Rachitic rosary

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The prominent knobs of bone at the costochondral joints of rickets patients are known as a rachitic rosary or beading of the ribs. The knobs create the appearance of large beads under the skin of the rib cage, hence the name by analogy with the beads of a rosary.

Pathophysiology

Rachitic rosary is due to a deficiency of calcium resulting in lack of mineralization and an overgrowth of costochondral joint cartilage. The calcium deficiency may be caused by Rickets or other causes of calcium deficiency such as hypoparathyroidism.

External links

http://www.gpnotebook.co.uk/simplepage.cfm?ID=-1966079952

Symptoms and signs: nervous and musculoskeletal systems (R25–R29, 781.0, 781.2–9)

Primarily nervous system

Primarily CNS

Primarily PNS

Gait abnormality

Steppage gait · Antalgic gait

Primarily muscular

Movement disorders	Spasm (Trismus) · Fasciculation · Fibrillation · Myokymia · Cramp

Gait abnormality	Myopathic gait · Trendelenburg gait · Pigeon gait

Other	Tetany · Meningism

Primarily skeletal

Rachitic rosary · Clubbing

Primarily joint

Joint locking

M: CNS

anat(n/s/m/p/4/e/b/d/c/a/f/l/g)/phys/devp

noco(m/d/e/h/v/s)/cong/tumr, sysi/epon, injr

proc, drug(N1A/2AB/C/3/4/7A/B/C/D)

M: PNS

anat(h/r/t/c/b/l/s/a)/phys(r)/devp/prot/nttr/nttm/ntrp

noco/auto/cong/tumr, sysi/epon, injr

proc, drug(N1B)

M: MUS, DF+DRCT

anat (h/n, u, t/d, a/p, l)/phys/devp/hist

noco(m, s, c)/cong(d)/tumr, sysi/epon, injr

proc, drug (M1A/3)

M: BON/CAR

anat(c/f/k/f, u, t/p, l)/phys/devp/cell

noco/cong/tumr, sysi/epon, injr

proc, drug(M5)

M: JNT

anat(h/c, u, t, l)/phys

noco(arth/defr/back/soft)/cong, sysi/epon, injr

proc, drug(M01C, M4)

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