Rickets

Case contributed by Angela Byrne
Diagnosis almost certain

Presentation

Leg bowing

Patient Data

Age: 6 years
Gender: Male

At presentation - 6 years

x-ray
Frontal
Lateral
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Info

Marked bowing of both femur and tibia bilaterally. 

Metaphyseal cupping, frying and irregularities noted.

18 mth later 7.5 yr of age

x-ray
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Info

Marked bowing of both femurs.

Right tibial osteotomy. 

18 mth later still 9 yr of age

x-ray
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Info

Residual bowing of both femurs.

Adequate alignment of both tibia after corrective osteotomy. 

Case Discussion

Serial x-rays of a child with rickets demonstrating marked bowing of the legs.  

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