Ｏ脚を主訴に整形外科を初診したくる病の5例

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  • Five Cases of Rickets Presenting Initially at a Department of Orthopaedic Surgery with a Chief Complaint of Bowleg

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We report five cases of rickets presenting initially at a department of orthopaedic surgery with a chief complaint of bowleg. Two cases were nutritional rickets and three were hypophosphatemic rickets. The patients comprised two males and three females with an average age of two years and three months. In all cases, X-ray examination of the legs showed the typical signs of rickets such as cupping, flaring and fraying at the metaphysis. The average femorotibial angle (FTA) was 198.3 degrees (192-210 degrees). Three cases were treated by administration of vitamin D under the supervision of a pediatrician. <br>Nutritional rickets has recently been increasing because of vitamin D deficiency in the diet resulting from absence of milk or eggs in individuals with food allergy. Ultraviolet phobia can also result in vitamin D deficiency due to disturbance of vitamin D metabolism. In patients presenting with bowleg, rickets may be considered. X-ray findings such as cupping, fraying and flaring are typical signs of rickets and useful for diagnosis.

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