Hepatobiliary Rickets

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Abstract
Rickets secondary to hepatobiliary disease is a rare condition; the skeletal manifestations are similar to simple nutritional rickets. These skeletal changes include epiphyseal plate abnormalities, pseudofractures, bowing of long bones, scoliosis and fractures. Charts and radiographs (112) of patients with chronic hepatobiliary disease admitted to Children''s Hospital of Michigan [USA] from 1968-1978 were reviewed. Of these patients, 19 (17%) showed roentgenographic evidence of rickets. Orthopedic management is primarily concerned with the treatment of fractures and prevention or correction of deformities in those children whose longevity justifies treatment.

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