*Widening and cupping of the metaphyseal regions (the below x-ray)
Anteroposterior and lateral radiographs of the wrist of an 8-year-old boy with rickets demonstrates cupping and fraying of the metaphyseal region.
*Fraying of the metaphysis (the below x-ray)
Radiographs of the knee of a 3.6-year-old girl with hypophosphatemia depict severe fraying of the metaphysis.
*Bowing of long bones (see the images below)
Radiograph in a 4-year-old girl with rickets depicts bowing of the legs caused by loading.
*Development of knock-knees, or genu valgum (see the images below)
Radiograph of a leg with the patient in a standing position demonstrates knock-knees. The patient is an 11-year-old boy with treated vitamin D–resistant rickets.
*Development of scoliosis
*Impression of the sacrum and femora into the pelvis, leading to a triradiate configuration of the pelvis
*In healing rickets, the zones of provisional calcification become denser than the diaphysis. In addition, cupping of the metaphysis may become more apparent.