Causes of osteomalacia
- poor miniralization
- problems woth calcium, phosphorus, vit D (deficiency, malabsorption, renal probs)
Clincial features of osteomalacia
- malaise
- generalized muslce weakness, worse proximally
- bone pain on palp
Radiographic signs of osteomalacia
- protrusio acetabuli (softening)
- bowing (softening)
- Osteopenia
- loss of cortical def
- psuedo fx
Mc locations of loosers lines (4)
Femoral neck
iscial/pubic rami
axillary border of scapuae
ribs
What can osteomalacia do to the pelvic inlet
bone softening can cause wierd shaped pelvoc inlet
how to dx osteomalacia in lab
Blood test to look at minarlization lvls to confirm dx
Tx of osteomalacia
- Adress underlying cause
- rx oral vit d
What is rickets and eitology
Child form of osteomalacia
-Vit D deficiency/ malapsorbtion to renal osteodystrophy
What are the key radiographic findings of rickets
- frayed cupped metaphysis
- widened growth plate
- pot bowing in weight bearing bones
What is rachitic rosary and what is it associated w/
expansion on the ant portion of ribs (chostochondral junction)- rickets
Scurvy- eitology and time frame
-Severe an chronic vit c deficiency
4-10 months to develop
Early symptoms of scurvy
- lethargy
- malaise
- fever
- loss of appetite
- nausea
- diarrhea
Late symptoms of scurvy
- swollen gums prone to bleeding*
- loose teeth
- bulging eyes
- slow wound healing
- swelling due to bleeding
Sever complications of scurvy (3)
- stunted growth of premature closure of physes
- anemia
- heart attack
Key radiographic findings of scurvy (5)
- Subperiosteal hemorrage
- Trummerfelds zone (below white line of frankel)
- White line of frankel
- Wimbergers ring
- Pelken spurs (over white line of frankel)
tx of scurvy
- adress diet
- rx oral vit c
- stop smoking
Mc heavy metal poisoning and halmark sign
Lead poising
-Dense metaphyseal bands (deposits in bone)
