A rachitic rosary refers to expansion of the anterior rib ends at the costochondral junctions and is most frequently seen in rickets.
Causes of this appearance include :
- rickets : nodularity at costochondral junction (rachitic rosary)
- the costochondral junction is more angular and has a sharper step-off (scorbutic rosary).
- the sternum is usually found to be depressed.
It is important to consider whether this appearance could actually represent healing fractures as a result of child abuse.
- 1. Schulthess GK, Zollikofer CL. Musculoskeletal diseases, diagnostic imaging and interventional techniques. Springer Verlag. (2005) ISBN:8847003180. Read it at Google Books - Find it at Amazon
- 2. Ebel Klaus-Dietrich and Gabriele Benz-Bohm. Differential diagnosis in pediatric radiology. Thieme, 1999. ISBN: 3131081317, 9783131081315.