Cortical sclerosis involving the margin of the epiphysis
Expansion of the costochondral junctions
Exuberant periosteal reaction
Increased density of the end of the metaphyses
Sclerosis of the margins of the epiphysis (Wimberger sign), metaphyseal (Pelkin) spurs, dense metaphyseal lines (white lines of Frankel) and exuberant periosteal reactions (secondary to recurrent subperiosteal bleeding) are features of scurvy. Expansion of the costochondral junctions results in the characteristic appearance of a rachitic rosary.