Skeletal dysplasia is caused by defective genes that are either inherited or mutate during fetal development, resulting in abnormal bone growth and modeling. The condition affects bone structure and can range from lethal to mild. Skeletal dysplasias have many subtypes that are classified based on their genetic mechanisms and characteristics visible on prenatal ultrasound or skeletal radiographs, such as shortening of the long bones or abnormal skull shape. Timely prenatal screening and diagnosis is important for determining prognosis and treatment.