Rickets

 


X-ray Photograph showing AP Pelvis and Knees with widening of metaphysis and cupping of epiphysis in keeping with a metabolic condition such as Rickets. 

 d/d - Generalized Skeletal Dysplasia


What is Rickets ? 

    Disease of growing bone unique to children and adolescents. Cause - failure of osteoid to calcify in a growing bone. Failure to calcify in adults is called Osteosarcoma.

    Causes of Rickets

        Nutritional- sources - fatty fish, salmon ,sardines, morgarines, milk

        Lack of sunlight

        Congenital rickets    

        Rickets of prematurity

        Vitamin D resistant Rickets

        Hypophosphatemic Ricekts

        Drug induced rickets 

   How else might a child with rickets present ? 

        Generalized muscular hypotonia 

        knobby swelling at end of long bones-uncalcified osteoid at metaphysis leads to spreading of the             areas (cupping and flaring radiologically )

        Rachitic Rosary on chest -knobby swelling on costochondral junction

        Harrison Groove - weakened ribs pulled by muscles producing flaring over sternum.

        Pigeon Chest deformity

        Ankle - palpation of tibial malleolus gives impression of a double epiphysis (marfan sign )

        

        Blood tests

            Calcium level decrease

            PTH level increase

            25 Hydroxy Vitamin D (Calcidiol

        

Comments

Popular posts from this blog

Outline of Treatment of Spinal Tuberculosis

COXA VARA

Paediatric Supracondylar Humerus Fracture

Timing and Outcome of Surgery in Hip Fractures

Hind Foot amputation

Management of Nerve Injuries