Clinical Analysis of Rickets
10.4055/jkoa.1979.14.3.572
- Author:
Kuhn Sung WHANG
;
Eung Shick KANG
;
Byeong Mun PARK
;
Young Wan SOHN
- Publication Type:Original Article
- MeSH:
Braces;
Calcium;
Congenital Abnormalities;
Developed Countries;
Developing Countries;
Female;
Food Supply;
Genu Varum;
Growth Plate;
Humans;
Incidence;
Joints;
Male;
Metabolism;
Miners;
Rickets;
Vitamin D
- From:The Journal of the Korean Orthopaedic Association
1979;14(3):572-578
- CountryRepublic of Korea
- Language:Korean
-
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.
