rheumatology and orthopaedics Flashcards
rickets: summarise the pathology of rickets
what is rickets
defective mineralisation of normally synthesised bone matrix in children
2 types of rickets
deficiency of vitamin D, deficiency of PO4
where are likely to occur in rickets
Looser’s zone
features of horizontal pseduofractures in Looser’s zone
right angles to cortex, extending partway through bone, in areas of high tensile stress
characteristic sign of rickets
bowing of legs
location of radiological signs of rickets
before growth plate closure, radiological signs centred mainly to growth plates, changes of osteomalacia
radiological signs of rickets
indistinct/frayed metaphyseal margin, widened growth plate without calcification, cupping/splaying metaphyses due to weight bearing, enlargement of anterior ribs, osteopenia