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Metaphyseal Bands

This is radiograph of both knees AP view showing unfused skeleton. There are dense metaphyseal bands (white arrows) seen in the distal metaphysis of both femori.

Causes of Dense metaphyseal bands include :

  • Lead poisoning
  • Scurvy
  • Healing rickets
  • Treated leukemia
  • Severe anemia – Sickle cell disease / Thallasemia
  • Growth arrest lines
  • Renal osteodystropgy – Secondary hyperparathyroidism