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Erschienen in: Pediatric Radiology 7/2010

01.07.2010 | Original Article

Fractures in infants and toddlers with rickets

verfasst von: Teresa Chapman, Naomi Sugar, Stephen Done, Joanne Marasigan, Nicolle Wambold, Kenneth Feldman

Erschienen in: Pediatric Radiology | Ausgabe 7/2010

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Abstract

Background

Rickets affects young infants and toddlers. However, there is a paucity of literature regarding the types of fractures that occur in rachitic patients.

Objective

To evaluate the age of patients at which radiographically evident rickets occurs, and to characterize the age incidence and fractures that are observed in infants and toddlers with radiographically evident rickets.

Materials and methods

A retrospective study of children younger than 24 months was performed. Clinical data and radiographs were reviewed. Radiographs obtained within 1 month of the diagnosis were evaluated for the presence or absence of osteopenia, presence or absence of fraying–cupping, and presence and characterization of fractures.

Results

After exclusion criteria were applied, 45 children were included in the study. Children with rickets evident by radiograph were in the age range of 2–24 months. Fractures were present in 17.5% of the study group, exclusively in mobile infants and toddlers. Fracture types included transverse long bone fractures, anterior and anterior-lateral rib fractures, and metaphyseal fractures. All fractures occurred exclusively in patients with severe, overtly evident rickets.

Conclusion

Fractures occur in older infants and toddlers with overt rickets and can be seen by radiograph. Fractures do not resemble high-risk non-accidental trauma fractures.
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Metadaten
Titel
Fractures in infants and toddlers with rickets
verfasst von
Teresa Chapman
Naomi Sugar
Stephen Done
Joanne Marasigan
Nicolle Wambold
Kenneth Feldman
Publikationsdatum
01.07.2010
Verlag
Springer-Verlag
Erschienen in
Pediatric Radiology / Ausgabe 7/2010
Print ISSN: 0301-0449
Elektronische ISSN: 1432-1998
DOI
https://doi.org/10.1007/s00247-009-1470-8

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