#7. RICKETS DEFORMITIES Flashcards
Orthopaedics
1
Q
What is RICKETS?
A
- Disease affecting the bones and their mineralisation
- Appearing mainly in children in 1st year of life
2
Q
What are the CAUSES of Rickets?
A
- At END of Winter = DUE to LACK of Sunlight
- Vitamin D Deficiency
- Renal Glomerular FAILURE
3
Q
What are the CLINICAL FEATURES of Rickets?
A
- Softer Bones
- Paleness / Apathy / Sweating
- Disturbed Sleep
- Malaise
- Big Belly
CHANGED BONE STRUCTURES
- Big SQUARE Head
- UNSUTURED Fontanelles
- CRANIOTABES (Soft Skull)
- Kyphosis
- Oedema around Wrists / Joints / Ankles
- REDUCED Levels = Of Calcium / Phosphorus
- INCREASED Levels = Of Alkaline Phosphatase / Parathyroid Hormone
4
Q
What does the X-RAY Imaging of Rickets Show?
A
- Different Stages
1) ACUTE Stage
- Pale EPIPHYSIS
- Numerous Ossifications
- Flat METAPHYSIS
- THICKENED Periosteum
2) ACTIVE Stage I
- IRREGULAR / NARROWED EPIPHYSIS
- Wider METAPHYSIS
- Thickening of Periosteum DISAPPEARS
3) RECOVERY Stage
- NARROWING of Epiphysis LINE
- CLOSING of the BONE-BONE Canal of DIAPHYSIS
5
Q
What is the TREATMENT for Rickets?
A
- Vitamin D = FOR 3,000 IU, DAILY
- Prevent Bone Dislocation
- Surgery = Correcting + De-rotating Osteotomies
