J Korean Orthop Assoc.
1979 Sep;14(3):572-578. 10.4055/jkoa.1979.14.3.572.
Clinical Analysis of Rickets
- KMID: 2460306
- DOI: http://doi.org/10.4055/jkoa.1979.14.3.572
Abstract
- Rickets is a syndrome of diverse etiology, characterized pathophysiologically by a failure of normal mineralization of bone and epiphyseal cartilage and clinically by skeletal deformities. Since the introduction of Vitamin D into the food supply of developed countries, nutritional Vitamin D defiency rickets has become an uncommon disease. In the developing countries Vitamin D deficient rickets occurs not uncommonly, however, and resultant skeletal disorders are still found infrequently. Recently, theories of Vitamin D metabolism have explained the rachitic syndrome, and many of the mystries of the calcium regulatory mechanism have also been uncovered. From January 1971 to May 1975 thirty-two patients with rickets were observed at Yonsei University Severance Hospital. These cases are analysed with a review of the literature. Following observations were made: Of the 32 patients, 14(43.8%) occured between 2 and 3 years of age. 2. The incidence in females was greater than in males (males 28%, females 72%). 3. Bow leg deformity was a major complaint and presenting physical finding. The enlargement of a joint was next. 4. The amelioration of laboratory values and radiological changes were revealed after 2 weeks from the initial treatment. 5. Brace was effective for tibial torsion and was combined with the process of medical treatment.
