Testing for expansion and sex hormones, CPK, nutritional screening for example pre-albumin and checks for inflammatory bowel or celiac condition and genetic tests referral might be ideal also.8 In scenarios of suspected rickets, a minimal serum calcium and phosphorous coupled with the elevated alkaline phosphatase can help make the diagnosis.9 https://www.theorthopaedicandpainpractice.com/what-is-a-long-bone-fracture/