There is a ragged metaphyseal side to the growth plates of the radius and ulna. These bones are affected because they are undergoing rapid growth. The cartilage continues to grow abnormally in the physis. Calcification spicules occur at the ends of the bone, creating the appearance of a little cup holding a bowl of cartilage, with the epiphyseal center (calcified bone) present as a ball in the bowl.
This patient was treated with vitamin D. This x-ray was taken a month later. The cartilage that had piled up near the growth plate has begun to calcify.
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