3. The word Crippled is unpalatable Ricketsis Unacceptable !

5. W hat is Vitamin D? Benjamin Jacobs Consultant Paediatrician W hat is Vitamin D Deficiency? W hat is Orthopaedics?

6. Vitamin D 1928 Nobel prize for chemistry Adolf Windaus

7. Types of Vitamin D Vitamin D 2 Vitamin D 3 which to prescribe? simple Vitamin D 25 (OH) Vitamin D 1,25 (OH) 2 Vitamin D CalciolCalciDiolCalciTriol

8. How much? Dose 400 units=10 micrograms Blood level 50 nmol/L=20 ng/ml

9. How? Diet Diet Sun? Sun? Food Fortification? Food Fortification? Supplements? Supplements? Drugs? Drugs? X ? √ ? ?

10. RNOH Children's Medical Bone Clinic Support orthopaedic surgery Support orthopaedic surgery Vitamin D FAQ’s Vitamin D FAQ’s Investigate D overdose Investigate D overdose Genetic forms of rickets Genetic forms of rickets

11. Orthopaedic Vit D questions? SUFE SUFE Perthes Perthes Blounts Blounts Osgood-Schlatter Osgood-Schlatter Stress Fractures Stress Fractures Growing pains Growing pains Plagiocephaly Plagiocephaly Adolescent Idiopathic Scoliosis Adolescent Idiopathic Scoliosis

12. Pictures courtesy of Dr Jeffery Rosenberg RNOH

13. Picture courtesy of Marilyn Raymond RNOH Questions?

14. Questions?