Rachitic rosary

Last revised by Dalia Ibrahim ◉ on 1 Jan 2023

Citation, DOI, disclosures and article data

Citation:

Gaillard F, Ibrahim D, El-Feky M, et al. Rachitic rosary. Reference article, Radiopaedia.org (Accessed on 26 Sep 2023) https://doi.org/10.53347/rID-8222

DOI:

https://doi.org/10.53347/rID-8222

Permalink:

https://radiopaedia.org/articles/8222

rID:

8222

Article created:

19 Jan 2010, Frank Gaillard ◉ ◈

Disclosures:

At the time the article was created Frank Gaillard had no recorded disclosures.

View Frank Gaillard's current disclosures

Last revised:

1 Jan 2023, Dalia Ibrahim ◉

Disclosures:

At the time the article was last revised Dalia Ibrahim had no financial relationships to ineligible companies to disclose.

View Dalia Ibrahim's current disclosures

Revisions:

14 times, by 10 contributors - see full revision history and disclosures

Systems:

Musculoskeletal, Paediatrics

Sections:

Signs, Gamuts

Tags:

refs

Synonyms:

Rosary sign of rickets

Rachitic rosary refers to expansion of the anterior rib ends at the costochondral junctions and is most frequently seen in rickets as nodularity at the costochondral junctions.

Differential diagnosis

Other causes of this appearance include:

scurvy
- the costochondral junction is more angular and has a sharper step-off (scorbutic rosary)
- the sternum is usually found to be depressed
hypophosphatasia
chondrodystrophy
healing fractures as a result of non-accidental injury in children: important to consider as an alternative explanation