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Orthopaedics JIPMER 2018 d6fa8325

A 12 year old boy presents with chronic knee pain for 2 years/. Knee x ray is shown. Probable diagnosis:

A
Chronic osteomyelitis
B
Osteosarcoma
C
Rickets
D
Hyperparathyroidism
High-Yield Explanation
* The x-ray shows lower end of femur with flaring and irregular margins but the epiphysis is normal.* There is no white line in epiphysis, hence scurvy is ruled out.* Absence of lytic lesions rules out hyperparathyroidism.* Malignancy is ruled out as there is no periosteal reaction or bone growth is seen.* Rickets shows flaring of metaphysis and widening of the growth

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