The hand radiographs of fifteen patients with a diagnosis of Saethre-C
hotzen syndrome were reviewed by a radiologist with an interest in ske
letal dysplasia along with the craniofacial team. Eleven patients exhi
bited a range of bone abnormalities of the following sites: thumbs, fi
ngers, metacarpals, and the radius. The epiphysis of the distal phalan
x of the thumb was most commonly involved site with 7 of the 15 patien
ts affected. In addition to the structural abnormalities all cases bef
ore puberty (14 out of 15 patients in this series) showed variable del
ay of the bone age.