Edorium Journal of

Orthopedics

 
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Case Report
 
Rickets: A disease of the past or a resurgent cause of waddling gait in children?
Lily Li1, Gajendiran Thiruchandran2, Peter Hope3
1MA(Cantab) MB/Bchir MRCS (Eng), Orthopaedic Registrar, Department of Trauma & Orthopaedics, St Mary's Hospital, Imperial College Healthcare Praed St, London, W2 1NY, UK.
2MBBS BSc, Core Surgical Trainee, Department of Trauma & Orthopaedics, Conquest Hospital, Hastings, UK.
3FRCS, MBBS, Consultant orthopaedic Surgeon, Department of Trauma & Orthopaedics, Lister Hospital, Stevenage, UK.

Article ID: 100002O03LL2015
doi:10.5348/O03-2015-2-CR-2

Address correspondence to:
Lily Li
MA(Cantab) MB/Bchir MRCS (Eng)
Orthopaedic Registrar, Department of Trauma & Orthopaedics, St Mary's Hospital, Imperial College Healthcare Praed St
London, W2 1NY,
UK

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How to cite this article
Li L, Thiruchandran, Hope P. Rickets: A disease of the past or a resurgent cause of waddling gait in children? Edorium J Orthop 2015;1:8–10.


Abstract
Introduction: Rickets as a cause of bone pain and lower limb deformity was largely thought to be eradicated from the UK and is now commonly thought to be a disease of the past; however, in the last few years there has been a resurgence of cases.
Case Report: We present a case of lower limb deformity caused by childhood rickets presenting with apparently healthy diet. This child had been referred to a specialist orthopaedic cling with leg deformity, and was found to have typical clinical and radiographic features consistent with nutritional vitamin D deficiency.
Conclusion: Rickets should no longer be thought of as a disease of the past but should be considered as a cause of waddling gait. It should not be excluded as a cause of bone pain and lower limb deformity even in children taking healthy diets.

Keywords: Children, Rickets, Orthopedics, Nutrition, Pediatrics, Vitamin D deficiency


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Author Contributions
Lily Li – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published
Gajendiran Thiruchandran – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Peter Hope – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published
Guarantor of submission
The corresponding author is the guarantor of submission.
Source of support
None
Conflict of interest
Authors declare no conflict of interest.
Copyright
© 2015 Lily Li et al et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.



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