ArticlePediatric radiology2010
Fractures in infants and toddlers with rickets.
Article in Pediatric radiology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 108 citations in OpenAlex.
- Genetic predisposition to increased serum calcium, bone mineral density, and fracture risk in individuals with normal calcium levels: mendelian randomisation study.BMJ (Clinical research ed.) · 2019Pooled it
- Does rickets carry an increased risk of osteomyelitis and septic arthritis? An aggregated electronic health record data study.Journal of pediatric orthopedics. Part B · 2025Article
- Diagnostic approach to rickets: an Endocrine Society of Bengal (ESB) consensus statement.Annals of pediatric endocrinology & metabolism · 2024Article
- Diagnosis, treatment, and management of rickets: a position statement from the Bone and Mineral Metabolism Group of the Italian Society of Pediatric Endocrinology and Diabetology.Frontiers in endocrinology · 2024Review
- An overview of CYP27B1 enzyme mutation and management: A case report and review of the literature.Clinical case reports · 2023Article
- Orthopedic manifestations of child abuse.Pediatric research · 2022Review
- Multi-modality imaging characteristics of costochondral fractures, a highly specific rib fracture for child abuse.Pediatric radiology · 2022Article
- Review
- Prevalence of Vitamin D Deficiency in Children with Fractures: Before and during the COVID-19 Outbreak.International journal of clinical practice · 2022Article
- Rickets in Children: An Update.Biomedicines · 2021Review
- Vitamin D, rickets and child abuse: controversies and evidence.Pediatric radiology · 2021Review
- Abusive head trauma: neuroimaging mimics and diagnostic complexities.Pediatric radiology · 2021Review
- Rachitic change and vitamin D status in young children with fractures.Skeletal radiology · 2020Observational
- Keeping an Open Mind: Cognitive Bias in the Evaluation of an Infant with Posterior-Lateral Rib Fractures.Case reports in pediatrics · 2017Article
- Multiple fractures in infants who have Ehlers-Danlos/hypermobility syndrome and or vitamin D deficiency: A case series of 72 infants whose parents were accused of child abuse and neglect.Dermato-endocrinology · 2017Article
- Are There Hallmarks of Child Abuse? I. Osseous Injuries.Academic forensic pathology · 2016Review
- Vitamin D Deficiency in Pediatric Fracture Patients: Prevalence, Risk Factors, and Vitamin D Supplementation.Journal of clinical research in pediatric endocrinology · 2016Article
- Serum 25-hydroxyvitamin D status among Saudi children with and without a history of fracture.Journal of endocrinological investigation · 2016Article
- The etiology and significance of fractures in infants and young children: a critical multidisciplinary review.Pediatric radiology · 2016Review
- Vitamin D deficiency versus non-accidental trauma: comment on "Rickets or abuse? A histologic comparison of rickets and child abuse-related fractures".Forensic science, medicine, and pathology · 2016Article
Corrections and comments
- Erratum issued
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundRickets affects young infants and toddlers. However, there is a paucity of literature regarding the types of fractures that occur in rachitic patients.
objectiveTo evaluate the age of patients at which radiographically evident rickets occurs, and to characterize the age incidence and fractures that are observed in infants and toddlers with radiographically evident rickets. MATERIALS AND
methodsA retrospective study of children younger than 24 months was performed. Clinical data and radiographs were reviewed. Radiographs obtained within 1 month of the diagnosis were evaluated for the presence or absence of osteopenia, presence or absence of fraying-cupping, and presence and characterization of fractures.
resultsAfter exclusion criteria were applied, 45 children were included in the study. Children with rickets evident by radiograph were in the age range of 2-24 months. Fractures were present in 17.5% of the study group, exclusively in mobile infants and toddlers. Fracture types included transverse long bone fractures, anterior and anterior-lateral rib fractures, and metaphyseal fractures. All fractures occurred exclusively in patients with severe, overtly evident rickets.
conclusionFractures occur in older infants and toddlers with overt rickets and can be seen by radiograph. Fractures do not resemble high-risk non-accidental trauma fractures.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.