Paterson C R
J Pediatr Orthop. 1981;1(4):423-5. doi: 10.1097/01241398-198112000-00012.
This paper describes a 2 1/2-year-old Bengali child who presented with failure to thrive and was found to have several fractures of the extremities. The skull radiographs showed widening of the sutures and fracture-like appearances. However, there was no evidence of a subdural haematoma. Minor rachitic changes were at first disregarded, and he was assumed to have been neglected and to have sustained nonaccidental injury. He was discharged to foster parents. It was eventually recognised that the skeletal changes were all appearances of rickets and that some of the fractures were in fact pseudofractures. The child returned to his own parents at the age of 4. Malnutrition, a well known consequences of rickets, may make interpretation of radiographs of the epiphyses difficult.
本文描述了一名2岁半的孟加拉儿童，该儿童出现生长发育迟缓，且被发现四肢有多处骨折。颅骨X线片显示缝线增宽及类似骨折的表现。然而，没有硬膜下血肿的证据。起初，轻微的佝偻病改变被忽视了，他被认为是受到了忽视并遭受了非意外性损伤。他被交给了养父母。最终人们认识到，骨骼改变均为佝偻病的表现，且部分骨折实际上是假骨折。该儿童4岁时回到了自己父母身边。营养不良是佝偻病的一个众所周知的后果，这可能会使骨骺X线片的解读变得困难。
