The word Crippled is The word Crippled is unpalatableunpalatable

Rickets Rickets

isis

UnacceptablUnacceptable !e !

WWhat is Vitamin D?hat is Vitamin D?

Benjamin JacobsBenjamin JacobsConsultant PaediatricianConsultant Paediatrician

WWhat is Vitamin D hat is Vitamin D Deficiency?Deficiency?WWhat is Orthopaedics?hat is Orthopaedics?

Vitamin DVitamin D

1928 Nobel prize for 1928 Nobel prize for chemistry Adolf Windauschemistry Adolf Windaus

Types of Vitamin DTypes of Vitamin D

Vitamin DVitamin D22 Vitamin DVitamin D33

which to prescribe?which to prescribe?

simple simple Vitamin DVitamin D

25 (OH) 25 (OH) Vitamin DVitamin D

1,25 1,25 (OH)(OH)22 Vitamin D Vitamin D

CalciolCalciol

CalciDiolCalciDiol

CalciTriolCalciTriol

How much?How much?

DoseDose400 units400 units == 10 micrograms10 micrograms

Blood levelBlood level50 nmol/L50 nmol/L == 20 ng/ml20 ng/ml

How?How?

DietDiet Sun?Sun? Food Food

Fortification?Fortification? Supplements?Supplements? Drugs?Drugs?

XX??

√√??

??

RNOH Children's Medical Bone ClinicRNOH Children's Medical Bone Clinic

Support orthopaedic surgerySupport orthopaedic surgery VitaminVitamin D FAQ’s D FAQ’s Investigate D overdoseInvestigate D overdose Genetic forms of ricketsGenetic forms of rickets

Orthopaedic Vit D Orthopaedic Vit D questions?questions?

SUFESUFE PerthesPerthes Blounts Blounts Osgood-SchlatterOsgood-Schlatter Stress FracturesStress Fractures Growing painsGrowing pains PlagiocephalyPlagiocephaly Adolescent Idiopathic ScoliosisAdolescent Idiopathic Scoliosis

Pictures courtesy of Dr Jeffery Rosenberg RNOH

Picture courtesy of Marilyn Raymond RNOH

Questions?Questions?

Questions?Questions?