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Rickets - active

Case contributed by Dr Mohamed Hossam el Deen


Bowing of lower limbs, delayed walking, hypotonia and pallor.

Patient Data

Age: 1 year
Gender: Male

Both hands AP view demonstrating bilateral cupping and fraying of the metaphyseal regions of both bones with widening of the wrist joint space.


The cupping and fraying of the distal radius and ulna is amazingly illustrated.

Case Discussion

In rickets there is defective mineralization of growth plates of long bones, resulting in growth retardation and delayed skeletal development. The distal radius and ulna are typically affected in active rickets.

Findings suggesting active rickets are fraying, cupping of the metaphysis, and widening of the joint space.

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Case information

rID: 38188
Published: 9th Jul 2015
Last edited: 31st Oct 2019
Tag: rickets
Inclusion in quiz mode: Included

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