Case 82 A toddler with bowed legs. (A) Frontal radiographs of both knees demonstrate cupping and fraying of the metaphyses of the long bones (arrows), widening of the physes, and diffuse osteopenia. (B) A radiograph of the patient’s hand, which is not necessary for diagnosis, demonstrates cupping and fraying of the metaphyses of the metacarpals (arrows) with subperiosteal linear lucencies. • Rickets:

Clinical Presentation
Imaging Findings

Differential Diagnosis
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