Achondroplasia is the most common cause of short-limb dwarfism. It is caused by a mutation in the FGFR3 gene that leads to a gain of function mutation and constitutive activation of an inhibitory signal. This affects all bones that form by endochondral ossification, leading to relatively short femora and tibiae, genu vara, and characteristic radiographic findings like a horizontal acetabular roof and trumpet bone appearance of the lower femora. The skull vault develops normally since bones forming by membranous ossification are spared.