rachitic rosary

The chest
radiograph in this child shows nodular prominence of the costochondral junctions, consistent with rickets.

Rachitic
rosary • Rachitic rosary - Ganzer Fall bei Radiopaedia

Rachitic
rosary • Rosary beads (photo) - Ganzer Fall bei Radiopaedia

Rachitic
rosary • Rachitic rosary - Ganzer Fall bei Radiopaedia

Rachitic
rosary • Rachitic rosary - Ganzer Fall bei Radiopaedia

Rickets •
Rickets - Ganzer Fall bei Radiopaedia

Rachitic
rosary • Rickets - Ganzer Fall bei Radiopaedia
Rachitic rosary refers to expansion of the anterior rib ends at the costochondral junctions and is most frequently seen in rickets as nodularity at the costochondral junctions.
Differential diagnosis
Other causes of this appearance include:
- scurvy
- the costochondral junction is more angular and has a sharper step-off (scorbutic rosary)
- the sternum is usually found to be depressed
- hypophosphatasia
- chondrodystrophy
- healing fractures as a result of non-accidental injury in children: important to consider as an alternative explanation
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