Holda M E, Ryan J R
J Pediatr Orthop. 1982 Aug;2(3):285-7. doi: 10.1097/01241398-198208000-00008.
Rickets secondary to hepatobiliary disease is a rare condition; however, the skeletal manifestations are similar to simple nutritional rickets. These skeletal changes include epiphyseal plate abnormalities, pseudofractures, bowing of long bones, scoliosis, and fractures. One-hundred and twelve charts and radiographs of patients with chronic hepatobiliary disease admitted to Children's Hospital of Michigan from 1968 to 1978 were reviewed. Nineteen, or 17%, of these patients showed roentgenographic evidence of rickets. Orthopedic management is primarily concerned with the treatment of fractures and prevention or correction of deformities in those children whose longevity justifies treatment.
继发于肝胆疾病的佝偻病是一种罕见病症；然而，其骨骼表现与单纯营养性佝偻病相似。这些骨骼变化包括骨骺板异常、假骨折、长骨弯曲、脊柱侧弯和骨折。回顾了1968年至1978年密歇根儿童医院收治的112例慢性肝胆疾病患者的病历和X光片。其中19例（17%）患者有佝偻病的X光证据。骨科治疗主要关注骨折的治疗以及对那些预期寿命足以证明治疗合理性的儿童预防或纠正畸形。
