Similarly, our patient demonstrated worsening rachitic changes in the ileum and proximal femoral metaphyses
between 2 and 6 months of age.
The most common sites, in decreasing order of frequency, are the metaphyses
of the distal femur, the upper humerus, the upper tibia, and the fibula.
In the long bones, trabecular bone is concentrated in the metaphyses
Osteosarcomas tend to develop along long bone metaphyses
, particularly around the knees.
Typically, the diagnosis of rickets is confirmed with radiographic evidence which manifests as widening and irregularity of the physes with fraying and cupping of the metaphyses
. These metaphyseal changes are due to impaired apoptosis of the hypertrophied chondrocyte layer and are caused by low phosphate levels in the physics [16,17].
Typical radiographic imaging appearances are of multifocal synchronous or metachronous lytic or sclerotic or rarely mixed lytic-sclerotic lesions in metaphyses
of long bones and the medial end of clavicle.
Chick 1 had multiple orthopedic abnormalities, including deviation of the distal keel to the left, bilateral swelling of the tibiotarsaltarsometatarsal joints, and prominent lateral swellings of the proximal metaphyses
of the tarsometatarsi.
The long bones have elongated and flared metaphyses
. Involvement of hands and feet parallel changes in the long bones.
Hematogenous osteomyelitis is a clinical picture which occurs most frequently in the metaphyses
of the long bones caused most commonly by Staphylococcus aureus in all age groups (1).
In the skeletal survey performed, there were proximal shortness, thick and short diaphyses, and large and irregular metaphyses
in the long bones and normal fingers.
All these signs were more pronounced in distal metaphyses
of radius-ulna, followed by proximal and distal metaphyses
of tibia (Fig.
The most common location at presentation is the metaphyses
of long bones, with the following location distribution pattern (11): distal femur (41.6%), proximal tibia (16.9%), proximal humerus (9.2%), proximal femur (7.7%), mid-femur (6.2%), mid-humerus (4.6%), mid-tibia (3.1%), pelvis (3.1%), fibula (1.5%), skull bones (1.5%), and ribs (1.5%).