Baby has rib flaring, what to do about X-legs?

Patient's question:

When the baby stands up, it can't stand straight, and there is one rib that is outwardly rotated. At first, when seeing the doctor, no tests were done, and the doctor said it was nothing, asking if they should take calcium supplements. The doctor said they didn't lack calcium. Later, they noticed some symptoms similar to rickets and went to a big hospital for a check-up, where it was said they were iron-deficient. Friends at home gave them Zoledronic acid calcium and Zorac iron lactate, but they don't know which ones to supplement, whether to supplement, and they are afraid to take too much.

Doctor's answer:

Based on your description, your baby is probably around 1 year old. First, let me talk about costal cartilage protrusion. It is a manifestation of the skeletal change phase of rickets, also known as the post-injury stage. Its occurrence generally indicates that the baby has experienced a period of calcium deficiency. As for whether calcium supplementation is needed now, it depends on other tests, such as bone density and alkaline phosphatase tests.
Second, the baby's legs not standing straight may be related to calcium deficiency, but other conditions need to be ruled out as well. For example, hypotonia, hip joint dysplasia or dislocation, or any trauma.

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