ER

osteomalacia/rickets:

Characteristics

🔹 "SOFT BONE" for Osteomalacia

  • Skeletal pain

  • Osteopenia

  • Fractures (Looser’s zones)

  • Tender bones

  • Bowing of bones (mild)

  • Overall muscle weakness

  • Nonspecific symptoms (fatigue)

  • Easy fractures

🔹 "RICKETS" for Children

  • Rachitic rosary (costochondral swelling)

  • Irregular metaphyses (fraying, cupping)

  • Craniotabes (soft skull)

  • Knock-knees or bowed legs

  • Enlarged wrists & ankles

  • Thickening of growth plates

  • Stunted growth


Radiological Features Mnemonic

🔹 "LOOSER Bones for Osteomalacia"

  • Looser’s zones (pseudofractures)

  • Osteopenia

  • Odd fractures (insufficiency fractures)

  • Soft bones (bowing, concave vertebrae)

  • Endplate deformities (codfish vertebrae)

  • Reduced cortical thickness

🔹 "WIDE GROWTH for Rickets"

  • Widened metaphysis

  • Irregular growth plates

  • Deformed bones (bowing)

  • Enlarged joints (wrists, ankles)

  • Growth plate fraying

  • Rachitic rosary

  • Osteomalacia signs in severe cases

  • Weakened long bones

  • Thin cortex