KINDERRADIOLOGIE ONLINE - view radiology images and radiology cases
Lesen Sie diese Seite auf Deutsch   Read this page in English
The Peer Reviewed Pediatric Radiology Platform on the Web
ISSN: 1942-955X :: Publisher: EduRad ::Editor-In-Chief: Roland Talanow, MD, PhD  
Browse Browse || Search Search || Online Book Systematically Online Book Systematically || Discussion Forum Discussion Forum || News News || Submit a Case Submit a Case || Rules Rules |
Most Interesting Cases Most Interesting Cases || "Most Diligent" Authors "Most Diligent" Authors || Case of the Day Case of the Day || Teaching files Teaching files || Links Links |
Newsletter Newsletter || Start Start || Survey Survey || Your Opinion Your Opinion || My Profile My Profile || CME-Credits CME-Credits |
    Pediatric Radiology News / Ads / Jobs Get the Pediatric Radiology News as RSS feed !
    Send us your news or ads for free
  • Three-dimensional ultrasound cranial imaging and early neurodevelopment in preterm growth-restricted... (J Paediatr Child Health)
  • Recommendations for the treatment of children with radiotherapy in low- and middle-income countries ... (Pediatr Blood Cancer)
  • PET/CT with 18F Fluorocholine as an Imaging Biomarker for Chronic Liver Disease: A Preliminary Radio... (Radiology)
  • CME Kurs: Paediatric Body MRI

  • CME course: Paediatric Body MRI

  • Universitätsklinikum Jena sucht eine Ärztin/einen Arzt in Weiterbildung in Vollzeit

  • Kinderspital Zürich sucht Oberärztin / Oberarzt (100 %)

  • Kinderradiologische Oberärztin / Oberarzt gesucht

  • 2 Stellen in der Kinderradiologie - 1 Assistenzärztin/Assistenzarzt und 1 Oberärztin/Oberarzt in Voll- oder Teilzeit

  • Senior Paediatric Radiologist in Pediatric Radiology section needed

  • Facharzt als Oberärztin / Oberarzt in Sektion Kinderradiologie gesucht

  • Stellenangebot für Assistenzarzt (m/w) zur Facharztausbildung für RADIOLOGIE und/oder KINDERRADIOLOGIE

  • „Fellow“-Stelle zur Weiterbildung in Pädiatrischer Radiologie am Kinderspital Zürich

  • Fellow-Stelle Pädiatrische Neuroradiologie

  • FFF Kinderradiologie - Muskuloskelettale Radiologie im Kindesalter (Fit für den Facharzt)

  • Assistenzarzt für Kinderradiologe gesucht an Universitätsklinikum Schleswig-Holstein, Campus Kiel

  • Turnusarzt (m/w) in Ausbildung zum Facharzt (m/w) für Radiologie

  • Assistenzarzt (m/w) zur Weiterbildung im Schwerpunkt Kinderradiologie

  • Send us your news or ads for free

    Get the Pediatric Radiology News as RSS feed !


    The dynamic Radiology community for education, research and practice


    Go to the top of the page   ID: 20100128133421 Original case in english  More links about this topic on Pubmed (PubMed Reader)
    Add this case to your RSS feeder: Subscribe to RSS feed Add to Yahoo Add to Google Add to AOL Add to Furl Subscribe to Feed Burner feed

    Bookmark and Share

    | The Authors | Discussion | Write a Comment to this Case |
    | Evaluate this Case | Recommend this Case to a Colleague | Survey Results |
    | Citation | Similar Cases | Similar Cases in the Internet | Images to this Case |
    Sanjeeb Kumar. Rickets. PedRad [serial online] vol 10, no. 1.

     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
     Pediatric Radiology CasesAuthor/s:

    Sanjeeb Kumar Sarma (Down Town Hospital/Guwahati/India)  

     Pediatric Radiology CasesEmail Address:

    Viewable for logged on visitors (Log on)  

     Pediatric Radiology CasesAge:

    3 Years  

     Pediatric Radiology CasesGender:


     Pediatric Radiology CasesRegion-Organ:

    Generalized diseases  

     Pediatric Radiology CasesMost likely etiology:


     Pediatric Radiology CasesHistory:

    3 years old emaciated male patient brought to our hospital with inability to stand or walk properly.  

     Pediatric Radiology CasesPathomorphology or Pathophysiology of this disease :

    The skeletal effects of rickets are due to lack of calcification of osteoid. As a result most obvious changes are seen at metaphysis where the most rapid growth occurs. The earliest changes are loss of normal “zone of provisional calcification” adjacent to metaphysis featuring as indistinctness of metaphyseal margin. This progressed to a “frayed” appearance with widening of the growth plate due to lack of calcification of metaphyseal bone. Weight bearing and stress on the uncalcified bone give rise to “splaying” and “cupping” of the metaphysis. A similar but less marked effect occurs in the sub-periosteal layer causing loss of distinctness of cortical margin. Generalized osteopenia occurs, however, looser’s zones are distinctly uncommon.
    In severe cases additional deformities like bowing of long bones particularly of lower bones, thoracic kyphosis with a pigeon chest, enlargement of anterior ribs causing ricketic rosary and bossing of the skull. In low birth weight premature babies features of rickets may be very severe with spontaneous fractures and respiratory difficulty. Affected infants are usually bellow 1000 g in weight or less than 28 weeks of gestation.
    Treatment is dietary supplement of vitamin D.  

     Pediatric Radiology CasesRadiological findings:

    X-Ray 1 <- view X-Ray 1

    X-Ray 1: Splaying, fraying, cupping, widening of growth plates of bilateral distal radius and ulna.

    X-Ray 2 <- view X-Ray 2

    X-Ray 2: Coned down view of right wrist.

    X-Ray 3 <- view X-Ray 3

    X-Ray 3: Lateral view of both wrist showing all the finding as in Fig1.

    X-Ray 4 <- view X-Ray 4

    X-Ray 4: Same findings also noted in bilateral distal femur and proximal tibia and fibula.


     Pediatric Radiology CasesDiagnosis confirmation:

    Expert's opinion  

     Pediatric Radiology CasesWhich DD would be also possible with the radiological findings:

    Hypophosphatasia, NAI etc  

     Pediatric Radiology CasesCourse / Prognosis / Frequency / Other :

    Prognosis is good with timely intervention.  

     Pediatric Radiology CasesComments of the author about the case:

    Patient is undergoing treatment.  

     Pediatric Radiology CasesFirst description / History:


     Pediatric Radiology CasesLiterature:


     Pediatric Radiology CasesKeywords:

    Rickets, vitamin D, splaying, fraying, cupping, child, childhood, pediatric radiology  

     Pediatric Radiology Cases Cite this article:

    Sanjeeb Kumar. Rickets. PedRad [serial online] vol 10, no. 1.

     Pediatric Radiology Cases Read similar articles: with corresponding keywords
    in the same field: Generalized diseases
    or in the region: Generalized diseases
    or in the tissue/organ:
    or with the etiology: other
     Pediatric Radiology CasesImages to this case: There are X-Ray-images available for this case. [ X-Ray ] View all modalities [ All ]   
    Sanjeeb Kumar. Rickets. PedRad [serial online] vol 10, no. 1.


    Search similar cases in:
    More links about this topic on Pubmed  More links about this topic on Yahoo  More links about this topic on Altavista  More links about this topic on MSN  More links about this topic on Google  More links about this topic on Fireball

    Peer-reviewed Radiology Search

    Other cases by these authors:

    Search Sanjeeb Kumar Sarma in Medline Sanjeeb Kumar Sarma (8)   

    Sanjeeb Kumar. Rickets. PedRad [serial online] vol 10, no. 1.


    Which diagnosis have other collegues guessed?

    • Non-accidental trauma
      Votes: 0 (0 %)

    • Lead poisening
      Votes: 0 (0 %)

    • Metaphyseal chondrodysplasia
      Votes: 2 (5 %)

    • Rickets
      Votes: 32 (82 %)

    • Hypophosphatasia
      Votes: 5 (12 %)

        Total answers: 39

    Sanjeeb Kumar. Rickets. PedRad [serial online] vol 10, no. 1.


    Medical Dictionary
    Search in medical dictionary for
    Or type in a keyword
    ( Provided by The On-Line Medical Dictionary )

    How interesting was this case for you?
    (10 = most interesting || 1 = less interesting)
    Sanjeeb Kumar. Rickets. PedRad [serial online] vol 10, no. 1.


    Discussion >> Write Comment <<

      There are no comments available regarding this case.

     Write a comment to this case (With * marked fields have to be filled)

    Type in this number: 4063

    Name: *



    Subject: *

    Text: *

      Pediatric Radiology Discussion Get the Pediatric Radiology Discussion as RSS feed !
      To the discussion forum
      To the discussion forum

      Get the Pediatric Radiology Discussion as RSS feed !

      © 2001-2018
      In cooperation with © Radiolopolis - Radiology Search - Radiology Teacher - PubMed Reader - Annotate - Radiology Lectures & Tutorials - Radiology Boards Preparation - Pediatric Radiology Links - Pediatric Radiology Information - Emergency Radiology - Lung Cancers - USMLE Forums - Cancer Staging Information - Chest Radiology - Radiology Case Report Journal
      For suggestions and questions:
      Add this site to your favorites (CTRL+D)