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Flashcards in SkelRad A Final Deck (9)
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1

Clinical Findings of Osteomalacia

general muscle weakness
bone pain upon palpation
deformities in weight bearing bones

2

Radiographic findings of Osteomalacia

decreased bone density
mottled trabecular pattern
loss of cortical definition- thinner
pseudo-fractures (insufficiency fracture)
deformities

3

Pseudo-fractures

aka looser lines, milkman's syndrome, Umbau Zones
bilateral, symmetrical, chronic

4

Most common sites of pseudo-fractures

Femoral Neck
Pubic and Ischial rami
ribs
axillary border of scapulae

5

Deformities seen with osteomalacia

in weight bearing bones
protrusio-acetabuli
bowing of the femur or tibia
kyphoscoliosis

6

Rickets

Childhood equivalent of osteomalacia in an adult
6-12 months of age
due to a deficiency of Vitamin D, calcium, phosphorous, or sunlight

7

Clinical Findings of Rickets

muscle tetany
bone pain
irritability
weakness
delayed development
small stature
bone deformities

8

soft tissue swelling around growth plates is associated with:

Rickets
secondary to hypertrophied cartilage
"rachitic rosary" costochondral bumps on the anterior rib cage

9

Growth Plate changes seen with Rickets

cartilage cells grow normally, but fail to calcify
resulting in a generalized lucency due to the increase in uncalcified osteoid
healed when an opaque metaphyseal line is visualized