + mild platyspondyly
  3. Abnormal spine radiograph
  4. Normal Bone Density
  5. Skeletal survey in a child
Expansion of distal metaphyses of proximal phalanges

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Pseudorheumatoid arthropathy of childhood (PPRA/PPAC): Check for Large femoral capital epiphysis, laterally placed femoral head in the acetabulum, early development of hand joint contractures, no morning stiffness