Rickets

Case contributed by Zeeshan Ghias Khan
Diagnosis almost certain

Presentation

Failure to thrive, bowed legs and a thick wrist.

Patient Data

Age: 1 year
Gender: Male
x-ray

Cupping, fraying and splaying of ulnar and radius distal metaphysis. Also in metacarpals metaphysis. 

Case Discussion

In rickets, there is failure of mineralization at the zone of provisional calcification which results in widening and irregularity of the growth plate. 

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