Presentation
Parents concerned over the position of child's knees.
Patient Data
Age: 2 years
Gender: Male
From the case:
Rickets



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Bilateral genu valgum.
Severe cupping and fraying of the femoral, tibial and fibular metaphyses with widening of the physis.
Underyling subchondral sclerosis.
Case Discussion
Classical appearances of severe rickets, at the commonest site - the knees.
Cupping and fraying of the metaphyses is grossly evident in this child's knees.