Figure 1From: Nutritional vitamin D deficiency: a case reportGrowth Chart: Growth chart from birth to 20 months showing failure of appropriate growth and then his catch up growth after appropriate treatment. Radiograph Wrist/Hand: Metaphyseal fraying and cupping of distal radius and ulna and the distal aspects of the second through fifth metacarpals. Skeletal survey: Metaphyseal fraying and cupping involving bilateral distal femurs, bilateral proximal and distal tibiae and fibulae, bilateral proximal and distal humeri.Back to article page