Skip Navigation

Journal of Tropical Pediatrics 2000 46(3):132-139; doi:10.1093/tropej/46.3.132
© 2000 by Oxford University Press
This Article
Right arrow Full Text (PDF)
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in ISI Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrow Search for citing articles in:
ISI Web of Science (13)
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by Thacher, T.
Right arrow Articles by Reading, J.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Thacher, T.
Right arrow Articles by Reading, J.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Radiographic scoring method for the assessment of the severity of nutritional rickets

TD ThacherA, PR FischerB,Z, JM PettiforC, JO LawsonD, BJ ManasterE and JC ReadingF

A Department of Family Medicine, D Department of Paediatrics, Jos University Teaching Hospital, Jos, Nigeria B Department of Pediatric and Adolescent Medicine, Mayo Clinic, 200 First Street, SW, Rochester, Minnesota 55905, USA C MRC Mineral Metabolism Research Unit, Department of Paediatrics, University of Witwatersrand and Chris Hani Baragwanath Hospital, Johannesburg, South Africa E Department of Radiology, University of Colorado, Denver, CO, USA F Department of Family and Preventive Medicine, University of Utah, Salt Lake City, Utah, USA Z Corresponding author

Radiographic changes of rickets are well characterized, but no method of grading the severity of these changes has been in general use. Consequently, it is difficult to compare objectively or follow radiographic improvement. We prospectively evaluated the utility and reproducibility of a scoring method for measuring the severity of rickets. A 10-point score for radiographs of wrists and knees was devised to assess the degree of metaphyseal fraying and cupping and the proportion of the growth plate affected. The score progresses in half point increments from zero (normal) to 10 points (severe). Four trained physicians independently scored radiographs on two separate occasions from 67 children with active rickets. A broad representation of mean radiographic scores was moderately correlated with alkaline phosphatase (r=0.58). Interobserver correlation of radiographic scores was 0.84 or greater for all observer pairs and intraobserver correlation was 0.89 or greater for each observer. Researchers and clinicians should find the score useful to assess objectively the severity of rickets.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Arch Pediatr Adolesc MedHome page
C. M. Gordon, H. A. Feldman, L. Sinclair, A. L. Williams, P. K. Kleinman, J. Perez-Rossello, and J. E. Cox
Prevalence of Vitamin D Deficiency Among Healthy Infants and Toddlers
Arch Pediatr Adolesc Med, June 1, 2008; 162(6): 505 - 512.
[Abstract] [Full Text] [PDF]

Home page
 Am. J. Clin. Nutr.Home page
M. Graff, T. D Thacher, P. R Fischer, D. Stadler, S. D Pam, J. M Pettifor, C. O Isichei, and S. A Abrams
Calcium absorption in Nigerian children with rickets
Am. J. Clinical Nutrition, November 1, 2004; 80(5): 1415 - 1421.
[Abstract] [Full Text] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.