Achondroplasia, one of the skeletal dysplasias and the commonest form of disproportionate short stature, has a different developmental and growth profile compared to average stature children. In addition, a specific group of complications occur more frequently in children with achondroplasia. These include common but usually relatively minor complications such as recurrent otitis media, and rarer but more severe problems such as cervicomedullary compression. Knowledge of these complications, appropriate surveillance strategies and treatment options is essential for the paediatrician. The authors review the published literature in this area and provide a system based approach to the management of the healthcare needs of the child with achondroplasia.
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Competing interests MJW is the president of the Restricted Growth Association.
Provenance and peer review Commissioned; externally peer reviewed.
Useful resources Restricted Growth Association (http://www.restrictedgrowth.co.uk), Dwarf Sports Association United Kingdom (http://www.dsauk.org), Child Growth Foundation (http://www.childgrowthfoundation.org), Achondroplasia UK (http://www.achondroplasia.co.uk), Short Stature Scotland (http://www.shortstaturescotland.co.uk), Contact-a-Family (http://www.cafamily.org.uk), Little People of America (http://www.lpaonline.org) and Short Statured People of Australia (http://www.sspa.org.au).