Radiological Signs In Rickets And Their Differential Diagnosis

Abstract

1.	Radiological changes in the bones in infantile, late and adult types of rickets and their differential diagnosis have been described and illustrated by cases seen at Nagpur in the Medical College Hospital during the last two years.
2.	Radiological changes are a replica of the histological changes in the bones and they occur both in the shaft and at the cartilage shaft junction.
3.	Changes at the growing metaphysis are its broadening fuzziness and cupping; fading out of the epiphyseal plate and in severe cases non-calcification of the metaphysis. These are present only if growth is occurring at the bone end.
4.	Changes in the shaft are rarefaction, reticulation of the spongiosa, deformities, fractures and pseudofractures.
5.	Physiological cupping of lower ends of radius and ulna, growth lines, lead, phosphorus and bismuth lines, congenital syphilis, scurvy, osteogenesis imperfecta, hyperparathyroidism, postmenopausal osteoporosis and renal osteodystrophy have been discussed in differential diagnosis.
6.	A case of infantile rickets with multiple fractures and pseudofractures and another of renal rickets are recorded.

From the Department of Pediatrics, Medical College, Nagpur.

Source:

http://www.springerlink.com/content/4580p1k11124w622/